This reflective journal entry details a nursing student's experience with a medication error during their first medical/surgical clinical experience. The journal explores the factors contributing to the error, including lack of experience, distractions, and fatigue. It delves into the student's feelings during the situation, emphasizing guilt and a decline in self-esteem. The entry outlines the nurse's roles and responsibilities during medication administration, highlighting the importance of competence, safety, and adherence to the five rights of medication administration. The physical and psychological consequences of medication errors for patients are discussed, including potential for physical harm and emotional distress. The student identifies their communication skills as a strength in preventing future errors, emphasizing effective communication with the inter-professional team and patients. The journal references relevant literature to support the analysis and recommendations.