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Discussion

Med Error

This is a copy of the incident report I had to write up today. A med error after gawd knows how long and I feel like an idiot. I know, I know, it can happen to anyone, but it didn't, it happened to me and now I'm kicking myself.

Dr. B had ordered phenergan 12.5mg IV push for the patient in room 2A. I prepared the phenergan and put 25mg in the syringe. I didn't waste the exrra med before giving it to the pt. As I was setting up to give my IV pushes I was engaged in conversation with the pt and pushed all 25mg of the phenergan into the IV. It wasn't until seconds after I emptied the syringe that I realized what I had just done. I immediately informed the other nurse and the Dr. as soon as I returned to the nurses' station.

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Anyone who has been in nursing for any length of time knows all too well that sicking feeling of making an error. It sucks, I know. However, look at the "bright" side. It was phenergan, not digoxin, not amiodorone, not a double dose of vanc. ((((HUGS)))) Take a deep breath and most of all LEARN from this...

I too made a med error the other day. I read some holding paramaters wrong and gave anyway. Pt was not harmed. I feel dumb, but I freely admitted that I made the error after it was pointed out that I made the error.

As long as you learned from the experience, then you wont do this again. (((Hugs)))

Hey, there's nothing like a med error to make a nurse even more careful when giving meds. Chalk it up to a lesson learned!

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