MEDICATION ERROR -

'PATIENT B' WAS BEING TREATED FOR A UTI- KEFLEX 250MG, P.O.,QUID X 7
DAYS,

'PATIENT B' WAS SCHEDULED TO GIVEN THE ANTIBIOTIC AT 6 A.M

ERROR- 'PATIENT A' WAS GIVEN KEFLEX 250MG, po at 6 A.M. ONLY

AFTER TAKING THE MEDICATION DID PATIENT A ASK WHY SHE WAS
TAKING THIS PILL, AS SHE HAD NEVER TAKEN IT BEFORE. IT WAS AT
THIS MOMENT, THE NURSE REALISED SHE HAD GIVEN THE
MEDICATION TO THE WRONG PATIENT.

PATIENT A' WAS INFORMED THEY HAD BEEN GIVEN A MEDICATION IN ERROR
AND MONITORED FOR ANY ADVERSE REACTIONS.

THE NURSE NOTIFIED THE PHYSICIAN AND COMPLETED AN INCIDENT

REPORT- MEDICATION ERROR

HOW DID THIS ERROR OCCUR?

THE NURSE DID NOT THE FOLLOW THE "8 RULES OF VERIFICATION" WHEN
PREPARING AND ADMINISTERING THE MEDICATION

-the right client--------NO

-the right medication

-the right dose

-the right reason

-the right frequency

-the right route

-the right site

-the right time

-the right client---NO

THE FIRST AND LAST VERIFICATION IS TO CHECK YOU ARE GIVING THE MED.
TO THE RIGHT PERSON. IT SEEMS SO EASY, HOW COULD YOU NOT GIVE
MEDICATION TO THE RIGHT PERSON, BUT THIS ERROR TYPE , IS VERY
COMMON.

THE NURSE SHOULD HAVE ASK THE PATIENT WHAT IS YOUR NAME
AND CHECK THE PATIENTS NAME BAND WITH THE CHART.

WHY?

-THE NURSE WAS DISTRACTED

-THE NURSE WAS TIRED , THE END OF SHIFT

-THE ENVIROMENT- MAYBE SHE DID NOT TURN ON THE LIGHT

-COMMUNICATION- SHE DID NOT TALK TO THE PATIENT OR WAKE THE

PATIENT SUFFIECIENTLY

-MINDSET -"a habitual mental attitude that determines how you will interpret
and respond to situations" - if you follow the" 8 rules of verification", each
time you give a med, proper varification will became a habit and your
chances of error will decrease , even under stress.