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Wash. Woman Dies After Cleaning Fluid Injection



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  #1  
Old Nov 26, 2004, 08:20 PM
gwenith's Avatar
Aussie Mod
Join Date: Jul 2002
Wash. Woman Dies After Cleaning Fluid Injection

Full story http://www.reuters.com/newsArticle.j...toryID=6913177

Wash. Woman Dies After Cleaning Fluid Injection

LOS ANGELES (Reuters) - A 69-year-old woman who was accidentally injected with a toxic cleaning fluid as she was prepared for surgery at a Seattle area medical center has died as a result, hospital officials said on Wednesday.
Doctors had worked intensively to save the woman since she was mistakenly injected with the solution on Nov. 4, a spokeswoman for Virginia Mason Medical Center said, but were unable to save her.

<SNIP>




McClinton was supposed to be injected with a contrast dye to assist in a radiology procedure, but instead was accidentally given a cleansing fluid typically used to prepare the exterior of the body for surgery. Both are clear liquids. The spokeswoman said policies at the hospital had been changed so that the cleansing solution would not be mistaken for the dye again.

<SNIP>
::snip::





McClinton was supposed to be injected with a contrast dye to assist in a radiology procedure, but instead was accidentally given a cleansing fluid typically used to prepare the exterior of the body for surgery. Both are clear liquids. The spokeswoman said policies at the hospital had been changed so that the cleansing solution would not be mistaken for the dye again. <!-- article text ends -->






Article truncated due to copyright laws.


Last edited by gwenith : Nov 26, 2004 at 08:25 PM.
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  #2  
Old Nov 26, 2004, 08:59 PM
KacyLynnRN (Female)
Registered User
Join Date: Nov 2003
my worst nightmare

Oh my god....it's events like this that make me wake up in a cold sweat some nights..I can not imagine how whoever administered that to her will live with themselves...
Kacy

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  #3  
Old Nov 26, 2004, 08:59 PM
Senior Member
Join Date: Oct 2002

OMG-

I don't understand how this happened. Both the drug and the cleaning fluids were clear, but I don't think the body cleaning fluid would have been in any container accessable by needle.

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  #4  
Old Nov 26, 2004, 09:11 PM
Registered User
Join Date: Mar 2004

I would have to agree

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  #5  
Old Nov 26, 2004, 09:24 PM
Nurseboy1's Avatar
Nurseboy1 (Male)
MICU RN
Join Date: Mar 2004

My only question, why are cleaning fluid and medications stored anywhere near the same area?

Ben

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  #6  
Old Nov 26, 2004, 09:40 PM
Banned
Join Date: Mar 2004

i bet someone is going to go back to using regular colored iodine...seems like one of these horror stories happens every 5 years or so...some one gets this bright idea of placing to products entirely different side by side just asking for a mistake to happen...so sad for what happened to this woman .

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  #7  
Old Nov 26, 2004, 10:40 PM
Senior Member
Join Date: Jun 2004

How horrible. That poor woman. I simply can't imagine how, not only were meds and cleaning solutions placed, apparently, side by side, but how could one mistake a cleaning solution as a medication? Just seems a bit far fetched to me.

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  #8  
Old Nov 26, 2004, 11:01 PM
Registered User
Join Date: Nov 2004

Was this really a mistake?
I've worked in surgery before and I've NEVER heard of any skin prep solution that's kept in a SYRINGE.
Sounds fishy to me....Angel of Death anyone?

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  #9  
Old Nov 26, 2004, 11:08 PM
gwenith's Avatar
Aussie Mod
Join Date: Jul 2002

I don't know about the USA but here Radiographers (X-ray techs) can give contrast because it is not covered under the therapuetic goods act because it has no therapuetic outcome. And then this happens and they wonder why we nurses kick up a fuss about it.

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  #10  
Old Nov 27, 2004, 12:20 AM
Tweety's Avatar
Tweety (Male)
Admin Team
Join Date: Oct 2002

Originally Posted by Hellllllo Nurse
OMG-

I don't understand how this happened. Both the drug and the cleaning fluids were clear, but I don't think the body cleaning fluid would have been in any container accessable by needle.
I was asking myself the same thing. I'm not sure how contrast dye is given. But obviously there is a way to draw it up with a syringe.

Tragic nonetheless. What a nightmare.


Last edited by 3rdShiftGuy : Nov 27, 2004 at 01:43 AM.
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