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Discussion

medication error

Please please please help everyone....

Okay, I was working on a saturday in dialysis. One of the patient with end stage kidney disease came in set down and I was assessing her. After assessing her other nurse came to say hello to the patient because she is our new patient at our facility. This is her 2nd day with us. After assessment I was going to draw the heparin out of her PC line so i can flush her with saline and connect her to the dialyzer machine. instead, i got distracted by other nures.. I was chatting and forgot to draw the heparin out of the PC line arterial and venous line. I flush the line with saline and have connected the patient to the dialyzer machine then realize that i forgot to withdraw the heparin. oops! I was scared.. I wasn't sure if i did or not. I was confused. I did not tell anyone. The patient did not have any symptoms of reaction or side effect after 3 hours of dialysis. her blood pressure was stable. The heparin sodium was 50,000 units/1ml. so in the PC line was 1.7CC so that means 85,000units on each line that i flush with saline into the pc line.

I'm so scare.. i dont know what to do. I'm thinking should i quite this job?

I'm hoping to see the patient again in her next treatment because if i dont see her that means there is something going on with her and she might end up in the hospital. i'm so scare. i dont know what to do. :confused:

please help.. i need advice. i dont know what is the right thing to do right now.

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    A little off topic, but I remember when I was giving insulin for someone. I gave it to him and chatted a bit and came out to my cart and saw Humalog sitting on my cart. I was like OMG what did I just do because the order was for 40 units of Lantus (kinda a big guy) and I was like did I just give 40 units of Humalog? Needless to say I did contact the Dr and said, I really don't know if I gave Humalog or Lantus. I could have sworn I drew up Lantus. I felt so stupid saying to the doctor, I may or may not have done a med error. What happened was a different nurse "borrowed" the Humalog and didn't put it back and left it on my cart. I was sooooo pi*&$(#. I was crapping bricks doing blood sugar checks like a maniac and calling the doctor like an idiot because of that. I found out 4 hours later she did that. Borrow med = med error, making me feel like crap and stupid in front of a doctor and scared for my patient = I hate you!!

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