My biggest mistake, EVER My biggest mistake, EVER | allnurses

My biggest mistake, EVER

  1. 0 Just the other day I took over operating the cell saver from another employee. After running my final bowl of RBC's, I was just sitting there, monitoring the blood loss, when I suddenly noticed that I washed the previous bowl with LR rather than NaCl! It had been 15 or 20 minutes since infusing the blood. I literally got nauseated and my heart rate must have climbed to 120! I immediately informed the CRNA. She reasuured me that no harm would come to the patient.

    Boy, do I feel stoooopid!

    I have never made such a serious error.
  2. 4 Comments

  3. Visit  rn/writer profile page
    #1 0
    And having done this, you will be ever so much more careful in the future. Thank goodness that it did not harm the patient.
  4. Visit  passionate profile page
    #2 1
    It takes alot of courage to admit an error and even more courage to share it. Good for you!
  5. Visit  CIRQL8 profile page
    #3 0
    Thanks, passionate!! I apprecite the words...

    Apparently, my error should only change the oxygen-carrying capacity of the RBC's in that last re-infused unit (at worst). At best, nothing. As LR is routinely used IV (as we all know), that is OK!!
  6. Visit  passionate profile page
    #4 0
    My biggest mistake? Dropped the skull flap. That night I learned bone can be autoclaved. So, I guess it wasn't my worst mistake ever. That is probably yet to come.