Executive Committee Presentation

PATTON – FULLER COMMUNITY HOSPITAL

Incident Report Form

Patient Name: Janessa Eskra

Employee Name: Delma Flora, R.N.

Date: 04/10/10

Time: 07:15

Incident Description: Medication prescription was written as 5U. Nurse read the handwritten prescription as 50 and gave dose that was 10 times what was ordered.

Patient Response: The patient was lethargic for 4 hours, then the effects wore off and patient resumed normal mental status.

Clinical Response:

Nurse Flora notified the doctor and a drug to counter the overdose was ordered. It was administered as soon as available.