Published Apr 24, 2023
TryingMyBest2016
1 Post
I have been under watch recently for a few medication errors, to the point where I am scared for my job. None of them have lead to patient harm, but they were all failure to document correctly which I know is still very important. I recently got notified I made a mistake that is also considered a med error, but since it is different I wanted to see if it is as bad as my previous mistakes (its been weeks since I've screwed up my documentation and I've tried to be very careful).
My patient had dialysis and my charge nurse told me to delay their antibiotic administration until after dialysis. Original due time was 1200, dialysis was supposed to be at 1300. Dialysis was delayed until about 1430, and the patient did not arrive back to the unit 1900. I failed to relay this delay to the oncoming nurse, however it was shown in our system that there was a delayed medication (pops up as a little red warning). The medication wasn't given until the next dose was due at 2200. Can this delay be bad enough to get me fired? Is it considered to be a severe mistake? Can anyone provide me with a little more information?
Davey Do
10,607 Posts
We cannot give a med if the patient is not available for administration due to circumstances beyond our control.
Objectively documented factual information, such as verbatim directions given by our superiors with the times & places of the patient's status, will show that we are aware of the orders, but are unable to follow them as prescribed. Informing the PCP will be necessary and need to be documented with outcome.
Regarding the question of this situation being enough to result in termination, I have found in my career that those in power can do just about anything they desire.
Good luck to you, TryingMyBest.