get kicked off because of med error

Nurses LPN/LVN

Published

You are reading page 2 of get kicked off because of med error

Specializes in HH, Peds, Rehab, Clinical.

Whoa!! Your school has you out at clinical sites with NO instructor present? What kind of facility wants to take on that kind of responsibility? I get a little more frightened with every post you make =(

LittleCandles on the last clinical we were on our own with nurses of the facility, my instructor was coming only once a week to see how we were doing. My report from my regular preceptor who had me for tree weeks was all positive but she took two days off. the nurse that came to work those two days was with a part timer. Anyways I administered Oxycontin 80mg at 10 am instead of at 12pm, Methadon 5mg was the one scheduled at 10am and because we didn't find out early enough she took another Oxycontin as scheduled at one o'clock so she could be overdosed but she was doing fine. I don't know if they going to approve my appeal but i will try.

thank you

Specializes in Critical Care.

I'm surprised so many are surprised that she was at the facility without her instructor? At my school as well, for the very last "clinical/practicum" we would go to the facility alone with an assigned nurse who we would work beside... the actual instructor showed up maybe a total of 3 of the 12 shifts required to check in on our progress. I thought this was a standard practice? This poster was a day away from being able to take her LPN exam.

Specializes in HH, Peds, Rehab, Clinical.

Nope, my instructors were there every minute of every clinical. We were not ALLOWED to be at a clinical site without an instructor. She would divide us up, some would go to same day where there were lots of IV starts, some to ER, etc, but she was ALWAYS in the building with us.

CT Pixie, BSN, RN

3,723 Posts

Def not standard practice. In both my LPN and RN schooling our clinical instructor was with us from the beginning of the day to the end. During LPN school for me we couldn't even go to the floor unless the instructor was with us. In RN school we were able to go to the unit and look up info of our patient but we could NOT touch, see or talk to any patient unless our instructor was actually ON the unit (not just in the hospital).

I am still dumbfounded that any student (regardless of whether being watched over by their school clinical instructor or a nurse that they are following) had the ability to pass meds without anyone double checking! Especially narcs! Why did the 'preceptor' not notice the error before it happened??

LittleCandles

195 Posts

We are not allowed at clinical sites without an instructor either. We also could not pass meds without instructor or a nurse with us.

That is the state law.

Spangle Brown

302 Posts

Wow, now we are seeing were there is a big difference in training. It would be interesting to see what schools everyone is in.

Specializes in PICU.

There's a lot of "after the fact" advice here. You know you made a mistake, you took responsibility for it, and I'm sure your heart dropped to your toes when you realized what happened.

If you find a single nurse who hasn't made a mistake, you've found a liar (or someone who doesn't know they made a mistake which is scary). None of us want to make mistakes and some are more severe than others, but none of us are immune and just hope that WHEN we screw up, it's minor or caught quickly.

I'm sorry this has happened to you, OP. I am 7 years out of school and I still am afraid they'll come back and say I didn't pass a class or there was a glitch or something. I can't imagine how heartbreaking to be that close. Unless there is more to the story, this seems like an overreaction on the school's part. I hope that things work out and you take this and use it to make you a better nurse as a result. Please keep us updated.

hbahta

7 Posts

Thank you for your kindly response, but the good news is that after i wrote a letter to the dean about what exactly happen, they said they will allow me to return if I write a well researched 10 page report about med error.

Thank you for your kindly response, but the good news is that after i wrote a letter to the dean about what exactly happen, they said they will allow me to return if I write a well researched 10 page report about med error.

I think the problem as others posted, you should have never been allowed to give this med without your instructor being present. In my state a preceptor for a capstone course has to be approved and sign a contract ( and only for BSN). In the PN program there is no extra clinical time for a proper orientation.

Ok, you made an error, it sounds like you did not even know what you were given and why ( problem one). Second, you did not notify your instructor - immediately. Third I did not see where the MD was notified, an unlicensed person should not have access to narcotics. In some states your nursing license could be revoked. Sounds like the facility was using you for cheap labor, all not your issues.

Specializes in HH, Peds, Rehab, Clinical.

That's great news! You'll probably be more well-versed than your instructors at the end of that paper =)

Thank you for your kindly response, but the good news is that after i wrote a letter to the dean about what exactly happen, they said they will allow me to return if I write a well researched 10 page report about med error.

bijouxdelarose

15 Posts

I'm sorry to hear that happened to you. People make mistakes even the most experienced nurses. Is it possible to take your credits and transfer them over to another program? Or maybe a Community College that has a lpn program?

shakoi

10 Posts

Didn't the instructor check it also because they're suppose to check it with you.

+ Add a Comment