I accidentally gave Phenergan IV instead of IM. No harm came to the patient. I told the ordering PA and my lead nurse, and filled out an incident report. Because of our computer system, there is no way to chart the change in route without charting an error. (House policy states IV route is not permitted due to risk of occurance unless it is in a larger vein than the hand or wrist. I gave it in the AC.) I was fired the next day without risk management's involvement, my manager citing safety issues and disorderly conduct.
Am I correct in assuming this might be wrongful termination? I thought incident reports were used as a quality control tool to discover and prevent errors?
what disorderly conduct? something else you didn't mention?
i agree it doesn't sound too good otherwise. this was a serious error, and while nobody expects you to don sackcloth and ashes, some sorrow and regret would have been appropriate.
yes, occurrence forms (also known as incident reports, or by other names) are supposed to be aimed at quality improvement. they are also to let the risk manager know that something has happened before s/he gets the subpoena for documents from an attorney, or for other reasons. submitting is absolutely the right thing to do, but your having done so does not give you a free pass for appropriate consequences.
we have so many students and new grads here shaking in their boots worrying that they'll be fired if they make any error at all; it's not true, unless it was really egregious or repeated. some places might have put a written warning in your file and perhaps put you on some sort of supervised probation for a first occurrence. i'm not sure why they brought out the big guns if this was a first error...was it? perhaps not.
good luck in your next job. be careful out there.
Last edit by GrnTea on Feb 29, '12