Hrickett

I administered 3ml IM injection of rocephin into deltoid and realized right after it should have been the thigh.. will my patient be seriously hurt and/ or am I going to lose my liscense first med error in the whole year I've been working since I became an RN freaking out

Thanks for all the help! I appreciate it

Hi, thank you for responding. We just started learning physical assessment and we didn't actually do one on our pt yet, we just did basic hygiene and were allowed to look at their chart. In her chart we got the diagnoses (which I listed above) her past history which was just that she was admitted because of a fall and anxiety due to the fact that she was a hoarder. I also have a med list and we looked at her CBC which everything was normal and her chem 7 had an abnormally high glucose and A1C, and her chloride was slightly low. Upon meeting the pt I noticed that pitting edema was present in her left leg and the nurse had told me that her left lower lobe was barely audible. Also her vitals were normal except her BP was a little high but she has hypertension. That really is all the info I have to go on at the moment, I just think she wants us to start getting used to the process. We are using the Nursing diagnosis handbook, 10th edition with the NANDA nursing diagnosis. I wasn't making them up, I figured the excess fluid volume fit because under defining characteristics she has edema and altered electrolytes (chloride) my instructor actually already approved that one, just had to come up with expected outcomes and interventions, it was the risk one I was struggling with, I wasn't sure how to word it, what I have right now is : Risk for infection R/T compromised immune system secondary to diabetes... at first I had chronic disease but I changed it because I read that the medical diagnosis has to be secondary. Any tips based on what I have would be helpful, if I don't have enough I will just see what she thinks about what I have, thanks!!

Hi, I just started nursing school this semester and I'm doing my first set of clinicals, our instructor wanted us to come up with 2 nursing diagnosis for our pt one an actual and one @ risk. my pt has unilateral edema in left leg, diabetes, hypertension, hypothyroidism, hyperlipemia , anxiety and depression, she also is high risk for falls, but I'm not allowed to use that one and I was also going to use at risk for impaired skin integrity r/ t incontinence but my partner snagged that one.. for the actual I picked Excess fluid volume r/t compromised regulatory mechanisms.. The one I'm having trouble with is the at risk i was thinking of : at risk for infection r/t chronic disease or r/t deficient knowledge to avoid exposure to pathogens but not sure if that is the best choice and do I list the risk factors or just my expected outcomes and interventions??