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wrong injection for the patient



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No. 10
Old Nov 23, 2008, 06:50 PM

Default Re: wrong injection for the patient
I am so sorry this has happened to you. It is really no big deal they are angry that they got a wrong injection but she didnt stop you from giving it to her and I presume it helped her pain.

It takes a long time to investigate med errors in Ireland. You need to make sure you write down all the events leading up to the error.

As other posters said especially with pain meds you need to make sure you check the kardex with the pt and name band. Had you not medicated this pt before?
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No. 11
from nursey2008
Old Nov 24, 2008, 03:22 AM

Default Re: wrong injection for the patient
it was definetly my error and I cant say anything about this to defend myself. I made a wrong step. A rather minor thing to the patient compared to what it has caused me now. I wouldn't hurt myself but I feel numb, I'm crying all the time and wish I wouldn't have to continue with this life any longer. My life dream was just destroyed. Getting registration in the country where I always wanted to live in, working there, ... I don't think I can ever get registration with another nursing board in the future if they really forward it to the irish nursing board and this incident will be on my chart especially as i cannot say much to defend myself. I just ruined my life and watch the pieces...
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No. 12
from lpnflorida
Old Nov 24, 2008, 03:36 AM

Default Re: wrong injection for the patient
You made a mistake, but your life, your career is not over. I would suggest trying to go back to work .rather Do not sit in the house imaging all kinds of gloom and doom scenarios about your future. Mistakes happen , it does not mean you will lose your license and not be able to fulfill your dreams of nursing in another country.
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No. 13
Old Nov 24, 2008, 06:37 AM

Default Re: wrong injection for the patient
You seem to be a little dramatic about this. Raises red flags to me that maybe there is more to the story. I am not sure about Ireland, but I know here in the US a med error does not destroy your career let alone your life. Let me put something into perspective for you, last April 25, I had to bury my 13 year old son from a very violent and tragic death. Yeah that's something to be upset about, not one silly little med error. Maybe you need to get some councelling to help you cope if it such a big deal that you say it ruined your life. Sorry I am not very sympathetic.
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No. 14
Old Nov 24, 2008, 06:53 AM
Updated Nov 24, 2008 at 07:42 AM by Valerie Salva

Default Re: wrong injection for the patient
Originally Posted by nursey2008 View Post
Hello,
yesterday something bad happened to me at work, i gave a wrong injection.
just today i was ordered to the hospital nursing managers office because i mixed up 2 patients who r in the same room. one was charted for PRN oxycontin i.m. and i accidently gave this injection to the other patient in the room(the one who complained of pain and needed PRN medication) because i looked up the wrong chart. They called me at 2am to find out what happened because the patient said she got an injection and it wasnt charted in her cardex. this morning i had to meet the hospital nursing manager and the family is very very upset (fortunately nothing happened to the patient). she wasnt allergic, she was even on oxinorm p.o., given in the morning and at 22:00, so after my injection at 20:00 she didnt get her p.o. medication. i am working as an agency nurse and for the time of the investigations my shifs in that hospital were cancelled. i feel like a looser, ashamed, feel like ppl talk about me as my story spreads around like a fire in the hospital. they said it wont endanger my registration but they might still get it reported to the nursing board so ill be on their file.
i spent the whole day crying... i always thought of me as a good nurse and everybody was usually happy with my work...
my agency has to meet the head manager of the hospital on monday and investigations r going on... im so scared, dont have peace of mind
Unless things are completely different in Ireland, I'm concerned....In the US, Oxycontin is not an injection -it's a pill, and it is not a PRN medication.
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No. 15
from nursey2008
Old Nov 24, 2008, 07:31 AM

Default Re: wrong injection for the patient
the whole story wouldnt be as dramatic if

a) the patient and the husband both wouldnt work for the HSE in some high position (the irish healthboard)
b) the incident happened with a patient in a public hospital, private patients here in Ireland tend to be very particular and have high expectations.

The patient was on Oxycontin BD regular prescription and she got Oxynorm i.m. from me . Here in Ireland both medications are used as PRN medications (Oxycontin and Oxynorm r the same just different routes of administration), actually most patients returning to the ward after theatre are on it PRN for the first day or two

Today I went to see my agency and had to fill out thier incident form. Theyve been very understanding and nonjudgmental, however I am terrified of what the outcome might be.

@Hilinenursegrl:
first of all i am very sorry about what a horrible loss youve had. i wish you have (and had) good friends to turn to and who support(ed) you.
you are right in one thing: you do not loose the registration for a med error like this and if you plan to continue working in the same country you will still be able to find work (however it might be more difficult after an incident like this in case the nursing board has knowledge of it)
in germany (where im from) nothing like this would have happened. I do not plan to stay here in ireland, in fact i came here to collect work experience in an english speaking country so that after about a year i can apply in the country where i always wanted to go (out of many reasons including personal ones). I arranged my whole life and made lots of preparations for this.
All this would be ruined, i cant apply for registration in another nursing board with a fresh incident, they might simply turn my application down.
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No. 16
from nursey2008
Old Nov 24, 2008, 08:17 AM

Default Re: wrong injection for the patient
the manager of my agency is now with he nursing management of the hospital... he promised to call me once the meeting is over... im staring at the phone and it doesnt ring. this call will decide about many things. i havent eaten anyhing today and i have stomach cramps.
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No. 17
Old Nov 24, 2008, 09:16 AM

Default Re: wrong injection for the patient
I feel your pain... I'll pray for your peace..as I have done the same thing while back and I really know how distressing it could be...just pray...it works
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No. 18
from nursey2008
Old Nov 24, 2008, 01:00 PM

Default Re: wrong injection for the patient
thanks a lot for ur kind words beautifulblair.
a short update: my error wasnt sent to the nursingboard, but i cannot do shifts for this agency now = i am unemployed. First reaction: Panic, tears. I spoke with my agency on the phone and they said when the investigations are over i might be able to work for them again and they recommended me joining another agency, a bigger one who also works with public hospitals (=i prefer "normal" patients anyway). Until i am registered with them ill work for 1 or 2 weeks agency as care assistant and will continue my work as a nurse once im signed up with the agency.
HOpefully things work out... after a big collapse today i decided not to give up. I learnt a great deal from my error... My agency said it would never have been such an issue anyway hadnt the patient and her husband been so aggressive
im exhausted...
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No. 19
Old Nov 25, 2008, 01:07 PM

Default Re: wrong injection for the patient
Thanks for the update, Nursey. We are only human. (God made us that way., don't ya know.) You have grown from this ordeal, and helped others by posting here and reminding us to be careful.

Wishing you peace, and lots of "normal" patients at your next job.
Hang in there.
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