Operating Room Narcotics

by poolnurse poolnurse (New) New

There was a standing order for dilaudid on the doctor preference card however morphine was given..morphine was verified verbally with the doctor ( while he was still working on the patient) and was given to the Doctor by the tech but it should have been dilaudid..morphine was given  intramuscular at the surgery site on the field by the doctor..who is responsible for the medication error?

Rose_Queen, BSN, MSN, RN

Specializes in OR, education. Has 17 years experience. 5 Articles; 10,983 Posts

There’s a lot of hands in the cookie jar here, and the purpose of reviewing errors is not necessarily to assign blame- it’s to look at the system. I’m surprised your facility allows pulling of narcotics without an order being entered. But there isn’t really a single point in your scenario as presented  that blame can be assigned.