Quote from daniela095
Patient I had just admitted was ordered heparin subcutaneous every 12 hours. I gave the first dose upon admission and then the next morning ended up giving the next dose 6 hours after that first dose instead of 12 hours after the first dose. The computer didn't automatically reschedule the medication for 12 hours after the first dose and scheduled the next dose for 6 hours later. After I realized I adjusted the doses afterwards to be every 12 hours. I am new nurse and my preceptor wasn't concerned about it. It's bothering me because I feel as if I made an error. Would this really be considered a big deal?
It's good that you are concerned, because yes, it is an error. One of the rights of medication administration is "right time." 6 hours early is not the right time. With that said, the patient probably wasn't harmed, but there is a reason to space out medications. I would say this should be an incident report, not just because of your error, but because of a system failure. Either someone else didn't enter the order correctly, or somehow, the computer/EMR malfunctioned. It is important to understand what happened so it can be avoided in the future. You shouldn't use this to beat yourself up, though, just be more cautious in the future. Be conscientious of the medications you have already given and question orders that do not match what is in the computer.
It is actually more, concerning, that your preceptor wasn't bothered by it. Your preceptor is responsible for making sure you are administering medications safely, which includes giving them in a timely manner. Most of the preceptors I have ever worked with would have definitely addressed this as an issue. It makes me wonder what else your preceptor doesn't think "is a big deal."