Made a Med Error in Clinical.. :(

Nurses Medications

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This is one of my rants again.

Yesterday was my last clinical day. I had difficult sleeping the night before.

I got in with a person with diabetes, a UTI with altered mental status.

When administering medications- I forgot I needed to count the medication to make sure it matched the number that was suppose to be given but kept taking it out without properly checking it.

Another incident was I felt really clueless about insulin and the sliding scale concept. I did not know that I was suppose to give Humalog when they were eating. I was confused between sliding scales and the insulin that doesnt have one during meals.

Another incident was the ferrous sulfate which was an administration which could have been in the patient's room so we did not take it out of the drawer. A few moments later when we just gave the patient's medications, I saw that the ferrous sulfate wasnt scanned and I mistakenly thought I gave it.

She told me this was a medication error sicne I failed to remember if I gave it to her or not.

Now she emailed me that she is concered about my performance yesterday and told me I need to do my relfection about it before she finished my evaluation.

Im really nervous that Ill be kicked of the program if I fail this clinical.

How do you keep from feeling calm? I never heard anyone who has failed clinical in the school, but they said they can fail people. I am really worried!

I understand. What happened to that student?

Specializes in Pain, critical care, administration, med.

He did not have numerous clinical issues or errors. He did have to do a education to his clinical group on insulin. He knew that he needed to get it together or it would have went further.

A classmate of mine gave an entire morning med pass to the wrong pt. It was LTC, so the residents don't wear wrist bands or any identifying info, and she was with a nurse who worked at the facility. Classmate pulled all the meds, it was verified by the nurse, and the nurse told her it was pt "Betty" in bed B, by the window. Well, neither pt was in bed, one was sitting in the chair by the window, classmate gave the meds. Nurse asked if she gave the meds when classmate came out, she said yes, and nurse looked in the room and realized the wrong pt was in the chair, "Betty" wasn't in the room. Classmate got in trouble but still passed, graduated, passed the NCLEX, and is working. Nurse also got in trouble and our school stopped using that facility for clinical rotations.

Update,

My teacher will be evaluating this Thursday for sure

I asked her if there is a way I can improve and gain an extra clinical day.

All she replied was "we will talk Thursday."

Specializes in HH, Peds, Rehab, Clinical.

Logistically isn't it a lot to ask for her to add another clinical day for you to do what all of your classmates have already done? I AM wishing you all the best, I just want you to keep in the back of your mind what it is you're asking of her...

Update,

My teacher will be evaluating this Thursday for sure

I asked her if there is a way I can improve and gain an extra clinical day.

All she replied was "we will talk Thursday."

Get yourself organized before coming to clinical and you will feel more calm. I write down my pt's for the day with their dx on my report sheet and their meds/ when they are due , why they are getting them, things I need to know are OK before passing them (vitals, labs, last BM, etc). Of course when passing my meds I always have the MAR open and do my checks with my teacher with the computer but the paper keeps me organized. Also if you're unsure of a med you're giving ask your teacher, say before you check me off for this med I need to talk to you about how to give this safely I am unfamiliar with the sliding scale or whatever the case will be. I've never had a teacher mark me down for asking a question, just make sure you ask in advance way before the med is due.

I just thought it would be possible since she has informed me as we sat down that I had not had much experience with her. I had two days off the floor because I had surgery and diagnostic. I only had her for three days since she is the teacher for the 2nd half. Also our clinical got off a week early because my teacher in the first half kept us for more than what we were suppose to stay for.

I just didnt think it would hurt asking and looking at possibilities.

Thanks, if I get through this clinical or she lets me have one more chance, Ill definitely keep this in mind.

Get yourself organized before coming to clinical and you will feel more calm. I write down my pt's for the day with their dx on my report sheet and their meds/ when they are due , why they are getting them, things I need to know are OK before passing them (vitals, labs, last BM, etc). Of course when passing my meds I always have the MAR open and do my checks with my teacher with the computer but the paper keeps me organized. Also if you're unsure of a med you're giving ask your teacher, say before you check me off for this med I need to talk to you about how to give this safely I am unfamiliar with the sliding scale or whatever the case will be. I've never had a teacher mark me down for asking a question, just make sure you ask in advance way before the med is due.

Thanks, if I get through this clinical or she lets me have one more chance, Ill definitely keep this in mind.

Specializes in HH, Peds, Rehab, Clinical.

I agree, it never hurts to ask, the worst she can say is "no", right? Just don't be shocked if she turns you down.

I just thought it would be possible since she has informed me as we sat down that I had not had much experience with her. I had two days off the floor because I had surgery and diagnostic. I only had her for three days since she is the teacher for the 2nd half. Also our clinical got off a week early because my teacher in the first half kept us for more than what we were suppose to stay for.

I just didnt think it would hurt asking and looking at possibilities.

Specializes in Oncology (OCN).

Just wondering how Thursday went. Hope it went well.

Specializes in Pediatrics, Emergency, Trauma.
Just wondering how Thursday went. Hope it went well.

The OP has another thread detailing the outcome:

https://allnurses.com/general-nursing-student/just-failed-out-920504.html#post7881581

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