Thanks PF. This is the third time they have screwed up. Two of those times could have cost me my life. And this is one of them. I was given 10 mg of Isosorbide to many. I am supposed to take 20 mg. three times a day. My morning dose was too much and my BP was crashing. I had a talk with my nurse and told her my diet has changed drastically this past year. My use of salt is almost nil. My intake of red meat is maybe two, three times a month. I am eating mostly veggies and always forget to salt them.
Do you know what MOT cards are. The MOT stands for "Medicine On Time." They are color coded and each days pills are in a color for each time of day. For me it is yellow for my morning pills. There are seven squares on the card and are push through, one for each day. I didn't notice the extra pill yesterday morning. But I caught it this morning before I took them. I called my nurse to report yesterday's crash and the wrong amount of pills in this morning's square. They sent someone to pick up my pills so they could examine them all. I get my pills for the week.
I always check the name of who filled the card. And this person, Vicki has never made an error. So I haven't been as diligent when her name is on the card. I have begun to trust her.
I do have to admit, a system is in place that she will now have to go for a refresher course that is in place for the pharmacists. If this is her third error, she will be dismissed and reported to the board of licenses. If you remember last year or whenever, the one who almost killed me with the powerful wrong pills, she lost her license. It was because of the seriousness of that error, the pharmacy changed over to a bar code system. So how this happened, I have no idea. But..... Why Always Me?