Provide a Calibrated Measuring Device with Liquid Meds

More errors related to dosing cups and syringes will require you to give these special attention when dispensing liquid meds.

The latest error occurred when a dosing cup was accidentally filled with 1 DRAM of concentrated morphine...instead of the prescribed 1 MILLILITER. There was a "1" line for both drams and milliliters on the cup...and the dosing UNIT wasn't double-checked.

The patient died after receiving about three times the intended morphine dose...since there are 3.7 milliliters in 1 dram.

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