Getting back in the saddle after a med error

Nurses General Nursing

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This past week I was coming to the end of my new grad program on a med/surg floor. My first shift of three went amazing and my preceptor was extremely impressed. Then came day two, and I made the most ridiculous med error. I told my preceptor right away and the NP on the patients case was on the floor, so we also told her. I called pharmacy to see what else we could do and how we should proceed with the pt.'s medication. The pt. was fine and the error did not affect his health at all.

The fun started when I had to meet with my supervisor and the director of med/surg. I had to explain the situation numerous times and the director kept asking me to explain what I was thinking over and over again. I ended up saying I wasn't thinking and the error I made was out of stupidity and not doing the three checks of medication administration that we all learn in the first class of nursing school. I started to cry.....yes, I CRIED AT WORK. I felt so embarrassed and incompetent.

The next day my preceptor had to watch me give every medication and before I had time to do something, she would quickly say, "don't forget to do x, y, and z." I felt like I was under a microscope and my preceptor told my supervisor and director about every detail of the day. It was awful and I cried again at work.

I am working with the director of the new grad program on education and was told that many nurses overcome a med error after working with the hospital educator. My first shift is tomorrow and I feel sick when I think about going back to work. I am not sure med/surg is for me, but want to prove to my supervisor and director that I can do the job. I feel like I can't ask my preceptor, supervisor, director and new grad educator any questions because it may be taken out of context.

I enjoy working with multiple pt.'s one on one and have considered home health, or in a clinic. I also enjoy working with wounds and doing IV's, which has made me consider looking into being a PICC line nurse. My preceptor said that my interests would get boring because they would become repetitive, which I don't agree with. However, if I am not able to make it through this next week, I feel I will have a difficult time getting into a hospital.

Any words of wisdom or suggestions would be much appreciated! Thank you in advance.

I completely agree with you on both comments. It comes down to fight or flight. I did not enjoy my med/surg clinical rotation, but the knowledge gained is worth it. My first instinct is to flee because I feel my supervisors doubt my ability and it is not a comfortable position to be in. My biggest fear is that once I am done with my orientation they will say med/surg is not right for you, so I am worried about things that have not even happened yet. Also, I have a new preceptor this week and when I am doing meds I tell her exactly what I am doing and confirm with her on everything to show her I know what I am doing. I also did this last week with my previous preceptor and she had mentioned it to my supervisors as my actions showed I was doubting myself, but that is what I was told to do. I thought it made more sense to confirm prior to giving rather than having my preceptor say, "what are you doing."

When my preceptor mentioned that being a PICC line nurse would be redundant/boring, I told her that I didn't see it that way because everyone's anatomy is different. I have talked to several PICC line nurses in regards to shadowing them and the process is anything but redundant. I told my preceptor that the same could be said about teaching, but you always have new students and have to stay current with trends and modify teaching methods to suit the needs to the students.

How did you get started as an APN? What path do you think is the best to follow to work towards becoming a PICC line nurse. Thank you for your thoughts. It is much appreciated.

Hi Libby, what would you recommend as the best path to follow to become a homehealth nurse? Thank you for your thoughts!

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