caught a med error. ...stress. ..

Nurses Medications

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Hi.this is my first time posting as I generally kisg browse this site. I actually became a member so that I could seek some advice. Please, nurses, share your infinite wisdom with me!

I have been a nurse for nearly 7 years. Within the last year I took a position at a small rehab/ LTC facility. It seems that there is this strange, unspoken policy of "hiding" issues. Be it New wounds, change in condition, med error, whatever- most everyone seems comfortable with sweeping issues under-the- rug. This inevitably results in a mountain of paperwork and multitude of phone calls/order changes/ incident reports nearly every time i work (for issues occuring on other shifts) . Whenever there is an issue, it seems its ignored until a 'float nurse' stumbles upon it and adresses it.

The last shift I worked was on a unit. And shift I had not worked on in quite some time. As I was pulling meds for a pt, I noticed that the correct dosage of a med (narcotic) was unavailable . Upon further investigation I discovered that the pt. Had been receiving double the prescribed dosage for several weeks. I wrote up the med error, obtained correct dose and carried on with my shift. Later, i was informed by coworkers that i shouldn't have documented this med error as "no harm was done' as the nurses who gave the incorrect dose could" be in big trouble! ". I honestly feel as though I did the only thing I could in my position. Although, admittedly, .the patient did not suffer any ill-effects, an error was made ( not just once but for weeks). The patient is fine, but that does not negate the error made. Also, selfish as it may sound, I have a license to protect. I would have undeniable liability had I not reported the issue- it was obvious i noted the discrepancy and began the administration of correct dosage. Im not really sure what im looking for here except maybe some validation that I did the right thing (despite the anger ive inspired in many of my co-workers

Specializes in Intensive care, ER.
I bet you wouldn't have made this post if this was possible but I have a question: The impossibility of pulling a correct dose means there is no way they could have gotten to the prescribed amount by pulling a larger dose and having a 2 RN documented waste of the excess, right? I don't imagine you'd have posted if so.

That's what I was thinking too, some meds we stock have to be wasted and there's no document of that in the emar. It's documented in the pyxis of course, but I haven't looked to see if a staff rn has the capability to see what was wasted.

Specializes in ER, ICU.

Good job! You are not selfish in protecting your license, you are serving your community. If your boss gets in your face you should state that you did the right thing, and will continue to follow your Nurse Practice Act by not committing Medicare fraud in the future. Enabling unethical behavior has become the culture, and is not acceptable. You should ask your boss what they are doing to keep the facility from being closed and nurses possibly being jailed for illegal practices. Just because they haven't been caught yet is academic. If it appears nothing will change you should look for a new job, and consider making a call to the state when you leave.

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