Well, I've read a few "med error" posts and I had the same feeling as the few that I read: My heart sank.
I work as a SNF charge nurse and had to pass meds for 19 patients in addition to running 7 IVs which included 2 TPN. My med error was with Dilaudid. The MAR and the DEA control record didn't match. I had given the patient her Dilaudid before and the Rx was for 4 Dilaudid tabs (2mg each). Well, the pharmacy provided Dilaudid 4 mg tablets and I gave four 4 mg tabs instead of four 2mg tablets. I basically doubled the patient's dose. Well, I felt so humbled.
Not a good feeling. I called the doctor and informed her. I also completed the incident report. The doctor was very nice about it, and said she would most likely be fine because she is chronically asking for pain medication. If fact, she asked for pain medication after I had given her the erroneous dosage. Plus, on another note, the LPN that I work with sleeps during the shift when she is on her "break". I don't feel comfortable with her sleeping but I also do not want to be the whistle blower.
Will I get reprimanded or fired for my med error? This is the second time(sorry about the title) as I have hung TPN late once before overwhelmed with med pass.