Re: major error in NICU
If anyone tells you they have never made an error, they are most likely lying!
You will learn from this mistake, and so will everyone else. Everyone always thinks that they would never do that or have it happen to them, but in reality, it will.
Because of several incidents like the one you had, we now have it in our P/P that two RN's must check the pumps once they are set and before the infusion starts. We have not had an error since then
Maybe this can be suggested in your practice council. It is actually true for all units now where I work. Also, at change of shift we do line reconcilliations, which I believe all hospitals should be doing, where you trace the line from pump to patient, check rates, make sure tubings are still good. This is done between the on coming and the off going nurse.
That's when all med records were hand written. I followed policy. The patient was transfered to ICU and was on a sugar drip, but was okay. I know how you felt when that happened.
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