Rada

Pleas stop attacking. I accepted my mistake, that is why I posted here and I been punished enough by my director anD myself . I didn’t think 9 unit is same as 9 ml . For some weird reasons I thought order asked me to give 9 ml . As I mentioned before this order came out of regular insulin procedure for me . Since Pt wasn’t diabetic, insulin was orders per kg, and it was IV . So I thought this is odd already , so it made sense at that moment to give 9 ml for a totally different situation that to me at that time didn’t have any relation to insulin and blood glucose level .

Yes. It was IV push

This days rarely we use insulin R , insulin pens didn’t need dual sign off. Bedside I was totally distracted from insulin process because I saw a different usage for insulin and different route .

I think people are confused about my situation. I am well familiar with insulin syringe and insulin . In this particular case , I told the charge nurse that I am unfamiliar with order . She told me don’t worry insulin and dextrose balance each others and I mentioned 9 ml but she didn’t expect that I am even said ml she heard it unit probably and said yes . At that time I was thinking that this is a new use of insulin and patient is not diabetic, so I excepted totally different process with insulin at this time . You should draw the insulin with insulin syringe but since you can’t separate the needle from insulin syringe you have to shoot it in a different syringe and then give IV . You should have done it once before to not to get confused.

I have 5 years of nursing experience. 1.5 years in rehab and 3.5 years In med surge . This was a 13 weeks PRN assignment, similar to traveling but the difference is that you get hire through the hospital not agency .

I got an order to give insulin IV. Dextrose and calcium Gluconate due to a critical K . This order was so odd to me. I never heard anything like it. I asked the charge and I said insulin and dextrose are apposite is this order correct? She said yes, they will balance each other. It was my first time giving IV insulin. Order said 9 units and I gave 9 ml. It made sense to me at that time since it was IV and not subcutaneous, also it was unit per Kg. We never give insulin per kg. After I administer the medication and press the accept bottom, I then double sign off popped off . I got the charge and said that I gave the medication. She said, "OK, so you gave 9 units?" At that moment, I realized that I gave 9 ml instead of 9 units. I reported the error to Dr. and she sent the patient to ICU for close observation. Luckily, the patient survived but the Director insulted me, yelled at me, and told me to report myself to board of nursing. Also, he canceled my contact with that hospital. I am very traumatized and I want to quit nursing for ever. I'm just wondering if this decision is right or not?