Another tragic med error

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    About anc33

    Joined: Feb '04; Posts: 333; Likes: 112
    Research RN
    Specialty: 7 year(s) of experience in Oncology, Research


  3. by   HM2VikingRN
    It sounds like the 5 rights were completely ignored.
  4. by   MustangSallie1997
    OMG !!! You just never know do you ?? You can NEVER be TOO CAREFUL !! This is but another sad and tragic example and reminder of that !! HE WAS BEAUTIFUL and PERFECT, just the way he was !!

    God Bless that child and his family !! :angel2:
  5. by   SuesquatchRN
    Good Lord.
  6. by   anc33
    It sounds like a total system meltdown to me. Yes, the nurse has some culpability. I can't imagine that the only labeling on the bottle was the label that stated the correct dose. There must have been some indication as to the amount of drug per bottle. However, what was the pharmacy thinking sending that much medication with that type of labeling?
  7. by   EmmaG
    Docs who get aggravated at nurses who question indications and dosages of meds would do well to remember this tragedy.
  8. by   Spidey's mom
    My heart is broken . . . . I agree, there had to be a dosage amount somewhere on the bottle.

  9. by   MedSurgeNewbie
    Wow what a loss, I dont care how many doc's chew me out if its outta norm I ask, now I feel better about being so careful.. That poor nurse too no one involved wanted this I am sure. Poor parents just an awful situation..
  10. by   pickledpepperRN
    We need to be certain before giving any medication.

    It is good that the facility and doctor admitted the error and apologized.
  11. by   RainDreamer
    Is it not the norm to check neonatal/pediatric doses with another nurse?

    10 times the correct amount! That makes me sick
  12. by   Jo Dirt
    This article should be plastered in every healthcare facility, doctors should be required to memorize it.
  13. by   FireStarterRN
    Wow, sloppy and careless practise led to this tragedy!
  14. by   Sabby_NC
    My heart bleeds for what this little man endured as well as what his family is going through now.
    I pray a lot is learnt from this needless death.