indefinite suspension because of med error

Specialties Geriatric

Published

Hi,

I'm not sure if this is the right place to post this, so I'm sorry if it's not and please move it to the right forum if possible for me, thank you.

I have a friend who is a new grad, been working at a skilled nursing facility for about 3 months. She was oriented and trained for only 4 days. Yes, it is bad that she took the job when the training was so short, but what had been done already been done :(. Her usual schedule is AM shift, but on the day that she made a mistake, she was on pm shift covering for someone else. So this was like her 1st time working on the PM shift, on a Saturday with no supervisor. She is an RN, but working on a med cart as a charge nurse. The nurse/patient ratio at this facility is 1:26 with 2 CNAs in the pm.

The shift got really busy right at the start with a new admission, and a hard stick resident whose IV for hydration came out (she's on g/j tube too). Then about 2 hours in, she got another admission. She was just overwhelmed overall.

This is when the event happened...She made a med error by giving a resident metformin when the resident blood sugar was at 75. The resident didn't eat his dinner, so later he was found unresponsive. His blood sugar was at 28 when they checked. Glucagon and 911 was called. The resident was transferred to the E.R. The next day, we called the hospital to check the resident's status. His blood sugar was up to 96, more alert and responsive, and will stay at the hospital for a few days for monitoring.

My friend is really devastated and knows that she made a huge mistake. She apologized to the family, the DON, and everyone else who's involved. She can't sleep, cry, and all that. The DON took my friend off the schedule and suspended her indefinitely (my friend also signed this form).

Well, now the questions are...

1. Would this status "indefinite suspension" going to hurt my friend's future employment?

2. Would it stay in her record if there is back ground check done?

3. What can she do now?

4. What does indefinite suspension mean? Does it mean that she is suspended until the facility decided on what to do with her?

5. What if my friend decided to not come back to work even if the facility takes her back?

6. How can she keep her status clean?

I'm sorry, my friend and I are both new to the world of nursing and would like to hear any advices. Please focus on what she can do now, instead of what she should have/have not done. Thank you all very much, we both really appreciate it.

Did you read my post? That's why I asked if insulin was given to make the bs drop plus we don't know what normals are for him. I am aware metformin does not have that affect.

Obviously I read your post, my point was that 75 isn't low. and there is probably some other endocrine issue going on. giving the metformin was totally appropriate.

Specializes in M/S, LTC, Corrections, PDN & drug rehab.
Obviously I read your post, my point was that 75 isn't low. and there is probably some other endocrine issue going on. giving the metformin was totally appropriate.

But what if it's low for *him*. We don't know what he normally runs. We could say "Oh, that sounds GREAT!" But what if that IS a low bs for *him*? I also never said to hold the metformin. So where are you getting all this from, from my 1 previous post?

Specializes in LTC.

At my facility, a BS less than 70 is cause for concern. However, there are a couple of residents who I would be watching closely if BS was 80 or so because I know how quickly that number can drop.

That said, I think the OP's boss needs a pharmacology refresher on how metformin works. Also, if I were the OP, I would be looking for a new job pronto.

Just to review - how independent is this resident r/t ambulation, ask ability, cognitive ability. If staff assists res to bed or res is escorted from the dining room -- why didn't someone inform your friend that res had not eaten meal consistent w baseline?

Review 5 administration rights - what step (if any ) was missed? Did this tea present with an acute change in condition before this event?

The devil is in those details and indefinite suspension is a very serious action - esp as this was a new nurse, new shift and new grad?!?!

I say have your friend request a meeting w their DON -- what happened? Have that hard conversation and encourage your friend to receive critisim in a positive manner. A great nurse wants to be better - mistakes are a part of human nature. We're not great because we never make them - we grow in our nursing practice when we seek to learn, improve in order to not repeat the same mistake.

Specializes in CVA.

Sorry, I didn't have time to respond until now...So it has come to an end. The DON changed her mind and my friend (yes, it is really about my friend, i respect the people in the forum so I try not to lie) has escaped the indefinite suspension (thank god). I don't know the details yet, but it's not really important at this point. Thanks to all those who have contributed, we both really appreciated it.

Not to leave the story hanging. The resident is A&Ox4, he is there as a skilled patient, he is post surgery for left fracture hip. The pm shift is really busy usually with all the sun downers and with less staff, so by the time the staff found out that he was unresponsive in his room it was too late. And yes, there was another medication that was given in addition to the metformin (I should have gathered more facts before posting), and it was glipizide.

Specializes in ICU, CVICU, E.R..

Glad to know all worked out. What type of facility is this? This sounds like a nursing home environment. I recall working in one where there were multiple call-ins and I had to take care of over 50 patients, with only 1 CNA during night shift.

A day shift CNA came in early about 2 hours before her shift to help and found a normally continent patient wet in bed. She told the nursing administrator and both the night CNA and I were written up for letting a patient go for sometime without being cleaned. Both the CNA and I were up all night and had barely any time to eat so I refused to sign the write up.

Anyway, does this friend of yours work the same shift as you?

Makes more sense now. Should have held the Glipizide. Glad everything worked out. Learning opportunity here :)

Just curious, why does it matter whether the OP is really "the friend"? Why is it your business and what different advice/input would you give? It is the right of the OP if he/she chooses to remain anonymous...give it up already!

Just curious, why does it matter whether the OP is really "the friend"? Why is it your business and what different advice/input would you give? It is the right of the OP if he/she chooses to remain anonymous...give it up already!

I don't want to derail the thread with an ethics debate, but a lot of nurses on here are staunch supporters of the integrity of the industry. Even a small lie, like "my friend" vs. "me," will trip their triggers. Also, this is pretty much an anonymous forum, so it's a little ridiculous to go to the lengths of "my friend" when we don't know who you are anyway. I'm not saying the OP is doing this, because the initial post does sound like second-hand info (hence all the story gaps).

I don't want to derail the thread with an ethics debate, but a lot of nurses on here are staunch supporters of the integrity of the industry. Even a small lie, like "my friend" vs. "me," will trip their triggers. Also, this is pretty much an anonymous forum, so it's a little ridiculous to go to the lengths of "my friend" when we don't know who you are anyway. I'm not saying the OP is doing this, because the initial post does sound like second-hand info (hence all the story gaps).

Oh give me a break. Everyone here has a fake name so don't give me a load about integrity. If it's ok for you to use an alias, it's should be ok for the OP. Like I said, give it up already!

Oh give me a break. Everyone here has a fake name so don't give me a load about integrity. If it's ok for you to use an alias, it's should be ok for the OP. Like I said, give it up already!

If you didn't want to hear the answer, you should've kept your mouth shut. Overreact much?

If you didn't want to hear the answer, you should've kept your mouth shut. Overreact much?

oh dear, the same could be said of your self.

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