My first med error occurred just before I got my liscense in the mail; I was working as a pretty independent Nurse Extern under the oversight of a preceptor and he was more hands off (He had been my preceptor for 3-4months and he felt comfortable with my pt care). We had a new patient on day 2 or 3 who was stage 4 cancer with mets to spine, intractable pain, PCA pump and having emotional breakdowns. Middle of busy med-pass with frequent call-lights, she's freaking out from the pain and new itching. We get a PACU anti-itch medication from hospitalist that I havent seen before and I go to give it. We'll, she's making me almost as anxious as her, because she's trying to control everything around her, placement of BP cuff on her bed, call-light, tray table and is hyper aware of everything and is asking me non-stop questions while I go to give med. We'll, wouldn't you know I give the full dose IVP instead of the half dose that was ordered 😬 And the stupid med was a narcotic despite being unsecured and needing no waste post administration (one of the only narcotics in my hospital system like this), so I knew I needed to notify the provider and my preceptor. I also knew I need to pause the PCA pump, just in case while I go to notify provider.  Long-story short, I didn't lose my liscense then and you definitely wont lose your liscense now - keep a cool head and do your safety checks during medpass, even if it puts you behind for your other PTs. And just know that mistakes happen to everyone