-Patient complains that the blood product was not consumed well.
What went wrong?
– ( To be honest now that they are bringing it up I’m not so sure of myself anymore… I feel like I’m beginning to believed there side ) –
What went right?
– It was a Night Shift and I remembered receiving the PRBC from the previous shift as a NH.
I was about to reinsert the BT site since the BT line was not infusing well but I was told by our charge nurse to get a Blood Pump instead. I went to two wards to look for it and when I finally have it I place it on the PRBC.
I remember not removing it from the blood pump when I was removing the BT line and replacing his iv line for heplock but deflated it instead.
I am certain that it was consumed.
Because I know that BT is good for 6 hours at maximum.
– The watchers of the patient was their to testify that I was constantly checking the patient and the BT line.
-If ever there are some residues it’s probably those that are sticking on the BT plastic IVF.
I was certain it was consumed because I can remember thinking to myself that this should be transfused well to the patient because of his low hgb level and finding a donor can be difficult.
– And on the first place the IV stand was on his head part it was quite tall so it would be difficult for him to really have a clear view of it… And his watchers were there, they knew I was constantly in checked… And if it weren’t really consumed they should be the first one to respond or react since I even asked for their assistance and they had a clearer view (for the older watcher rather)
– I went to check the patient the moment I was told about it… I could not be at ease knowing that that’s what he thought and discuss it with the patient and the two significant others. And I was there for a long time. I only hope he was convinced because I was certain and the two watchers were there to testify that it was not a failed act.
What would you do if it happened again?
- Assess the situation well before any intervention
In this case prior to terminating the line I must assess it well.
“Nursing is hard for a novice and traumatic nurse like me”
Every duty please don’t think everything is a routine that you just act automatically.
Please be mindful of your task.
Especially with medications.
Do not be in a hurry.
√ Right Route (site, iv infusion set)
Manage Time Effectively
Most especially at times of sudden problems.
And most importantly…
Always do what is right.
And to do that….
ACT LIKE A NURSE.
Practice your licensed in a well-mannered and effective way.
My perceived weakness:
- Unintentional Error – happens when I am not focus and mindful with my task but on other things (such as my anxiety and fear of committing a mistake)