Sunday, July 16th, 2017

Can We Rely On Computerized Med Scanning System ?

March 5, 2014 by  
Filed under Certified Nursing Assistant

Everyone makes mistakes, absolutely everyone. There is no such thing as a perfect person, and since all nursing students, CNAs, LPNSs, RNs, and providers are human, there are no perfect nursing students, CNAs, nurses or providers. Nursing school doesn’t really teach you to be a nurse; it just gives you a glimpse into the world of nursing. The NCLEX merely gives you a license to learn. If you’re smart, you will learn something new every day of your career, and if you’re very very smart, you’ll learn how to handle those moments when you’ve been very, very stupid.

“Fortunately the computerized med scanning system is preventing many possible med errors as long as it is used! ”

But complete and total reliance on technology isn’t good either. I have had patients scheduled to receive antibiotics one hour prior to surgery. However, the computer system assigns random times for those antibiotics based on when the order was placed. I’ve had patients get the preop dose the night before surgery and an intraop redose six hours before the scheduled surgery. These nurses trusted what the computer told them was due, but didn’t read the specifics of the orders that clearly stated “to be given within one hour prior to surgery” or “intraop redose following cardiopulmonary bypass”. Technology is taking away people’s ability to think for themselves. Yes, it’s a great tool, but it needs to be used with caution.

I will never forget when, as a new ED nurse, I pushed 100 mcgs of fentanyl instead of the ordered 50 mcgs (our vials have 100 mcgs). As I sit here typing this out on my iPad, I remember the sick feeling in my stomach. I couldn’t get out of the room fast enough and I rushed to a trusted, more experienced nurse, “oh my God, I gave twice the dose”. The doctor was sitting right there and I said, “I am so sorry, I gave twice the dose.” I was previously a NICU nurse and I was not as familiar with adult doses of pain medication. Sitting here now, I know I shouldn’t laugh at my med error but the guy was like 350 pounds, took regular narcotic pain meds, and the 100 mcgs didn’t even touch him.

It it taught me a new habit though, one that I have to this day. Any med that is a “partial package” I set aside and scan, draw it up and give it separately.

source: allnurse