Tell me about a time you identified a transcription error in a patient chart that prevented a potential medication misadventure.
- Situation
- A patient was admitted with an order for an insulin dosage that seemed unusually high for their current weight and glucose trends.
- Task
- I needed to verify the accuracy of the order before the medication was released from the Pyxis machine to the nursing unit.
- Action
- I checked the electronic health record and compared the patient's most recent lab results with the medication history. I contacted the prescribing physician to confirm if the dose was intentional.
- Result
- The physician corrected the decimal point error, preventing a severe hypoglycemic event for the patient and saving an estimated 4 hours of emergency intervention time.