How do you get over your new RN boo boos (mistakes) - page 3

The last two days at work where colonised with mistakes. I timed a medication wrongly, forgot to to give a med (totally did not see it in the MAR!) and forgot to label my TF. I had two though... Read More

  1. by   dudette10
    I'm a year in now, and I put my mistakes in perspective or reframe or figure out a way to prevent it from happening again, if it is reasonable to do so. This isn't giving myself excuses, but I do it as a way to not become consumed with the mistake. A couple of examples:

    Night nurses have to put in their own orders b/c we don't have a unit secretary. I put in all the orders for my admission, except for three particular labs all related to the same body system. Last night I went in and had the same patient, and I saw my mistake and that the doc had to write a NOW order for the labs when he made his rounds. I was mad at myself. To avoid getting thrown off for the rest of the shift, I reframed it. The labs were not related to the reason to patient was admitted (like cardiac enzymes for chest pain) but for a secondary complaint as a rule out/rule in thing, the labs came back normal, and the labs did in fact get done.

    I had picked up a day shift. A patient with a GI bleed and chronic cardiac issues had a "no aspirin/no anticoag" order at admission less than 24 hours prior. The cardio comes in and, you guessed it, writes for 81 mg of aspirin daily. I gave the aspirin. As soon as I walked back to the station, I thought, "OH ****!" I should have known better. I wasn't thinking. I should have held it and called the cardio to explain the situation. But nope, I blindly followed the order. Then, I called him, and he said to just d/c it, and she shouldn't have problems with such a low dose. The doc's response put it in perspective for me.

    I accidently underdosed a patient who needed more than one of the same pill/vial (discovered the error myself later in the shift). I fixed that mistake for the future by using my highlighter at the beginning of shift if more than one vial/pill needs to be used to give the full dose.

    I almost gave Dilaudid to a patient who was allergic to morphine. I got the order for pain, transcribed the order, faxed it, and was getting ready to pull it from the Pyxis. Pharmacy called to tell me about the contraindication. I learned to 1) be more vigilant about allergies and 2) NEVER bypass pharmacy on orders. I could not put that one in perspective or reframe it. I just thanked my lucky stars.
  2. by   Heartbrokennurse
    Uhg, bad day here too. Been a nurse a few years. I was trying to help out and answer a call light (pt pump beeping) for another RN. The picc heparin was running in looked funny (out far) and I was not sure of the patient's norm I IV pump said occluded. The trainee walked in and I told her I stopped the medication/bc of the picc condition. She said it was norm/used as central line. It looked like she was going to do sitecare. I walked out and explained to the trainee's nurse that I stopped the medication and the trainee was going to do sitecare. She was charting/half-listening to me. At the end of the day . . the charge/trainee nurse were discussing the patient's heparin being off for 4 hours. I overheard and said; I stopped that, remember I told you before. I said sometimes I feel like you don't listen to me. She heard me say the PICC looked funny but not that I has stopped the heparin. She told me that I overreact sometimes so she disregards me at times. I feel terrible. I am upset this happened to the patient and that I had to do with it; but I told two people who did not listen to me I wonder? How do you do PICC site care/care for a patient for 4 hrs and not notice the med is not running? boo, bad day. I feel terrible about it. We all make mistakes. Does not matter your age.