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Med error question
Today was a rare day in my ED, we had an extra nurse. I was chosen to float. We do this when we can. The float nurse will help start IVs, pass meds and dc patients. Night was going fine. I look at my board and a dc pops up with an order of toradol IM and zofran SL. Since we have a policy of a 30 minute watch time after injections I figured I would knock out the meds for the nurse and get her dc paperwork ready during her watch time. So I draw up the 60 mg of toradol and head to the patient's room. I pull up the MAR and I see an hour before she had been given dilauded IM. I ask if she was still in pain (she came in for back pain) and she was. I see she is allergic to mobic so I ask her what her allergy is (said her stomach bled) and I ask her if she had had toradol before (she had). Well our system will flag an allergy so I knew when they order was put in for the toradol, it had to be over-rided. So I scan her bracelet, the med, give her the injection and leave the room to go get her paperwork ready. That's when it happens. I run into her nurse and let her know I gave the meds and I was getting her paperwork ready. She is upset. Well turns out she had put the order in on the wrong patient. She was trying to cancel the order as I was walking out of the patient's room. I felt like I was going to pass out. We go straight to the NP that was in assigned to the patient. Confirmed with the patient her "allergy" to mobic and we watched her for any reaction (there was none). We informed the charge nurse and wrote the incident report. My charge nurse was really good about it. He talked to me about his med error (I think to make me feel better, ha!) I am truly mortified though. I know I share equal blame in this because I could have always asked her before I went in to do it. I feel terrible that I could have hurt the patient and that I probably got my coworker in a lot of trouble with me. I feel like I won't (and maybe rightfully so) be trusted by my peers. At the end of the shift my coworker was really nice about it, but I still feel terrible. I know I've seen posts about med errors before, but I'm looking to see if anyone has had one similar to mine and can share how they got past it. Thanks in advance!
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My first med error.
Today was a rare day in my ED, we had an extra nurse. I was chosen to float. We do this when we can. The float nurse will help start IVs, pass meds and dc patients. Night was going fine. I look at my board and a dc pops up with an order of toradol IM and zofran SL. Since we have a policy of a 30 minute watch time after injections I figured I would knock out the meds for the nurse and get her dc paperwork ready during her watch time. So I draw up the 60 mg of toradol and head to the patient's room. I pull up the MAR and I see an hour before she had been given dilauded IM. I ask if she was still in pain (she came in for back pain) and she was. I see she is allergic to mobic so I ask her what her allergy is (said her stomach bled) and I ask her if she had had toradol before (she had). Well our system will flag an allergy so I knew when they order was put in for the toradol, it had to be over-rided. So I scan her bracelet, the med, give her the injection and leave the room to go get her paperwork ready. That's when it happens. I run into her nurse and let her know I gave the meds and I was getting her paperwork ready. She is upset. Well turns out she had put the order in on the wrong patient. She was trying to cancel the order as I was walking out of the patient's room. I felt like I was going to pass out. We go straight to the NP that was in assigned to the patient. Confirmed with the patient her "allergy" to mobic and we watched her for any reaction (there was none). We informed the charge nurse and wrote the incident report. My charge nurse was really good about it. He talked to me about his med error (I think to make me feel better, ha!) I am truly mortified though. I know I share equal blame in this because I could have always asked her before I went in to do it. I feel terrible that I could have hurt the patient and that I probably got my coworker in a lot of trouble with me. I feel like I won't (and maybe rightfully so) be trusted by my peers. At the end of the shift my coworker was really nice about it, but I still feel terrible. I know I've seen posts about med errors before, but I'm looking to see if anyone has had one similar to mine and can share how they got past it. Thanks in advance!
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post 9/11 GI Bill xfer to spouse
Unfortunately, no. The book stipend is set at the certain annual amount. They pay $41.67 per credit hour up to 24 credit hours for the year. The GI Bill only covers tuition, fees and that stipend so uniforms and all of that come out of pocket. If you buy your books online it is way cheaper (I use Amazon) than the school bookstore. And you use the same books as you go, so the big book bill is first semester. I had to buy a few more for the second and an additional one for the third. I'm in my fourth semester and I did not have anything to buy for this class.
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Wallace Community College Spring 2014 hopefuls ?
Hey! I'm sorry I'm just now seeing this. I took a class in Enterprise. I didn't want that EMS 100 class taking up a whole weekend.
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When to take breaks in between TEAS V sections?
Where I took my exam you were allowed to take quick bathroom breaks in between sections.
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Wallace Community College Spring 2014 hopefuls ?
I'm sorry you didn't make this look. But you're right you can take micro and bridge right on over :)
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Wallace Community College Spring 2014 hopefuls ?
I got my acceptance letter today! Did you girls get yours?
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Wallace Community College Spring 2014 hopefuls ?
Yay! Now the wait continues for news from the ADN program. I hope it's soon because we have to let the LPN program know by Thursday if we are taking our slots!
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Wallace Community College Spring 2014 hopefuls ?
Yeah my LPN acceptance came, too. Now just waiting for the ADN letter!
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Wallace Community College Spring 2014 hopefuls ?
Yeah.
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Wallace Community College Spring 2014 hopefuls ?
Well let me know! I'm so nervous but so excited at the same time :)
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Wallace Community College Spring 2014 hopefuls ?
Oh good for her! I live in Enterprise and my mail lady doesn't come until a little bit later. You applied for did your LPN letter not come today?
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Wallace Community College Spring 2014 hopefuls ?
No problem :) I'm super nervous, too!! Let me know when you get the news! Good luck :)
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Wallace Community College Spring 2014 hopefuls ?
Ms. Blackmon said on Tuesday that the letters were ready to go out and that they were just waiting on the go ahead. She said hopefully they would go out today or tomorrow. So it should be soon!
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Wallace Community College Spring 2014 hopefuls ?
Yeah for the LPN I'm almost maxed out on points since I am done with the English and math classes and did pretty good on the TEAS. Good luck! Hopefully we find out soon :)