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Discussion

med error:

I found a med error the other night-order was for Humalog 75/25 insulin. When I rolled it- it stayed clear. In school- we were taught (and grilled) on the apppearence of insulin. I knew it should be cloudy-so I refused to give it, called a second nurse to verify it, and the pharmacy for verification. It should have been cloudy. So I borrowed the correct insulin from another resident-and pulled the old vial. Turns out the pharmacy had mislabed a vial of Humalog.

I kept hearing from the two nurses who had actually given the incorrect insulin- "It's the pharmacy's error for mislabeling it." How about the personal liability of those who gave it? The DON gave the error to the pharmacy. I thought we were liabel as the ones who utlimately gave it. Any opinions?

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I was not even suggesting that we know what every drug looks like. Insulin though I think is an exception to this.

am reasured though by the information that we are likely not held accountable for this even with insulin.

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