INR 5.2 read as 2.5

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A tired 12 hour shift nurse mistakenly read and put in THE record an INR result of 5.2 as 2.5( read at the turned around anticoag machine).

The Doctor gave order to continue same dose and pt, who also was on levonax inj. Ended up bleeding to death/ICU NOW.

Big, but easly can happen mistake everyone can learn from.

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Specializes in Oncology.

I'm very confused. Your profile says that you're a pre-nursing student. Your credentials say BSN, though. You joined in March. You posted once in November (about license loss) and now this. This seems like an odd thing for a seldom participant to run and post about.

Hospitals I've seen that have point of care testing all have auto-EMR entry. I can't imagine a hospital doing bedside INR monitoring but not having it auto enter to the EMR.

Even if there was an INR mistake, people don't just bleed to death randomly. Was there an injury then? Were there signs of internal bleeding missed?

It seems like if this is true, it would be a big liability to post on social media about it.

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If this patient bled to death he isn't in the ICU "NOW" is he?

Was this your patient? Are you a nurse, or a tech in this unit?

What am I missing?

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Specializes in Med/Surg, Ortho, ASC.

Did you make this up? Death by Lovenox?

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Specializes in Medical-Surgical/Float Pool/Stepdown.
Did you make this up? Death by Lovenox?

Yeah, how does that song go..."go ahead and HIT me with your best shot!"

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Specializes in Family Nurse Practitioner.

So did they bleed to death or are they in ICU? When I saw the title I was thinking meh definitely a mistake but I've seen way higher INRs without a major issue then I opened the thread and yikes.

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Aren't INRs checked daily in acute care? Especially when bridging? Even with that error (if this story is accurate and true), continuing the same dose X 1 from a 5.2 seems unlikely to bleed to death.

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Specializes in Med/Surg, Ortho, ASC.
Aren't INRs checked daily in acute care? Especially when bridging? Even with that error (if this story is accurate and true), continuing the same dose X 1 from a 5.2 seems unlikely to bleed to death.

Sure seems like an urban legend.

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How can you be a pre-nursing student and a BSN at the same time? A tired nurse reads the INR result upside down at the bedside, the patient receives Coumadin and Lovenox as usual and then bleeds to death but somehow miraculously ends up (dead?) in ICU? You are sharing this with a whole forum of actual nurses to prove to us how easy such a mistake is to make? I think the only mistake here is you trying to pull one over on us. We're smarter than you think we are.

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Calling BS (and that's not "bachelor of science") on this poster. Clickbait?

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Specializes in ICU, trauma.
Aren't INRs checked daily in acute care? Especially when bridging? Even with that error (if this story is accurate and true), continuing the same dose X 1 from a 5.2 seems unlikely to bleed to death.

Thats what i was thinking lol. Maybe fell and hit their head causing a worse head bleed? but the post insinuates that the patient received their regular dose of lovenox and BAM dead

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Specializes in Med/Surg, Ortho, ASC.
Thats what i was thinking lol. Maybe fell and hit their head causing a worse head bleed? but the post insinuates that the patient received their regular dose of lovenox and BAM dead

It would be nice to hear back from OP to clear up so many questions.

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