Nurse suicide follows infant tragedy - page 8
continued: How horrible for everyone in the situation...she had worked at Seattle Children's for 27 years, the article states.... Read More
4Quote from imintroubleWhy 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?
1Quote from hic12345they 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
2Quote from Calinrse2bThis 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....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?
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.....
5May 3, '11 by DoGoodThenGoHere are two links to the original story (infant's overdose) at that time:
IMHO nurse Hiatt happened to make her error at the wrong time for it to occur at Children's.
With another major and widely covered by local media med dose error by the nursing staff just a year prior, and about 18 "adverse" reactions reported to the state since 2006, the hospital (and or it's legal counsel) probably felt a line had to be drawn in the sand.
The attorney who got a settlement from Children's in the matter of the boy who died 18 months prior due to a med error was already in the media pretty much saying the place cannot be trusted, and as proof yet another child has been harmed by the nursing service. The DON (or whatever she or he in charge of the nursing service at Children's is titled) could have gone down on bended knee and it probably wouldn't have made a bit of difference.
Back in the day a nurse who made an error, even a major one might be transferred, sent on vacation, anything to lay low for awhile, then when things cooled brought back. Of course this depended upon the nurse in question work record, but am willing to bet at near 30 year experienced RN, with an otherwise spotless record wouldn't have been shown the door.
Insurance companies and attorneys have great sway on hospitals. As far as either are concerned nurses are easily replaced, but the liablilty of a "bad" nurse is just too great of a risk.
1May 3, '11 by DoGoodThenGoA little more about nurse Hiatt from a local news article: