What kind of error puts a license at risk?

[MelodyRNurse]

I am new to all this and I have seen a lot of posts about med errors. I know it happens alot, but what kind of med error would cause a facility to present it to the board? I was once told if you make an error and someone gets hurt as a result your license will be under review. Thats obvious, but what else?

[celery]

3. A mother's BP was 70/40 after giving birth. She was bleeding heavily, but the doctor and nurse did nothing. She died, and the nurse lost her license.

So what did the doctor order in this situation and why is that he RN's fault? She can only do so much. She must have been smoking a cigarette, eh?

[MelodyRNurse]

Sincerely (lol, ooopps):trout:

[jetscreamer101]

oh my god, i didn't know this!!!! :smackingf thanks for the info.

but i work in ltc and if a patient is out of medication, nurses borrow the medication from another patient who takes the same medication. is this the same thing as described above?

i do believe that taking someone elses meds to give to someone else is considered diversion. not that most places will report it, but it's still diversion.

[grace90, LPN, LVN]

I do believe that taking someone elses meds to give to someone else is considered diversion. Not that most places will report it, but it's still diversion.

I hope this isn't considered stealing.... or diversion I mean... a practice a lot of nurses I work with do is 'borrowing' meds such as Tylenol, Tylenol ES or Zofran from one pt's drawer to give to another pt who -does- have it ordered but doesn't have any in their med drawer and pharmacy takes *forever* sometimes to get it to us so we do this so we, and the pt, don't have to wait.

[EmmaG, RN]

An elderly patient had been having a CVA (stroke) for 8 hours, but it went undetected because the nurse failed to do her rounds all shift. The nurse voluntarily surrendered her license for 'failure to assess,' because she admitted to not going into the patient's room all shift.

On the morning after my mother's (12 hour) surgery, she was moved to a private room. I stayed with her during her hospitalization, and on that second night NO ONE entered her room from 10:30 pm until after 7 am the following day. NO one. I was awake all night, the door was closed tight and never once opened the entire night shift. I monitored her, helped her with bathroom issues, etc. The next day I complained to the doc that no one had been in to assess her, had not so much as peeked in the door, and his response was that nurses there were not required to make rounds during their shifts.

I have often wished I could read the 11-7 nurse's notes for that night...

[jetscreamer101]

I have often wished I could read the 11-7 nurse's notes for that night...

You can, with her permission, review her medical file from that stay. I found it interesting when I've read my files from hospital stays.

[subee, MSN, CRNA]

On the morning after my mother's (12 hour) surgery, she was moved to a private room. I stayed with her during her hospitalization, and on that second night NO ONE entered her room from 10:30 pm until after 7 am the following day. NO one. I was awake all night, the door was closed tight and never once opened the entire night shift. I monitored her, helped her with bathroom issues, etc. The next day I complained to the doc that no one had been in to assess her, had not so much as peeked in the door, and his response was that nurses there were not required to make rounds during their shifts.

I have often wished I could read the 11-7 nurse's notes for that night...

That's a terrible story. However I do think you complained to the wrong person. The physician is found nowhere in the organizational chart of the nursing department. We're supposed to be "professional" enough to control our own practitioners. I wonder if anyone was even ASSIGNED to this room. Really scary. Hope your Mom has recovered...if an elderly person could ever recover from 12 hours of surgery!