I really did it this time!!!!!!!!!! I hung mr X antibiotic on MR. Y. The bad thing is the pt family is the one who pointed it out to me. So I observed the pt for any side effects. The dr. changed him over to amoxicillin that day anyway earlier. So I wrote up an incident report and called DR. and took orders to give bolus of 0.9ns over one hour to flush his kidneys. Did a UA. So I got pulled in to my nurse managers office and got a lecture about the five rights the next day. And add insult to injury got the same pt the next day. Funny thing is the family complained to my nurse manager the doctor. He said he hadn't had any urine out since 7am that next morning til 3pm. I told him that I needed him to try or i was going to have to cath him to observe his kidney function. Well with that initiative he put out 700 clear yellow urine that next 2 hrs. It is true never chart any incident in your nurses notes, I just charted that the pt was stable good output, gave pt 250cc bolus over one hour. I tend to think people think we are incapable of mistakes. My nurse manager was pissed off at first because the family complained but she thought I didn't write up an incident report, which she later found on top of her desk. I know every nurse makes med errors but it quite a pill to take when it is you. thanks for listening Janice