Underdose

I wasn't able to post a blog for weeks and I am guilty that. I was very busy these past few weeks and I always sleep early too. But this time I need to blog, because I know I can't sleep if I can't unload the burden.

Yesterday, we were under staff because one colleague was absent and another one was doing another job, everything was under control until an incident occurred. I was the pharmacist-on-duty and I scanned the doctors' orders and generate cost center slips. I was the one who processed the medication of one patient who happened to be the father of a nurse. By that time, everyone were so busy and every one where doing the usual stuffs. I didn't know who prepared the medication and who gave it to the nurse, I don't remember if I was the one or not. I only remember that I was the one who printed the medication charges.

The nurse, came by the pharmacy to report what happened just this evening. she told us that we gave the station the wrong dosage strength of Augmentin. The medication should be Augmentin 625mg but then her father was given Augmentin 375mg. Her father had it for 4 doses, I don't know what to do because if you look at it, we were at fault, because we should be the last one who will check the medication, and I am just wondering why, they never call our attention when they received the medicine. Because there's a big difference in size between the tablets and appearance. Even if it is your first time and you didn't see a label of the dosage, you should ask your pharmacist or your senior staff if the one given to you were correct.

I am just worried. Because I will never want it to happen with a member of my family, I understand her concern. I am afraid.