Oxycodone Mistake

On 11/20/2022 at 7:29 PM, LovingLife123 said:

What was the frequency of dosing?  Usually oxy is given 4-6 hours.  7.5 hours later of 5mg is not going to induce psychosis.  

She said Oxycontin ER, not oxycodone (short-acting) 

On 12/4/2022 at 1:01 PM, Angelasc said:

I can't take another mistake like this again. 

Highly doubtful that you will make this exact error again, however, you need to remember that mistakes happen. I'm not supporting careless nursing care, but your mental health is too important to put something like you can never make a mistake again on yourself. Be kind to yourself. You are clearly conscientious and work to act in the best interests of your patients, so keep your high standards for yourself and others. But not at the cost of your own health and well being.  

LovingLife123 said:

What was the frequency of dosing?  Usually oxy is given 4-6 hours.  7.5 hours later of 5mg is not going to induce psychosis.  

The hospital environment itself is going to cause psychosis in some people.  Going days on end with little sleep causes psychosis especially in the elderly.

You are way overthinking this and being too hard on yourself.

It was extended release though. Which makes me wonder why he isn't ordered a PRN for breakthrough pain. But that's another thing. 

Was he ordered that ATC at like 8a and 8p since it's extended release, and also ordered a PRN for IR secondary to breakthrough pain? 

Didn't know they had 5mg oxy in ER. But anyway, even if it were ER, seems like the time given apart wasn't very close and I'd think that he probably would've gotten confused regardless. 

Don't beat yourself up. Mistakes happen and everyone survived. I bet it was probably only a matter of getting the pill a little bit early.