Can you be terminated? Absolutely. Are you likely to be terminated because of this? Probably not. RiskManager would however be paying you and your staff a visit to talk about proper medication administration and how meds should be managed. Were I in your shoes, I would be asking the clinic manager and/or administration for some assistance with training and organization. Some careful thought should be given to a root cause analysis as to why these things are happening, and what systems can you put in place to minimize the chance of them happening again. If I am working with a clinic and they continue to have problems despite adequate intervention and process redesign, that is when I get a frowny face and start looking deeper into what staff dynamics are contributing to the problem. I empathize with the reality of a busy ambulatory clinic, but we need to make time for the 5, 6, or 7 rights of medication administration to avoid these errors (pick the number of medication rights that corresponds with your era of training).