MedError/Dismissal...What2Do

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...Heh, I'm a nursing student and I'm like 4weeks from graduation but unfortunately I made some critical errors including a med error this past week and I'm about to be possibly dismissed. I was told however that I have a chance to present my case and be possibly put on probation but since I never had this experience before I dont know what my chances are of getting the probation vs dismissal.

Basically what happened is that I gave a blood pressure medication when the pts BP was like 96/61 and didnt remember to inform the charge nurse about the low BP. The other thing is that I totally forgot to assess the dressing on a spinal surgery patient and still forgot to chart that, and never remembered to go back and assess this pt at the end of the shift. This happened on an extremely busy day. These where the two most recent incidents and from the way our director reacted where the most serious. Previously before though I had been written up for asking if I could use the tubing for Potassium to administer an IV antibiotic, plus not remembering if a pt of mine had bladder cancer.

Now our handbook says that for such offenses "a student may be placed on probation or a recommendation for dismissal may be made" so theres still a chance of me getting probation versus getting an all out dismissal. Our director says I should write my version of what happened and strongly present my case come Monday (6/20), but I've never been in this situation before and dont know what will go well in the ears of nursing faculty. So I basically came here for help and welcome all advise on how I should go about presenting my case, and what I should present (paperwork, essays, e.t.c). I really welcome all advise no matter how silly or unrelevant it might seem. Thanks.

Specializes in Inpatient Acute Rehab.

Where was you instructor? She/he should always check a student's meds prior to the student giving them. The nursing school I went to , if you did something without the approval from the instructor, then there was a problem.

Specializes in Med/Surg, Ortho.
I know I'm off subject here, but can I get educated on the significance of K+ tubing? That hasn't come up for us yet and I'm curious. Thanks.

As far as i know there is no special tubing for potassium. The important part is knowing how to administer the potassium rider and over how long and at what rate. And if it is uncomfortable for the patient what steps to take to make it tolerable.

I have ONE day left at clinicals before starting preceptorship.

There is NO WAY our instructors would let us walk away from the Pyxis without checking the meds pulled & asking the student what the BP & AP is on pts. receiving hypertensives or cardiac drugs.

Plus our instructors had us make up a medication card on each pt. that says Hold if BP less than 100, hold if AP less than 60.

We have to take Vitals on hypertensive or cardiac med pts. before pulling drugs & fill out the card, bring it & MARs with us to Pyxis.

We are riding on our instructors' RN licenses & EVERYTHING IS DOUBLE CHECKED.

What happened to the checks & balances in your program?

Sounds like they are slack to me!

I'm in an LPN program in Florida with the top rated school in the state.

Good luck,

jansailsea

Specializes in MICU.

50 Cal,

What was the outcome with your school?

lifeLONGstudent

...Heh, I'm a nursing student and I'm like 4weeks from graduation but unfortunately I made some critical errors including a med error this past week and I'm about to be possibly dismissed. I was told however that I have a chance to present my case and be possibly put on probation but since I never had this experience before I dont know what my chances are of getting the probation vs dismissal.

Basically what happened is that I gave a blood pressure medication when the pts BP was like 96/61 and didnt remember to inform the charge nurse about the low BP. The other thing is that I totally forgot to assess the dressing on a spinal surgery patient and still forgot to chart that, and never remembered to go back and assess this pt at the end of the shift. This happened on an extremely busy day. These where the two most recent incidents and from the way our director reacted where the most serious. Previously before though I had been written up for asking if I could use the tubing for Potassium to administer an IV antibiotic, plus not remembering if a pt of mine had bladder cancer.

Now our handbook says that for such offenses "a student may be placed on probation or a recommendation for dismissal may be made" so theres still a chance of me getting probation versus getting an all out dismissal. Our director says I should write my version of what happened and strongly present my case come Monday (6/20), but I've never been in this situation before and dont know what will go well in the ears of nursing faculty. So I basically came here for help and welcome all advise on how I should go about presenting my case, and what I should present (paperwork, essays, e.t.c). I really welcome all advise no matter how silly or unrelevant it might seem. Thanks.

i notice that this is your second thread on this topic. are you trying to find sympathy for your actions :confused: :confused: :confused: . as in the other thread, i think you were trying to find away out and not reconizing your mistake. i am happy for you that you were given a second chance, but as a fellow nursing student i am thinking you need to add more to your explaination. there is not enough info and from both threads you sound scary :scrying: good luck and i hope you get safer.

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