Originally Posted by
1mg.epi
I almost had a med error of all errors. < 2 wks out of nursing school. I was a know it all new grad with a bad attitude. (smart ass).
I started a hep lock and drew up some ns from a bottle in the I.V. tray. I started to attach the syringe to the hep lock. Just happened I noticed off to the side the bottle I drew up the NS. It was not NS But KCL. Back then the bottles looked alike and we kept stock bottles of KCL in the ER. I dropped the syringe and almost vomited. I was shaking and told the patient, "oops, got to get another syringe." I have not had a med error since then, that I know of.