I feel awful, it's three months into my first job and I gave a patient a much smaller dose of tinziparin than was prescribed. I didn't realise until the next day when I went to give the same mediciation and noticed the dose. I filled in an incident form and documented it in the notes. He is on warfrin too as he's had a PE before coming to the ward from HDU, his INR had still come up the day after than it had been the day before. I'm horrified about what will happen next, if I'll be in trouble, if the patient will be ok. It's totally my fault, I must have checked the wrong chart as I'd looked a few out that needed this medication. Theres no excuse for it and I blame no one but myself, just can't get my head around how it went wrong. I feel like the worse nurse in the world, and I'm doubting that I'm cut our for ward work since I can't even last 12 weeks without doing something so silly.
i thought the NHS had a limited blame culture following shipman so our pharmicst told us during percetorship training.
And my ward is getting very strict on gaps in drug cards or not documenting why a drug was omitted for whatever reason we have to use the omission numbers and inital each time. what gets me is translating doctors handwriting or drugs and doses, i grab the nearest nurse to confirm. oh and missing a drug ordered not sure what your drug cardex look like but stat doses are on the front(leaf) of our 3 leaf cards, then i check all te regualr timed drugs area.
Last edit by ayla2004 on Jan 24, '09
: Reason: imcomplete