The incident example that happened to me on Monday of this week could have been a huge mistake. Even though, we check and recheck Operating Room team can mistakenly implant the wrong IOL (inter ocular lens) in a patient. On Monday, we had 32 cataract surgeries in our clinic 17 of which was in my room. Usually we do surgeries patients’ order not by who shows up first. However, the third patients were the first one and first one was the second but the mistake happened to me on forth patient. Before the surgery the patients go to preop routine and the surgeon chooses the IOL according to patients’ measurements of lens and faxes the orders to our clinic. After that someone is responsible to pull the lens and label is with the patients face sheet name and number of the IOL and put it in order…show more content… The surgery went well and took the patient to PACU. After that I went back to OR to get ready for my next patient and pull out the lens for the next case. That time I realized that we had two patients with the same last name and immediately panicked then called the doctor to let him know that I accidently switched the lens. My mistake was even though I did the time out, correct patient, correct eye site, I did not check the patients name but just checked the last name only. It turned out that the two patients that we had were related with the same last name such as mother who is 92 years old and her daughter 64. Moreover, mistake happened due to mix-up of the patients order of schedule and doctor forgot to bring his booklet to verify the lens number of each patient. I gave the wrong lens to my patients’ mother which had to be 22.3 but I gave the 23.3. However, when surgeon checked his computer on measurements that he did it was correct but the mistake was the technician entered 22.3 whereas the doctors order was 23.2. this time I was off the hook but never again this mistake is going to happened to me
