AVOIDING MEDICATION ERRORS
Scenario: In the above image, a patient was brought into the
Emergency room with complaints of chest pain and a drop in
blood pressure. The doctor ordered Morphine for the pain and
Dopamine for the hypotension. Both medications were given
Emergency room with complaints of chest pain and a drop in
blood pressure. The doctor ordered Morphine for the pain and
Dopamine for the hypotension. Both medications were given
as ordered. The nurse in the green top (left) gave the Morphine
and started the Dopamine infusion.
and started the Dopamine infusion.
Next : What went wrong? The nurse forgot to put a label on the
IV bag and did not document what time both medications were
IV bag and did not document what time both medications were
given. It is very important for the nurse to pay close attention to
the time that medications are given.
the time that medications are given.
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