8. CPR Update
Not getting my CPR update before immunizing customers. Gave my employer an easy way to terminate me for cause. I felt pressured to immunize as many people as possible due to a barrage of emails encouraging me to vaccinate as many people as time would allow.
9. Bottle Mix-up
I gave a patient the wrong pill bottle. The medication and strength and dosing was all correct but it was for a different patient. Thank goodness that is all it was. It sure made me realize that I really need to slow down especially when it is busy and I feel extra pressured to provide speedy service.
10. Listening to the Wrong Person
10. When I worked in a surgery pharmacy, I let the anesthesiologist convince me not to question a patient's allergy to Demerol, and dispense fentanyl. According to him, he NEVER had a patient be cross-sensitive.
The patient made it through surgery, but on the way to recovery broke out in hives, starting on the patient's back, where the initial injection of fentanyl was given. Patient recovered after being given Benadryl.
Since then, I question EVERY allergy "itching with hives" when dispensing any med in a similar or possible cross-reactive category. And, I informed that anesthesiologist the next time he tried to brush off the "hives" reaction to Demerol that we'd had a case of cross-reaction, and that I needed to confirm that he was aware of the allergy, or if the patient had been given fentanyl previously.
My most important lesson was to NOT be bullied by any physician when any important "flag" occurs while verifying orders. When I call, I find it easiest to explain that I am calling because I always check hive reactions, and most of the physicians I speak with are more receptive to being "questioned" about possibly overlooking the computer "flag."