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  #71  
Old Apr 21, 2004, 02:17 PM
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Join Date: May 2000

My worst mistake ...

I work in the OR and occasionally, our patients have local anesthesia for their procedures. I made the mistake of not posting the "Patient is awake" sign on the door while the patient is having a bilateral orchiectomy. One of my friends came to my room to say hi. She looked around to see what case I was doing. Then all of a sudden, she blurted out, "Is it OK for men to live without their balls???" The room got deadly silent and after I whispered to my friend that my patient is awake, she quickly slipped out of the OR.

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  #72  
Old Apr 21, 2004, 05:38 PM
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Tweety (Male)
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Join Date: Oct 2002

Originally Posted by poopsiebear
My worst mistake ...

I work in the OR and occasionally, our patients have local anesthesia for their procedures. I made the mistake of not posting the "Patient is awake" sign on the door while the patient is having a bilateral orchiectomy. One of my friends came to my room to say hi. She looked around to see what case I was doing. Then all of a sudden, she blurted out, "Is it OK for men to live without their balls???" The room got deadly silent and after I whispered to my friend that my patient is awake, she quickly slipped out of the OR.

OMG. That wasn't a mistake. That's one of life's most embarrasing moments.

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  #73  
Old Apr 21, 2004, 10:28 PM
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Join Date: Apr 2004

Originally Posted by Berta
As a student, I know that I WILL make mistakes. I applaud you for realizing and admitting your mistake. We all make mistakes..The single most important thing is that we learn from it and don't repeat it again.
Berta
I concur!

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  #74  
Old Apr 22, 2004, 07:06 AM
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Join Date: Mar 2004

Well. you will not be held liable for those actions you have done. The clinical instructor will be, she must supervise her students on all activities/procedures to be carried out by her students. Here on Philippines(based on books), if the student committed a mistakes, the clinical will answer all the possible liabilities.
But good thing, it never happened to you CI.
Originally Posted by Kudra
actually, my worst mistake to date was pretty similar to yours, mwcia12... it was my 1st semester of my RN course and i was looking after an elderly gentleman who was due for a transfusion... we were waiting on the blood to come up from the lab and the hospital's policy was that students could not hang blood, so i went to lunch... while i was at lunch, though, the blood arrived and the RN i was working under had hung it... but as soon as she had hung it, she went to lunch as well and left the RPN in charge of monitoring the patient for a transfusion reaction...

so, i get back from lunch about 30 minutes later and i asked the RPN for report and she said that she had checked his vitals and everything appeared to be fine... so i go into the room and do the classic mistake of focusing on the lines/machines hooked up to the patient instead of really assessing him... i stupidly overlooked assessing the site, but i asked the patient if he had any complaints or pain and he said no...

well, 10 minutes later, the patient's son comes out to the desk where i was charting to find me... he said the patient's arm was really hurting and it looked bruised... and my first thought was "crap, it infiltrated!"... sure enough, it had... the poor man had about half a unit of blood in his tiny little arm... it just looked horrible... so i stopped the infusion, elevated the patient's arm on a pillow and called my clinical instructor... my instructor was pretty cool about it and we applied warm compresses (as per hospital policy) to the site and restarted the blood in his other arm... we explained everything to the patient and his family and they were really understanding about it all... i felt SO bad...

to make matters worse, the RPN totally flipped on me saying that i was negligent because i was responsible for the blood, not her... i think, in hindsight, that she was worried that the mistake would come back on her because she was responsible for monitoring it while the RN was away, and the half a unit would have started infiltrating before the last 10 minutes that i returned to the floor and checked the patient... but, of course, being a student i felt like i had screwed up royally... i think that was the only time i ever contemplated quitting the program...

anyway, i feel pretty lucky that it was my biggest mistake to date because there definitely are a lot worse things that could happen... but you can bet to this day, when i do an assessment, i start with the patient and work my way back to their lines rather than focusing on the pumps anymore!

beth

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  #75  
Old Apr 22, 2004, 07:26 AM
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Join Date: Mar 2004

the greatest pain that i ever seen in hospital is the pain felt by the mother seeing her newborn child dying and hungering for life, and finally seeing her newborn dead. i May not made a mistake but the personnel did. The child already clinging for breath. I notified the nurse and nurse notified the doctor. THe doctor came too late. Then he is too late to revive the child. The baby had already jitteriness and having spasm all over the body, and epineprhine was injected. But no effects occur. THen the doctor intubated but still no impprovements. Then finally, CPR was employed and furtherly no improvements. THe mother witness all the suffering of her baby until death. The mother was crying. I feel guilty about it, if only i were a doctor with knowledge and skills i will do to help the infant in order to ease the pain of the mother. i interviewed her, she said it is just like im dead.
Originally Posted by canoehead
I had an IV infiltrate on an infant once. I could see the site through the window, but didn't want to even go in the room to touch her because she had been so hard to settle, and it was a brand new site, so I assumed it was OK. After seeing that poor childs arm after 2 hours I will never assume anything again. It must have been excruciatingly painful.
sorry for wrong grammar.

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  #76  
Old Apr 22, 2004, 08:16 AM
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Tweety (Male)
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Originally Posted by powel_44
Well. you will not be held liable for those actions you have done. The clinical instructor will be, she must supervise her students on all activities/procedures to be carried out by her students. Here on Philippines(based on books), if the student committed a mistakes, the clinical will answer all the possible liabilities.
But good thing, it never happened to you CI.

While this may be true, they can still kick you out of nursing school for your errors.

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  #77  
Old Apr 22, 2004, 08:34 AM
Senior Member
Join Date: Mar 2004

Originally Posted by powel_44
Well. you will not be held liable for those actions you have done. The clinical instructor will be, she must supervise her students on all activities/procedures to be carried out by her students. Here on Philippines(based on books), if the student committed a mistakes, the clinical will answer all the possible liabilities.
But good thing, it never happened to you CI.
actually, in this province in Canada, even as a student i AM considered liable for my mistake... the clinical instructor, the school and the RN assigned to work with me that day would also be liable... everything was explained to the patient and well-documented, so nothing ever came of it... but if the patient had filed a complaint, i would have been (along with the others i mentioned above) brought before our licensing board's Discipline Committee for a hearing... they would determine who was accountable for what... as a 2nd semester nursing student, i probably wouldn't have been held to as high a standard as my instructor or the supervising RN, but i still would be considered accountable...

in the scope of things, my mistake was actually relatively minor (ie: they wouldn't kick me out of school because of it)...

beth

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  #78  
Old Apr 22, 2004, 03:30 PM
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Join Date: Feb 2004
Students and mistakes

At my hospital year before last there was a nursing student that made a mistake with Heparin. Not sure exactly what happened but it was a serious mistake. The school that she was going to permanently let her go from their program. When the hospital found out about it they went to bat for the student and told the Dean of nursing there that if they didn't reinstate her that they would no longer accept student for clinicals there. They felt that it was human error and that she should not have been dismissed.

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  #79  
Old Apr 22, 2004, 04:04 PM
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Join Date: Oct 2002

Originally Posted by mattsmom81
Hugs to all nurses. Sometimes the hardest thing is forgiving ourselves...but we are all very human and perfection is not an option. Something many facilities and managers seem to dispute.
I agree w/ the above!

Thanks to all the nurses here for sharing their stories. My love, respect and admiration to all of us who have one of the hardest jobs in the world- nursing!



Here are by big mistakes-

Working in a busy surgical unit, I drew up a syringe of insulin for a pt (we were not allowed to take the MARs out of the book, or to take the book w/ us to the pt's bedside).

I kept getting interupted on my way to the pt's room. I had two pts in ajoining rooms w/ very similar names. I thought I could trust my memory instead of going all the way back to the nurses' station again to check the pt's name.

Well, you guessed it- I gave the insulin to the wrong pt. She was not even a diabetic.
Thankfully- it was a low dose. I felt like dirt having to tell the pt, the charge nurse and the doc what I did. BS checks q 1 hr all noc. The pt's BS didn't bottom out- she did fine w/ just orange juice w/ sugar and some crackers. I did not have to give her IV glucose. Although she was not injured, I felt really bad for interupting her sleep all noc to check her BS and make sure she was ok. She needed to rest and recover from her procedure- not be woken up all noc for BS checks! The pt did not speak english, so she was unable to tell me off in a way that I could understand.

I think I was supposed to be written up, but wasn't. This was probably due to the unit be in such a constant state of chaos, my charge nurse just forgot to do it.

Another mistake-

Hopsice inpt unit. Again, I was interupted several times on my way to give a pt her MS Contin. I was just giving it to the pt and realized it was the wrong pt. I started yelling "Spit it out! Spit it out!" I cupped my hand in front of the pt's mouth and she spit out the pill in it. The purple coating had not even started to come off of the pill, and it had only been in her mouth a second or so. Thank goodness she was a slow pill taker!
The pt was demeted so, I don't think she knew what almost happened and did not seem at all bothered when I told her "I almost gave you the wrong pill."

I did not write it up, as the med never actually entered the pt's system. I charted that the pill was wasted, due to contamination.


Here's another story I just remebered- I was working nocs at a LTC. I finished my shift and went out to a leasurely breakfast w/ my husband. I didn't get home until two hours after my shift. When I did, I found four frantic messages on my machine. I had left w/ the narc keys in my pocket.

Thankfully, there were only a couple of narcs due on days shift's first med pass. Two pts got their narcs and hour late.


Last edited by Hellllllo Nurse : Apr 22, 2004 at 04:09 PM.
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  #80  
Old Apr 22, 2004, 04:10 PM
Registered User
Join Date: Oct 2002

Originally Posted by MelissaRN
At my hospital year before last there was a nursing student that made a mistake with Heparin. Not sure exactly what happened but it was a serious mistake. The school that she was going to permanently let her go from their program. When the hospital found out about it they went to bat for the student and told the Dean of nursing there that if they didn't reinstate her that they would no longer accept student for clinicals there. They felt that it was human error and that she should not have been dismissed.
How humane of the hospital!

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