Getting so busy and forgot to notify the charge nurse about a small med error

Nurses General Nursing

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Hello everyone,

I work with someone who is been treating me like "stupid" for a few months now when she is charge nurse and no other RN is on the floor (I work nights, sometimes is just her and me on the floor and 2 other LPNs). Whenever I go to report her something she makes comments ... like a while ago I told her about one of my patient's magnesium being low and she said "I am sure it was already addressed by the evening staff". After a long talk she called the doctor and we got an order for MgSO4 IV. Thus, the problem wasn't addressed by the evening staff!

We had many episodes when she made me feel embarrassed! The worst one was last month when I had 7-patient assignment (on a surgical floor) at night with patient on insulin drip, one post op, one MRSA iso, one waiting for transportation to a different hospital, one C-diff ...however, the worst night ever. The charge nurse did nothing to help except to give me directions and to ask me to do things, give and bring and etc... and she wasn't so busy! I missed my break because I wasn't ready to leave at 2 am on the first break, so she said I cannot take the second break (3:30 am) because she was going to and I was supposed to cover the floor (being the only RN there except her). Well at 6 am I was almost crushing ... and I still had things to do, so I asked her to let me go outside for 10 min and she said "do whatever you want" not that she cared about me. After that night I filled a PRC with UNA and I had a meeting with my manager. I thought I was ok with this charge nurse and it is a learning process, she needed more time to learn how to get involved on the floor while being charge nurse.

Well last Friday I worked my first night after the meeting. I made a med error. At 00.40 am I gave Morphine 10 mg po to a patient. I picked up the wrong MAR from another patient. After I gave it, I found the mistake, my patient was on 5 mg IV/SC. And she got Morphine 10 mg PO. I started filling and incident report right away and I was called by one of my patients whose tub feeding was beeping. I finished the incident report going back and forth to this patient. I was planning to go to tell the charge nurse about the error and I got busy with another patient who was slightly bleeding from the surgical site. Well, I totally forgot about telling her about my error and at 2 am I want for break. After I came back at 3 am the charge nurse came and told me about the error. I tried to tell er that I totally forgot and I did incident report and my patient was ok. She kept telling me what it could have happen with my patient and how bad is and kept repeating me a few times that this could make me loose my license. Later I told her how I feel around her, I am very stressed out and every time when I get to her she makes me feel embarrassed, stupid and useless.

Last night I called in sick and tonight the same because she is in charge and I am terrified to work with this person when no other RN is around. I cannot function! I am planning to involve the union!

Did anyone experience something like this? Please let me know what to do!

Specializes in ER.
Thanks for the comments.

Morphine 10 mg po instead of Morphine 2.5 - 5 mg SC or IV q2h. It was given at 00:40 am. The patient called at 2:15 am for another dose while I was on break. If you do some research you will see morphine 30 mg po = 10 mg parenteral. My patient said it did not even touch her. It was a pre -op patient. The doctor said in the morning when I reminded her about the error: "if the patient wants po, no problem, if she wants sc, no problem, no big deal, I will order it!"

,

On my unit someone gave codeine 60 mg instead of 30 mg and the charge notified the doctor in the morning, but we monitored the patient. I believe this was a more severe case. And of course it was another charge nurse (senior RN).

your blase attitude regarding a med error is startling. Your being flippant regarding this is just scary.
Specializes in ER.
yes I am an RN. But I am not trained to work as a charge nurse ...yet! After the meeting my manager started training me for charge nurse. I've had 2 days of orientation last week, I was supposed to see him tomorrow morning to schedule me for night charge orientation whenever he can find a senior RN working nights as a charge. These three nights he did not put me in for orientation because this new charge was the only one on the floor! I wasn't taught yet how to call the doctor (the phone numbers to call the extender at night). This charge nurse gets offended if I try to do something, I tried to ask for help from the seniors we have at night working on the satelite unit and she got upset!

I believe I am too weak and do not know how to refuse an assignment. I 've never refused any and I had a few very heavy.

but you've been an RN for 20 years?? Something sounds fishy....
Specializes in ER.
I am just trying to picture the situation, that's all, but I got it, all you got is getting blamed most of the time! Sometimes you get solutions which I will follow! I am already looking for another job! You cannot judge anyone before you walk in their shoes! This is the very first time when I ask for advice on this forum! However, thank you for finding all the time to replay!
you are defensive. You don't seem like a seasoned nurse of 20 years, you seem to reject everything that posters write in response to you. Your posts suggest you are a young nurse with little experience who focuses on the wrong things as a nurse.

It's a bad idea to use your real name and also list the location where you actually live/work. Especially with such an unusual spelling...

OP made the MOST salient point that the charge nurse was using her PAD. "checking a text every once in a while (we all do that)" is not appropriate and we ALL don't do that. It is a not allowed on company time.. period.

The last floor nursing job I held.. ANYONE using a PAD was immediately walked out the door. In other words.. don't play on your phone.. when there is patient care involved.

Again, that's OP's version of the story. I just find it extremely unlikely that someone is on an iPad on a busy floor where her orientee is supposedly drowning. And let me point out the salient point that that (if it were true) still had nothing to do with OP's completely blowing the med safety checks...

Specializes in surgery.

when I said second break I tried to say second opportunity, there is one break for each of us, how do you take the breaks in your unit? in my unit half of the nurses go at one time and the other half goes when whoever was in break comes back. And my very first original question when I started this topic was if anyone experienced this situation and what where the outcomes, I did not expect all the talking, but yes, it's a forum, right? people talk!!

Specializes in surgery.
but you've been an RN for 20 years?? Something sounds fishy....

I think you missed the part where I said I worked 11 years overseas before I moved here! After I got my license here, I worked a few years in long term care where I was charge nurse but that's a different story! However, it doesn't matter, I am getting tired of giving explanations!!! way too tired! 3-4 days of talking and just a few valuable pieces of advice!

Specializes in surgery.
It's a bad idea to use your real name and also list the location where you actually live/work. Especially with such an unusual spelling...

Thank you, I am not using my real name!

wow ... I am sorry, my first language wasn't English, my mistake! Not everyone had the opportunity to learn English since kindergarten. very sorry for my "spelling"! I thought I was on an international forum! Should I try it in French or Chinesse to see if my spelling looks better??(sarcasm)

...and by the way, of course I am not using my real name, I might be stupid to make that mistake/med error but not fully stupid to use my real name!

Wow, way to jump all over someone who was trying to offer you GOOD advice. Again. Jeez. I started reading this thread, feeling for the OP but she keeps blatantly disregarding good advice and getting really defensive. It raises suspicions when a nurse refuses to accept responsibility for a med error.

OP, soapfloats was trying to offer you a suggestion to protect your anonymity on an internet forum. Don't jump down her throat.

Specializes in surgery.

thank you, I saw it like criticism, not like suggestion, yes, I am getting defensive more and more, probably because I am having mood changes! As I said, just trying to cope with the mess! Not easy, believe me! and back again, I asked for something and I got something else....hm ..next time I will know what to expect! However, I learned something from all of this inputs! Regarding the error ... I've had enough!

Specializes in surgery.

I am really sorry, my apologies, I thought my English is "defective" but I got it, she was talking about my username! I am so sorry! I cannot take anymore criticism from anyone, I've had quite enough.

I was not being critical at all. I sincerely hope your username is not at all related to your actual name. It is not hard to look a person up on the internet and find where they work, etc.

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