I have made two med errors since I have graduated from nursing school and it makes you just sick. I thought the other night that I had increased that list to three med errors and this time I was giving a patient a strong beta blocker IV push. I was covering for lunch and we have computerized charting systems. I looked at the medication order twice, the exam room number twice, and the patient's name twice before getting the med from the pyxis. I went into the trauma room and asked the patient if she had any allergies, got my answer and began to push the medication as I was pushing the medication I thought oh I didn't look at the name band the last name on the name band was not the same spelling
as the computer had. One name started with a C, the one on the name band started with an S. I felt my knees go week and I stopped pushing the drug, I ran to the computer and verified with the family members in the room if this was the correct patient. They said yes, they had noticed that her name was spelled incorrectly on the computer, but had not alerted anyone. I thought I was going to die. I told them that I had thought I had just made a terrible med error. They thanked me for being truthful, I finished pushing the medication and sat down in the room for a while. It was a very awful experience. The other med errors I had made were not as serious as this one could have been. I told my charge nurse later and she said well at least you did look at the bracelet. It just showed me to always be cognizant of what you are doing especailly when you are rushed for time. I will never start a med and look at a bracelet at the same time again!!!!
None of us are perfect, it is scary to think my mistake could really harm someone!!! I always try to remember that. I feel like honestly is always the best policy even if you give someone tums by mistake. So, my vote is to always admit making a medication error.