The next day the nurse was alerted to the error and instead of reporting it she made a second home visit to amend the records in the baby's Well Child book. She didn't tell the family about the mistake, the report said.
It is not clear in the report if the baby suffered any harm as a result of the error.
Deputy Health and Disability Commissioner Rose Wall criticised the nurse saying by attempting to cover up her mistake she failed to comply with her ethical and professional obligations.
"The nurse should have alerted the baby's family to her mistake, and her failure to report it led to a delay in the error being rectified," Wall said.
The baby's family weren't alerted to signs of possible reaction to the drug error in the baby, the commissioner said.
"Instead of owning up to her mistake, the nurse went to significant efforts in an attempt to cover up her error."
The nurse was referred to the Director of Proceedings and Nursing Council of New Zealand to consider whether a review of her competence and any further action is warranted.
The Deputy Commissioner also ordered the nurse to undertake further training on safe administrations of medications and to apologise to the family.
The family also won an apology from the nurse.
