So I have a question regarding an error that was made last week. I am a new grad, been working on a Telemetry floor for about 8 months now. I have just started precepting, which is a huge honor to be asked, although I'm still quite new myself. Anyways, I was orienting a new grad who has been on our floor for a few weeks now. We are encouraged to try to give them some freedom so they can learn, but also be there as a resource. She went into a room to hang an antibiotic for a patient who had quite a few things running at the time. I'm a bit of a stickler for this, so I labeled all the lines to make sure there wasn't any confusion. As she programmed the antibiotic into the pump, I was in and out of the room and doing other small tasks while there, and did not see her program the pump. The antibiotic was hung, we left. A little later, I heard the iv pump beeping sooner than it should have been finished. I went in, and the antibiotic had been entirely infused over about 45 mins rather than 4 hrs! I spoke to my charge nurse and pharmacy about this, who said that this antibiotic can be run over that timeframe, the frequency just has to be changed from q4hrs to q6hrs. Basically, they said not a concern! I still feel horrible about it, and I filled out an incident report regarding it. In the report I filled out, I didn't want to throw my orientee under the bus, but it may have inadvertently made me look more responsible. I'm just concerned about how this reflects on me by my manager, and how to do a better job of striking that balance between safety and freedom for orientees. Advice, thoughts?? Thanks!
