MULEKATE

AWWWW!!!! I am so disappointed in myself. I made a med error. The patient was fine but still:scrying: . I am also very frustrated. Some of the MD's I work with write orders for Pharmacy to dose things such as Insulin SS, Coumadin and UFH. So when I called pahrmacy to verify about the pts. insulin I was told to give it....well guess what the pt. was not supposed to have it:scrying: . So now that my back end is very very sore, the MD told me not to clarify orders with pharmacy and to always call the MD with questions. SOOOO on the same pt. I asked the MD to check the coumadin orders(to verify that it was right, because now I am really freaked out) the MD looked at me and said "I do not know the dosing,pharmacy does that." So I told the MD they cannot have it both ways, I either call the pharmacy for clarification or them. So now I will not give a "pharmacy dosing" med until I call the MD and have them verify with the pharmicist that the dose is correct. As a new nurse I really rely on pharmacy to check meds and compatibility, now I feel like I can not trust them..Any suggestions?

Mino, try to relax:confused: . I remember the feeling well. Do something nice for yourself. After I took mine I was sure I had failed also (everyone I talk to always thinks they fail). I spent all day in bed and read a NON NURSING BOOK it was great.Wish I hand a magic wand to take away your worries....but I don't so just hang in there you have worked very hard to get where you are. Let us know.

I currently work in the ER. I do a 5 minute assessment on all my pts. then do a focused assessment for their chief complaint. Remember that things are not always what they seem in the ER, people that come in with ABD pain especially women may be heart related and not actually be trouble in the abd. So always do at least at five minute assessment, then a focused assessment, then reasses. In the ER I work in it is policy that we round on our pts. every hour and vitals every two hours if they are stable. Hope this helps.