I am a retired ICU nurse and if a nurse tells you they never made a med error then they are a liar! The time I made a mistake I was too afraid to report it. It is no wonder we nurses make mistakes because we work through breaks and lunch and barely have time to go the bathroom!
It certainly needs reviewing of patient load and also what actually needs to be done for each person. Years ago, they used to do timings for each unit of care. Not that it made any difference to staffing numbers. On night shift we would have only 3 staff for 36 surgical patients. It was a nightmare and unsafe. These days we have 6 staff! We are still busy because our patients are heavier in workload. Seniors always get them of course.
When I was pregnant and sick on my stomach it was a bad night in the ER. We had Ambulance after ambulance coming in like crazy not to forget the walk in patients. We had to call nurses that were off to come in to help out. I was doing CPR on a patient with the trash can right beside me so if I got sick I would not throw up on the patient. We ran out of rooms to put patients in so we had to line them up in the hall. There was no time for dinner or bathroom brake.
I wouldn’t trust a nurse who kept a medical error to him/herself and not risk-report it for better improvement of a process and awareness. I’d rather be honest and up-forward about my mistake than to not speak up about it and let patients suffer for my medical error. Nurses are humans too and are taught ethical principles in school. An example of ethical behavior is accountability for your errors. If you don’t speak up about a medical error, it’s unethical and cost a provider’s license and further patient harm in the long-term. Speaking up about the error and taking accountability for it now improves outcomes and something can be done about it right away. There’s always a solution for an error that just happened vs. an error that could’ve been addressed with interventions. That’s why EMR documentation for notes and risk-report systems are installed for healthcare providers to help rectify a medical error and improve processes and find solutions to prevent the same errors from happening.
Coming close to making an error AND making an error are two quite different things. Fail-proof technics to catch and prevent errors have NOT been developed for nothing... Check every error and guess where they come from and how they would have been prevented...you will be surprised...
@@JMC-1989Understaffed, stressed out…that’s probably why most errors are made. 7am to 3pm without a break? Sadly, this is the norm. I can see why a lot of errors aren’t reported - it’s just more paperwork no one has time for. The corporate f***ers who run these places don’t care about anything but profits, and the state is right there with them. That’s never going to change.
Thank you for your authenticity and transparency. I am just now working through your playlists of videos. As a caregiver I'm learning so much about the nurse's perspective from you. God Bless You!!
Because nurses work like dogs. Most of the time you don’t stop and eat, no morning or evening breaks . They are doing lab work ,ekgs , drawing blood , stripping beds , emptying trash , admitting patients , no secretaries , so much extra work ..
@@deborahdonnelly8423 We are humans, but, and some people might have a hard time with what I am writing, the care which we are rendering IS TECHNICAL. Perfectly TECHNICAL... This means, once well trained, the error is NOT JUSTIFIABLE. ERRORS ARE A NO, FORBIDDEN...TOO MANY people do not seem to get this through their heads: in medicine, things are done TO PEOPLE; there is NO ROOM to "I'll do my best but please take all the incidentals which surround me into consideration". This is a damn responsibility. In order to achieve this, however, since of course we are all humans... we ALL have SUFFICIENT fail-safe clues which we need TO LOOK AND COUNT on in order that we ensure whatever move we made, is according to the order OR NOT. No if acceptable, no what, no but; because all of these are HUMAN... and incompatible with the science. We are busier on the ward, we are more tired, and we got distracted? These WE KNOW; and those demand one so ever simple move: check out what you have done SO MANY MORE TIMES. At my University Nursing School, they used to develop in us what we called an extra eye, an extra ear. But to make it as foolproof as ever possible, we simply knew that error WAS NOT HUMAN. We simply KNOW we have NO RIGHT TO ERROR. This forced us to develop extra and when needed extra extra individual skill to develop and ALWAYS keep in mind so that we develop that extra "ESP" which made us quite UNEASY if we ever felt we might (or not) have done something wrong... "something does not feel according to plan"!!! I know, and firmly, that all through my years of quite busy Nursing, I have NEVER made an error. Did I come close? Not really, but I could have had. But one thing is sure, I NEVER simply accepted the fact I had accomplished a task. I always kept on rehashing in my mind:"Did the whole entire task feel good, 100% according to the ONE SOLE TEACHING METHOD? If anything felt queery, weird, anything, we would instinctively go over the whole sequence. But this is possible under one single possibility: ERROR IS FORBIDDEN.
It's very big of you to post this video Kendra. Many are not going to self report within tier organization, let alone self report for the world to see. I admire your dedication for continously showing up for the nursing generation(s) to follow! I still want to be like you when I grow up! 😘
I always report key to nursing never cover up anything always report to the doctors charge nurse say the truth . That’s what I find the truth shall set you free
Wow, sounds like you had such a healthy/supportive environment to be able to come forward with mistakes to the providers/management! Man that makes a world of difference
That's how professional nurses handle medication errors because they happen. Just like a surgeon doesn't stop practicing surgery because he leaves a sponge in a body cavity, a nurse shouldn't be fired for making a nonlethal medication error or error in documentation.
Worked on dialysis unit. We had two patients with the same last name. Both were to receive blood transfusion at the same time. The first bag came and was given to the wrong lady The patient started to feel unwell, transfusion was stopped. Error noted as second bag came.up and check was being. We worked in pods witch was 6 patients. Always complained when you would have 2 patients with the same last name. Risk for error
You are a professional! That’s what it is to be one… to reflect, to get better, to own up! My daughter graduates this year in nursing and I’d love for you to be her role model! Your parents must be so proud!
I've been a nurse practitioner for 3 years. I don't think this is nursing's fault. The physician/provider should have known that there was an allergy to vancomycin. Despite this, this was ordered anyway. Nursing takes the fall because they are easier to replace, than physicians as far as to recruiting, hiring, etc. But I place a lot of blame on the physician on this one. If you had caught it, you would have saved that physician's behind.
I do too, but you know, the allergies are to be asked before any procedure, at every step the patient takes. They often get annoyed saying "why are you keep on asking the same question over and over again" but it's for their safety. So o believe the fault is share. The Dr didn't ask, the nurse as well missed it out, no skin test was done prior the administration. And of course because of the work load, we can't do the skin test all the time...
Playing the blame game does not prevent medical errors. Yes, the physician should have caught it, but for whatever reason they didn't. It's easy to point fingers at whoever held the torch of responsibility before you, but the reality is everyone who is involved with a patient's care should be taking responsibility for their part. Physicians are human too, all the busy, overwhelming workload discussed in the video applies to most other professions in healthcare. Most errors are a fault of the system, not on any specific practitioner. Doesn't matter if it's the nurse or the doctor or the pharmacy at fault, the patient is going to suffer the same.
@@veronicalagor4771 Well, in most EHRs, prior to ordering the medication, it has an alert - often a red flag - stating that this medication should not have been ordered. Even the pharmacist should have caught it as well, as they approve these medications and send them from the pharmacy. But I agree, we are humans and mistakes happen, but my point is, the nurse shouldn't be too hard on herself, but be careful the next time.
It’s still a nursing fault because they are the one who administered it. If the doctor ordered an antibiotic to a patient that does not have any diagnosis of infection, then it should be questioned. I know humans make mistakes but clearly easily avoidable. The best thing to do after a med error is to report it, monitor vitals, intervene with antidote, and hope that patient does not die. Nursing is underrated.
Me too. I hate manually programing pumps so much and it just feels so unsafe. I have to quadruple check and even after i start a piggyback or drip, I'm like "nuh uh hold up" lmao. Especially here in the ICU. I don't have time for no foolishness haha.
Kendra. This is like a drug to me. I really enjoy listening to these nurse stories because they are all of our stories. Thanks 🙏🏾 for sharing. Be blessed and I’m praying for your safety and success in the nursing field. 😂😂😂😂
I'm glad you're not ashamed of the error. You should never be. A good clinician knows that he/she is not perfect and that no matter how good you are mistakes are inevitable. A true professional admits their error and does whatever it takes to make things right and keep their patient safe. MOST of the time patients and family members don't mind so much that you made a mistake but that you communicate with them, let them know exactly what happened, apologize, and say what you are doing/did to fix it. Your attitude as a provider can make all the difference. People are more likely to get angry and to sue you if you are rude, disrespectful, hide things from them, or lie to them. You will be surprised how much they are willing to forgive and let go if you treat them with respect. Self-reporting errors takes humility and honesty---two qualities that are very scarce in today's world. Your doing this speaks volumes about you as a person, and even more about you as a professional.
Whenever you see this please know that your excellence shines. As fellow human being taking responsibility for our actions and dealing with the consequences can be rough but necessary. Please keep doing your best.
@@KendraRN yep, under busy and stressful conditions as you stated... I've given a PCV 13 instead of PPSV23 and during flu season a flu shot instead of pneumonia... Reported to manager and the pts so they were taken care of... You don't realize how easy these things are to do until they happen that's why it's important not to bypass scanning meds and taking all the necessary precautions as you stated they are there for reason!
Thank you for sharing this story with us. Mistakes happen to anyone and the best thing we can do is correct them & learn from them. This is valuable information you have shared, from the perspective of an “older” nursing student. You definitely have leadership qualities. Keep doing what you’re doing 😊
I’m considering nursing school. I’ve been a CMA and CNA and I’m up to the challenge. Your videos help me with the truth of nursing. I too reflect on my day. I’ve been in healthcare for 23 years.
This is the video that made me subscribe, thank you for being real. Thank you for speaking up where others don’t want to. I like your real life stories of nursing like this one because it shares important information! Please continue a series like this or maybe the lecture videos for nursing students like you mentioned in another video.
You were lucky Kendra....I did the mis-labeling thing too and had to write an incident report and got written up...even though a different skin tone did the same a week before me and did not get written up or had to write an incident report...stories for other days....
@@Samanthasosa-i8q Boston, Massachusetts racism….. Nationally known Institution… would have been very costly… Family life Crazy…. I Quit and wrote a scathing exit letter which included other instances just to have some things documented. Thank Goodness my girlfriend was Human Resources at my next job!
the transparency and the G status u carry is un matched and necessary. as someone learning i appreciate your content like words cant describe. keep going Kendra!!! a real nurse’s, nurse
Thank you for sharing your stories. I could only wish I watched your videos earlier, it could have saved me years of time, pain, and tortures from the stressful even toxic work place I went through.
I know this is Two different kind of fields but I’m in school for Dental assistant & I just love your Med stories 😭😂 you are very entertaining 🥰 I enjoy your videos ✨
ER Nurse here….My first patient who lost consciousness and blood pressure had an MI and😮 was on TPA, Tridil / Nitro drip. I dropped his head, turned off Tridil drip and turned up the fluids. I’m thinking don’t put him in congestive heart failure with these fluids, I’m documenting the fluids. Patients who are going through an MI will have an event when the clot is dissolves. We had another code going on in the ER so now we have 2. He survived the event and we got him . Event means a funky rhythm, or BP changes, or loss of consciousness.
I was a patient on the floor and was getting IV Magnesium in a bag over an hour and the nurse put it in the pump wrong and gave it over 15 minutes. She is a fairly new nurse and reported it to the doctor who said to just keep an eye on me. She told me what she did (don’t tell a patient of a medication error unless you have to as some may be very sue happy for the slightest thing). I was fine and told her to calm down I was fine. I felt so bad for her but I knew she had morals in that she didn’t try to hide it. You mention vancomycin! I was on a shit ton of IV antibiotics for severe sepsis and early shock. I was on 5 or 6 of them and antifungals. My blood cultures showed several things including E. coli, cochi in chains and clusters, MSSA, and god knows what else due to a UTI and an infected port. I was admitted to the ICU on 12/19/16 and was slated to go home from the floor on 01/04/17. Two days prior I have another fever, high heart rate, low blood pressure and low pulse ox. My vanco trough is 151. Oh shit. Renal failure. I was given way too much and my discharge was cancelled and I lost my nice huge room to be taken to the step down ICU. In goes the foley and a constant medication in hopes that I don’t need dialysis. My creatinine was 4.4 and a GFR of 11. Oh shit. Spent 2 more weeks in the hospital but avoided dialysis. Next time I took Vancomycin at home I had “Red Man Syndrome”. Now if I need Vancomycin the evil drug I get Benadryl before hand. I’m on IV Levaquin now to kill this pneumonia I have. Had Rocephin before the Levaquin. Had double septic pneumonia 3 months ago and did 12 days of oral Augmenten and it failed so I saw my pulmonologist who ordered outpatient IV Rocephin for 5 days and IV Decadron. They failed so now I’m ordered IV Levaquin, IV Decadron, and IV Lasix. Made it only through 3 days of that because I woke up at 1215am unable to breathe laying flat. I was admitted after WBC 16, Lactic acid 3 and cat scan showed pulmonary edema. This happened in 2018 as well. My legs ate terribly swollen again but I’m breathing better so hopefully can stay out of the hospital because I’ve had pneumonia every year at least 1-3 times per year and all have ended up with me admitted. I have crappy health and can’t work as a medic or as an RT 😭
@@KendraRN I repeat what I have said (or apparently taught) above: there is a hell of a difference between realizing we are in the process of committing an error and are correcting it, AND MAKING an error. We have been TRAINED with safe-proof technics; some nurses may need to revise those maybe more in-depth, but they are there for a reason. Errors happen because they have NOT been applied at the individual depth they should have been. You show integrity and have great Nursing Experience graciously shared here, so PLEASE do not influence people otherwise regarding meds errors; or you are doing them and the population a great disservice!
Im a novice nurse this year will make 2 yrs as RN i was an lpn for 2 yrs and if any nurse here say they have never made a med error is a liar. We can just do our best to cross T's and dot our I's. Thank you for sharing.
Sorry, but WRONG! There is a hell of a difference between making an error and getting close to making one and using our training to listen to our internal alert to catch the development of one before it gets to this! It is ALL in the training in the knowledge that MEDS ERRORS ARE NOT ALLOWED...and we have to find fail-safe ways to stop errors from really happening. The intensity of the NOT ALLOWED makes the whole difference.
Hi Kendra, yes currently nurse students are taught the five rights and allergy verification is not one of those rights. And yes when we get busy the last thing that we think about is allergies. I had a patient tell me prior to administering a medicine that he was allergic and yes it was listed clear as day. MD overlooked, pharmacy overlooked and then I overlooked but did not give it to him. With horrible nurse:patio ratio mistakes happen and that’s what nurses are trying to communicate to administrators,SAFETY!
I don’t think the general public understand the madness that nurses deal with daily. I am grateful for patients that are informed about their health because they have saved me many times. Patients are sicker, short staffing, and burnout nurses are a recipe for disaster.
Great video. You are truly a wonderful role model for us nurses. I strive to be more like you. I remember an error I made recently. I work on a busy med surg floor. Almost every night we have up to seven pts to take care of. I remeber one of my patients have knee replacement surgery was suppose to go home but was kept overnight because her O2 sat dropped to the 70's. I work nights. When i was getting report from the day nurse she told pt had chest x-ray done and that there was an order for chest CT to rule out pulmonary embolism. It was not done and I asked that day nurse why it was not done but she couldn't really give me an answer. So I said i would follow it up. The order was written as a stat at 4:30pm long before my shift started. I was not aware it was a stat at the time because I was so busy and I don't always have time to look at all the orders for all my patients because it gets so busy. So it was not done in a timely manner and the Doctor was upset about it and reported it to the charge nurse. An incident report was done about it. I was beside myself, stressing out, worrying about the patient. Thankfully the patient did not have pulmonary embolism. I thought I was going to be written up but managemt never called me about nor did get any emails from them about it. I felt terrible about it but i am glad everything worked out. You are right. Nurses are humans and we do make mistakes. Thanks for shedding light on that.
I just realized that in my small hospital we treat patients basically almost PCU patients.... except we take 6 patients. We have no transport team or lab team. They come up 2 times a day and once at night...
i have made a medication error before w/ abx, but after i had surgery and almost died from iv antibiotics, broke out in hives/anaphylaxis from iv antiboitics while in hospital and the hives were so big like red, half dollars, nickels quarter size itchy red spots all over my body and it was so itchy everywhere, in my throat, eyelids, feet, vjay, vjay outside, you name it, it itched, , they had to keep me another 7 days in the hospital on all kinds of meds for the hives and i also other complication got an infection, it was hell, long story, so i always ask pts before giving them antiboitics if they are allergic to any antboitics or their parents/siblings ?? Those dang hives took 6 weeks to go away. The staff said it was the biggest hives spots they had ever seen, it was freaky.
@@KendraRNthe profession is sooo overrated it's not what people think it's cracked up to be. Way too much pressure. I'm so serious about changing to health informatics but the thought of going back to school for it is just the turn off for me because you get tired of school. I'm still working on the exit strategy to get from bedside.
Girl When I was a new nurse in a med surg unit during covid I had 7 patients!! I left after that cause I almost made an error myself with insulin. Left after 6 months
Hey Kendra You show me a Nurse with no Medication errors, then i will show you a liAr.. Also Kendra With experience you will advocate for yourself and others.. Also chart like your going before a Judge with each patient because you will not remember what you did with any patient except through your charting so make it count.. And are here for the patient to get BETTER! So thanks for being truthful & not delaying care!!!❤️
But if the Dr knew that the patient is allergic to vencomiacin then that Dr should be held accountable as well as the pharmacist because they both should have a record of the patients allergies
You’re having to answer phone in other patients room , you’re at the Pyxis and your phone is ringing , you’re cleaning up poop and your phone is ringing
What I got upset only a tiny thing my son was. In a drunk driver hit and run accident could of been killed night before my half brother was found with barely a puke my dad did compressions till Fire rescue arrived he was a hair aaay from dying if my dad wouldn’t of caught him. Yes definitely now we r watching him showing him more r love and praying for him . But what do u do when u r faced in one weekend u r suppose to work but faced back to back with life threatening emergencies and I went in compromising because I was scared or be on probation regardless of almost 17 years there we can only have 3 call outs in 6 months even if u get Covid etc or literally on death bed . And theirs no one that will take accountability…. A wake up call for me was when a excellent nurse going pin proximate 25 years had 3 stressful nights went to bed and woke up with a stroke from stress and died we need to pray for solutions not just complain 🙏❤️help us God in Jesus name
Guys so take care of yourself listen to hoky spirit still soft voice nursing will always be there . Don’t let your job control your life and I’m preaching to myself first
All nurses make some type of med error..misunderstood order, telephone order, mistyped, wrong patient, pharm confusion. It is the hardest and most important duty of nursing, especially in a rushed, tense atsmosphere.
A med not ordered that is needed in longterm care at the time you start your shift on the cart borrowed is an error even if taken from another patient.
I'm new to your Channel.. Your stories had me on the edge of my seat.. You have a command presence and seem genuine.. My husband was in the Hospital, and the Fentanyl patch was prescribed. I didn't have any knowledge about it as this was a couple of years ago prior to the opioid crisis. Our daughter is a nurse who lives over seas and I was telling her the meds that her dad was on. she let me know that fentanyl was powerful and addictive and needed to be discarded properly.. This day the RN came in to change the patch and administer other meds. I was watching but not close enough because we were talking, after she finished she left , I was covering my husband with the sheet and noticed on the right side of his outer leg was a patch🙄I realized this was the old patch the deceitful nurse was suppose to discard...I was upset because she never mention that she had lost or misplaced it in the bed.. I went out to the Charge nurse and she was turning red as I told her, saying to me Mam please let me handle it..I told her fine but don't send her back in my husband's room.. The nurse never apologized or admitted she had made what could've been a fatal mistake.. I would have respected her and not been angry if she had said while smiling and talking to me that she had misplaced the patch, but she didn't.. I appreciate your honesty and willingness to admit you've made some errors...We all have, no one is perfect!!! New subbie!!!
Wow, I’m surprised she didn’t search high and low for that old patch. It’s a narcotic and it’s disposal should be witnessed by another nurse. I hope you husband is doing well. Thank you for watching ❤️
@@KendraRN Right , I thank God that my husband is fine, he had pancreatitis and had a portion of his pancreas removed, but not at that hospital.. He's good to go..Thank you for your response.. I applaud you for being one of the good nurses around!! It really is a noble profession!!
It’s nuts though. So many patients are sue happy. Nurses don’t get qualified immunity like we used too. Like police officers. They will put a nurse is jail for an med error now. It’s so scary. Nursing is SCARY now.
Vanco is deadly. The calculation is so critical it can course red man syndrome, nephrotoxicity, hearing loss. The allergies is one of your first checks! Sorry this happened to the patient so glad he didn't die. IV pumps lockout. At 840 you redeemed yourself. The truth will set you free. Pretend it's your family. Wow I work so hard to get RN. It's not a job for me it's a life. There are 7 rights now, online. You are courageous keep on
You see, finding your own simple but lifesaving solutions such as carrying energy bars is "PERFECT" as we know we are very busy, distracted etc, etc, so it remains our responsibility to each find what works best for us to ALWAYS maintain our responsibility level. They do it in wars, and we can do it here by simply NOT allowing ourselves to get to a point of letting things slip by in terms of STRICT technic and Fail-safe technics of carefully dealing with Meds, blood etc. We know when something feels weird about the strict use of Technic; when we know that time when we feel like "taking the slightest shortcut and everything will still be OK"... WRONG,..it is not OK. We are NOT allowed to take chances or digress from technic, we just CANNOT! Self-discipline to the point of sounding crazy is the safe way to go when dealing with human lives put in pure confidence into our hands. I feel so sad that some Nurses feel they cannot reach that level, or worse, do not have to reach and maintain that level in the Profession. We know today we can use mnemonics in order to be fluent with words; we can find similar skills which work for us in order not to bring ourselves to the point of making those kinds of errors as mentioned here. And I insist on this not to condemn, but to teach that there are ways, self-taught technics to make ourselves confident in being a safe Nurse no matter what the circumstances. Some Schools do not emphasize this to their students, and this is so sad, both for the Nurses but also for the Population we feel such pride in serving well... and safely.
People need to stop bashing this woman we should instead thank her for admitting and telling us about her medication error. We are human, and all people can make mistakes.. however when mistakes like this happen its a big deal. My professor made a medication error and as a result the whole hospital protocal was changed and she was an amazing nurse/ professor. I was at McDonalds yesterday with my daughter and instead of listening to me, my daughter didnt check the bag, and they ended up forgetting some of my food and I had to drive back to get it. Mistakes are made: car accidents, drowning, etc.THIS IS A GOOD LESSON FOR EVERYONE OUT THERE ADMINSTERING MEDS TO YOUR FAMILY AND CHILDREN. Read the instructions carefully. check double check before you give meds, then check again.❤ Stay humble people!!
So I think I had red man syndrome, but I never knew what it was. I was in early labor with my son & given vancomycin (which I’d had before & wasn’t allergic to). After getting the vancomycin infusion, I had intense red itching start at my scalp & slowly move down my body to my chest. I was given Benadryl & the symptoms subsided… never knew what it was that happened. Did it happen because they gave it too fast?
Getting redman's syndrome from vancomycin is not a contraindication for getting it in the future. Patients that have this reaction should have the rate slowed. The pharmacist should have adjusted the order to a slow the rate at which the medicatio was to be administered and communicated to the nurse that the rate was adjusted due to the history of redman's syndrome. The pharmacist also should have mentioned to the nurse that the patient should be monitored. If redman's syndrome start to occur, slow the rate and administer tylenol, solumedrol, and benadryl. If it persists or gets worse stop the vancomycin and consider alternative therapy like daptomycin or zyvox.
I wouldn’t post this case in public unless the case is closed. Board of nursing can easily use this against you to revoke your license. But if all med error protocol was done and no on going settlement pending, then It should be okay. I know you want people to see what could happen but not for the price of your career. Most nurses learn this through experience from trial and error. Best advise for new nurses is not take shortcuts, it’s better to be late than wrong. That’s why there is an 1 hour grace period for all meds to be given unless it’s a stat order.
I appreciate your concern but there was no “case”. Med errors happen all the time, some happen to be gross and negligent. Not sharing this stories in a transparent manner adds to the toxicity that plagues nursing. Nurses are not perfect. Patients have better outcomes when nurses can disclose their errors and share oversights without the fear of being penalized. I reported my error, the doctor was made aware, no one died.
Hi Kendra, does committing a medication error there in the US immediately revoke one's license as a nurse? Or What are the direct circumstances that guarantee a direct imprisonment, lawsuit against a nurse who committed such errors? Thank you.,
It's six rights now. I remember it is "triple D PRT"...or DDDPRT.. the right: Drug Dose Documentation Patient Route Time Documentation is where you check those allergies, the orders, and documenting properly that you gave it
That’s when u stop the Line .. that’s why boldness courage and self confidence is so important and building each other up and unity is so important .. would I would love to hear how can we avoid these potential errors , stress anxiety , bullying what u share on channel . We should pray for problem Solving witty ideas … I relate 💯 to every word but I myself have been starting to ask God what’s the solution and stop complaining
Most nurses can relate in a real way to the things you revealed here because, mistakes can happen. What I would pray for daily before starting a shift, was not to make life altering, harming decisions that cause harm or injury to my patients. Sometimes I was hardest on myself if I didn’t catch something that maybe the patient or family didn’t want medical to know but was revealed later during their care. There are times when you miss observable details and want to kick yourself about later, but over time I had to learn to trust my instincts more and look for what’s best, not just what’s comfortable for everyone. I do have a concern because I am retired and came through a different era than the one you’re currently experiencing, but with these videos, aren’t you concerned with HIPPA? I was nursing when HIPPA was developed and that was such a big deal, that we couldn’t discuss any aspect of nursing care in public, even without identifying or not it was a big huge no no. Have things changed that much? Just curious, and a little concerned. Please be careful.
It’s likely red man syndrome, which isn’t a true allergic reaction. But the confounder is that the patient may actually have a true allergy, so IgE serology may actually need to be checked.
Sounds like the wife was right to feel her husband was being mismanaged. The attending was giving meds he was allergic to, I imagine that attending did other things to piss her off.
To ERR IS HUMAN. This was the title of a widely known, well written paper written by an Institute of Medicine doctor years ago that every healthcare professional must read. There are normal errors that we ALL make. To act like we are not humans capable of errors, IS DELUSIONAL THINKING.
I'm scared to go into nursing and do these mistakes on top of being in a very stressful environment. I don't want to end up in prison!
I am a retired ICU nurse and if a nurse tells you they never made a med error then they are a liar! The time I made a mistake I was too afraid to report it. It is no wonder we nurses make mistakes because we work through breaks and lunch and barely have time to go the bathroom!
Lisa, thank you so much. It’s almost impossible not to. Nurses are constantly being interrupted, short staffing, no lunch relief.
I’m sure nursing 30 years is responsible for my neurogenic bladder…lol.
It certainly needs reviewing of patient load and also what actually needs to be done for each person. Years ago, they used to do timings for each unit of care. Not that it made any difference to staffing numbers. On night shift we would have only 3 staff for 36 surgical patients. It was a nightmare and unsafe. These days we have 6 staff! We are still busy because our patients are heavier in workload. Seniors always get them of course.
When I was pregnant and sick on my stomach it was a bad night in the ER. We had Ambulance after ambulance coming in like crazy not to forget the walk in patients. We had to call nurses that were off to come in to help out. I was doing CPR on a patient with the trash can right beside me so if I got sick I would not throw up on the patient. We ran out of rooms to put patients in so we had to line them up in the hall. There was no time for dinner or bathroom brake.
AMEN
I never trusted a nurse that would say she/he never made an error.
I wouldn’t trust a nurse who kept a medical error to him/herself and not risk-report it for better improvement of a process and awareness. I’d rather be honest and up-forward about my mistake than to not speak up about it and let patients suffer for my medical error. Nurses are humans too and are taught ethical principles in school. An example of ethical behavior is accountability for your errors. If you don’t speak up about a medical error, it’s unethical and cost a provider’s license and further patient harm in the long-term. Speaking up about the error and taking accountability for it now improves outcomes and something can be done about it right away. There’s always a solution for an error that just happened vs. an error that could’ve been addressed with interventions. That’s why EMR documentation for notes and risk-report systems are installed for healthcare providers to help rectify a medical error and improve processes and find solutions to prevent the same errors from happening.
Coming close to making an error AND making an error are two quite different things. Fail-proof technics to catch and prevent errors have NOT been developed for nothing... Check every error and guess where they come from and how they would have been prevented...you will be surprised...
@@JMC-1989 200%. So sad they don't teach this with the same responsibility and dedication in ALL Nursing Schools.
Absolutely
@@JMC-1989Understaffed, stressed out…that’s probably why most errors are made. 7am to 3pm without a break? Sadly, this is the norm. I can see why a lot of errors aren’t reported - it’s just more paperwork no one has time for. The corporate f***ers who run these places don’t care about anything but profits, and the state is right there with them. That’s never going to change.
Thank you for your authenticity and transparency. I am just now working through your playlists of videos. As a caregiver I'm learning so much about the nurse's perspective from you. God Bless You!!
You are so welcome. I appreciate you watching.
Damn, nursing is hard. You make a mistake and it is the person's life. It is like always being at the edge of the cliff. Respect to you all 👐🏽
The public wants every medical person should be PERFECT. We are HUMANS!!!
Because nurses work like dogs. Most of the time you don’t stop and eat, no morning or evening breaks . They are doing lab work ,ekgs , drawing blood , stripping beds , emptying trash , admitting patients , no secretaries , so much extra work ..
@@deborahdonnelly8423 We are humans, but, and some people might have a hard time with what I am writing, the care which we are rendering IS TECHNICAL. Perfectly TECHNICAL... This means, once well trained, the error is NOT JUSTIFIABLE. ERRORS ARE A NO, FORBIDDEN...TOO MANY people do not seem to get this through their heads: in medicine, things are done TO PEOPLE; there is NO ROOM to "I'll do my best but please take all the incidentals which surround me into consideration". This is a damn responsibility. In order to achieve this, however, since of course we are all humans... we ALL have SUFFICIENT fail-safe clues which we need TO LOOK AND COUNT on in order that we ensure whatever move we made, is according to the order OR NOT. No if acceptable, no what, no but; because all of these are HUMAN... and incompatible with the science. We are busier on the ward, we are more tired, and we got distracted? These WE KNOW; and those demand one so ever simple move: check out what you have done SO MANY MORE TIMES. At my University Nursing School, they used to develop in us what we called an extra eye, an extra ear. But to make it as foolproof as ever possible, we simply knew that error WAS NOT HUMAN. We simply KNOW we have NO RIGHT TO ERROR. This forced us to develop extra and when needed extra extra individual skill to develop and ALWAYS keep in mind so that we develop that extra "ESP" which made us quite UNEASY if we ever felt we might (or not) have done something wrong... "something does not feel according to plan"!!! I know, and firmly, that all through my years of quite busy Nursing, I have NEVER made an error. Did I come close? Not really, but I could have had. But one thing is sure, I NEVER simply accepted the fact I had accomplished a task. I always kept on rehashing in my mind:"Did the whole entire task feel good, 100% according to the ONE SOLE TEACHING METHOD? If anything felt queery, weird, anything, we would instinctively go over the whole sequence. But this is possible under one single possibility: ERROR IS FORBIDDEN.
@@clairedionne559you’re giving “I have never made a mistake” vibes.
I admire you for your honesty. I only met a handful of nurses willing to open up and share with me their mistakes.
It's very big of you to post this video Kendra. Many are not going to self report within tier organization, let alone self report for the world to see. I admire your dedication for continously showing up for the nursing generation(s) to follow! I still want to be like you when I grow up! 😘
Thank you Sammy. I share these stories as a way to help others. It’s about them hearing my mistakes and where I fell short as nurse. ❤️❤️
This is sad to hear you complain all the time abt your job!!!!
I always report key to nursing never cover up anything always report to the doctors charge nurse say the truth . That’s what I find the truth shall set you free
It’s not worth it it’s better to be late then on time even guys . My God I see them miss a lot .. especially on admissions
It’s only by grace of God not by me he gets the glory always
Wow, sounds like you had such a healthy/supportive environment to be able to come forward with mistakes to the providers/management! Man that makes a world of difference
Yes! They had a framework called Just Culture that supported nurses and not blame them for system errors.
That's how professional nurses handle medication errors because they happen. Just like a surgeon doesn't stop practicing surgery because he leaves a sponge in a body cavity, a nurse shouldn't be fired for making a nonlethal medication error or error in documentation.
This is how medication errors should happen. Every nurse in here will never override the system because they heard this.
Worked on dialysis unit. We had two patients with the same last name. Both were to receive blood transfusion at the same time. The first bag came and was given to the wrong lady The patient started to feel unwell, transfusion was stopped. Error noted as second bag came.up and check was being. We worked in pods witch was 6 patients. Always complained when you would have 2 patients with the same last name. Risk for error
You are a professional! That’s what it is to be one… to reflect, to get better, to own up!
My daughter graduates this year in nursing and I’d love for you to be her role model! Your parents must be so proud!
Respect must be restored for everyone but especially for nurses and other people in the medical field.
I've been a nurse practitioner for 3 years. I don't think this is nursing's fault. The physician/provider should have known that there was an allergy to vancomycin. Despite this, this was ordered anyway. Nursing takes the fall because they are easier to replace, than physicians as far as to recruiting, hiring, etc. But I place a lot of blame on the physician on this one. If you had caught it, you would have saved that physician's behind.
I do too, but you know, the allergies are to be asked before any procedure, at every step the patient takes. They often get annoyed saying "why are you keep on asking the same question over and over again" but it's for their safety. So o believe the fault is share. The Dr didn't ask, the nurse as well missed it out, no skin test was done prior the administration. And of course because of the work load, we can't do the skin test all the time...
Playing the blame game does not prevent medical errors. Yes, the physician should have caught it, but for whatever reason they didn't. It's easy to point fingers at whoever held the torch of responsibility before you, but the reality is everyone who is involved with a patient's care should be taking responsibility for their part.
Physicians are human too, all the busy, overwhelming workload discussed in the video applies to most other professions in healthcare. Most errors are a fault of the system, not on any specific practitioner. Doesn't matter if it's the nurse or the doctor or the pharmacy at fault, the patient is going to suffer the same.
@@veronicalagor4771 Well, in most EHRs, prior to ordering the medication, it has an alert - often a red flag - stating that this medication should not have been ordered. Even the pharmacist should have caught it as well, as they approve these medications and send them from the pharmacy. But I agree, we are humans and mistakes happen, but my point is, the nurse shouldn't be too hard on herself, but be careful the next time.
It’s still a nursing fault because they are the one who administered it. If the doctor ordered an antibiotic to a patient that does not have any diagnosis of infection, then it should be questioned. I know humans make mistakes but clearly easily avoidable. The best thing to do after a med error is to report it, monitor vitals, intervene with antidote, and hope that patient does not die. Nursing is underrated.
Me too. I hate manually programing pumps so much and it just feels so unsafe. I have to quadruple check and even after i start a piggyback or drip, I'm like "nuh uh hold up" lmao. Especially here in the ICU. I don't have time for no foolishness haha.
Our profession is so demanding sometimes you skip breakfast early morning expecting to have a little break later,but lol and behold
Kendra. This is like a drug to me. I really enjoy listening to these nurse stories because they are all of our stories. Thanks 🙏🏾 for sharing. Be blessed and I’m praying for your safety and success in the nursing field. 😂😂😂😂
I appreciate you Chellie❤️
I'm glad you're not ashamed of the error. You should never be. A good clinician knows that he/she is not perfect and that no matter how good you are mistakes are inevitable. A true professional admits their error and does whatever it takes to make things right and keep their patient safe.
MOST of the time patients and family members don't mind so much that you made a mistake but that you communicate with them, let them know exactly what happened, apologize, and say what you are doing/did to fix it. Your attitude as a provider can make all the difference. People are more likely to get angry and to sue you if you are rude, disrespectful, hide things from them, or lie to them. You will be surprised how much they are willing to forgive and let go if you treat them with respect.
Self-reporting errors takes humility and honesty---two qualities that are very scarce in today's world. Your doing this speaks volumes about you as a person, and even more about you as a professional.
I made an insuline overdose and my clinicals were terminated. Now my year hangs in balance. All will depend on the second clinicals next year.
I wish I had your confidence and communication skills with people. You seem super charming.
I appreciate that
Whenever you see this please know that your excellence shines. As fellow human being taking responsibility for our actions and dealing with the consequences can be rough but necessary. Please keep doing your best.
Good examples we can all learn from each others mistakes! Thank you for posting
I appreciate that! Have you made a med error in your career?
@@KendraRN yep, under busy and stressful conditions as you stated... I've given a PCV 13 instead of PPSV23 and during flu season a flu shot instead of pneumonia... Reported to manager and the pts so they were taken care of... You don't realize how easy these things are to do until they happen that's why it's important not to bypass scanning meds and taking all the necessary precautions as you stated they are there for reason!
I really appreciate your stories.
God bless you! Your honesty is edifying!
This hair is so good on you, not that you are old, but it make you very young and fresh looking- I love it. Good job
Thank you for sharing this story with us. Mistakes happen to anyone and the best thing we can do is correct them & learn from them. This is valuable information you have shared, from the perspective of an “older” nursing student. You definitely have leadership qualities. Keep doing what you’re doing 😊
I’m considering nursing school. I’ve been a CMA and CNA and I’m up to the challenge. Your videos help me with the truth of nursing.
I too reflect on my day. I’ve been in healthcare for 23 years.
This is the video that made me subscribe, thank you for being real. Thank you for speaking up where others don’t want to. I like your real life stories of nursing like this one because it shares important information! Please continue a series like this or maybe the lecture videos for nursing students like you mentioned in another video.
Thank you so much for sharing your experiences with us. I love how you handled yourself and reflected on your day. It’s inspiring! ❤
You were lucky Kendra....I did the mis-labeling thing too and had to write an incident report and got written up...even though a different skin tone did the same a week before me and did not get written up or had to write an incident report...stories for other days....
I am telling you! The stuff that happens, unbelievable
Why didn't you file a discrimination suite ? As A POC you are a legally protected class.
@@Samanthasosa-i8q Boston, Massachusetts racism….. Nationally known Institution… would have been very costly… Family life Crazy…. I Quit and wrote a scathing exit letter which included other instances just to have some things documented. Thank Goodness my girlfriend was Human Resources at my next job!
I’m so sorry you have a poorly educated supervisor.
@@deborahdonnelly8423 I think it was so much more than poorly educated….
You are an amazing human being for posting this. This is such a powerful lesson to learn from.
Thank you!
Thank for being honest and for sharing your experience.
I’m so proud of her how are u able to expose all these things … I applaud u for your courage and boldness
I always hear nurses making errors because of overriding the computerized system. That's one you will not catch me doing. Thank you for sharing
Yes, rushing is my problem too,
Thanks for sharing, I will be sure to ALWAYS use the alaris library, from now on too.
Yes!!!
the transparency and the G status u carry is un matched and necessary. as someone learning i appreciate your content like words cant describe. keep going Kendra!!! a real nurse’s, nurse
Thank you so much for sharing your experiences. I appreciate you.
Thankyou for sharing. Such a teachable moment and keeps me present.
You are so welcome!
Thank you for sharing your stories. I could only wish I watched your videos earlier, it could have saved me years of time, pain, and tortures from the stressful even toxic work place I went through.
I know this is Two different kind of fields but I’m in school for Dental assistant & I just love your Med stories 😭😂 you are very entertaining 🥰 I enjoy your videos ✨
ER Nurse here….My first patient who lost consciousness and blood pressure had an MI and😮 was on TPA, Tridil / Nitro drip. I dropped his head, turned off Tridil drip and turned up the fluids. I’m thinking don’t put him in congestive heart failure with these fluids, I’m documenting the fluids. Patients who are going through an MI will have an event when the clot is dissolves. We had another code going on in the ER so now we have 2. He survived the event and we got him . Event means a funky rhythm, or BP changes, or loss of consciousness.
I was a patient on the floor and was getting IV Magnesium in a bag over an hour and the nurse put it in the pump wrong and gave it over 15 minutes. She is a fairly new nurse and reported it to the doctor who said to just keep an eye on me. She told me what she did (don’t tell a patient of a medication error unless you have to as some may be very sue happy for the slightest thing). I was fine and told her to calm down I was fine. I felt so bad for her but I knew she had morals in that she didn’t try to hide it.
You mention vancomycin! I was on a shit ton of IV antibiotics for severe sepsis and early shock. I was on 5 or 6 of them and antifungals. My blood cultures showed several things including E. coli, cochi in chains and clusters, MSSA, and god knows what else due to a UTI and an infected port. I was admitted to the ICU on 12/19/16 and was slated to go home from the floor on 01/04/17. Two days prior I have another fever, high heart rate, low blood pressure and low pulse ox. My vanco trough is 151. Oh shit. Renal failure. I was given way too much and my discharge was cancelled and I lost my nice huge room to be taken to the step down ICU. In goes the foley and a constant medication in hopes that I don’t need dialysis. My creatinine was 4.4 and a GFR of 11. Oh shit. Spent 2 more weeks in the hospital but avoided dialysis. Next time I took Vancomycin at home I had “Red Man Syndrome”. Now if I need Vancomycin the evil drug I get Benadryl before hand. I’m on IV Levaquin now to kill this pneumonia I have. Had Rocephin before the Levaquin. Had double septic pneumonia 3 months ago and did 12 days of oral Augmenten and it failed so I saw my pulmonologist who ordered outpatient IV Rocephin for 5 days and IV Decadron. They failed so now I’m ordered IV Levaquin, IV Decadron, and IV Lasix. Made it only through 3 days of that because I woke up at 1215am unable to breathe laying flat. I was admitted after WBC 16, Lactic acid 3 and cat scan showed pulmonary edema. This happened in 2018 as well. My legs ate terribly swollen again but I’m breathing better so hopefully can stay out of the hospital because I’ve had pneumonia every year at least 1-3 times per year and all have ended up with me admitted. I have crappy health and can’t work as a medic or as an RT 😭
Thank you for being so transparent about Making medication meds error it helps us in school and new grads realize that mistakes do happen
It def does! No one is perfect and systems are flawed.
@@KendraRN I repeat what I have said (or apparently taught) above: there is a hell of a difference between realizing we are in the process of committing an error and are correcting it, AND MAKING an error. We have been TRAINED with safe-proof technics; some nurses may need to revise those maybe more in-depth, but they are there for a reason. Errors happen because they have NOT been applied at the individual depth they should have been. You show integrity and have great Nursing Experience graciously shared here, so PLEASE do not influence people otherwise regarding meds errors; or you are doing them and the population a great disservice!
@@clairedionne559 girl what?
Thanks for your honesty and for sharing
2 mistakes and 1000’s of successes. 🤗🥰🙏🏻
Thank you for your story. It was encouraging to me as being a nurse for two years.
Hi Aremo, you’re very welcome. I’m sharing these stories to be a lesson to nurses. ❤️
Im a novice nurse this year will make 2 yrs as RN i was an lpn for 2 yrs and if any nurse here say they have never made a med error is a liar. We can just do our best to cross T's and dot our I's. Thank you for sharing.
Sorry, but WRONG! There is a hell of a difference between making an error and getting close to making one and using our training to listen to our internal alert to catch the development of one before it gets to this! It is ALL in the training in the knowledge that MEDS ERRORS ARE NOT ALLOWED...and we have to find fail-safe ways to stop errors from really happening. The intensity of the NOT ALLOWED makes the whole difference.
Hi Kendra, yes currently nurse students are taught the five rights and allergy verification is not one of those rights. And yes when we get busy the last thing that we think about is allergies. I had a patient tell me prior to administering a medicine that he was allergic and yes it was listed clear as day. MD overlooked, pharmacy overlooked and then I overlooked but did not give it to him.
With horrible nurse:patio ratio mistakes happen and that’s what nurses are trying to communicate to administrators,SAFETY!
I don’t think the general public understand the madness that nurses deal with daily. I am grateful for patients that are informed about their health because they have saved me many times. Patients are sicker, short staffing, and burnout nurses are a recipe for disaster.
Pharmacy should have caught that!
That's what pharmacists are trained for!
Great video. You are truly a wonderful role model for us nurses. I strive to be more like you. I remember an error I made recently. I work on a busy med surg floor. Almost every night we have up to seven pts to take care of. I remeber one of my patients have knee replacement surgery was suppose to go home but was kept overnight because her O2 sat dropped to the 70's. I work nights. When i was getting report from the day nurse she told pt had chest x-ray done and that there was an order for chest CT to rule out pulmonary embolism. It was not done and I asked that day nurse why it was not done but she couldn't really give me an answer. So I said i would follow it up. The order was written as a stat at 4:30pm long before my shift started. I was not aware it was a stat at the time because I was so busy and I don't always have time to look at all the orders for all my patients because it gets so busy. So it was not done in a timely manner and the Doctor was upset about it and reported it to the charge nurse. An incident report was done about it. I was beside myself, stressing out, worrying about the patient. Thankfully the patient did not have pulmonary embolism. I thought I was going to be written up but managemt never called me about nor did get any emails from them about it. I felt terrible about it but i am glad everything worked out. You are right. Nurses are humans and we do make mistakes. Thanks for shedding light on that.
I lately twice this week forgot to scan two meds. Insulin and zofran. I am so mad at myself. But am saying next week will utilize the baggies
I just realized that in my small hospital we treat patients basically almost PCU patients.... except we take 6 patients. We have no transport team or lab team. They come up 2 times a day and once at night...
Your passion is very impressive...amazing ; main reason why i subscribed.
i have made a medication error before w/ abx, but after i had surgery and almost died from iv antibiotics, broke out in hives/anaphylaxis from iv antiboitics while in hospital and the hives were so big like red, half dollars, nickels quarter size itchy red spots all over my body and it was so itchy everywhere, in my throat, eyelids, feet, vjay, vjay outside, you name it, it itched, , they had to keep me another 7 days in the hospital on all kinds of meds for the hives and i also other complication got an infection, it was hell, long story, so i always ask pts before giving them antiboitics if they are allergic to any antboitics or their parents/siblings ?? Those dang hives took 6 weeks to go away. The staff said it was the biggest hives spots they had ever seen, it was freaky.
That is the correct and best way, I definitely messed up. All I was thinking about was food.
I am obsessed with your channel! I have no idea why!
Thank you Kendra for sharing.
Just watched 3 of your videos and I'm all in.. newest subie here. I'm loving it and taking notes. Thank you
Thank you for taking time to watch my content. I appreciate it. ❤️
If they're going to HD, I always ask if the transfusion can be done there.
Same!
Every RN who's worked for at least a year has made a med error lol.
Sad thing is no matter how many other people missed the allergy it falls on the nurse smh aint that something. The game is twisted
Nurses get chewed up and spit out all the time.
@@KendraRNthe profession is sooo overrated it's not what people think it's cracked up to be. Way too much pressure. I'm so serious about changing to health informatics but the thought of going back to school for it is just the turn off for me because you get tired of school. I'm still working on the exit strategy to get from bedside.
Girl When I was a new nurse in a med surg unit during covid I had 7 patients!! I left after that cause I almost made an error myself with insulin. Left after 6 months
Oh wow. Yikes
Thanks for sharing
Thanks for watching!
Hey Kendra
You show me a Nurse with no
Medication errors, then i will show you a liAr.. Also Kendra
With experience you will advocate for yourself and others.. Also chart like your going before a Judge with each patient because you will not remember what you did with any patient except through your charting so make it count.. And are here for the patient to get BETTER!
So thanks for being truthful & not delaying care!!!❤️
Love your honesty.
Transparency around these issues are so important.
Right Patient Right drug right route right time right dose
You give great advice
But if the Dr knew that the patient is allergic to vencomiacin then that Dr should be held accountable as well as the pharmacist because they both should have a record of the patients allergies
You’re having to answer phone in other patients room , you’re at the Pyxis and your phone is ringing , you’re cleaning up poop and your phone is ringing
Too many interruptions 🤦🏾♀️🤦🏾♀️🤦🏾♀️
When I worked at the hospital, I carried a Clif bar.
How do you advocate for yourself as a new grad nurse??
What I got upset only a tiny thing my son was. In a drunk driver hit and run accident could of been killed night before my half brother was found with barely a puke my dad did compressions till Fire rescue arrived he was a hair aaay from dying if my dad wouldn’t of caught him. Yes definitely now we r watching him showing him more r love and praying for him . But what do u do when u r faced in one weekend u r suppose to work but faced back to back with life threatening emergencies and I went in compromising because I was scared or be on probation regardless of almost 17 years there we can only have 3 call outs in 6 months even if u get Covid etc or literally on death bed . And theirs no one that will take accountability…. A wake up call for me was when a excellent nurse going pin proximate 25 years had 3 stressful nights went to bed and woke up with a stroke from stress and died we need to pray for solutions not just complain 🙏❤️help us God in Jesus name
Guys so take care of yourself listen to hoky spirit still soft voice nursing will always be there . Don’t let your job control your life and I’m preaching to myself first
All nurses make some type of med error..misunderstood order, telephone order, mistyped, wrong patient, pharm confusion. It is the hardest and most important duty of nursing, especially in a rushed, tense atsmosphere.
Yes indeed! Thank you.
A med not ordered that is needed in longterm care at the time you start your shift on the cart borrowed is an error even if taken from another patient.
It's really sad that we carry snacks in our pockets so we can eat them while sitting on the toilet during our ONE bathroom break.
I'm new to your Channel.. Your stories had me on the edge of my seat.. You have a command presence and seem genuine.. My husband was in the Hospital, and the Fentanyl patch was prescribed. I didn't have any knowledge about it as this was a couple of years ago prior to the opioid crisis. Our daughter is a nurse who lives over seas and I was telling her the meds that her dad was on. she let me know that fentanyl was powerful and addictive and needed to be discarded properly.. This day the RN came in to change the patch and administer other meds. I was watching but not close enough because we were talking, after she finished she left , I was covering my husband with the sheet and noticed on the right side of his outer leg was a patch🙄I realized this was the old patch the deceitful nurse was suppose to discard...I was upset because she never mention that she had lost or misplaced it in the bed.. I went out to the Charge nurse and she was turning red as I told her, saying to me Mam please let me handle it..I told her fine but don't send her back in my husband's room.. The nurse never apologized or admitted she had made what could've been a fatal mistake.. I would have respected her and not been angry if she had said while smiling and talking to me that she had misplaced the patch, but she didn't.. I appreciate your honesty and willingness to admit you've made some errors...We all have, no one is perfect!!! New subbie!!!
Wow, I’m surprised she didn’t search high and low for that old patch. It’s a narcotic and it’s disposal should be witnessed by another nurse. I hope you husband is doing well. Thank you for watching ❤️
@@KendraRN Right , I thank God that my husband is fine, he had pancreatitis and had a portion of his pancreas removed, but not at that hospital.. He's good to go..Thank you for your response.. I applaud you for being one of the good nurses around!! It really is a noble profession!!
do you typically need insurance for such mistakes just in case it is very serious and need litigation?
You always need endemity insurance in the UK. It is part of our nursing code of conduct. I would say it is very similar in the USA
Blood can be administered by the dialysis nurse during dialysis.
Love my dialysis nurses for this and the hard blood draws.
Thank you for sharing! IMC is very very busy
IMC is insane!!!
Kendra , you are a good person 🥰
🤗🥰 You’re to kind to me!
It’s nuts though.
So many patients are sue happy.
Nurses don’t get qualified immunity like we used too. Like police officers.
They will put a nurse is jail for an med error now. It’s so scary.
Nursing is SCARY now.
Thank you so much for being vulnerable enough and honest with us to share this!! We need more mentors like yourself who are transparent 🩷🙌🏽
Thank you. We are not perfect.
Vanco is deadly. The calculation is so critical it can course red man syndrome, nephrotoxicity, hearing loss. The allergies is one of your first checks!
Sorry this happened to the patient so glad he didn't die. IV pumps lockout. At 840 you redeemed yourself. The truth will set you free. Pretend it's your family. Wow I work so hard to get RN. It's not a job for me it's a life.
There are 7 rights now, online. You are courageous keep on
I’m very courageous, it’s the reasons why I share my stories. I am also human and to err is human. No nurse is perfect, remember that.
I love your channel ❤️
Thank you so much!! I appreciate you watching
i bring sandwiches to work and granola bars incase i get hangry___LOL
You see, finding your own simple but lifesaving solutions such as carrying energy bars is "PERFECT" as we know we are very busy, distracted etc, etc, so it remains our responsibility to each find what works best for us to ALWAYS maintain our responsibility level. They do it in wars, and we can do it here by simply NOT allowing ourselves to get to a point of letting things slip by in terms of STRICT technic and Fail-safe technics of carefully dealing with Meds, blood etc. We know when something feels weird about the strict use of Technic; when we know that time when we feel like "taking the slightest shortcut and everything will still be OK"... WRONG,..it is not OK. We are NOT allowed to take chances or digress from technic, we just CANNOT! Self-discipline to the point of sounding crazy is the safe way to go when dealing with human lives put in pure confidence into our hands. I feel so sad that some Nurses feel they cannot reach that level, or worse, do not have to reach and maintain that level in the Profession. We know today we can use mnemonics in order to be fluent with words; we can find similar skills which work for us in order not to bring ourselves to the point of making those kinds of errors as mentioned here. And I insist on this not to condemn, but to teach that there are ways, self-taught technics to make ourselves confident in being a safe Nurse no matter what the circumstances. Some Schools do not emphasize this to their students, and this is so sad, both for the Nurses but also for the Population we feel such pride in serving well... and safely.
People need to stop bashing this woman we should instead thank her for admitting and telling us about her medication error. We are human, and all people can make mistakes.. however when mistakes like this happen its a big deal. My professor made a medication error and as a result the whole hospital protocal was changed and she was an amazing nurse/ professor.
I was at McDonalds yesterday with my daughter and instead of listening to me, my daughter didnt check the bag, and they ended up forgetting some of my food and I had to drive back to get it.
Mistakes are made: car accidents, drowning, etc.THIS IS A GOOD LESSON FOR EVERYONE OUT THERE ADMINSTERING MEDS TO YOUR FAMILY AND CHILDREN. Read the instructions carefully. check double check before you give meds, then check again.❤
Stay humble people!!
Thank you Daniella!!!! ❤️❤️❤️❤️
So I think I had red man syndrome, but I never knew what it was. I was in early labor with my son & given vancomycin (which I’d had before & wasn’t allergic to). After getting the vancomycin infusion, I had intense red itching start at my scalp & slowly move down my body to my chest. I was given Benadryl & the symptoms subsided… never knew what it was that happened. Did it happen because they gave it too fast?
You some times they give some nurses heavier patIents than others . I commend you for speaking up !
Getting redman's syndrome from vancomycin is not a contraindication for getting it in the future. Patients that have this reaction should have the rate slowed. The pharmacist should have adjusted the order to a slow the rate at which the medicatio was to be administered and communicated to the nurse that the rate was adjusted due to the history of redman's syndrome. The pharmacist also should have mentioned to the nurse that the patient should be monitored. If redman's syndrome start to occur, slow the rate and administer tylenol, solumedrol, and benadryl. If it persists or gets worse stop the vancomycin and consider alternative therapy like daptomycin or zyvox.
Another pharmacist said the same, thank you.
I wouldn’t post this case in public unless the case is closed. Board of nursing can easily use this against you to revoke your license. But if all med error protocol was done and no on going settlement pending, then It should be okay. I know you want people to see what could happen but not for the price of your career. Most nurses learn this through experience from trial and error. Best advise for new nurses is not take shortcuts, it’s better to be late than wrong. That’s why there is an 1 hour grace period for all meds to be given unless it’s a stat order.
I appreciate your concern but there was no “case”. Med errors happen all the time, some happen to be gross and negligent. Not sharing this stories in a transparent manner adds to the toxicity that plagues nursing.
Nurses are not perfect. Patients have better outcomes when nurses can disclose their errors and share oversights without the fear of being penalized. I reported my error, the doctor was made aware, no one died.
You will be surprised at the errors pharmacist make. However, to err is life.
I just made a medication error 😢.
Love love..from 🇰🇪
Hi Kendra, does committing a medication error there in the US immediately revoke one's license as a nurse? Or What are the direct circumstances that guarantee a direct imprisonment, lawsuit against a nurse who committed such errors? Thank you.,
Depends on the situation. It’s a lot of gray areas
It's six rights now. I remember it is "triple D PRT"...or DDDPRT..
the right:
Drug
Dose
Documentation
Patient
Route
Time
Documentation is where you check those allergies, the orders, and documenting properly that you gave it
It's up to 10 Rights now! Ridiculous!
im so scared to make this mistake
That’s when u stop the Line .. that’s why boldness courage and self confidence is so important and building each other up and unity is so important .. would I would love to hear how can we avoid these potential errors , stress anxiety , bullying what u share on channel . We should pray for problem
Solving witty ideas … I relate 💯 to every word but I myself have been starting to ask God what’s the solution and stop complaining
Most nurses can relate in a real way to the things you revealed here because, mistakes can happen. What I would pray for daily before starting a shift, was not to make life altering, harming decisions that cause harm or injury to my patients. Sometimes I was hardest on myself if I didn’t catch something that maybe the patient or family didn’t want medical to know but was revealed later during their care. There are times when you miss observable details and want to kick yourself about later, but over time I had to learn to trust my instincts more and look for what’s best, not just what’s comfortable for everyone. I do have a concern because I am retired and came through a different era than the one you’re currently experiencing, but with these videos, aren’t you concerned with HIPPA? I was nursing when HIPPA was developed and that was such a big deal, that we couldn’t discuss any aspect of nursing care in public, even without identifying or not it was a big huge no no. Have things changed that much? Just curious, and a little concerned. Please be careful.
"The Army Need to Know" Rule is always a safe start when questioning HIPPA.
Are you supposed to go back after hanging a antibiotic?
It’s likely red man syndrome, which isn’t a true allergic reaction.
But the confounder is that the patient may actually have a true allergy, so IgE serology may actually need to be checked.
Thank you. I was shook
@@KendraRN you are welcome
Sounds like the wife was right to feel her husband was being mismanaged. The attending was giving meds he was allergic to, I imagine that attending did other things to piss her off.
To ERR IS HUMAN. This was the title of a widely known, well written paper written by an Institute of Medicine doctor years ago that every healthcare professional must read. There are normal errors that we ALL make. To act like we are not humans capable of errors, IS DELUSIONAL THINKING.
This is why I’m scared of becoming a nurse because this is a lot to remember
Don’t let that scare you. If you want to be a nurse, go for it. I’m sharing these stories so that you won’t make the same errors.