Don't beat yourself up, that kind of error isn't that big of a deal. I did even worse, I'll tell you about it because it will make you feel better
This happened to me on my next to last clinical day of my preceptorship in my last semester (roughly 2 weeks ago).
In spiderman 2, there is this montage where Peter Parker quits being Spiderman, and they're playing "Raindrops keep falling on my head." Peter parker is doing awesome in school and cool stuff is happening because he's focusing on being Peter again.
That was me. That day was simply perfect. My professor came by and we worked on my charting, and she said I was doing great - She was giving me the 3rd degree on my patients and I had all the right answers right off the top of my head. Bing bing bing knockin em down one after another. She went in with me on some head to toe / focused assessments, and followed me while I passed meds. I got all my meds passed (on time) and the assessments done. I was discharging and admitting - calling doctors - answering phones for the secretary -everything...all by myself, with an entire patient load, with no hitches. Seriously, I felt competent. It was great. I didn't get behind at all! Time was flying and I daresay it was halfway enjoyable.
Needle flies RIGHT off the record! I missed a routine insulin dose in the morning. I missed it in the MAR, my instructor looked over the MAR and missed it (and she was hovering over me as I was filling that very page out), my preceptor (who doubles checks the meds I pass) missed it, the LPN missed it. All four of us missed it. I mean, seriously. I felt like a douche. It was a guy on a sliding scale, and his stick was 102 I notated it in the MAR looked at the sliding scale and thought, "great, he doesn't need insulin this morning." And moved on. Nope!! He got 8 routine units in the morning on top of the sliding scale. it was an 8am insulin dose and the **** didn't get caught until noon. His fingerstick for noon was 132, so it wasn't like he went hyperglycemic (too badly), but still...
So I had to fill out a variance report. I made a med error. I couldn't believe it. All because the pharmacy happened to lay out the insulin in MAR a bit differently that day (fingerstick stuff at the top, sliding scale in the middle, routine dose at the bottom - it was completely opposite that day).
I mean, it could have been worse...I could have given insulin to the wrong patient, or the patient could have been seriously hyperglycemic, or I could have given too much insulin.
It wasn't even overconfidence, it was just not paying close enough attention, pure and simple.
I went in and explained to the patient what happened. He was very cool about it and understanding. He even joked that he missed his morning insulin doses sometimes himself. But I still felt terrible. I had to pick myself up and keep flying though, because I still had 7 hours left. I felt like crawling into a corner and dying though.
Those double, triple, and quadruple checks? I'll be doing them for the rest of my career!
Quote from sshannon
if you're going to have a long and successful career, you're going to have to avoid beating yourself up so harshly that a mistake becomes a paralyzing event..
I agree with you.
I was really shaken when the above happened. But I still had a lot ofit other patients that needed care. I realized that I couldn't just drop the ball because I made a mistake. It was very difficult to "put it in the past" when it had just happened 5 minutes ago though. Although quitting, going home, and failing is an option for a nursing student, when you're an RN it isnt!