Nursing Simulation Scenario: Medical Error

This video is one in a series of nursing simulation scenarios created to educate nursing students and refresh new practicing nurses about situations they could encounter in practice in a simulated context. Complete information about this scenario, from set-up to debriefing questions, can be found at www.montgomeryc...
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[@avonee1976]

The error is that she gave the patient his Coumadin without checking his INR, which was abnormally high, causing abnormal bleeding.

[@samanthajaynefrost7218]

She should not have taken the pills from the other nurse in the first place. We've been taught NEVER to take pills pulled by another nurse.

[@wonga169]

As a nurse we have to be nice to patients no matter how big of a.....the patient is, at the end of the day the patient has more rights than the nurse. I wish people could see what we go through in the wards. FROM SOUTH AFRICA

[@aaronjames3228]

What's wrong with south Africa?

[@ChrisRRT]

I am a RT and I take this to heart. Hipaa those calls in patients room is inappropriate and violates hipaa. Patient should NOT have received blood thinner with a laceration. Patient should not have became so unwell that fast.

[@g3tr00t3d]

there are worse patients like that (violent and psych patients). nurses have to deal with it because the patients will fill out a survey of how they were treated. this is now being used by insurance to determine payment.

[@ThomasStroble-MIInjuryLawyers]

Nurses will most likely have to put up with all sorts of behavior, but it is incumbent on them to be the professional throughout the situation.

[@jujutube1111]

Im just getting done my first semester. However the nurse gave the on coming nurse a couple pills that she took out, not Kelly the new nurse. They tell us thats a big no no. The patient smh. But that nurse and hospital is messing up, she should have checked her stuff, no wonder he's mad. HIPAA violations all over too.

[@reechard9412]

Watching this in 2x speed is nuts

[@MomOfMonkeys]

do this to simulate what floor nursing actually feels like

[@kojishibazaki279]

The error is the bad acting the patient is doing, it's so cringe!

[@donmattaarci8766]

I need more anger management cause i could not deal with that attitude

[@shivanikamboh]

This video is about medication errors, five rights and checking the labs before you give the medication. INR level should be checked before giving coumadin.

[@eunapatriciaaguilar4320]

Can I ask what are the patient's right in the video?

[@babierajoanglezellem.7438]

@@eunapatriciaaguilar4320 hello euns AHAHHAHAHHAH

[@sanchezkayecyrilt.5256]

@@babierajoanglezellem.7438 Hello jo HAHAHAHHA

[@yshi23_8]

@@eunapatriciaaguilar4320 hmmm

[@trexiecatagcatag8732]

UCB Represents. Hi schoolmates

[@smiff9577]

This video is very cringe

[@marycolas]

You are all focusing on the wrong thing. This is not about the patient's behavior or your response to his behavior. It is about not focusing on what you are doing- giving medications. I don't approve of the communication device- if it were a spectralink she could ignore it ringing. Nursing is something you do because you want to give back- not to make money or have a good job with a 2 yr degree.

[@nickiminajisthequeenofrap7077]

Nursing is literally a job, so yes you’re doing it to make money. You’re here to do a job and not mess up. I’m willing to bet you’re not going to show up to work if they paid 9.25 an hour, give back my ass. It’s this type of thinking that gets nurses underpaid and leaving.

[@mphikelelimalibiji6414]

"Giving back" wont take my kids to school, put food on the table and pay for my house. It is a job, I would've put that in his place while I have a big smile on my face.

[@honeysmusic6650]

First issue, meds given by other nurse she hasn't personally done medication Checks so should not be administering them herself. Not engaging professionally with the patient speaking dismissively. Second nurse not introduced herself just keeps saying I'm here. Pt appears confused and disorientated not alert and responsive.

[@grantalfaro-gmanstar7471]

INR was not high, it was slightly elevated, just outside normal parameters by 1.3, that would not cause a bleed, let alone cause a hemorrhage. However, the nurse should have checked PRIOR to administering warfarin

[@Drmdunn]

Grant Alfaro - GmanStar It was actually 4.3 which would indeed cause a hemorrhage.

[@muhilmeham1682]

4.3 not 1.3.

[@melemanu4693]

Does anyone know what the overall story of this episode?

[@zisisstip49]

Are nurses tought the right ways to reduce HAI?
Is it a reason for hospital suing?
CDC admits they don't know the role of fecal dust in environment contamination in hospitals, from poop residue, following wiping. This means it could play. Hospitals don't apply any measure to prevent that residue coming out from toilet and going into the ward. A patient who catches up a HAI, could sue the hospital for neglect?

[@MrsDogLover]

Yes, nurses are taught about HAI/nosiocomial infections throughout nursing school and how to prevent them.

[@zisisstip49]

@@MrsDogLover Ok, they are taught. Then what do they know about FECAL DUST, the microbe carrier in hospitals, when even the CDC admitts they HAD NOT THOUCHT ABOUT IT up to now? And how it could be eliminated?

[@bellasadventure.s]

Well. This didn’t age well.

[@dawnbeatrice2996]

FiRCHERYLB