You are doing a medication round with a registered nurse you have been assigned to on the pediatric ward. Your patient is a type 1 diabetic and is due for insulin at 10am.
You are doing a medication round with a registered nurse you have been assigned to on the pediatric ward. Your patient is a type 1 diabetic and is due for insulin at 10am. The registered nurse requests that you draw up the insulin (24 units) and that you administer the insulin while the registered nurse watches you. You both check the insulin and the dose of 24 units prior to administering.
You return and take a blood sugar level and notice that the blood sugar level has dropped dramatically from 14 mmol/l to 3.5mmol/l You notify the registered nurse and you both recheck the medication chart and find that your patient has been administered 24 units of insulin instead of 2.4 units.
How did this make you feel?
What happened and why did this incident occur?
What steps could of prevented this?
What have you learnt from this scenario?