The “Nursing Occurrence” form (see Attachment 7-A) must be completed whenever the medication administration procedure is not followed.

A. Reporting Pharmacy Errors
At the time a pharmacy error is discovered, the following steps are to be taken:
1. Notify the pharmacy.
2. Notify your charge nurse and the Coordinator of Nursing Services.
3. If there has been a medication error, an Occurrence Form is to be completed. Send a copy to your Coordinator of Nursing Services.
4. Make a report about the pharmacy error in narrative format, sign it and include the following:
a. Dates
b. Personnel involved
c. Sequence of events
d. Corrective actions and resolution.
e. Copy the original pharmacy order. Copy any supporting evidence. Send note and copies to your Nursing Coordinator.

These steps are to be completed by the nurse discovering the error before the end of his/her shift.

The Coordinator of Nursing Services will notify the Executive Vice President, or, in the absence of the Executive Vice President, the CEO/President