A nurse has administered the wrong medication to a patient. In investigating the root cause of the error, it is discovered that the nurse was unfamiliar with the medication and that the Pyxis was incorrectly loaded with the wrong medication

What should be the outcome of this process?
a. The nurse should be educated on this medication.
b. Pharmacy should develop a second check of medications prior to loading in the Pyxis.
c. The nurse will not be allowed to pass medications without supervision until deemed safe.
d. An incident report will be completed.


ANS: B
Pharmacy should establish a way to double check medications prior to loading, much like nurses triple check their medications before they are given. The other options would not accomplish the goal of prevention of future incidents.

Nursing

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