Wednesday, November 9, 2016

My ISTAN


I checked Blood Glucose 4 or 5 times.  Attempted to give 7 units of Novolog but instead pulled the medication up into a tuberculin syringe which at 0.7mls wound have been 77 units of insulin and I gave it the patient without their arm band being on their wrist and no breakfast tray available and Novolog is a rapid acting insulin, needless to say this was the beginning of a bad, bad day!!!!

I spent more time on the phone trying to obtain an armband with a correct date of birth and with the doctors office, and with Rose the patient's wife then I was comfortable with.  It is abundantly clear I need to work on people skills.

I did auscultate lung sounds, and I did do chest compressions, however they were not done correctly because we didn't put a backboard under STAN. 

My team went in with somewhat of a gameplan, but said gameplan quickly went to the pot.  I realize staying calm is something I really need to grasp. 

I know we are supposed to treat STAN as if he were real.  I'm so glad he is not.  I'm positive  of the mistakes I made during this simulation will not happen again.  It really hits close to home when you see the consequences of your actions/mistakes, especially medication errors.

It was a failed day, but I learned some valuable lessons.





3 comments:

  1. Kellie- Let me know if the email option worked- before you post your EBA let's add Ms. P to the individual post so if there is something in the settings she will be able to see it or get an email notification. Happy to help. Enjoy your morning!!

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