Temptations after a medication error.

摘要

As the evening nursing supervisor at a large extended care facility, my responsibilities included dispensing medications from the pharmacy after hours because we did not have nighttime pharmacists. On this particular day, close to my last day at that job, Mr.W was admitted late in the afternoon. After completing his assessment, the hospice nurse gave me report. I thought I heard him say "He still needs Haldol, 5 mg, IM." I collected the ampule and read the label: Haldol, 1 ml = 5 mg. I also checked a pharmacology reference to confirm that this dose was within range of the usual adult intramuscular dosing.