by RN4Little1s

Have you read about this nurse who worked her 1st day in the NICU... and gave formula through an IV?
http://abcnews.go.com/International/...ory?id=8076645

Re: Nurse in Spain Makes Fatal Mistake in NICU

Holy cow! I guess they don't use the feeding system we use at our facility. (Not interchangeble and colored florescent orange)

Re: Nurse in Spain Makes Fatal Mistake in NICU

Its sad that he lost both his wife and son due to two separate causes. But his son's death could have been prevented for sure...sad.

Re: Nurse in Spain Makes Fatal Mistake in NICU

What's worse is he's only 21. He's got a whole world ahead of him. I'm only 20 and I'm not even contemplating weddings and kids.

This is really sad. But.. it is beyond me how a woman with peds and critical care experience can miss an NG and "feed" a baby through their IV lines...

Re: Nurse in Spain Makes Fatal Mistake in NICU

Hospitals in this country generally have "check offs" when you start.

Now we know why.

Re: Nurse in Spain Makes Fatal Mistake in NICU

Originally Posted by rachelgeorgina

This is really sad. But.. it is beyond me how a woman with peds and critical care experience can miss an NG and "feed" a baby through their IV lines...

Originally Posted by BabyLady

Hospitals in this country generally have "check offs" when you start.
Now we know why.

I've heard of crazier things done by experienced nurses. You can have all the expereince in the world and all the "check offs" that will fit on a sheet of paper, but all it takes is one distraction to cause a horrific mistake. I can promise you, that if that hospital had had an exclusive enteral feeding system, this would never have happened. It is impoossible to hook it up to any IV set. If your hospital doesn't have one, look into it. If you think this would never happen to you, think again.

Re: Nurse in Spain Makes Fatal Mistake in NICU

I heard about this from some non-nursing friends in New York the other day. Oh man. That poor family.

Re: Nurse in Spain Makes Fatal Mistake in NICU

Originally Posted by dawngloves

I've heard of crazier things done by experienced nurses. You can have all the expereince in the world and all the "check offs" that will fit on a sheet of paper, but all it takes is one distraction to cause a horrific mistake. I can promise you, that if that hospital had had an exclusive enteral feeding system, this would never have happened. It is impoossible to hook it up to any IV set. If your hospital doesn't have one, look into it. If you think this would never happen to you, think again.

.....but it wasn't the point of the story.

It wasn't an experienced nurse that made the mistake, it was someone brand new and it was their first day on the floor.

That made this particular situation avoidable.

Where was the supervising nurse? Or do they turn them lose on the floor in that country right after graduation from nursing school?

Re: Nurse in Spain Makes Fatal Mistake in NICU

Right, but the article reports that this person had experience in critical care and pediatrics.

In which case...how does one do something like that? The only thing I can think of is if the nurse thought the formula was intralipids.

Re: Nurse in Spain Makes Fatal Mistake in NICU

Originally Posted by BabyLady

.....but it wasn't the point of the story.

It wasn't an experienced nurse that made the mistake, it was someone brand new and it was their first day on the floor.

That made this particular situation avoidable.

Where was the supervising nurse? Or do they turn them lose on the floor in that country right after graduation from nursing school?

This situation was avoidable no matter who the nurse was. And for the record, as mentioned, it was an expereinced nurse.