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 CCU, SICU, CVSICU, Precepting & Teaching.
your blase attitude regarding a med error is startling. Your being flippant regarding this is just scary.

That bothered me, too. That and the assertion that it was "a small error." Nothing with narcotics is "a small error."

The OP minimizes and justifies her error and her failure to notify the charge nurse, then complains that the charge nurse kept telling her how serious it could have been. It could have been serious, and the OP doesn't seem to understand that. No wonder she got told!

Specializes in CCU, SICU, CVSICU, Precepting & Teaching.
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!!

People have been trying to give you some helpful advice. Everyone who wrote did so because they thought they could offer you some insight. You don't seem to want to take any advice that isn't what you want to hear. It is my hope that some other new nurse who finds herself in a position like yours will find the thread, read our answers to your post and THINK.

Specializes in Skilled Nursing.

You're very defensive is that how how you are with the charge nurse? You come across in your comments with an attitude. Maybe your charge nurse gets the same vibe.

Specializes in Emergency, Case Management, Informatics.
I think you missed the part where I said I worked 11 years overseas before I moved here!

I have been working in this country for 7 years (nurse for 13 years overseas where is a different world with different rules).

Just for clarification, was it 11 years or was it 13 years?

I don't really have a whole lot to add to this discussion. I'm just amazed at the amount of energy OP has expended in blaming others for her "small" mistake. I think that, based on OPs claims about her charge nurse, the bashing of posters here, and defensive stance against even the most constructive posts, we're definitely only getting one side of the story. Aside from the defensiveness, OPs noting her own narcotic use as relevant to the med error and inability to understand the need to contact the physician for any med error is very concerning. I wonder if those issues were mentioned in the 5-page letter written to the union, whereby the union decided that OP was being harassed. Because, ya know, the union is always going to be very objective in their assessment when dealing with employee/supervisor issues. :sarcastic:

As they say, some people have 20 years of experience, others have the same one year of experience repeated 20 times.

Specializes in surgery.

actually I acknowledge the gravity, believe it or not. But it wasn't her business to give me that treatment! All she should have said was: you made a med error, I found it, you should have told me about this, I called the doctor and I will have to inform the manager! That's all! But nooo, we guys, we have to take the person through the whole mud to make her feel worse, because we are judgemental while we should not as per our professional standards (at least this is what they taught us in school), we forgot to remain professionals when we interact to each other!! That's all about this topic! You make a mistake, it's your fault and you will pay for it but there is no need to increase the anxiety and spread the word around the unit right after the report! It was my manager's business to decide what I deserve, not hers!This is what bothered me!Spreading the word around the unit!

Specializes in surgery.

actually I got the constructive points with what to do in the future, what bothers me is the "you shouldn't have done it and you should have done it" and "what king of nurse are you to do or not to do" part. As I said I am not here because I want to get judged, I am already judged and I will still be until I solve the problem! And anyone will get his/her part of judgement for their actions!

The useful part I got from all the posts is:

- be careful and not ever do it again

- learn how you can be less dependent

- do not expect the charge nurse to help you when you are drowning

- refuse unsafe assignments

- take notes about your future interactions with this charge nurse

- talk to the manager and her

- stay away from her

- change the job!

Of course there are many details I cannot expose here for the sake of confidentiality!

Specializes in surgery.
Just for clarification, was it 11 years or was it 13 years?

Aside from the defensiveness, OPs noting her own narcotic use as relevant to the med error and inability to understand the need to contact the physician for any med error is very concerning. I wonder if those issues were mentioned in the 5-page letter written to the union, whereby the union decided that OP was being harassed. :sarcastic:

what do you think? Did I try to hide the med error from the letter?? that's very funny! would you do it? oooo, sorry, you wouldn't done the stupid mistake in the first place! Unfortunately I am not a perfect nurse, I am actually a mess now, that's why I waste my time on this forum instead of being at the bedside!

Specializes in surgery.
Just for clarification, was it 11 years or was it 13 years?

:sarcastic:

it doesn't really matter, I posted my experience and life somewhere before this, I am not going to do it again for the sake of ...what? performing a "necropsy" of my professional life!

Specializes in Telemetry.

OP, your angry rants throughout this thread are not garnering you any respect. Certainly, every nurse will make a mistake at some point in their career. Accountability, humility, and a desire to learn will help you navigate this situation.

So far, I have seen none of these things from you.

Even if you've only been a nurse for a few years here in the States, you should be more adept at managing some of these issues, and not forget your five (or six) rights of medication administration.

Specializes in surgery.
OP, your angry rants throughout this thread are not garnering you any respect. Certainly, every nurse will make a mistake at some point in their career. Accountability, humility, and a desire to learn will help you navigate this situation.

So far, I have seen none of these things from you.

Even if you've only been a nurse for a few years here in the States, you should be more adept at managing some of these issues, and not forget your five (or six) rights of medication administration.

actually there are 7 or even 8 rights right now! and I know them very well!

Honestly I am thinking to give up nursing right now, that's all I can think of!!! I love being at the bedside but ... I don't think I can manage 7 surgical patients in this kind of environment!

talking about my humility? how would you respond when you get accusations from many people? what would be your answers??? I said ones, just kill me, people and the end of telenovelas!! what else do you expect me to say?? I am sorry, I am running out of thoughts! even someone in the court room would attempt to defend herself/himself!

actually I got the constructive points with what to do in the future, what bothers me is the "you shouldn't have done it and you should have done it" and "what king of nurse are you to do or not to do" part. As I said I am not here because I want to get judged, I am already judged and I will still be until I solve the problem! And anyone will get his/her part of judgement for their actions!

The useful part I got from all the posts is:

- be careful and not ever do it again

- learn how you can be less dependent

- do not expect the charge nurse to help you when you are drowning

- refuse unsafe assignments

- take notes about your future interactions with this charge nurse

- talk to the manager and her

- stay away from her

- change the job!

This is just how forums work. You can't control the answers you get. You take the parts that you find helpful and let the rest go. But don't forget you can always turn criticism into something positive by removing your emotions from it and looking for the kernel of truth. Trust me, it's always there. If you can do that then you will learn and grow. Otherwise, it's the internets...not worth getting all worked up over. :yes:

Specializes in Registered Nurse.
When I was a nurse working on the cart and we had supervisors, I always heard the same thing from my co-workers the supervisor doesn't do anything. All she does is walk around with her clipboard and talk on the phone. When I was a CNA I also heard the other aides saying how the charge nurses didn't do anything but pass pills and sit at the desk. If I'm organized and efficient enough to have breaks and down time I am not obligated to donate it to someone who is less organized or efficient. I absolutely believe in teamwork. I don't believe in making up for someone else's poor skills or compensating for management not staffing enough nurses

Amen to that!

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