Nurse suicide follows infant tragedy - page 6

continued: How horrible for everyone in the situation...she had worked at Seattle Children's for 27 years, the article states.... Read More

  1. Visit  hic12345 profile page
    0
    they pulled protocols and reviewed them and deemed their protocols to not be at fault, which resulted in the nurse to have pointed fingers at her.
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  3. Visit  DoGoodThenGo profile page
    9
    This sad and very tragic story brings home several points.

    One, regardless of experience it seems all nurses are just one math error away from being not only discharged but possibly ruined as well. When you think of how many hundreds of patients Nurse Haitt took care of, and the thousands of med passes she performed correctly that were discounted because of one adverse outcome, it does not bode well for the rest of the profession.

    No one is dismissing the loss of that wee infant. A nurse would have to be made of stone not to be affected by the death and or harm to her/his patient due to a preventable error. However being as that may the law of averages makes a med error almost certain sooner or later. All a good nurse can do is make sure to practice safe, CYA,question, use intiution and build up a rock solid (or near to as possible) knowledge base to know better when something does not look "right".

    My med dose calc teacher told us to always look at whatever answer we got to see if it makes sense in terms of the medication, it's dosage and the patient information. If you come up with some off the wall dosage that does not fit the normal parameters of a med for your patient, it might be a good idea to run that problem again and or have a second license take a peek.

    Methinks also because the infant's death was widely covered in the media, and followed a series of other published adverse outcomes to infants (the heparin errors that affected the Quaid's infants and others), that the hospital and perhaps BON may have felt they had no choice in their actions. Am sure the last thing Children's wanted to see splashed all over the headlines is "nurse who killed infant keeps her job", which is probably how the media would present things.

    Then again this is hardly news. Nurses are employees of a hospital and when one becomes a liability or is seen as such the usual MO is to get shot of her/him.

    Finally to all those pre-nursing and nursing students who wonder why medical dosage calculations/pharmacology is such a huge deal, to the point where failing an exam or class by even by one point can have you bounced out of a program, this sad case is an extreme answer.
  4. Visit  xx--RN--xx profile page
    0
    gawd...how terrible. It could be any of us in her situation at any time....

    One f&% up and your life and the life of the pt (and pt's family in this case) is changed forever.

    Sad for everyone involved.
  5. Visit  OCNRN63 profile page
    5
    Don't believe any employer who says, "You don't need malpractice insurance. You're covered by the hospital." Malarkey. They told us that in orientation at my last job; I couldn't believe my ears.
  6. Visit  Calinrse2b profile page
    0
    I'm about to start nursing school in a couple of months and I cannot tell you how much this story terrifies me. Especially since I want to work with pediatric cardiac patients and I know the medications they are prescribed are extremely potent and volatile. I personally have a friend whose son was given 1,000 times the amount of Ativan he was supposed to be given and thankfully just slept for an extra 12 hours, but still awfully scary! The resident had written the RX wrong 2 mls instead of .2 and the pharmacy didn't catch it, nor did 2 nurses who double-checked it per hospital protocol.

    I have been thinking about this story a lot the last two weeks. Anybody have any words of encouragement on how to make sure this doesn't happen?
  7. Visit  imintrouble profile page
    0
    Why couldn't she forgive herself?
  8. Visit  Esme12 profile page
    4
    Quote from imintrouble
    Why couldn't she forgive herself?

    She made a mistake......someone died. The first rule in medicine is ...DO NO HARM......

    SHe lost her job, her reputation, her career, her livelihood, her lifetime of accomplishments,her self esteem, her dreams, her confidence, her savings, her license, her friends (from work) her life.........forever....

    Any fruther questions?
    JeanettePNP, netglow, wooh, and 1 other like this.
  9. Visit  Esme12 profile page
    1
    Quote from hic12345
    they pulled protocols and reviewed them and deemed their protocols to not be at fault, which resulted in the nurse to have pointed fingers at her.

    Not true...it was brought up that the policies WERE found insufficient and subsequently changed. BUt someone had to be "blamed". Hence enter the nurse
    wooh likes this.
  10. Visit  Esme12 profile page
    2
    Quote from Calinrse2b
    I'm about to start nursing school in a couple of months and I cannot tell you how much this story terrifies me. Especially since I want to work with pediatric cardiac patients and I know the medications they are prescribed are extremely potent and volatile. I personally have a friend whose son was given 1,000 times the amount of Ativan he was supposed to be given and thankfully just slept for an extra 12 hours, but still awfully scary! The resident had written the RX wrong 2 mls instead of .2 and the pharmacy didn't catch it, nor did 2 nurses who double-checked it per hospital protocol.

    I have been thinking about this story a lot the last two weeks. Anybody have any words of encouragement on how to make sure this doesn't happen?
    This is an everyday potential in nursing practice. A very healthy dose of fear of making a mistake will go a long way to to help keep you from making one. But there are some things to remember no matter how busy you are....

    1) Never ASSUME (assume stands for "A** of U and ME") that the dosage is right....No matter who ordered it of filled it or calculated it...check it yourself.....check everything....recalculate everything.....KNOW what and why you are giving anything.

    2) Especially with children.......WATCH Kilograms to pounds and pounds to kilograms.....WATCH YOUR CONVERSIONS CAREFULLY!!!! The slight movement of a decimal point can have FATAL outcomes.

    3) Find a dosage caculation app or web site. Use 2 different methods and people to check calculations. It's a pain in the butt......but worth it's weight in gold.....ask another nurse to check your math. Annoying but vital!

    4) If it seems too much or too large....it probably is....listen to your inner voice......if it seems wrong it probably is.....trust your inner "Oh! Oh" voice....

    5) Always use a calulator....even if you know the answer....check again......refer to number 3. Just like Santa check it twice!!!!!

    6) Don't freak out......use your brain. Take your own pulse first....pay attention. Deep breathe.

    7) And prayer........Always as God for a little help everyday......

    I hope this helps.....
    leslie :-D and Calinrse2b like this.
  11. Visit  Esme12 profile page
    3
    And if you make a mistake....tell someone immediately!!!!

    And if you make a mistake...don't repeat it and forgive yourself....xo
  12. Visit  No Stars In My Eyes profile page
    2
    There but for the grace of God......Am Praying for both souls and both families. What a terrible tragedy for all.....
    netglow and wooh like this.
  13. Visit  wooh profile page
    1
    Quote from Calinrse2b
    I have been thinking about this story a lot the last two weeks. Anybody have any words of encouragement on how to make sure this doesn't happen?
    Be careful and pray.
    CompleteUnknown likes this.
  14. Visit  Spritenurse1210 profile page
    0
    I don't understand why they threw this woman under the bus. It could happen to any nurse so when I read this it really broke my heart.


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