Cardene is very vasoactive and requires very close monitoring and very frequent vitals checks. But this is a multi person error and not just you. The physician should be transcribing their own orders as this is a prime example of what can happen when they don’t. I know sometimes they can be away from a computer and you need a need fast. But as a regular practice, they should enter themselves. This is in part on that MD as well. Next, do you know what cardene is typically used for? That is your next step in realizing this was the wrong med during transcription. Cardene would not be used for RVR, but for HTN. Next, the nurse who spiked and hung that med should have asked what it is being used for. This med error is also on that nurse as she spiked and hung the med for you. It is her duty to understand what she is giving that med for. She should have questioned hanging it if you mentioned it was for RVR. Next, you should not be left in s floor with no support. Whether you are brand new or experienced, a charge or swat should be available for you to get help from and this is why.
Why was a rapid not called when the when the patient was still deteriorating while on amio? That part is neither here nor there now.
Basically own your osrt part of this error. Learn from it. Everyone makes errors, we just try our best to not make them and hope when we do, it’s not a fatal one. Unless that drip had been running for over 5 mins, it’s unlikely it would have caused the code. Do your best to be more prudent in your transcription and med knowledge next time and keep your head up knowing you are not alone in this. Also remember, you are not the only one at fault. Multiple people failed here. I only hope your facility does a complete review of this case so all involved get education in preventing this in the future. Penalizing you alone does not fix the bigger problem.