heallis

I saw on my shift tonight that I did give the insulin and t's co signed on the chart. I guess I was just having a panic attack brought on by general stress and it made it hard to recall.

Yes, if I give insulin it does need to be double checked. However there would be nothing to check if I didn't draw up any insulin and only gave the rest of her medications. We are expected to give medications alone during preceptorship as we should be independent by the end of this placement.

Ugh, sorry, I am so stressed I apparently can't even get words out in text properly-- her blood glucose was 16.9 (in mmols/L as I am attending a Canadian nursing school)

(plsppardon the double post asi also posted this under patient medications before realizing that was probably not the right place). l am a nursing student doing a preceptorship on a med/surgery floor... I worked a night shift last night and I was not myself at all, quite spacey all night. I am realizing after coming home this morning that I don't remember giving one of the patients her insulin!! Her insulin was high (16.9) so I remember thinking "gotta get her that!" Yet I seem to recall she did not have an insulin order sheet or something. I was so spacey that I can't remember clearly.. I know I did give her a needle... but that may have been lovenox.... I called the floor and told her RN for today that they should be on the lookout for that. When I called they asked if I had given that same patient patient PRN benadryl or gravol for her nausea. Even though I did my checks 3x before GIVING the med, I was not so thorough when SIGNING the med after and apparently signed for benadryl instead (I did describe the pill I gave to the RN and it was indeed gravol). I am absolutely freaking out! This means that if I did indeed forget to give her insulin I made two med errors on the same patient in one night!! Though only one that actually reached the patient, but still... My preceptor is very nice but my course instructor is known for being a hardass. I feel so stupid and scared I am going to flunk out! My only relief is that I did call the floor so I know they will be watching her and she will likely not be harmed. Still, I am really anxious this could be the end of my nursing career. Is it common for students to get kicked it for things like this? Do you think I am doomed?

Hi, I am a student working on a care plan. My instructor was VERY specific that we must know why our patient is prescribed certain drugs not to just write down the indications in general but what is the specific reason they are taking it). I have a pediatric oncology patient who was admitted for febrile neutropenia who is taking prevacid. However there is no documentation indicating that this patient suffers from ulcers. The patient is on multiple anti-infectives including anti protozoals, cephalosporins, etc. but none of his medications list ulcers or heartburn as an adverse effect. I know prevacid is specified to help with H. pylori-associated ulcers, but it doesn't seem to actually kill the bacteria, just help with symptoms. Why would a patient like this be on prevacid?