Stupid mistakes!!!!

Published

I feel so bad today. The past two nights I have worked in the ED and have been so nervous! On Monday night we had a lady to come in with an acute MI. The doctor ordered 50mg of Demerol with 25mg of Phenergan. Of course I always know to dilute Phenergan, but what do you think I did? I gave them both together and didn't dilute it whatsoever. I didn't realize what I had done until after the fact. The patient must have been in so much pain with the MI she didn't feel the Phenergan. Good thing is she's okay now... Boy I feel so STUPID!!!!!

On Tuesday night we had a manic patient who the doctor ordered Haldol and Vistiril for. I drew both up in seperate syringes, and then Dr. decides to only give Vistiril. Do you think that I knew which was which??? Of course not. Had to start all over wasting the Vistiril and Haldol. The doctor just looked at me like I was an incompetent idiot. I feel that way 2. This is not getting any better.

Specializes in Peds and Well baby.

Jess I would like to find out how you feel now?

Brand New and feeling sooo dumb, RN

Up Vote Up Vote ×

Hey! At least you've DONE a Foley out of school! The only one I've ever done was with my instructor standing right next to me telling me what to do! Good for you! You are one step ahead of me already:yeah:

Up Vote Up Vote ×
Specializes in Cardiology/Cath Lab.

Do not let this get you down. I do not know a nurse that has not made a mistake. The important thing is you learn from it. Think of it as this is how you become a better nurse. This is how you gain and experience. If the worse thing you do is not label syringes, consider yourself lucky.

Good Luck!

Up Vote Up Vote ×

I've been a nurse for 8 plus years and a couple weeks ago I gave phenergan undiluted two times in the shift into one hand IV heplock and in one left ac IV site. Both times I worried about infiltration but it wasn't until the second time that my brain clicked to remember that this might be a vesicant. It's an old drug and apparently I'm a little late to realize the latest rule is to dilute it. For a number of reasons I missed this getting into my head and last week I made the mistake. After figuring it out, having the md look at it and the patient being discharged and following up with risk management, I'm wondering, what next, can't stop thinking about it. The patient's left hand was red at the time and apparently CT had tried to inject contrast after the initial dose of contrast. The patient got the phenergan just before CT and all I noticed was on the flush, the IVS leaked slightly and the patient seemed to experience some discomfort, but denied more than that. I hear it takes 2 weeks to develop a problem. The two weeks will be up in about three days. Feel depressed about it and I'm expecting to hear more about it. If not in the two week period, maybe later after the patient has had 3/4 surgies to fix her hand or goes septic or something. I've looked up nurses and lawsuits and wish now I'd read more stories about mistakes so I could learn from other people's mistakes to engrave frequent mistakes in my brain so as to be extra alert when it comes to high risk situations. I also wish I knew more about legal documentation and more about how people lose their nursing license, to avoid those errors as well. It turns out pharmacy had also neglected to place warnings in the pyxis and on the MAR. From what I've read and heard, it seems the nurse often takes the brunt of the lawsuits, for reasons I can only speculate at. Hopefully, I'm wrong about that. One theory is that someone has to be blamed so soceity can believe it's taken care of with that one person. But it's not, everybody makes mistakes, dumb mistakes too. I really think a couple of classes in nursing school should be devoted to these topics and how to cope with them because being new grad is very scary at times and so is continuing in the field after you've made a mistake/two/three. Most seem to manage with a certain amount of denial, humor etc. because there's simply no way to know it all until you've been through at least some of it. Believing you have a right to be there is half the battle. I believe the medical field is becoming more and more regulated and delineated and there will be more and more lawsuits until no one wants to go into it anymore. Then one day, someone will realize criminalizing certain errors has it's own rebound effect, because an imperfect nurse with the heart and courage to do it with all she can is better than no nurse at all.

Up Vote Up Vote ×
Specializes in LTC, case mgmt, agency.
My Gosh how I relate to this post!

I am a new nurse (just graduated in May; passed NCLEX in July) & I feel so dumb 99% of the time. I feel like I don't know what to do during certain situations (like when a pt asks me about certain medical procedures/tests or brand new meds that I haven't heard of & forgot to look up before I take the med to the pt:banghead:) & that I just don't have enough time to get everything done during my shift (7a-7p). I'm very fortunate that the floor I'm on now has lots of supportive RNs/LPNs who know that I'm a brand new nurse & they really go out of their way to help me out. I can ask just about any of them anything so I'm very blessed.

I know it's gonna take at least a year before I start to feel comfortable as a nurse....I just try to remember that fact whenever I feel overwhelmed &/or dumb(which is most of the time).

Take care,

Dawn

I feel exactly the same way. I love this thread, it reminds me I am not the only one. LOL!:loveya:

Up Vote Up Vote ×

Nursing school does not teaching us everything, I think just the basics on how not to kill someone!!! I feel as though most of us learn from on the job training!!!!

Up Vote Up Vote ×

Here's the thing... My primary preceptor caught several potential med errors in my first couple of weeks of orientation so now she's super nervous /careful when I give meds to anyone (by rights, I know)... I, too, am cautious ;-) I perform assessments well, interpret labs, educate pts, etc -- it's just the meds. :banghead:

Last week, on my 4th week of orientation, I hung vanco without checking to see if a trough was ordered and/or drawn (day nurse said she *thought* she ordered it... I got busy and *ass*umed that she did and I hung the vanco right after the lab should've come... anyway, I ordered the vanco to be done prior to the next dose on my shift and THANK GOD it was in a therapeutic range; otherwise, I would have "had the wrath" of the infectious disease doc per my preceptor. The whole time this was happening, my preceptor did not gently remind me about checking for the order or if the lab was drawn... (I think *I'd* do that).

I am not sure what to do -- on the one hand preceptor says I'm just like any other new grad and doing fine; on the other hand, I get her wrath for stuff that I feel like she could help me avoid. While I definately won't make the almost misses / mistakes again, I feel like my job is on the line.

The unit has a brand new NM and apparently she's pretty harsh (to be nice). She had the day charge nurse call to set up an appt 48 hrs from the call for a 30 day eval (on day 6o!). I stayed late that next shift, she caught me in the hall and we had a spur-of-the-moment meeting. It was all about how I needed to improve, but without specifics; she said she'd check w/ my preceptor and Nurse Educator for some.

I am 5 weeks into my job and I feel like ****. I feel like people on the unit are on witch hunts for the "weakest links" and I'm one of 'em. I've heard countless times from people on this board and other places that I need to "stick it out" on my first unit, but I'm worried about getting fired. I feel like I should quit before this happens.

I don't feel safe to divulge this information / ask for suggestions from anyone on the unit -- I'm new to the unit and to the state (RN educator noted that and appreciated that fact).

The hospital is for-profit -- could the NM be worried about profits and trying to find reasons to cull staff? Please help!! Feel free to PM me ;-) :scrying:.

Up Vote Up Vote ×
Specializes in telemetry, cardiopulmonary stepdown, LTC. Hospice.
I really identify with this post. I just got my license a month ago, I am so hard on myself when I make a mistake like not writing a order down in the TAR which I do before I really screw anything up or talking to a Dr and why I do this I don't know, I forget to grab the MAR. Thank goodness the facility Dr is nice & understanding most of the time. When I ask this one nurse on my shift a question she looks at me like an idiot. Mostly all the nurses I work with are very helpful. I was going end the shift last week & never come back, because I feel like an incompetent fool, my ADON threatened me with a fleets. She told me to get over this it's going to take a least a year before I feel comfortable in these new nurse shoes. She tells me I expect perfection from myself, and I'm not going to get it so knock it off. I know my stuff but in clinicals there was always an instructor there, I did my first foley & this is stupid but I kinda freaked when I had to set it all up, it doesn't come together like the one in the lab supplies we bought. Man I feel like a loser, & most people reading this will think so too.

I know this is an old post, but it so sounds like what I feel like a lot. I don't think you sound like a loser at all. I think you sound like "I" sound inside my head...and it's a bad habit to get into, this calling yourself names. I've been catching myself doing it and I am stopping it. Of course, this poster has been a nurse for two years now...I bet if she posted now she'd really feel so much better than she did back then!

HoosierNurse

Up Vote Up Vote ×
Specializes in Pediatric ICU.

Just wanted to share my "learining" experience for the week.....when you are getting an admit make sure the room is clean before you tell them to bring the patient up.....otherwise they will be waiting in the hallway......:banghead:

Up Vote Up Vote ×

I have made a similar mishap that has only consumed and wasted my time. I had to give Heparin and Dilaudid and I drew both up in a normal 3 ml syringe then couldn't remember which I drew up in which! Not only that but I forgot to put a subcut syringe on the one with the heparin so I had to waste both. Felt pretty stupid. It happens though and the good part to remember is your recognize your mistake and don't get lazy and give them anyways.

Up Vote Up Vote ×
Just wanted to share my "learining" experience for the week.....when you are getting an admit make sure the room is clean before you tell them to bring the patient up.....otherwise they will be waiting in the hallway......:banghead:

Hah, sometimes this can't be avoided though with the rate they give you admissions!

Up Vote Up Vote ×
Specializes in LTC, case mgmt, agency.
Just wanted to share my "learining" experience for the week.....when you are getting an admit make sure the room is clean before you tell them to bring the patient up.....otherwise they will be waiting in the hallway......:banghead:

I see this one happen at our facility several times a year. So, here's what happened last time this same thing occured. ER had just wheeled a sweet oler lady ( with demetia ) up to our floor. So as she was waiting while we scrammble to clean the room she looked into the room next to her and very loudly shouts, " I see that man's ass!" I could hear somebody in another room laughing, and the door to that man's room closed real quickly. That sweet woman was such a character, she entertained us for 4 days and we were so sorry to see her go.:chuckle

Up Vote Up Vote ×
+ Join the Discussion