Jump to content

Reportable BRN incidents

Nurses   (5,238 Views | 41 Replies)

Wrestler133 has 2 years experience .

3,128 Profile Views; 78 Posts

You are reading page 3 of Reportable BRN incidents. If you want to start from the beginning Go to First Page.

1,717 Posts; 17,814 Profile Views

I agree. I think the lying and trying to cover it up is the bigger issue. Had you given th 80mg of Methadone, realized it. You could have documented that 80mg were given, written an incident report. But the waste 6 hours later and trying to cover up your error is the bigger concern.

Is this a med error? By definition, "error" implies a mistake.

The OP doesn't mention a mistake, only that he gave 80 mg in place of 75.

OP- any chance of clarification? Maybe what you did is common practice in your unit, etc... Just curious how this all went down.

Share this post


Link to post
Share on other sites

KelRN215 has 10 years experience as a BSN, RN and specializes in Pedi.

1 Article; 7,344 Posts; 68,377 Profile Views

Is this a med error? By definition, "error" implies a mistake.

The OP doesn't mention a mistake, only that he gave 80 mg in place of 75.

OP- any chance of clarification? Maybe what you did is common practice in your unit, etc... Just curious how this all went down.

Giving 80 mg when the order is for 75 mg constitutes a med error, does it not? The right dose wasn't given, hence it was an error. The correct thing to do would be to document that the dose administered was 80 mg and file an incident report. Probably nothing more than a conversation would have come out of that.

Administering 80 mg and then fake wasting 5 mg to make it look like the correct dose of 75 mg was given is the problem.

Share this post


Link to post
Share on other sites

RNNPICU has 13 years experience as a BSN, RN and specializes in PICU.

1,067 Posts; 12,381 Profile Views

Is this a med error? By definition, "error" implies a mistake.

The OP doesn't mention a mistake, only that he gave 80 mg in place of 75.

OP- any chance of clarification? Maybe what you did is common practice in your unit, etc... Just curious how this all went down.

Giving 80mg instead of 75mg violates the "right dose" of the 5 rights. Therefore yes, a med error.

Share this post


Link to post
Share on other sites

neonn965 has 2 years experience.

50 Posts; 352 Profile Views

Is this a med error? By definition, "error" implies a mistake.

The OP doesn't mention a mistake, only that he gave 80 mg in place of 75.

OP- any chance of clarification? Maybe what you did is common practice in your unit, etc... Just curious how this all went down.

Why would it matter whether it was deliberate or not? Giving the wrong dose, period, is a med error. You can't just make an executive decision to change the dose, but because it was on purpose it's not considered an error in the eyes of the hospital...

My guess is OP forgot to split the one pill before giving them to the patient.

Share this post


Link to post
Share on other sites

neonn965 has 2 years experience.

50 Posts; 352 Profile Views

Agreed. Give them a heads up.

This would have been a great time to develop a lax conscious and simply apologize for wasting so late. The mistake was made, time passed, and there was no bad outcome as a result.

By admitting your mistake and cover up at this point, you've managed to drag another nurse to the stake with you.

I hope you come out of this ok, but expect the worst just in case.

She dragged another nurse to the stake? The other nurse chose to willingly and knowingly collaborate to cover up a med error and falsify documentation. That is simply egregious. She deserves any consequence that may come her way because her willingness to follow through with that request displays a total lack of character. There is no innocence on that nurse's part. Does it suck that she got caught because the OP fessed up? Sure. Does she deserve it? Yes.

Share this post


Link to post
Share on other sites

Tenebrae has 8 years experience as a BSN, RN and specializes in Mental Health, Gerontology, Palliative.

1 Article; 1,487 Posts; 11,050 Profile Views

What the hell were you thinking?

Share this post


Link to post
Share on other sites

113 Posts; 1,751 Profile Views

Goodness....I'm so sorry, I know you must be stressed and want words of comfort right now. But you must realize that your actions looks like textbook drug diversion? The documentation you provided, you admitted was false, so there is no record of where that substance went - to the patient, to you, to your grandma, to your fellow nurse's grandma....

Lawyer up. Diversion of a controlled drug is most certainly a reportable offense. And next time....just fill out the freaking incident report! The side-eye/ note on your annual eval/ verbal warning/ write-up is nothing compared to this ****-show. Best of luck to you.

Share this post


Link to post
Share on other sites

Sour Lemon has 9 years experience.

3 Followers; 4,310 Posts; 31,657 Profile Views

She dragged another nurse to the stake? The other nurse chose to willingly and knowingly collaborate to cover up a med error and falsify documentation. That is simply egregious. She deserves any consequence that may come her way because her willingness to follow through with that request displays a total lack of character. There is no innocence on that nurse's part. Does it suck that she got caught because the OP fessed up? Sure. Does she deserve it? Yes.

I know what she technically "deserves", but my lax conscious is giving her a pass.

If I had no self preservation instinct at all, I would have at least thought about the second nurse involved before deciding what to do.

Share this post


Link to post
Share on other sites

3 Followers; 4,605 Posts; 35,959 Profile Views

I gave the entire 80 mg dose and 'wasted' 5 mg with another nurse with her knowing that I gave the entire 80 mg. I didn't confess until suspicion was raised with the waste being done so late. That's the main issue.

Of course, another problem is that you dosed the pt incorrectly, didn't report it to the doctor, didn't do an incident report.

On top of the error itself, which would likely not have been a real issue, you lied and covered it up. And for whatever reason, the other nurse lied on your behalf, so now she is in trouble. Did you show her some other pill that she was led by you to believe was Methadone?

Why did you waste so late?

I don't know what the BRN will say or do, if they are involved at all.

Best wishes.

Share this post


Link to post
Share on other sites

RoseRyan has 7 years experience and specializes in ICU.

44 Posts; 2,673 Profile Views

You made a very poor decision by doing this. I can imagine you would face discipline at work and this is definitely a reportable incident. I would take this and learn from it. Honesty is the best policy. If you accidentally gave the additional 5mg, all you had to do was admit it, call the doc, write it up, and it likely would not have progressed to anything serious. Now you've opened a can of worms. Best of luck and hopefully LESSON LEARNED!

Share this post


Link to post
Share on other sites

Wrestler133 has 2 years experience.

78 Posts; 3,128 Profile Views

My manager gave me a talk and resolved it. They left it at med error but should have reported it a lot sooner. Definitely learned from this.

Share this post


Link to post
Share on other sites

1 Follower; 2,292 Posts; 48,464 Profile Views

While you say that you learned from this, I don't think you truly grasp the seriousness of what you did. Especially considering you seem to think that your wasting late was the main issue, and apparently the reason for your confession. And if your manager is going to leave this as a medication error, you are truly fortunate as I doubt that many managers would have done this.

Granted, this did start as a medication error. And had that been the extent, and had you admitted what you had done then, this wouldn't have been an issue at all. However, what you ended up doing was to falsify the medical record, as well as the administration and disposal records of a schedule II medication. And, to make matters worse, you enlisted the aid of a coworker, and thereby placed her or his livelihood in jeopardy.

I hope you have truly learned from this, and wish you the best going forward.

Share this post


Link to post
Share on other sites
×

This site uses cookies. By using this site, you consent to the placement of these cookies. Read our Privacy, Cookies, and Terms of Service Policies to learn more.