In nursing school
we learned never turn your back on a sterile field.
This morning I learned.... never turn your back on a nursing home resident's pills. I was passing early morning meds near the end of my night shift. I went to Mr and Mrs M's room, with 2 souffle med cups, one for him and one for her, his eye drops and nitro patch. I had forgotton her calcitonon nasal spray, so after giving Mr his pills, I left everything else and said I'll be right back. I grabbed her spray and when I got back he said, "I took that one, too." He took his wife's pill! It was only calcium with vit D, but I still need to do something about it. It's the weekend and I don't know how to document what happened. The nurse coming on this morning said to ask the DON. She won't be there until Monday. It's scary how a careless mistake can happen so quickly.
Jun 19, '04
:uhoh21: The posters below are correct: follow your facilities guidelines for medication errors.
Last edit by AcosmicRN on Jun 19, '04
: Reason: I said the wrong thing