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Discussion

first med error

Last night was going great. Typical busy night in the ER, but I had an awesome tech helping me. 0600 came around, almost time to go home, got a new pt with tummy pain. So, I pull my meds...pain med, antinausea med, NS bolus, protonix. Give my meds, go chart, and realize I was supposed to give Pepcid. Started to panic and stare at the computer screen thinking it couldn't possibly be right and that somehow magically it would change. Went to fellow RN who step by step told me what to do. Went to tell the doctor, and had a total melt down while trying to get the words out. The doctor laughed at me and said it was no problem. He changed the order to Protonix and that was that.

Still I feel like a LOSER. Not only could I have made a more serious med error because I was not careful, as a new grad trying to live up to expectations I feel I let everyone down, most of all myself. Now I am starting from scratch on the trust pad. The topper was my unintentional meltdown while trying to get the words out to the doc. I was shaking and crying...and he was laughing. I later also apologized for my unprofessional behavior.

I can't imagine ever making another med error although I know I probably will. My stomach is still turning, I can't sleep, and the scenario keeps playing over and over in my head. I want to get over it, but at the same time I feel I shouldn't because getting over it might mean being ok with it...and I don't think I should be ok with it.

I just feel crummy... :(

Featured Replies

Metformin/Metoprolol... We have an archaic system where each drawer has little cardboard boxes lined up inside a drawer... with 4 rows, one for each resident. The MAR is just a book with each med listed where we sign our tiny initials for each med we pull. Don't worry, I put the two boxes FAR away from each other! Our place is so cheap when it comes to getting new technology: our phone system was installed in the 80's and NOBODY has voice mail, not even the administrator or DON!

It doesn't matter if the packaging OR pills look alike, if you take the time to read the name and dose you'll never go wrong. I've made my share of minor errors as a med aide and it feels bad but I've learned to move on and always use the 5 rights.

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