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kknarfs

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  1. so the other night i made a med error. at our facility the mar is computerized so, we the students before we get on the floor, print all of that information out so we can look stuff up at the hospital pertaining to our patient. the new nurse from some eastern european country i was supposed to be working with was co-working with a more experienced nurse from the unit. we get on the floor at 4:00 so at 4:00 (one or two minuets before) i introduce myself, tell her that i will be doing meds vitals, assessments, all meds that are not iv. i ask her if my patient an 11 month old with a traumatic brain injury if he had gotten his meds yet. meaning his .5mg of morphine that was due which he is receiving q 3hrs via ng tube. she said 'no'. only after i passed the med and went to enter it in the computer did i come to discover that she passed the med already (half an hour before i asked and 15 minuets after i printed out the mar) and she thought i was referring to his his 5:00pm med which indeed had not been passed. so because i along with seven other nursing students need our clinical instructor to pass meds with us usually all at the same time, we weren't able to pass it until 5pm (thank god for that). when we go to enter in the computer the he had received his meds it appears that it has already been checked off by someone else an hour and half before that. i was livid at the nurse but i kept my cool i kept going over in my mind talking/yelling at the nurse who told me that but i never did, my main concern was for my patient. my instructor told me just to monitor him and watch his respirations and hr. she, my instructor notified the doctor and said it was a communication error because of a language issue. i know that it is my fault because i am responsible for my patient and i am the one who administered the med. but as a student i want to know what the implications of this are. my instructor just informed me that i need to work with her on a 'clinical learning contract' even though i only have two more clinical days left in the year. my instructor filled out the incident report while i was watching my patient, (she didn't come back for two more hours because she was busy with other students). i never signed anything, i asked if there was suppose to be something to sign but she said i didn't need to. also she didn't freak out on me and both the new nurse and the more experienced nurse didn't yell at me. my patient ended up being fine in the end without any problems but... what is the process of this/what does it mean? does this happen to students? is this on my 'permanent record' sort speaks? what are the legal implications? can i get kicked out of school? what does it do to my grade?

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