Mr. J has pain described as 5 on a scale of 0 to 10. The healthcare provider has ordered morphine for pain management. The new graduate nurse is working with the assigned senior staff nurse to provide care for the patient. During medication administration the nurse reviews the medication administration record (MAR) and obtains the necessary vial of morphine. The staff nurse hands the vial to the new nurse and states, “This is to be given IV.” The medication is administered without incident. As the new nurse provides report to the oncoming staff nurse, they review the MAR for medications needed that shift. The oncoming nurse asks, “Why did you give the morphine IV, it is ordered IM?” The nurse recognizes a medication error occurred.

1.
What is the new graduate nurse and staff nurse’s immediate next steps to address the problem?
2.
Identify the relationships that impact the medication administration process in this case study.
3.
Identify systems factors that could have impacted the medication administration process.
4.
Reflect on some beliefs, values, or assumptions within the new graduate nurse/senior nurse relationship that may have impacted the medication administration process.