Just posting because I feel so angry at myself, and so very inadequate.
I am a new grad in the ED, off orientation this coming sunday.
Yesterday, while doing conscious sedation on a 17yoM, I under-medicated him with Fentanyl. I had a 3cc syringe, and I mistook the 1/2 cc increments for one cc increments. Long story short, everyone in the room thought I was giving 25 mcgx2, and I gave 12.5mcg x2, and instead of 50 mcg x1, I gave 25 mcg x1.
The procedure was fine, he barely whimpered when the MD reduced the dislocated arm. He had 4/10 pain after, stable Vitals, and no resp distress or desaturations. The post reduction films were fine, and he was d/c'd.
I filled out my first OAR.
It makes me so scared that I'm already making errors and I'm not even on my own yet.
Am I overreacting?