How would you judge in a situation like this?

[Leonardo Del Toro, RN]

A PM nurse enter a order for a wrong patient but give the first medication to the right pt at the right time. The next admission is AM. The NOC RN sees the error. Instead of correcting the error the noc rn decides to report the PM nurse to adm later and let order in MAR withoit telling other nurses putting a pt at risk. Obviously the med error is owned to the PM nurse. But isn't also a form of neglect from the NOC rn to have let the wrong order in place knowing there was a mistake?

[cleback]

Yes. That was silly of the noc nurse and deserves it's own occurrence report. Why did she leave it--forgot or wanted "evidence"?

[NuGuyNurse2b]

AM nurse had due diligence to correct the action. and reporting the PM nurse to adm might've seemed to her like correcting the action, but obviously the incorrect MAR is in the wrong patient so that should've taken priority. in this case, I would think the AM nurse more liable in any patient harm than PM nurse.

[Davey Do]

I experienced a similar situation back in Dec. '10, marcos9999:

Last night, while reconcilating MARs, I noted that an 8 y/o Patient had been prescribed Depakote 250 mg am/500mg pm. The PharmD had transcribed it as 250mg and 500mg am. The med had been administered for two days as a single dose. The MN Nurse who had reconciled the previous two nights MARs had allowed the order to stand as transcribed.

I contacted Pharmacy in order to gain a consensual perspective, thinking that I could have missed something, which I do sometimes. No, I hadn't and the MAR was corrected. I contacted the MD, informed him of the original order, the actual administration, and the rectification. He said, "That's fine." I let the House Supervisor know what was going on and she reinforced that I should also fill out a Med Variance form.

As a result of this situation, I learned that large doses of Depakote in Pediatric Patients can also cause Hemorrhagic Pancreatitis, which reinforced my decision to do as I did.

Here's the link:

https://allnurses.com/general-nursing-discussion/putting-principles-before-520971.html