Yes, it was on a pump, but the other nurse who was supposed to check it did not. I thought she had, and when I asked if the dose was correct, another nurse said yes. However, we were talking in different terms - me in CC's, she in Units.
I am writing because I just made a huge mistake and needed to talk about it. I had a patient receive an entire bag of heparin over an hour. The proper people were notified, the correct reversal drugs given, and the patient is fine - thank goodness....