Students injected with wrong item

[aprilmoss]

Wasn't a school nurse but some workers they brought in for the screening, but someone failed to read the vials and injected insulin rather than TB derivative

https://www.cnn.com/2019/09/30/health/16-students-accident-indiana/index.html

Fortunately, the kids are OK, but this is basic stuff people!

[CommunityRNBSN, BSN, RN]

I can definitely see how this would happen, unfortunately. I gave a lot of employee flu shots from multi-dose vials yesterday. Someone handed me a cooler and said “Here are the vials, here’s the thermometer, make sure it stays around 40 degrees...” and I proceeded to give 100 shots. If you are only doing one thing over and over, do you necessarily check all the vials every time? I mean, you should, obviously, but you also figure that there’s no way to have a mix-up because the cooler only contains one type of med. Super scary.

[scuba nurse, BSN, MSN, RN]

I want to know WHY were there so many doses of insulin already drawn up?? That doesnt seem right at all!

[FolksBtrippin, BSN, RN]

Were these nurses or MAs?

[Hoosier_RN, MSN]

32 minutes ago, FolksBtrippin said:

Were these nurses or MAs?

The ones that got the injections were high school students getting TB tests for clinicals for their CNA classes, as a high school technical class. A hospital system provided the nurse(s) and injections

[Tron8622]

Poor students . If I was super ocd about meds , this causes me to be ultraOCD about meds . Im glad I refuse to give meds that others pulled up . I remember once had a code blue in cath lab for an egd study . I and another nurse had to give reversal agents and glad I had a nurse with me as well . I held open airway and suctioned . she was desating . Cardiologist yelled at her to give romazicon . She was flustered and gave it . The pt began acting weirder . After an ICU admission . I was cleaning the cath lab . I found a bottle of norepinephrine opened . I had to think ? if she gave it . Yup counted all the crash cart stuff . did the protocol for sentinal event. Sad put true . I always say a steady hand and a keen mind will save the day

[Nurse Lynne]

5 Rights of med admin! Do we all know them?

Check the bottle 3 times. Once when you take it out, once when you're giving it, and once when you're putting it away. Thank you RVCC.

I do it with EVERYTHING right down to first aid cram.