Nursing Simulation Scenario: Medical Error

Terms & Conditions:

[avonee]

The error is that she gave the patient his Coumadin without checking his INR, which was abnormally high, causing abnormal bleeding.

[wonga]

As a nurse we have to be nice to patients no matter how big of patient is, at the end of the day the patient has more rights than the nurse. I wish people could see what we go through in the wards. FROM SOUTH AFRICA

[gtrtd]

there are worse patients like that (violent and psych patients). nurses have to deal with it because the patients will fill out a survey of how they were treated. this is now being used by insurance to determine payment.

[ChrisRRT]

I am a RT and I take this to heart. Hipaa those calls in patients room is inappropriate and violates hipaa. Patient should NOT have received blood thinner with a laceration. Patient should not have became so unwell that fast.

[ThomasStroble-MIInjuryLawyers]

Nurses will most likely have to put up with all sorts of behavior, but it is incumbent on them to be the professional throughout the situation.

[jujutube]

Im just getting done my first semester. However the nurse gave the on coming nurse a couple pills that she took out, not Kelly the new nurse. They tell us thats a big no no. The patient smh. But that nurse and hospital is messing up, she should have checked her stuff, no wonder he's mad. HIPAA violations all over too.

[kojishibazaki]

The error is the bad acting the patient is doing, it's so cringe!

[donmattaarci]

I need more anger management cause i could not deal with that attitude

[shivanikamboh]

This video is about medication errors, five rights and checking the labs before you give the medication. INR level should be checked before giving coumadin.

[honeysmusic]

First issue, meds given by other nurse she hasn't personally done medication Checks so should not be administering them herself. Not engaging professionally with the patient speaking dismissively. Second nurse not introduced herself just keeps saying I'm here. Pt appears confused and disorientated not alert and responsive.

[grantalfaro-gmanstar]

INR was not high, it was slightly elevated, just outside normal parameters by 1.3, that would not cause a bleed, let alone cause a hemorrhage. However, the nurse should have checked PRIOR to administering warfarin

[melemanu]

Does anyone know what the overall story of this episode?

[marycolas]

You are all focusing on the wrong thing. This is not about the patient's behavior or your response to his behavior. It is about not focusing on what you are doing- giving medications. I don't approve of the communication device- if it were a spectralink she could ignore it ringing. Nursing is something you do because you want to give back- not to make money or have a good job with a 2 yr degree.

[zisisstip]

Are nurses tought the right ways to reduce HAI?
Is it a reason for hospital suing?
CDC admits they don't know the role of fecal dust in environment contamination in hospitals, from poop residue, following wiping. This means it could play. Hospitals don't apply any measure to prevent that residue coming out from toilet and going into the ward. A patient who catches up a HAI, could sue the hospital for neglect?