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Joined: May 7, '07; Posts: 28 (32% Liked) ; Likes: 10

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  • Aug 23 '11

    Quote from tyvin
    Whoever sent the MAR should take the primary blame.
    In my personal opinion it was the responsibility of those who prescribed the meds for the patient's stay in the hospital. Even if the clerical error was made, the ED docs get paid a lot of money to do their job, including the responsibility for receiving the MAR with the wrong name on it. But this sounds like it was a breakdown in the system. First the clerical error of the wrong MAR being sent, the ED staff not reading the name and other identifiers on the MAR that was sent, the wrong meds being prescribed for inpatient, etc. In my hospital it would be a nurse who does the med reconciliation after they go through the ED and are admitted to the floor, but even then, we call the doc if they didnt already check off on it, and verbally go thru each medication prescribed, and the corresponding DX for each and every med. It seems to be that this incident should be used as a learning opportunity for both the residence the patient was sent from, all the way to include the docs and nurses that were involved in the patient's care at the hospital. Thankfully the original poster stated that nothing bad came from this, and if they can learn where the breakdown occurred the whole way around, then they stand a chance of fixing it so it doesn't happen again.

  • Apr 26 '11

    Your feelings do sound typical of many people (though not universal).

    Personally, I took heart in the recognition that the vast majority of people make it through nursing school and most (by far) pass the NCLEX. I typically figure that if most people can do it then I probably can, too.

    Regarding errors, the potential is always there. You strive to know your stuff, be careful, follow protocols, and double/triple check everything you do - especially with the little ones. After that, simply acknowledge that you're human and that you might make a mistake that might hurt somebody. The reality is that, even if you're a safe, careful driver, you might one day make a mistake which will injure or kill somebody (in fact, statistically speaking, it's probably much more likely than you making a fatal med error). Risks are everywhere (though we're not often mindful of them). All we can do is strive to be careful and to do our best and then let the chips fall where they may. That said, I can certainly empathize with the devastation that the referenced nurse must have felt.

    Go easy on yourself, do your best, and believe in yourself. Your instructors do or else you wouldn't still be in the program.

  • Apr 14 '11

    Quote from nvsmom
    so one couldn't work both as a nurse and a pharmacist?
    Yes, you can. What the PP was saying is that while you are on the clock as a nurse, you can only work within the scope of practice of a nurse. You cannot be on the clock as a nurse and do anything that only a pharmacist could do, and vice versa.

  • Apr 8 '11

    Oh wow, im sorry . While you can't undo this you can make sure next time even in your rush to double check the name . We all make mistakes and the best thing we can do is learn from them so they don't happen again. Hang in there.

  • Apr 8 '11


    You are only human. The "wrong" family obviously has a very high opinion of you- and probably for a good reason.