Biggest mistake you've made in clinical

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What is the biggest mistake you (not a classmate or a rumor) have made in clinical?

I think it was the second or third week of this past clinical rotation (med-surg 1). I had a very confused patient who was extremely concerned with her medications. When they were coming, what they were. Asking repeated questions. I was super glad to know my meds really well! Anyway, I gave her a heparin shot and all her pills, then put on a Nitroglycerin patch, initialing each one as I went along. Then I opened up the Milk of Magnesia concentrate gave it to her and left the room. Didn't initial it, gave the MAR back to the staff RN. When my CI and I were doing our final check, we saw that I hadn't initialed and asked the RN if she gave it-- she did. So we had to fill out an incident report and all. I felt so stupid and horrible. But you can bet your butt I have been an initialing machine since then! Luckily for me it was only MOM and not something that could havce caused significant damage! I pray that will be the biggest mistake I make in NS!!!!

Anyone else care to share?

Specializes in LTC.

I forgot to make sure an abdominal drain was open, the night nurse had done the irrigation, I read the order for when it needed to be done again and it wasn't that clear, other than I knew we wouldn't be there to do it. Around 1pm the pt was in excruciating pain, I got my CI and we went into the room to see what we could do. I happened to look down and the stop cock on the drain was set to OFF. We opened it back up and out poured 150ml's of purulent drainage. I could have cried for this pt, I felt like such a dope!

Lesson learned- always check your tubes, make sure you know what belongs to what.

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