what's wrong with doing more critical thinking, more studying, and more reading? that's what students are supposed to be doing, isn't it? that's what i did. yes, i happen to think it is fair because i have been an rn for many years and i am now a patient. accuracy needs to be something you must strive for. and, i don't want a nurse who doesn't take being accurate as serious taking care of me. mediocrity isn't an option in healthcare where lives are at stake.
i was a supervisor and manager and a clinical staff nurse for even longer. it is a serious matter to make a medical calculation error as a practicing nurse. patients can suffer permanent injuries as a result. also, the social security administration has been tracking reported medication errors for years (lots of information that you are not aware of has to be reported to the social security administration) and medication errors account for longer hospital stays and larger hospital bills. to the social security administration (medicare) who counts every penny, that is inexcusable. so, a long time ago they tied their payments of medicare and medicaid patients, the bread and butter of almost all facilities, to medication excellence since it is taxpayer money. a nurse, pharmacist or pharmacy tech can't get a job today without demonstrating medication competence and ability. even if you went to a nursing school that was much more lenient, an employer wouldn't be. as a manager i hired new grads and rns and was not able to have them start their first day on the clinical unit until they passed the drug/medication calculation competency test our facility required of them in order for us to keep our medicare and jcaho certification. your school is only mimicking what is going on in the working world of nursing. not to do that would be doing you an injustice. for you to discover what lies ahead and not be prepared when you go looking for employment would be a failure of your school's responsibility to you (and to your future patients). and the fact is that tragedies of drug mistakes do happen. see http://www.ismp.org/newsletters/nursing/backissues.asp
which is the listing for the link into monthly
back issues of the ismps publication of nurse advise-err
which prints incidents of medication errors. some of them have resulted in patient injury and death and are real eye openers. another site that prints the more outrageous med errors is http://www.webmm.ahrq.gov/
- morbidity and mortality rounds from the agency for healthcare research and quality (ahrq). click the "case archive" tab on the menu bar to find the medication errors. dennis quaid last year went public because he felt it was more important for the public and the nurses to be educated, learn and be taught about the serious medication error that happened to his twin babies. those little girls received 10x the dose of heparin that they should have because the nurses didn't look at the vial they were drawing the heparin from before injecting it. i heard him speak about it on tv and i was so angry. this is first semester nursing drug administration principles--check the label 3 times. i was taught 30 years ago in my first semester of nursing and did it to the last day i worked in the clinical area.