MEDICATION ERRORS: “Pro” moting safety

July 2004 
Volume 34  Number 7
Pages 12 - 12
  PDF Version Available!

© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(7)             July 2004             p 12 “Pro” moting safety [MEDICATION ERRORS: NAME CONFUSION]


A prescriber ordered the proton pump inhibitor Protonix (pantoprazole), 40 mg I.V. daily, for a patient with gastrointestinal (GI) bleeding. The order was poorly written, and the unit secretary entered it in the computer as protamine (a heparin antagonist), 40 mg I.V. daily. A pharmacist discovered the error.

In another case, a nurse transcribed a verbal order for protamine, 40 mg I.V. push, but a pharmacist misinterpreted the handwritten entry as Protonix, 40 mg I.V. push. When the pharmacist called to tell the nurse he'd be sending a piggyback infusion (Protonix shouldn't be administered by I.V. push), the nurse clarified the order.

Mix-ups between Protonix and protamine not only ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!

1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.

Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.

jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles

What internal motivators drive RNs to pursue a BSN?
Nursing2014 , October 2014
Free access will expire on November 24, 2014.

Breast Cancer Risk Assessment in Primary Care
MCN, The American Journal of Maternal/Child Nursing, September/October 2014
Free access will expire on November 10, 2014.

Nurses spurring innovation
Nursing Management, October 2014
Free access will expire on November 10, 2014.

More Recommended Articles

Subscribe to Recommended Articles

Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events