Med Error....Or not
I'm very sorry I haven't been frequent with my entries lately. I've just had little interesting to say.
My latest development is that I sorta kinda made a med error yesterday.
I worked yesterday and today and had the same patients both days. Today I was confronted by a not-so-friendly resident about an order he wrote on Saturday. (I was off Saturday) He had increased the patient's dose of Insulin (Lantus) from 10 units a day to 20 units a day. Well on Sat. that order was signed off by the nurse and sent to Pharmacy. When I had the patient yesterday, the med order on the computer said 10 units. Pharmacy screwed up and hadn't changed it.
I gave the patient 10 units because that's what the MAR (med record) said. This morning....I was looking in the past doctor's orders (Those are still written and not on computer yet)...I was looking to clarify another matter and came across Saturday's increase order.
I caught it...called the pharmacy to inform them to fix it and gave the patient 20 units. After that...Cocky not-so-friendly resident gets huffy with me about the 10 units yesterday. I told him I caught it after the fact and that it was corrected this morning.
He actually WROTE an order to file an incident report. That's like basically the doc saying "Nanny Nanny boo boo....I'm telling on you"
Well I was happy to file the report. I explained to my charge the situation, he showed me how, and I described in it....in depth...what happened.
Now yes...I could have checked the PREVIOUS DAY"S orders but no nurse with 5 or 6 patients has time to do that. If I had dug into the comments of the MAR on the computer I could've found the increase but that was not where it was supposed to have been. It was not listed correctly on the MAR by the pharmacy. The nurse on Saturday should have caught that when she or he should have given the patient an additional 10 units that day as well.
The whole damn hospital shuts down and nobody wants to work on the weekends. The Lab, the pharmacy, the doctors, even the damn nursing staff get lazy and use the fact that "It's a Sunday" as an excuse.
I really hate working weekends.
Listening to: "Save me" by Aimee Mann