Skip to content
View in the app

A better way to browse. Learn more.
allnurses

A full-screen app on your home screen with push notifications, badges and more.

To install this app on iOS and iPadOS
  1. Tap the Share icon in Safari
  2. Scroll the menu and tap Add to Home Screen.
  3. Tap Add in the top-right corner.
To install this app on Android
  1. Tap the 3-dot menu (⋮) in the top-right corner of the browser.
  2. Tap Add to Home screen or Install app.
  3. Confirm by tapping Install.
Discussion

medication incident

In nursing school we learned never turn your back on a sterile field.

This morning I learned.... never turn your back on a nursing home resident's pills. I was passing early morning meds near the end of my night shift. I went to Mr and Mrs M's room, with 2 souffle med cups, one for him and one for her, his eye drops and nitro patch. I had forgotton her calcitonon nasal spray, so after giving Mr his pills, I left everything else and said I'll be right back. I grabbed her spray and when I got back he said, "I took that one, too." He took his wife's pill! It was only calcium with vit D, but I still need to do something about it. It's the weekend and I don't know how to document what happened. The nurse coming on this morning said to ask the DON. She won't be there until Monday. It's scary how a careless mistake can happen so quickly. :o

Featured Replies

:uhoh21: The posters below are correct: follow your facilities guidelines for medication errors.

I'm so sorry, but I think you learned something from this and that is what's important ~ to keep our mistakes little and to learn from them! I don't know what your facility protocol is, but we fill out a medication error report. The physician and family are notified as well, and then the resident is observed for any side effects from taking the wrong medication. In this case, I don't think you have anything to worry about! A good rule is, of course, never leave a resident's meds out of your sight, but also not to carry two residents medications at the same time. :)

You did exactly the right thing, telling the nurse coming on this a.m. I'm assuming there was an RN on during your shift and you also reported it to him/her.

I'm betting there is an incident report form that needs filling out.

I would document the event and the fact that you told the nurse, noting times and details, just for your own reference. Then you have that to show the DON on Monday when she comes in.

And of course, neither you nor I (thank you! I'm learning from your experience!) will ever turn our backs on patient's meds.

Guest
This topic is now closed to further replies.
Go to topic listing

Currently Reading 0

  • No registered users viewing this page.

Account

Navigation

Search

Search

Configure browser push notifications
Chrome (Android)
  1. Tap the lock icon next to the address bar.
  2. Tap Permissions → Notifications.
  3. Adjust your preference.
Chrome (Desktop)
  1. Click the padlock icon in the address bar.
  2. Select Site settings.
  3. Find Notifications and adjust your preference.