Made a med error - page 2
I know that to some this may not make a lot of since cause knowing me I jumped everywhere but I just needed to go some where where I could just say something about my experience OK so yesterday... Read More
Nov 3, '06Quote from critterloveri think this is very good advice.[font=lucida sans unicode]as long as you do it professionally, it wouldn't be wrong to let your director know this.
you made a mistake, you owned up to your mistake, you did your best to make amends (what could be done).
she had no business reprimanding you, let along yelling at you, in public. and really, she souldn't have "yelled" at you at all.
it wouldn't be wrong for you to approach her in private (or maybe with your preceptor, but not in public), after you are no longer upset, and say something like "i know i made a mistake, and i will do whatever i need to do in order to remediate. however, in the future, i would really appreciate it if you pulled me aside and spoke to me in private about things like this."
just a thought, but you might also consider telling the director you realize how the error got made, and you would be willing to share the lesson with other nurses/students so the whole incident can result in a safer unit, and salvage something positive out of an unfortunate error.
best of luck to you.
Nov 3, '06Something similar happened (not a med error, but verbal
abuse by superior) to me years ago, that is a doctor
yelled at me. He was reprimanded.
Nov 3, '06I'm so sorry you are going through this. Your director was just plain wrong to talk to you that way. Having just made a huge med error myself (and informed my nurse manager. Otherwise, no one would have ever known) I would have been devastated if they yelled at me. Good luck to you. You are a good, caring nurse. Our profession needs you.
Nov 3, '06Thanks to everyone that has replied so far
I know i am not the first nor will I be the last nurse to make a mistake nor will this be my last med mistake that I ever make. I just need to take a hard look at how I do my meds and find a better way of handing them out.
Nov 3, '06Quote from kiani would agree with this statement completely. my unit uses computerized charting ... which at times could be a whole different form of rant ... one of the things that i am struggling with is not having a paper mar. my unit uses med carts as well as meds from the pixus (sp?) none of the meds have the pts names on them they come from the pharmacy with the drug name and dose thats it, so there isn't really anything to compare my med list to. and this is one of the things that i got yelled at regarding the 5 rights. there was really nothing to compare the name and meds to i thought i had the right pt and walked into the wrong room -the other pt was in the next door. i have learned from this and will see if i can print up a copy of my pt's mars in the future.it sounds like the system needs to be changed. unfortunately mistakes are going to happen because we are human. i am glad the patient was okay. if this is the only mistake you make in your career it would be rare indeed.
the director was wrong to confront you as was done. it will make it hard for others who make mistakes to want to come forward. she did more damage than you did imho.
don't beat yourself up. accept, learn from it and move on.
the director needs to look harder at the system that allows mistake like this to happen.
Nov 3, '06I am 100% agree with the posters above. don't beat yourself too much about it. focus on your orientation. remember that event as a reminder, you don't want to be the kind of nurse like your preceptor. I think when your orientation is over you can complain all you want. be brave, you are almost there
Nov 3, '06Danigirl, let me say I am proud of you for doing a difficult, scary, but ethical thing in reporting your med error. I am sorry your actions were so wrongly received by your DON, who, in my humble opinion, is a poor example of a leader and stupid to boot. In a more supportative atmosphere you could talk to your Director and tell her how you were made to feel being yelled at in front of other staff. Not to mention the total lack of support of the "no blame" policy. I have a gut feeling, you will stick things out for awhile, just to get more experience and prove to the unit you can do the job, but, one of these days, we will read that you have moved on. Please file this experience away as a learning and growing exercise. Remember, the golden rule and treat another new nurse with more compassion when you have a few years under your belt and the "newbie" makes an error. I wish you well, you are what we need in nursing, an ethical, caring, kind, thoughtful, and motivated individual.
Nov 3, '06Might I suggest coming in early, running a copy of the patients med sheets off, using a red marker to mark a slash across the face of the sheet, but not making it difficult to read. Take this copy with you to the med room to remove meds from the Pxysis, crossing off the time as you complete each one. Double check with the preceptor, and then give the meds. At the end of the shift make sure you file this sheet in your locker for future reference. We usualy kept them for several months just in case there was a problem, before we threw them away. We were told this was not a violation of HIPPA, since we were taking care of the patient, and keeping this information in a safe, locked locker for a short period for future reference was not a violation either. If I am wrong, then at least two whole facilities who do things this way are wrong too. Maybe this will give you a better reference and you can mark on these sheets to remind you if there is something you need to include in your charting. Hope this helps.
Nov 3, '06That director behaved inappropriately, should not have yelled at you, whether in private or in public.
The issue should have been dealt with in private.
You did the right thing by reporting your error.
Human beings make mistakes.
And from the mistakes of our own or others, we learn.
Keep following the 5 rights.
Nov 3, '06I'm sorry this happened to you in the manner it did. I think the yeller should be written up and put on probation!
Nov 4, '06I have been there and done that. I as a new grad in orientation have made 2 med errors, neither of which harmed the patients. Although I have changed my personal procedures for giving meds and am no longer making mistakes, I am still fighting the lack of trust from my preceptor and educator. If you are interested in the methods I use to avoid mistakes, send me a message.
That director definitely had no right to treat you as she did. As far as how she found out about it, I know long-time nurses on my unit who feel comfortable complaining about anyone to any member of management who walks by.
To disagree with some other postings, I have fought politics and bad management for a long time in an earlier career. I truly believe that confronting the director is a no win situation that will only backfire on you. Talking to your own manager about it is fine. Regarding talking to HR, keep in mind that HR's primary loyalty is to the hospital/corporation, not to the employees.
Good luck to you.