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Shannon Dull Dunlevy

Content by Shannon Dull Dunlevy

  1. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    So, here is the situation. I started a DuoNeb treatment on my patient WITH my professor/instructor. Once the treatment was started we left the room and documented the treatment. I checked in on patient about 7 minutes and and everything was fine. At around 15 minutes I checked on the patient and noticed that someone had taken the face mask off the patient and turned the nebulizer machine off. When my instructor came back I reported that someone had turned the machine off. My instructor went into the room alone and reported to me that she had re-initiated treatment because there was still some DuoNeb in the reservoir. I was written up as having made a medical error because I did not personally take it upon myself to start the treatment again. My rationale behind not starting the treatment by myself is: I wasn't sure who stopped the treatment in the first place. It could have been my instructor for all I knew. I wasn't sure WHY the treatment was stopped. The patient may have been observed having adverse reactions for all I knew. I do not feel that I as a student, working under another's license, should make the clinical judgement to restart the treatment on my own accord. What do you all think is the best move here. I have a remediation meeting in a couple days. I feel like the persons who made the medication error was #1, the person prematurely stopped the treatment and didn't document or notify anyone, and #2, my instructor who restarted treatment without knowing who stopped it in the first place and why. Thanks
  2. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    I know that next semester she is not my clinical instructor just my lecture and lab. I am praying that she has integrity and does the right thing. She did give me fantastic scores on my care plans and even after this occurred she did tell me that she thought I would be a great nurse. I'm hoping everything just blows over by next semester.
  3. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    I was not allowed to bring an attorney or anybody on my side to advise me during their questioning. I did have a few instances throughout the semester with this particular professor. Minor things that I did point out because I thought she handled the situation completely wrong and she didn't like that. For example, one of my patients was combative and A&O x's 1. I spent about 15 minutes trying to get a pulse ox while the patient (who was 100 years old) kicked, scratched, punched and bit me. At that point I decided that getting a pulse ox at that time was not a good idea. The patient was on room air and very feisty and calling me names. I reported back to my instructor and she told me if I was a real nurse that I would be fired for not being able to obtain a pulse ox. I basically told her that I was not fighting was somebody who was a hundred years old and the patient was becoming more combative and it wasn't in the patient's best interest and that instead I felt the best way to determine the patient's respiratory status was by observation until the patient calmed down.
  4. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    My instructor found out it was an aide that had taken it off. She did not disclose that information with me until the meeting. The head of nursing stated that we were in fact to stay with the pt during treatment and asked why I did not. I stated "because Professor so and so told me to come with her to document the treatement". At that point the error technically fell on her, but then they started grasping at straws to make it somehow be my fault. In the end it was determined that it was my fault because I failed up finding out who took it off the patient in the first place. However, if I had been there for the whole treatment like I should have been none of this would have ever happened.
  5. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    Basically they upheld their decision. What did I expect out of three colleagues against one student (I was told I was not allowed to bring an attorney to advise me). I could see that the one instructor quietly sat there and didn't say a word. She's the most honest and sincere so I wonder what she really felt. At the end of the day I still get to move on to the next semester.
  6. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    I apologize that you took such offenses. It was more or less being sarcastic. I believe women are great teachers and nurses as well. When I said that I was thinking of my brother who is very calm, I'm motivated teacher, and is absolutely very fairy non-dramatic.
  7. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    It is for not restarting the med. It is common to leave after initial start of the med and then come back and check on the patient. In fact, my professor and I started it together and then we left together to go document.
  8. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    I 100% agree with you there. I'm definitely not going to use that approach LOL.
  9. Shannon Dull Dunlevy

    Need Advice on Accused Medication Error

    Patient is A&O x's 1 with impaired mobility. So patient could not communicate about who stopped the treatment. Patient would not be able to take this off themselves nor turn the machine off. The charting system is very basic and leaves barely any room for commentary under med administration, and if it does someplace, I am unaware, as I am first year, first semester. I know that I am 100% not allowed to document a medication administration unless in the presence of my instructor.
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