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Babies given wrong dose of Heparin @ Cedar Sinai



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No. 90
from chowlover
Old Mar 16, 2008, 07:10 PM

Default Re: Quaid twins victims of understaffing...
Hi I just watched '60 Minutes' & the Quaids were interviewed. It sounds like they are suing Baxter. A rep from Baxter then came on, & said that they have changed the packaging of the Heparin vials (while still not admitting any guilt!)
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No. 91
Old Mar 16, 2008, 07:14 PM

Default Re: Quaid twins victims of understaffing...
Saw the 60 Minutes feature.

He is starting a foundation for patient safety.

Anyone thinking what I am? We know one of the number one patient safety issues. Even if it wasn't from understaffing or overworked, it is a patient safety issue.

Forget Oprah......write Dennis!
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No. 92
from oramar
Old Mar 16, 2008, 07:27 PM

Default Re: Quaid twins victims of understaffing...
I thought it was a really good interview. As of this moment no action has been taken against the hospital and nurses by the Quaids. BUT that does not mean there will be done. He DID NOT say there would be none. Did you hear him say that there would have been no more happy days for him had those kids not made it. Awww, that was sweet.
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No. 93
Old Mar 16, 2008, 07:52 PM

Default Re: Quaid twins victims of understaffing...
He said he didn't blame the hospital and nurses.

Baxter has pulled the heparin because of "contamination." That's what they said.

If it was a staffing error, it may have been staffing. We certainly don't know. But we do know being overworked puts risks on medication administration, dosing and all kinds of care. We are forced to operate like race car drivers with the need to think quick and sharp and in multi areas at all times along with multiple interruptions.
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No. 94
from chowlover
Old Mar 16, 2008, 08:17 PM

Default Re: Quaid twins victims of understaffing...
It sounds like the pharmacy sent a 10,000 unit dose vial of Heparin to the floor, when they should have sent a1000 U dose. Would the pharmacist who sends drugs to the floor be held liable? Stupid question, but I am a nurse who has worked in a office for many years now, & the only Heparin flushes we have are 1000u
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No. 95
Old Mar 16, 2008, 08:26 PM

Default Re: Quaid twins victims of understaffing...
Mr. Quaid said something about nurses protecting hospitals, doctors protecting ... I didn't hear it all, but the word "protect" was used alot. If he thinks nurses are protecting hospitals, he might need to talk to more nurses.
Thank Heavens those children are alright.
He is apparently creating a foundation re medication errors. "Over 100,000 deaths a year". Where are these deaths? Many, many, years of nursing and I have never personally witnessed or even heard of a death by medication error other than in the news, and that doesn't add up to 100,000 people.
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No. 96
from Jolie
Old Mar 16, 2008, 08:40 PM

Default Re: Quaid twins victims of understaffing...
Originally Posted by chowlover View Post
It sounds like the pharmacy sent a 10,000 unit dose vial of Heparin to the floor, when they should have sent a1000 U dose. Would the pharmacist who sends drugs to the floor be held liable? Stupid question, but I am a nurse who has worked in a office for many years now, & the only Heparin flushes we have are 1000u

1000u/cc is not heparin flush.

Heparin flush is 10u/cc.
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No. 97
from elkpark
Old Mar 16, 2008, 08:46 PM

Default Re: Quaid twins victims of understaffing...
Originally Posted by Mschrisco View Post
Mr. Quaid said something about nurses protecting hospitals, doctors protecting ... I didn't hear it all, but the word "protect" was used alot. If he thinks nurses are protecting hospitals, he might need to talk to more nurses.
Thank Heavens those children are alright.
He is apparently creating a foundation re medication errors. "Over 100,000 deaths a year". Where are these deaths? Many, many, years of nursing and I have never personally witnessed or even heard of a death by medication error other than in the news, and that doesn't add up to 100,000 people.
He may have been referring (not v. accurately, but, oh well ...) to the IOM study of a few years ago (it got a lot of press at the time) that reported that there may be up to 98,000 deaths in the US per year due to medical errors -- but that was all kinds of errors occurring in healthcare settings, not strictly medication errors ...

That's the only reference I can think of off the top of my head. I don't think there have been any other "big" studies recently.
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No. 98
from Diahni
Old Mar 16, 2008, 09:02 PM

Default Re: Quaid twins victims of understaffing...
Originally Posted by SharonH, RN View Post
I saw a clip of the interview that will be shown tonight. Trust me, they aren't giving the nurse any slack in this case. The exact words were "the nurse didn't bother to look at the dosage on the bottle"..... And what can we say after all? Apparently he or she didn't........twice.
That was my interest - if they happened to be understaffed, there could be some concern. Mistakes are much more likely to happen when people are flying, so I was wondering if this was in the mix. I know I'd feel awful if I were that nurse, but is it really true that she didn't "bother"??? Can't really imagine it.
Diahni
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No. 99
from tntrn
Old Mar 16, 2008, 10:27 PM

Default Re: Quaid twins victims of understaffing...
Interesting that the Quaid story on 60 Minutes would be followed by a piece about sleep deprivation, and how must it affects our minds and bodies on many levels, after just one night of 4 hours only of sleep. I've been saying for a long time that 12 hour shifts are not safe, and now this study would seem to bolster that. Wonder if the people at Cedars Sinai work 12 or 16 hour shifts?
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