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Med Error



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Dec 15, 2005 12:47 PM

Med Error


I have a question. We have to have an inservice tommorow due to a nurse making a Med Error. She gave Amaryl to a patient 4 times due to the fact she works 16 hr shifts back to back. Wrong Pt. Wrong Med situation. She is a nervous wreck and is in a meeting with the DON as we speak. The Pt is in Resp Failure with a blood sugar of 29. What is going to happen to this nurse? She is a dear friend of mine and I feel sorry for her. The whole situation is terrible and I feel so bad for the resident and family involved. Any input is appreciated. Thanks.

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8 Comments
No. 1
from traumaRUs
Old Dec 15, 2005, 12:48 PM

Default Re: Med Error
Am unsure what the result will be. Working 16 hour shifts back to back with the associated sleep deprivation can lead to errors.
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No. 2
from lovingmyabcs
Old Dec 15, 2005, 01:18 PM

Default Re: Med Error
Thank you. I just hate it for all those involved. The Baylor Program has it's benifits, but in the long run it is too much.
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No. 3
from CapeCodMermaid
Old Dec 15, 2005, 07:17 PM

Default Re: Med Error
Our Baylor is 12 hours..not 16. Horrible for the nurse as well as the poor patient. Don't want to sound like a hard heart (and I have been told that I expect too much of people), but working 16 hours is not really an excuse...her technique/ practice must be off...4 times?? didn't she read the med sheet? Hard way to learn a lesson.
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No. 4
from steelcityrn
Old Dec 15, 2005, 08:03 PM

Default Re: Med Error
Alot will depend on the patients outcome.
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No. 5
from SouthernLPN2RN
Old Dec 15, 2005, 08:06 PM

Default Re: Med Error
16 hr shifts should be illegal nationwide. I've done them, and I won't ever do it again unless there's an emergency. I hope it comes out okay.
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No. 6
from meownsmile
Old Dec 15, 2005, 08:52 PM

Default Re: Med Error
I agree 16 is to much to do once, let alone 2 back to back. 16 is my limit, and i dont do that but on a very very rare occasion and anyone who thinks they can needs to reexamine their common sense.
I hope things work out, but even working that many hours is no excuse for making that kind of error multiple times.
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No. 7
from ARLadyRN
Old Dec 15, 2005, 09:08 PM

Default Re: Med Error
I'm sorry for the nurse, but that's very serious for that poor patient more so.
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No. 8
from lovingmyabcs
Old Dec 15, 2005, 09:47 PM

Default Re: Med Error
The dose was before breakfast and before supper so over 2 days she recieved 4 doses. I agree 100% with you. I am always checking and double checking. As a result we are all passing meds with the in house Pharmacist checking us off tommorow. I appreciate your thoughts on this.
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