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As the title says, I administered a wrong injection! After going through the initial shock stages, crying, shaming myself, and all other negativity emotional primal reactions, I am now seeking rational answers
The case: I administered a T-DAP, not a TD. The order was for a TD. I accidentally gave a TDAP
Health professionals I ask you this: Is there that much of a difference in the two vaccines? I mean technically didnt the patient get "Extra" vaccines (pertussis, diphtheria ON TOP of tetorifice)? So the pt needed TD- tetorifice, but instead got more for his buck so to say: the tetorifice, diptheria AND pertussis.
What harm could be done??
As the title says, I administered a wrong injection! After going through the initial shock stages, crying, shaming myself, and all other negativity emotional primal reactions, I am now seeking rational answersThe case: I administered a T-DAP, not a TD. The order was for a TD. I accidentally gave a TDAP
Health professionals I ask you this: Is there that much of a difference in the two vaccines? I mean technically didnt the patient get "Extra" vaccines (pertussis, diphtheria ON TOP of tetorifice)? So the pt needed TD- tetorifice, but instead got more for his buck so to say: the tetorifice, diptheria AND pertussis.
What harm could be done??
I am going to presume that this is days, if not weeks past the event.
The gravest harm would have already happened: Immediate profound Anaphylactic Shock and death.
Based on your post(s), apparently, that was not the case.
What have you found out in YOUR research? Surely you've done quite a bit of personal discovery on this. Why don't you share what you have learned?
If you scan a patient and scan a wrong Mrs the computer will say so, if you still chose to give the med well then we have a problem
Meds can get discontinued and still be scannable; happened to me the other day I worked; thank goodness I cancelled and then saw the d/c order.
BCMA is not always foolproof.
KatieMI, BSN, MSN, RN
1 Article; 2,675 Posts
1). It is still a med mistake.
2). If patient signed consent for TD and got TDaP, it is, by the word of law, consent violation and negligence. If a patient consents on, say, mole removal and then surgeon found the mole being malignant and performed wide excision and lymph node dissection instead of simply removing it, he could save the patient's life all the way but by law it will be criminal act.
3). if patient has autoimmune disease or hyperactive immune system, additional component of a vaccine may cause harm. Many of such patients are not diagnosed and do not know about their condition till they become symptomatic.
In any case, patient must be informed about the wrong vaccine he received, as a bare minimum of action.