I will also re-check the dose of the insulin twice, before administering it to the patient. In future I will always check and will read the medication chart properly. Therefore, by sticking to policies and procedures of the healthcare setting can also help in reducing such medication errors.Īction Plan: My future action plan for any such event will be remember the competency standard that are required for the nurse to fulfill. The policies and procedures of the healthcare institutions require nurses to read medication order and to cross check the dose of medication. Nurses should also double check the dose given to patients before administering them. This is the reason of medication error in this incident.Ĭonclusion: Some of the possible actions that can be taken for avoiding such incidents are properly reading the medication charts or medication orders. The evidences have shown that “the most common cause relating to communication involves misreading or not reading medication orders” (Manias et al, 2014, p.
Therefore, it can be said that such issues are happening because of the communication errors. The study of Lan et al (2014) that overdose medication errors take place frequently in case of pediatric patients, because of knowledge deficiency, distraction and not checking the dose properly. This incident occurred because we did not go through the medication chart of the patient appropriately before administering the insulin.
For displaying the appropriate level of professionalism and to ensure the well-being of the patients, the correct dose of medication should be administered. It is important to follow the correct procedure while performing a duty. Overdosing the patient and doing a medication error was very bad experience.Īnalysis: On the analysis of the event, it was proved that accuracy is paramount at the time of administering insulin. According to Wright (2013), reading the medication chart inappropriately and overdose of the medication can significantly increase the chances of morbidity and mortality in patients. Something that was very bad about this experience was that I and registered nurse did not observed the medication chart in proper manner. Also, when the patient’s blood glucose level deteriorated, I informed the registered nurse immediately. Therefore, I felt such insulin related medication errors could be life threatening for the patients.Įvaluation: After evaluating the incident, I can say that something that went well was that the medication was administered in the presence of the registered nurse. Evidences have shown that most serious consequence of insulin related medication error is ‘overdosing’ (Cobaugh et al, 2013). Studies have shown that insulin is very vital for the patients suffering with type 1 diabetes (Prescrire, 2014) therefore, it should be administered with care. This incident made me realize the importance of going through the medication chart before administering medication. I felt disturbed and depressed about the medication error that took place. Registered nurse was immediately informed and when we both checked the medication chart again, it was found that patient has been administered 24 units of insulin instead of 2.4 units.įeelings: This incident was very disturbing for me. However, on the return to the ward it was found that patient’s blood glucose level has dramatically dropped from 14mmol/l to 3.5mmol/l. The dose of 24 units was checked by me and registered nurse prior of administration of insulin. I administered the insulin in the presence of the registered nurse. Under the supervision of the registered nurse /I was asked to draw the insulin (24 units). The patient suffers from type 1 diabetes and his insulin was due at 10 am. Gibb’s Reflective Cycleĭescription: The incident took place in the pediatric ward. For this reflection the Gibb’s reflective cycle will be used for the detailed analysis of the incident. Reflect on a strong positive mentoring relationship that you've experienced - what were key elements that you enjoyed? Contrast this with negative mentoring that you experienced or observed.This paper will discuss the personal reflection on the medication error.Reflect on past research environments that you've experienced - what did you like about them? What did you dislike?.Is my personality suited for working in a highly competitive field?.Would I prefer a large or small research group?.Do I prefer to work independently or with a lot of guidance?.In what areas do I require further development?.
Personal reflection professional#
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