can anyone tell me how on earth can anyone place the wrong id arm band on a pt?
this is the 3rd time in the last 4 months that this has happened on our unit. four months ago when we got a new rn, she scanned the pt's bracelet, his name came up on the computer saying is this the right pt? of course she clicked yes. gave him his meds and went on to the next pt in the same room. a na came into the room and said the pt's name she said that isn't mr. so and so? he said no it's... mr. so and so. well there's a big med error!
the poor thing was on orientation. she was so infuriated that she quit.
today the head nurse said before you all leave i want to ask you a question. her question was,"how does one place a wrong id band on a pt 2x?"
we kinda looked at each other and i said, "you don't unless you don't know them. but i would hope you would ask someone else that does know them to identify them." well it turns out that on friday (when i was off-thank you) two new arm bands were placed on the wrong pts. no one will confess that they did it, and it was another new nurse who found them. now i'm thinking if no one will confess, could it be that someone put them on deliberately. is that possible??? and why would you want to do that and put the pts at risk and cause a new person to make a med error like the last new nurse we had? my question to the head nurse was, "how can you not see the name on the bracelet while you're putting it on and if you knew the pt, knew that it was the wrong one?" she replied, " i don't understand either, but someone had better come up with some answers because now i have to answer to so and so!" (who is the clinical coordinator director of our ltc facility) it really bothers me that someone could be that stupid in plain english to put the wrong arm band on one person never mind two!!! unless it was done on purpose...
sorry, i'm just venting