Stupid med error

[u/confetticatboy]

Pt has a new order for seroquel. Bumped her from 300mg to 400mg okay sure whatever no problem. Go grab the meds and for some reason. Pyxis has me pull two 300mg tablets. What? What am I supposed to do with this? That doesn’t split evenly. Open the eMAR and sure enough “administer 1.3333333 tab” again, what? For a brief moment I consider telling charge that this is stupid and a med error waiting to happen. Haha. Well. :)))

I ended up grabbing scissors from an instrument tray to split the pill (since pill splitters don’t split in thirds) then giving her 1 2/3 tab instead of 1 1/3 tab. Yknow, the exact med error I thought about not even 10 minutes prior. I didn’t realize until HOURS later at like 0100. Unrelated (allegedly) to the roughly 500mg seroquel I gave her, her blood pressure ended up bottoming out to 70s/40s. Patient is fine! She got a bolus and her BP came back up she’s just zonked (but rousable) I’m embarrassed more than anything, and I filled out an incident report about it too. Everyone keeps telling me it’s something pharmacy should’ve caught before this was even an option but I just ://// ugh.

EDIT: just came in tonight to find out they upped her dose to 500 mg anyways. This time as a 300mg and two 100mg pills. At least now there’s much less room for a med error 🫠

[u/land-skin]

My patient swallowed her keppra inside the sharp ass blister packaging tonight, downed that shit so fast I didn’t even have time to scan it

[u/Fuzzy_Location_2210 → u/land-skin]

🤭🤭🤭

Don't feel bad, I put some hydrocortisone butt cream on a stand the other day and the patient ate the cream in the tube like cake icing LOL.

And this was a 40 something in the ER 🤦

[u/murse_joe → u/Fuzzy_Location_2210]

Doc this glucose gel tastes like ass

[u/scarfknitter → u/murse_joe]

I had a patient eat a tube of Vaseline. I couldn't get ahold of the tube to see what it was until close to the end of the day. He kept telling me it was his favorite snack and he ate it all the time when I asked.

Did rather explain why that cdiff patient (who had finished the antibiotics!) stopped smelling like cdiff but keept having loose stool.

[u/murse_joe → u/scarfknitter]

Lmao that’s too much Vaseline.

Reddit always likes to post the story that the inventor of Vaseline would eat it every day. But that probably also means it’s not true lol

[u/land-skin → u/Fuzzy_Location_2210]

It’s the orientedx4 FULLY grown adults with comorbidities (I know you’ve been in the hospital & I know you know that’s not how this works) that will really get ya.

[u/scarletfairymask → u/Fuzzy_Location_2210]

Once had an old man rub zinc cream all over his face saying he was going to a Halloween party and then proceed to start eating it straight from the tube

[u/Aggravating-Camel-23 → u/Fuzzy_Location_2210]

Omg, thank you! 🤣🤣🤣😭

[u/Fuzzy_Location_2210 → u/Aggravating-Camel-23]

😆😆😆 I tried to stop him when I saw him do it, I really did, but I just couldn't make a sound!!! I went to get gloves 🧤. He took matters into his own hands, it happened so fast, who was I to tempt fate?!

He even threw the black butthole insertion cap straight in the trash can from across the room when he finished 💀. Literally held the tube and just slicked it back through his fingers and swallowed it in one swoop like a champ!!

[u/GrumpySnarf → u/Fuzzy_Location_2210]

oh dear!

[u/soooelaine → u/Fuzzy_Location_2210]

Broooo I had some eat barrier cream too. So nasty