Monthly Archives: March 2010

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Medication Errors: Don’t Let Them Happen to You

American Nurse Today

Author: Pamela Anderson, MS, RN, APN-BC, CCRN
Terri Townsend, MA, RN, CCRN, BC, CVN-II

A critical care nurse tries to catch up with her morning medications after her patient’s condition changes and he requires several procedures. He is intubated, so she decides to crush the pills and instill them into his nasogastric (NG) tube. In her haste to give the already-late medications, she fails to notice the “Do not crush” warning on the electronic medication administration record. She crushes an extended-release calcium channel blocker and administers it through the NG tube. An hour later, the patient’s heart rate slows to asystole, and he dies…

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