Hello I am new here and sorta new in the field.. I was supposed to give a patient an injection and gave a PPD medication instead of the flu vaccine and then i didnt realize it again on another patient! Both patients had bigger arms..but only one i was aware when the patient was still in the office! The dr said they she will be ok. So i reported one instead of both. my friends say she should be ok.. but i still have a bad feeling, besides the fact i messed up.
Oct 31, '13
by Meriwhen, ASN, BSN, RN Senior Moderator
I can't believe you mistook tuberculin for influenza vaccine and/or mistook a TB syringe for an IM needle...ok, I can kind of see the needle one happening, since they do use a small gauge needle for a deltoid injection. But still...
Yet another graphic reminder why it's important to practice the rights of medication (5, 6, 10, whatever number you roll with) and check meds before AND after administering them.
Ok, deep breath. You made the mistakes, you can't undo them. You're human. You're not the first nurse to make a med error and won't be the last...the important thing is to learn from this and not repeat it.
I'd fess up about the other patient. Yes, it's 99% likely that the other patient will be fine...but what are you going to do if this patient happens to be one of the 1%? Better to be honest and take responsibility upfront.
And be more vigilant when pulling and administering meds. Take your time--there's no reason to rush. Double and triple check. Never draw up a med into a needle and leave the needle unlabeled; you risk forgetting what you drew up. Also, do not administer meds that another nurse has pulled because they could have made a mistake.
Beat yourself up for the rest of the day, then learn from it and put it behind you.
Last edit by Meriwhen on Oct 31, '13