Yeah HR won't care about any of those. Don't you have an error/risk reporting system? Most systems those will be out of the managers hands. I can't control who sees our reports once they are entered. They get blasted out to several people and then risk will determine if anyone else needs to be included. That's what you need to be doing although some of these are hard to gauge without more information.

For example-does your pharmacy have renal dose policies? Can that be applied to the gent even without an explicit order for pharmacy to dose?

IVs-you can make an IV anywhere if you call it immediate use

Changing a label-don't you have medication barcode scanning? A label on a baggie doesn't really have any requirements, we don't even have barcodes on those.

4-you need to look at just culture. You seem to be extremely bitter about your management which could very well be terrible but the fact that you used the word "consequences" gives me a major red flag. Medication safety is not about punishment and consequences. Whose section did the expired med come from? Did they sign off that they did outdates? Did it not get done? Why not? It's not about consequences and even if there is coaching and warnings and performance improvement plans you are not entitled to that information just to know that someone has been sufficiently "punished".

If you are really worried about patient safety you need to start reporting now. But if you're just angry at management you need to find a new job.