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Medication Safety Guidelines And Information

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Medication Safety Guidelines and Information
Megan Clark
Baker University School of Nursing
NU322: Foundations of Nursing
November 11, 2015

Medication Safety Guidelines and Information In 1966, a Spanish couple welcomed a new baby to the world in a Denver hospital. Because the couple only spoke Spanish, communication between the couple and the healthcare staff was impaired. The mother had a history of syphilis, and it was difficult for the hospital to understand how the mother had been treated for this disease. After discussion between employees, a decision was made to treat their newborn for congenital syphilis and an order was written for Benzathine penicillin G 150,000U IM. The hospital pharmacist read the order incorrectly, mistaking the “U” for a zero making the order 1,500,000 units. The nurse caring for the baby expressed concern about injecting a high amount intramuscularly as the label on the bag instructed. Further discussion took place between staff, and a decision was made to administer the medication intravenously (IV) instead. The IV administration resulted in the death of the infant died. An autopsy later revealed that the baby did not have congenital syphilis, and therefore no treatment was truly needed (Aspden, 2007, p.43-44). Medication errors can be deadly as the previous example shows. A medication error is defined as, “any preventable event that may cause or lead to inappropriate medication use or patient harm while

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