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Discussion

med error

I feel that I am a rather smart RN on most days, I have been a nurse for 7 years now. I now work on the L&D floor in my hospital. Last night I gave a dose of Demerol 100mg IVP to a postpartum patient that was have pain control issues following her c-section. I really did not think twice about it, as we give a lot of IVP doses on our floor. Also, the doc gave me a verbal order for this in which I thought he said IV. One of my fellow nurses informed me after I had already given the drug that it was usually given IM. I notified the MD right away, and placed bp and pulse ox monitoring on her, which by the way, all her vitals were stable, and she was doing well, just zonked. I wrote myself up and followed our protocols for med errors. After my shift I felt like such a dumbo, I mean I can't believe that I did something so stupid. The doc was not mad and the outcome was good, but do you think I could get in trouble at work for this one?

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Why is phenergan on the outs?

Have given 200mg dem iv plus phenergan 25mg every 2 hrs to one of our sickle cell peeps; if he meant IM, ok, mistunderstanding. But IV administation isn't an error on its own, if he wasn't specific in his/her order, thats on the doc, we dont read minds. young healthy person, slow push, monitoring afterwards, you did what I would have done.

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