get kicked off because of med error

Nurses LPN/LVN

Published

A medication error was discovered when we were counting narcotics at the end of the shift yesterday. What happened was that I administered Oxycontin 80mg, which was scheduled at 12pm instead of Methadon 5mg at 10am. This happened after I found out that the resident was getting ready to go out, and I rushed and pulled the medication according the EMar but failed to check with eMar if it was the right drug or not. The Md was then notified and ordered to hold the 4pm scheduled Oxycontin and to do Q2 hours vitals until midnight.

Right away I checked the resident's condition, didn't notice any respiratory distress, and vitals were, Bp 100/52, RR 12, po2 92% and pulse was 86.At 10:30pm I call the night shift R.N to follow up on the condition of the resident and he told me she was doing fine. I went in the morning she a signed me new patients, we did our morning med pass and we took a break. when i came back from break I caught he sinking in to my folder to see my report and I wasn't crazy about it, instead I showed her what I wrote she said good i thought you would hid it.

Then when the instructor came they chat for an hour. Then my instructor ask me about it but before I finish she told me to I need to meet with director of nursing. When I went there they were both in in office as walk in I saw the anger in the director's face. I told her she is right to be angry because I didn't do what I my instructors thought me. I took full responsibility for my mistake. But it didn't stop her from blocking me from my graduation this semester which was the next day. I ask her if can retake the clinical again she said to call her when the registration starts. I called and left a message and wrote email after two days she called to tell me I am kicked out of the program.

What am I going to do? I don't think any school will take me for just a clinical or for only one semester.

I think that ultimately the instructor is partly to be blame or should be held responsible. I have never heard of an instructor not being there with his/her students during clinicals! I know in the ADN program here the students do their capstone but this is not a clinical and they're assigned to a preceptor who they are with everytime they are at the facility. Nor have I heard of students passing medications without their instructor present. When I was in school, which was a long time ago (12 years), our instructor was with us when we passed medications. How were you able to give a narcotic without having a licensed nurse to sign it out with you on the count sheet? It should be signed out when it's given therefore it should've been discovered when the next dose was pulled because either the count would've been off then or it would've been signed out as being given already a few hours earlier. Schedule II narcs must be kept double locked, who had the keys? I don't recall ever having complete access to narc keys as a student... I'm so sorry this happened to you, especially right before you were to graduate, I can't imagine how heartbreaking it would be to have worked so hard for all those months prior and have something like this happen. To me, it would appear that this facility used you for free labor and the DON should be ashamed of herself.

Just throwing my hat in the ring as another whose final clinical was with a "preceptor" and the instructor wasn't there most days. Even so, we definitely did NOT give medications without that preceptor. (This was RN school.)

OP: Glad to hear you're getting that second chance to graduate, and I hope it all works out for the best!

It sounds like OP was in a pre-grad preceptorship...which I took part in as well. A fully licensed LPN took a course and allowed us to work on their license so we could experience a more independent experience on the floor. They co-sign on all narcotics, insulin and heparin injections, and show us the ropes of working on the floor. It's a great opportunity. It's a great foot in the door for employment later.

When I made a med-error, my preceptor informed me, and then showed me how to report it. Using her name. Because she's the one who signed off on the med I gave. So I have to wonder where the hell OPs preceptor was in all of this.

I think the biggest mistake here was in how it was all signed off, because the other nurses should have been able to see the med was given in advance and changed their administration accordingly. I think a 10 page paper is OTT, but so is failing you out. I think you should be made to examine your med error and acknowledge the steps it took to make the mistake. You probably won't make the mistake again. But do what you have to do, if they're gonna let you pass the program, then do it.

Specializes in Transitional Nursing.

Here in SC, the students work on the units with one preceptor, also. I've never seen an instructor, and they are there for the whole semester.

The nurses don't ever leave their sides, though.

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.

Oh wow!!! Do that 10 page and congratulations!!!

Specializes in ER, TRAUMA, MED-SURG.
My question is how in the heck did the instructor NOT notice the error before you gave it?? When I was in LPN school, during med pass we were not allowed to give any medication without the instructor double/triple checking it before it was given. Same thing happened during my RN program. We were never able to give meds without the instructor double/triple checking it.

Right - that's what I wondered.

Anne, RNC

they allow me to go back to finish my clinical, I did that now I am ready to take my nclex exam

i did and now i am ready to take my nclex exam. thank you for your comment.

Great update congrats!

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