83 Union of Turkish Bar Associations Review 2022 TÜZÜNER / DUYMUŞ / ALGÜL workload, length of working hours, inexperience, stress and lack of professional knowledge and skills were counted among the factors causing medical errors. In addition, the lack of fixed or clear protocols and procedures, the irregularity of the records and the lack of attention to information transfer in shifts are among the factors that pave the way for malpractice.34 Moreover, errors such as not washing hands, not using gloves, breaking the bulb with a solid object, interfering with the sciatic nerve, reusing the used needle, wiping the already sterile end of the needle with cotton should also be included.35 The drug administration process under the responsibility of the nurse needs to be evaluated. When the physician examines the patient, he determines which drug will be administered, how and at which dose. He conveys his requests in this direction to the nurse. A nurse should administer medications as they are communicated to her, he/ she should monitor and record any after effects. The nurse plays a very effective, active and prepotent role in the drug administration process. The leading mistakes of the nursing activities are related to injection, that is, to administer drugs with a needle. Injection error can be caused by reasons such as inappropriate application point, incorrect dosage adjustment, wrong mixing and dilution, not paying attention to sterilization, using tools and equipment that are not suitable for the service, and daring to apply despite lack of technical knowledge and artistic skills.36 If there is a causal link between the failure to comply with the dose or timing in the doctor’s instructions and the harm in drug administration, the nurse may be held responsible.37 As a result of careless and inattentive intramuscular injection, undesirable results such as nerve damage, regression in foot functions, crippling and/or skipping may occur. In intravenous injections, in addition to physical distress due to vein damage and/or infection, weakness or loss of 34 Fatma Er/Serap Altuntaş, “Hemşirelerin Tıbbî Hata Yapma Durumları ve Nedenlerine Yönelik GörüşlerininBelirlenmesi”, Sağlık ve Hemşirelik Yönetimi Dergisi, 2016, 3/3, p. 132-139. 35 Esin Çetinkaya Uslusoy/Emel Duran Taşçı/Medet Korkmaz, “Güvenli Enjeksiyon Uygulamaları”, Hacettepe Üniversitesi Hemşirelik Fakültesi Dergisi, 2016, 3/2, p. 50, 51, 53. Kürşat, p. 294, 295. 36 Çetinkaya Uslusoy/Taşçı Duran/Korkmaz, p. 50-57. 37 Deryal, p. 432, 433.
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