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Nursing - Reply for Bonnie, Personal Statement

My incident involves Digoxin. Digoxin is a cardiac glycoside used to treat heart failure as well as A-fib and works by affecting sodium and potassium in the heart cells. The first time I encountered a medication error was when I was a new nurse- maybe 6 months in. I was working telemetry but was floated to the other tele floor of the same hospital. I was unfamiliar with the layout of the unit, didn't have the codes t get into things like the supply room, and didn't know any of the people I was working with that day (side from the docs). I was frazzled and running behind on my morning med pass and assessments. I was in a patient room, she was a nursing home patient , very elderly, and didn't talk hardly at all. I did my assessment and charted it and was getting ready to give her her morning meds. I went through her list with her, she did not acknowledge me verbally but nodded her head. One of her medications was Digoxin so I clicked back to see what her pulse was and noted it was over 60. I proceeded to administer her medications to her and finish up my rounding on her. I left the room and clicked back to my main page that had all of my patients on them (it also showed all of their last vitals and some additional information) and I realized that the vitals I noted as hers-were actually the patient in the next room- and that her pulse was actually only 55. My heart sank, my pulse raced, and I was near tears at my mistake. I immediately went to my charge nurse to tell her and find out what I needed to do. She told me I needed to notify her attending and fill out an incident report. Thankfully the attending was in the tele dictation room and readily available. He told me to monitor her vitals every hour for 4 hours and if her heart rate went below 50 I was to call him. Thankfully her heart rate never dropped below 55 and I notified him of such. I filled out my incident report and notified my manager as well. Obviously, the incident has stayed with me ever since. My error could have easily been avoided had I simply taken the 60 seconds to do a manual pulse check on her prior to administering the medication- which became my personal philosophy after the incident as well as repeating a patient's blood pressure prior to administering any blood pressure medications. https://www.webmd.com/drugs/2/drug-4358/digoxin-oral/details
My incident involves Digoxin. Digoxin is a cardiac glycoside used to treat heart failure as well as A-fib and works by affecting sodium and potassium in the heart cells. The first time I encountered a medication error was when I was a new nurse- maybe 6 months in. I was working telemetry but was floated to the other tele floor of the same hospital.
Assignment ID
800013
Discipline
CREATED ON
18 December 2018
COMPLETED ON
19 December 2018
Price
$30
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18 December 2018
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18 December 2018
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18 December 2018
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18 December 2018
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19 December 2018
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