how bad ia it if you accidentally prescribed a drug for the wrong time

[sprawl2]

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Does it happen?
Would your senior and attendings think badly of you for 1 mistake

Overnight I was supposed to give a drug for evening but gave in the morning
I feel terrible nothing happened to the patient though sigh

 

[peppy]

Making mistakes is a normal part of being a new intern. Obviously you want to do your best to avoid making mistakes, but if nothing bad happened to the patient and you learned from it, I wouldn't dwell on it too much.

 

[outsider]

Does it happen?
Would your senior and attendings think badly of you for 1 mistake

Overnight I was supposed to give a drug for evening but gave in the morning
I feel terrible nothing happened to the patient though sigh

What did you want to happen to the patient?


It's like Obama;s-"You didn't build that" moment

 

[DocDanny]

I think they forgot to include a period in there.

 

[michaelrack]

Does it happen?
Would your senior and attendings think badly of you for 1 mistake

Overnight I was supposed to give a drug for evening but gave in the morning
I feel terrible nothing happened to the patient though sigh

It depends on what the drug was

 

[sprawl2]

It depends on what the drug was

sleep meds

 

[Bartelby]

sleep meds

I would say no worries at all. The patient may have had an uncomfortable night, but then again if they were complaining the nurse probably would have paged the nighttime doc and had them switch the sleep med to HS, the nurses know what they are doing. Importantly writing the sleep med for the wrong time will *not* seriously injure the patient.

Learn from it and do it right the next time, but don't beat yourself up. Most of us will probably do things waaay more harmful than this before we finish with residency. I don't think anyone will think badly of you for a mistake like that.

 

[Winged Scapula]

sleep meds

So you were asked to write for an sleep aid at night but forgot?

Who cares; I highly doubt the patient suffered from that (because I highly doubt that if the patient couldn't sleep that the nurses actually didn't page you about it).

Secondly, why would you give the sleep aid in the am (or did you mean that you wrote for it in the am to be given qhs)?

 

[dpmd]

So you were asked to write for an sleep aid at night but forgot?

Who cares; I highly doubt the patient suffered from that (because I highly doubt that if the patient couldn't sleep that the nurses actually didn't page you about it).

Secondly, why would you give the sleep aid in the am (or did you mean that you wrote for it in the am to be given qhs)?

Could have been an EMR where you pick the time and it wasn't military time (could end up with 9 am instead of 9 pm). Or just wrote for it daily and thought the pharmacy would time it appropriately (didn't realize daily=a certain time in the morning in most places)

 

[45408]

how bad is it? depends entirely on the drug and how they respond to it.

Giving their warfarin the night before their operation? Bad. Not giving their beta-blocker and they go into RVR? Bad...

 

[Daiphon]

No harm, no foul; IMHO.

No difference betwixt this situation & a patient forgetting to take a dose...

You'd've heard about it from the nurses if it was a problem; and, as the patient wasn't jamming on the call button (else you'd be paged by the nursing staff ad nauseum), I'm guessing they slept fine sans their preferred Z-drug.

Live & learn, and move on.

Cheers!
-d

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