wrong medication.......

  1. during our first sem of hospital exposure, one of my classmate is unable to give the prior medication to her patient. the situation goes like this: our clinical instructors oriented us that in giving the medication to our patient we will consult them and get the chart of our patient for them to check if the medication prepared is right, in the case of my classmate she is able to tell the wrong room number of her patient to the incharge medication nurse which is also our classmate, then my classmate told our C.I. that she will give the medication and our C.I. say's asked her the room number room number of her patient without getting the chart of the patient.... as she went to the bed side of her patient, her patient was "shock" because the medications are all tablets and the patient is still a year and and a months old... my question is, which among them should be responsible for the act? the nurse on duty, the medication nurse or the C.I.?...................???

    i need your opinion nurses around the globe..... :spin:
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  2. 9 Comments

  3. by   Silverdragon102
    The student needs to be aware that it is the right person in the right room and when giving medication to the patient needs to check name DOB and any hospital identification ie allocation number. C.I should be teaching them this and ensuring they are following hospital procedure and correctly identify patient. Charge nurse should also check that the right information has been collected if dispensing to a student

    Just my opinion
  4. by   canoehead
    She gave a bunch of tablets to an infant? Was she thinking at all?
  5. by   Monica D
    Right PATIENT
    Right medication
    Right dose
    Right ROUTE
    Right time
    Right documentation

    I think I covered them all, :chuckle
    Anyway, my point is that the student should be aware of these things, but the CI should be making SURE that the student is aware of these things. There is a reason that the patient wears an armband and all of the info on the MAR should be the same as the info on the armband. If I see a DOB of, say, 11/21/06, I am gonna be raising an eyebrow if I open that patient's drawer and see all tablets and if I don't raise my eyebrow, I hope to the goodness my CI will raise an eyebrow when checking behind me.
  6. by   Kevin RN08
    Quote from Monica D
    Right PATIENT
    Right medication
    Right dose
    Right ROUTE
    Right time
    Right documentation

    I think I covered them all, :chuckle
    Anyway, my point is that the student should be aware of these things, but the CI should be making SURE that the student is aware of these things. There is a reason that the patient wears an armband and all of the info on the MAR should be the same as the info on the armband. If I see a DOB of, say, 11/21/06, I am gonna be raising an eyebrow if I open that patient's drawer and see all tablets and if I don't raise my eyebrow, I hope to the goodness my CI will raise an eyebrow when checking behind me.
    I think there is enough blame to go around, I would imagine technically it's the CI because (atleast here) students work under the CI's license.
  7. by   Monica D
    Quote from Kevin RN08
    I think there is enough blame to go around, I would imagine technically it's the CI because (atleast here) students work under the CI's license.

    Which is exactly why if I were the CI and my license were on the line, I would definitely be checking and double-checking behind the student.
  8. by   fuel
    Quote from canoehead
    She gave a bunch of tablets to an infant? Was she thinking at all?

    actually the good thing happen in this part is, the patients mother was shock and ask my classmate if it is really the medication prescribed by the doctor, and eventualy the mother of the infant went to the station and confront the staff nurse about what happened.
  9. by   fuel
    Quote from Monica D
    Which is exactly why if I were the CI and my license were on the line, I would definitely be checking and double-checking behind the student.

    yahzz..... definetly.....
  10. by   ally21
    We were told that we don't work under anyone's license.
  11. by   critical thinker
    Quote from Monica D
    Right PATIENT
    Right medication
    Right dose
    Right ROUTE
    Right time
    Right documentation

    I think I covered them all, :chuckle
    Anyway, my point is that the student should be aware of these things, but the CI should be making SURE that the student is aware of these things. There is a reason that the patient wears an armband and all of the info on the MAR should be the same as the info on the armband. If I see a DOB of, say, 11/21/06, I am gonna be raising an eyebrow if I open that patient's drawer and see all tablets and if I don't raise my eyebrow, I hope to the goodness my CI will raise an eyebrow when checking behind me.

    The new one Right to refuse

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