After the students completed their morning accuchecks, I took the glucometers as I normally do in the morning, to check the results with the results the students place on the clipboard at the nurses station, and noticed there was an accucheck performed on a resident that had no order for accuchecks. The result where this reading appeared was on the machine that was used by Jasmine Scott. The students completed the accuchecks at 0700 and I was checking the machine at 0900. Jasmine never came to me to report that she had performed an accucheck on the wrong patient and this was more than two hours after the error had occurred. Upon further investigation while checking the accucheck results in the gluometers I noticed that Jasmine had written the wrong blood sugar results on the staff clipboard. In further detail:
     +Jasmine documented an accucheck of 68 on a patient when the accucheck in the machine was 86. Subsequently, she never reported the low accucheck of 68 to the nursing staff and was asked at 0900 to repeat the accucheck she did so and reported the result as 168.
     +Jasmine also documented an accucheck of 72 on another patient and in the glucometer the result was actually 79. Because of the 72 blood sugar, this patient also had to be restuck for another reading and the repeat was reported by Jasmine as 130; when checking the machine, the accucheck was actually 133 and not 130. 

I called the school and spoke with Laura regarding the incident. I then approached Jasmine after giving the students a short break. Jasmine and I spoke one on one and during this encounter she admitted to \"sticking\" the wrong patient. I asked her why she did not tell me she had done this to which she replied \"I did\'nt think it was life threatening, I just walked into the wrong room then realized when the patient said her results are usually 2.2, that I made a mistake\". I explained to Jasmine that immediately reporting any error to her instructor is critical, no matter how small or insignificant she feels the error was. In further speaking with Jasmine regarding the incorrect accucheck results that she recorded she admits that she finishes the procedure, turns off the glucometer, exits the room and then writes down the results. 

jasmine then expressed much concern regarding her ability to perform accuchecks properly and asked me if she could stop doing them in the future. I explained to her that his was not an option but, I would work with her on our next clinical day to increase her confidence, she seemed pleased with this. 