med error on first shift

Everyone makes mistakes. Everyone. Anyone who tells you they haven't made a mistake is either lying or too stupid to realize that they've made a mistake. Making a mistake doesn't make you a bad nurse. What makes you a bad nurse is lying about it, trying to cover it up or being too stupid to notice you've made a mistake in the first place.

A GOOD nurse recognizes a mistake, informs those who need to know about it and immediately sets about mitigating the consequences to the patient. It sounds as if that's exactly what you did.

It's easier said than done, but don't beat yourself up. Learn from it, figure out how not to let it happen again and move on.

There's a thread on here somewhere about the "worst medication error you've ever made." There are some doozies on there, but the good news is that if you do the right thing, patients can survive even a spectacular doozy of a medication error. I've made some doozies myself; we all have.

Back in the days when everyone got Demoral and Phenergan IM as a pre-op for surgery, I got a call from the OR that Mr. Robert Johnson was to be given his injection and sent to the OR. I gave the meds to Mr. John Robertsson. The OR was royally ticked off that Mr. Johnson wasn't ready when they came to get him, and Mr. Robertsson had a really nice, long nap and couldn't be aroused enough to sign the consent for HIS surgery which then had to wait another day. And I felt about like you did -- beat myself up about it for weeks. Finally, my head nurse sat me down and said "Listen. We all make mistakes. What matters is what you do AFTER you make the mistake."

There's a thread on that, too. I know because I started it. I think it's called "What to do after you've made a mistake." I can't figure out how to link it on my phone, but you probably have way better internet skills than me.

I get what you're saying!! I do a casual position in ltc and can think without even trying SIX residents whose legal name is not what they like to be called. The tag on their door says "dick" but in the mar they are "richard". And that's an easy one! We've got residents with nicknames not even close to their legal names. Also, down one hall there are FOUR Betty's, I kid you not. It's a 75 bed facility and they loaded up one hall with four of the same name!

med errors happen. To everyone. Anyone who says they haven't are either too new or liars. Hopefully your facility can identify the breakdown of yours and take steps to prevent another one given the same situation!

I've never seen anyone censured for one med error on one day. It's a pattern of sloppy work they look at.

I once mixed up two chemo rates on a patient. I felt horrible and the doctor was mad of course. But the patient was fine and went on to go into a long durable remission.

As has been said, we all have made med errors. The fact that you recognized it right away and asked for help says a lot. You are going to learn from this and become a great nurse. First thing is to make sure the computer is plugged in when you take over. I don't know about where you work, but if there a plug ins along the wall of the hall, you can plug it in along the hall too.

The important thing here is that you take and learn from this experience and take steps to prevent it from happening again.

I think that part of the reason we panic when we make a med error is that it is pounded into us in nursing school that a med error is an end of nursing career sort of thought. When we get out and make that first med error, we have that mindset, only to be told that is not the way it is in the real world.

Keep up the good work

LTC is difficult compared to med/surg in my experience. You have more patients. The meds are preloaded in that huge cart you push around not the pyxis. The residents probably don't know or remember their meds. Some don't know their own names. The one I worked at, they didn't wear name bands. So much potential for med errors. I agree with what everyone has said, you recognized the mistake right away & took appropriate action.

I think you can always judge a facility by how management reacts to med errors & it sounds like you have a good one.

It's a horrible lonely feeling. Many nurses make errors and learn from them. I'm sorry this happened!