Quote from tinkerbell419
i would be so grateful for anyone who answers this, because making me very stressed.
on my last placement in a childrens hospital, i made a medication error.
the child takes two meds both of which are the same colour. however one of them is actually for oral thrush and is to be given into the mouth on a foam stick. the other is by ng tube.
now my mentor never bothered to tell me which one is which. in fact i didnt even know until i made the error, which i think is quite bad. ive onyl ever seen the child have the ng tube medication, i didnt even know she had one which went in her mouth.
anyway, i was pushin the oral thursh medication down the ng tube and her mom looked up at me and said "hang on a minute, that doesnt go down her tube, its for her mouth"
i stood there and said "oh no!, your got to be kidding me, im sorry i didnt even know what this stuff is, however its only for mouth thrush, it wont hurt her and it will just pass out of her, and she is due more later. i didnt tell my emtnor, i was frightened to death.
my mentor found out and was questioning me, i said im sorry i should have told you, but i was frightened, i dont want to be chucked off the course.
i now realise i must get over my fears and tell my mentor no matter what. i have learnt from what happened, and next time im only giving meds in the presence of another nurse.
but do you think my mentor is to blame in some respect???????
i feel like i'm being punked.....but if you are serious, you need to be very concerned.
any nurse is responsible for the meds she gives. any nurse before she gives a med needs to know what the med is, what the med is for, how the med works, what side effects are possible, what the dosage is and by what route the med is to be given. there are many "look alike", "sound alike" meds that if confused have fatal consequences. this is particular a potential in the pediatric population. your mentor's only mistake was trusting you to do the right thing. then when the mom saw what you were doing you actually admitted you had no idea what the drug was for but it's not a big deal??
if i was the mom you would have had some answering to do.
while everyone makes a mistake you need to own it and begin to practice rmedication administration in a much more careful and serious......and if you do make a mistake you need to man up and admit it so if there does need to man up and admit it so if there is an intervention necessary it can be taken and potentially save a patients life
how can you safeguard your practice from medication errors? for starters, be conscientious about performingfive rights" of medication administration every time--right patient (using two identifiers), right drug, right dosage, right time, and right route. some experts have expanded this list to include:
- right reason for the drug
- right documentation
- right to refuse medication
- right evaluation and monitoring.be sure to use the safety resources available at your facility. don't use workarounds to bypass safety systems. in a 2008 study, one-third of nurses reported they sometimes bypass safety systems. nurses working in critical care and pediatrics were more likely to do this; yet medication errors in these settings can be particularly devastating. where nurses routinely bypass safety systems and create workarounds, the employer must conduct a root-cause analysis to identify the reason for the workaround, and take action to correct the situation and prevent recurrences.
additional steps you can take to promote safe medication use include: