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This issue's dilemma:

Should I speak up or shut up?

I was completely swamped the other day and may have made a mistake with the dosage of medicine I gave a patient. Since he didn’t have an adverse reaction, I didn’t tell the doctor or him about my possible error. (I didn’t want to be written up.) Now, the patient’s kidney function has declined, and I don’t know if it’s because of what I might have done. What should I do in this kind of situation?

— Heather, RN

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This issue's dilemma:

1. Can you help? What's your best advice?

2. Would you like advice from your peers? Enter your question below. It may be chosen for a future issue.

3. To enter the drawing for a chance to win funds toward CEUs, please enter your contact information.With your permission, responses may appear in a future issue, and may be edited for length and clarity

4. Please indicate your choice about using your answer, name, and title in an upcoming issue.

3. To enter the drawing for a chance to win funds toward CEUs, please enter your contact information.
With your permission, responses may appear in a future issue, and may be edited for length and clarity