Oh yes Karalea , I've made almost the same error you described!
Sure some med errors happen because of STUPID mistakes, but most are a result of many factors or little errors....a breakdown of the SYSTEM.
Because the nurse is the last person between the med and the patient, the error becomes yours!
BUT- there are so many factors tht lead up to an error.....
nurse overloaded, on strange units, new patients, new meds, new routines, too-long shifts, med sheets or med orders unclearly written, look alike-sound alike meds or look alike- sound alike patient names not flagged with warnings....
I worry that folks who say they have never made a med error in their entire career may actually have just not realized they made an error.
You did the right thing- report it right away so corrective action (for the patient) can be taken right away. Hopefully each med error helps identify changes that need to be made in the med delivery system to mad it safer!!!
Mostly, give nurses enough time to THINK!!!
, enough time to follow all the steps necessary to safely pass meds.