First Med Error

Nursing Students General Students

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With only two weeks left of my last semester of nursing school, I made my first med error. My patient was off the floor most of the day for procedures. He returned one hour before clinical ended. I had an IV push med to give and a mini to hang, to catch him up on the scheduled meds he missed while off the floor. Then he requested pain medication - IV push. My instructor was with me, and we ended up leaving together a half hour after clincal was suppose to be over.

On the way home, I realized I forgot one med that had been held that morning before his procedures. I immediately called the hospital and left a message for the RN I was working with. I then left a message on my instructor's cell telling her about the missed med and what I did to rectify the situation.

My instructor called back a while later. She had already called the RN to confirm my story. She was very understanding, and told me to learn my lesson and move on. She also explained it needed to be written up as a med error.

I am sick about the whole situation. I feel horrible!! Although I'm a 3.92 GPA student with wonderful clinical evaluations, I feel like a failure. How do I get past this??

Thanks.

Specializes in ER, Medicine.
I am sick about the whole situation. I feel horrible!! Although I'm a 3.92 GPA student with wonderful clinical evaluations, I feel like a failure. How do I get past this??

You know, a nurse isn't defined by their GPA or their evaluations. They are defined by lessons learned. In 30 years you aren't going to remember your GPA or what you made on a particular test, you'll just remember mistakes made and lessons learned. Period.

Also, book smarts is an entirely different area than real life clinical situation smarts. This has to be learned and sometimes learning can be a hard situation, but in the end you grow from it and continue on.

Specializes in L & D.

Thank you for all of the supportive messages.

My clinical instructor sent me a very kind e-mail yesterday (a Sunday!). She knows I'm very hard on myself - and she often compares me to herself, which is the best of compliments. She's an amazing instructor - although I'm being held accountable for my error, she reached out to let me know it was a mistake, that should be put behind me.

I never meant to imply that my GPA will make me a good nurse. I only meant to say that even though I've done very well in school, I've allowed this error to chip away at my confidence. From day 1 I've had to work hard in clinical while class work comes very easy to me. I've always done well in clincal, but it's taken me time to build up speed and to be able to care for six patients.

Again, thank you for your kindness.

Specializes in Med/Surg <1; Epic Certified <1.
I've had to work hard in clinical while class work comes very easy to me. I've always done well in clincal, but it's taken me time to build up speed and to be able to care for six patients.

Again, thank you for your kindness.

:uhoh3: SIX patients!! Oh, jeepers.....I'm stressing over two needy ones that I'll have tomorrow!!

I struggle with clinicals, too....and have a good GPA....the whole feeling like I'm "bothering" a pt is something I'm working on....I have an internship this summer and am hoping that working with a nurse will help me learn how to overcome this by seeing how it's really done....one of my gripes about NS is that in first semester they teach you assessments in lab, then expect you to go out and do them like a pro...like, I've only ever had babies and never been a pt...the most fascinating morning I had was watching an RN come in, chit chat with the pt, and do assessments without me or him really realizing overtly what she was doing...I would've loved the opportunity to see a bit more of that!!

Glad you're feeling better...it took me several weeks to quit beating myself up....best wishes!!

Specializes in Cardiac.

Hmm, I gave 1000cc of a lactulose enema, instead of the 300cc. That's quite a mistake. First, the pt could have had cardiac complications, and secondly, the pt gave me back all 1000ccs and more in the form of diarrhea that I was cleaning up all day. I must have said "wow, this seems like a lot of enema to give..." a hundred times as I did it.:uhoh3:

It barely made a dent in his ammonia levels though!

I ran antibiotics in below the pump once...and they were a type that was not supposed to run in fast.....I almost had a heart attack. My preceptor watched me and didn't catch it either. It was awful awful awful...I don't think I will ever ever repeat that mistake, however...I also don't know if Im cut out for this career.

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