November 2013

In this month’s issue:

  • Shakespeare was on target-don’t be a borrower or lender Borrowing medications from one resident to administer to another increases the risk of an error, and has legal ramifications for both the nurse and the facility. See ways that a LTC facility can reduce the practice of borrowing.
  • SafetyWires: Discusses that Fleet Enema Saline is not just saline and how to administer properly to prevent putting the resident at risk of severe complications. A second Safety Wire discusses how to handle changes in dose or frequency for the resident’s medication to prevent a medication error.
  • All is not as it seems…Shows two examples of handwritten orders that can lead to medication dosing errors, and what can be done to prevent the misinterpretation of similar orders 

Report medication errors to ISMP. Share your medication safety stories and error reports in confidence by calling ISMP 1-800-FAILSAF(E), via our website (, or by email ( Reporter identity and location remain strictly confidential and are never published. Anonymous reports are also accepted. 

Main Page
Premiere Issue
Past Issues
Nursing CEs
Newsletter Editions
Acute Care
Long Term Care
Home | Contact UsEmployment  |   Legal Notices | Privacy Policy | Help Support ISMP
 Med-ERRS | Medication Safety Officer Society Medication Safety Officers Society | Consumer Medication Safety For consumers
ISMP Canada | ISMP Spain  | ISMP Brasil  | International Group  | Pennsylvania Patient Safety Authority

200 Lakeside Drive, Suite 200, Horsham, PA 19044, Phone: (215) 947-7797,  Fax: (215) 914-1492
© 2018 Institute for Safe Medication Practices. All rights reserved