رجل عمره ٥٨ سنة على تسريب هيبارين لانصمام رئوي. عند استلام المناوبة اكتشف الممرض أن التسريب ضُبط على ٢٥ مل/ساعة بدل ٢٫٥ مل/ساعة لمدة ساعتين. المريض واعٍ، ولا ينزف، والضغط ١٢٤/٧٨. ما الترتيب الصحيح للإجراءات؟

A 58-year-old man is on a heparin infusion for pulmonary embolism. At handover the nurse finds the pump was set at 25 mL/h instead of 2.5 mL/h for two hours. He is alert, not bleeding, BP 124/78. What is the correct sequence of actions?

1. Correct the rate quietly and tell no one since he is fine
2. Stop it, assess the client, notify the physician, then report
3. Write the incident report first, then assess the client
4. Give protamine straight away without an order to reverse it

Answer: B) Stop it, assess the client, notify the physician, then report. Client safety comes first: stop the error, assess for bleeding and vital signs, notify the physician for an aPTT and treatment decision, then document and report. Concealing an error is unacceptable.