I made the worst medication error today and feel so horrible about it. I literraly wanted to quit the job from sadness and embarrasement. I'm a new nurse and have only been working at the hosiptal for about 5 months. I've been a nurse for about 10 months.
I had a patient on a lasix drip that was 100ml total volume. 100 mg in 90ml which calculated out to be given 5ml/hr. This may sound confusing but long story short I infused the medication at 100ml/hr instead of 5ml/hr because I was looking at the l00mg in 90ml and I was also looking at the 100 ml total volume instead of paying attenion to the 5ml/hr like I should have. Me and the charge nurse caught the error but 75ml had already went in in a little over 3 hrs when this medication should have lasted for almost 20 hrs if it was done correctly.
We contacted the doctor he said to just monitor him, I filled out an incident report, and we restarted the infusion at the correct dose. I belive I got confused because of all the different numbers on the IV bag and I was also very busy that night. The result of this was a critical potassium of 2.1!! we luckily had a potassium protocol to start potassium IV 50ml/hr for 6 bags total and recheck the level. I felt humiliated!! and so embarrased.
I knew everyone had knew my mistake because a random nurse came to me and asked me if I was ok. I knew he was asking this because the charge nurse must've told him what happened. I feel so dumb and incompetent as a nurse. I don't know how I will face this at work tommorow. Not to mention we do this thing called line up at the start of shift where we discuss things thats going on in the hospital and on the unit and we talk about bad mistakes that nurses make through out the hospital. I'm sure this is bad enough to be talked about during line up.
Although they don't say the name of the person who made the mistake I know everyone will know it was me, and of course I will know it's me their talking about! What makes it even worse is they read the same scenarios in line up everyday until a new situation happens that they can add to the lineup discussion. I will be so embarrassed everytime they talk about this in lineup. How do I come back from this? I feel like the worse person and nurse ever. I can't even think straight. I still don't know what penalty I will face yet but i'm praying I don't get fired.
Lastly the worst part of this situation is. When it was time to hang the potassium my charge nurse caught me off guard because I was already anxious and nervous and asked me what I would run the potassium at if it was 50ml per hr, just to be sure I would hang the IV correctly. I accidently said 25ml instead of 50ml because I get so nervous when i'm caught on the spot and asked questions. I'm sure she thinks i'm a complete idiot. I feel like my life is ruined!! IDK what to do. What if nursing just isn't the profession for me after i've worked so hard for it, i'm so distraught!