When a nurse realizes that a medication error has occurred, the nurse should take which of the following steps? (Select all that apply.)
a. Immediately check the patient and determine if the error poses a risk to the patient's condition. If so, notify the physician immediately.
b. Try to find someone to blame for the error.
c. Notify the nursing supervisor.
d. Analyze how and why the error occurred, and how it might be avoided in the future.
e. Record in the patient's chart exactly what happened and fill out any other required (incident/medication error) reports.
ANS: A, C, D, E
Research must be done to determine whether the mistake was a "system error," a unique mistake, or a deliberate wrongdoing. The goal is to avoid similar future occurrences.
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