Babies uneccessary death!! - page 3
i posted this in the peds section....but every nurse needs to read this story of a child who died while in the hospital of dehydration,despite the mothers concerns - it will make you a better nurse. ... Read More
Jul 16, '04Occupation: Diabetes educator, Telephone triage Specialty: 31 year(s) of experience in Everything but psych! ; Joined: Jul '02; Posts: 1,265; Likes: 26Anger is always there before the acceptance. The mother blaming others, is just a few steps from acceptance. So so so sad. Thanks for the reminder to listen.
Jul 16, '04Occupation: ER, ICU, HOME HEALTH Joined: Jan '04; Posts: 282; Likes: 34I wish you could have seen the video of her speech (instead of just reading it on paper). The pain on her face as she tried to pronounce each word without breaking down. I have read other articles and interviews with her. She openly admits that for the first year after Josies death - she blamed herself not only for the burns but for not speaking up more in the hospital. I have no doubt that she will probably always blame herself. At the time, she had 5 small children under the age of 8. They had all went upstairs to get ready for bed and she was finishing some housework (or something) downstairs. Josie is the one who wondered in the bathroom and turned on the hot water. Anyone who has small children knows that no matter how careful you are 99% of the time - it only takes a few minutes for a tragedy to happen. My heart goes out to her.
Jul 16, '04Joined: Jun '04; Posts: 69; Likes: 1i just read this story and i started to cry (i read the long version from the baltimore sun - http://www.baltimoresun.com/news/hea...,5578677.story - which had much more detail) and it was very painful to read. i'm currently a nursing student and i'm planning on working in the nicu because i love babies and children so much...they are innocent, beautiful angels. just reading this story broke my heart and it was really a wake up call to what i would experience in the nicu. i wanted to get some advice from a nurse that works in the nicu and get a feel for how you handle it. do you leave your shift an emotional wreck or is it easy for you to separate what you experience at work from home? i've wanted to be a nurse for as long as i can remember and i just hope that i will have the emotional strength to work in the nicu. any feedback is appreciated.
also, i'm sure that the mother has plenty of guilt herself and probably will for the rest of her life, but the hospital is ultimately responsible for her daughter's death. all she's trying to do by voicing it out is to prevent another child from dying that shouldn't have too because of medical negligence. sad sad sad
Quote from rn4nicugood point - that is the beginning of the dehydration issue - lots of fluids are lost with burn patients.
i didn't want to get attacked for pointing out that the grieving mom disregarded completely the possibility (actuality) that she had involvement/fault in this tragedy as well, but i'm glad i'm not the only one who noticed.
accidents happen - at home, at work, - people make mistakes - parents, doctors, nurses. sometimes bad things happen. no one is guaranteed tomorrow...
Jul 16, '04Joined: Apr '02; Posts: 38,763; Likes: 16,342Such a cautionary tale.....for medical/nursing caregivers and us who are parents. I found myself tearful at reading this....and hugging my little girl very tightly afterward. I can't say more.....just so emotional. Very cautionary.
Jul 16, '04Joined: Jul '04; Posts: 1isn't it a bit odd for an 18 month old child to draw themselves a bath? especially after her mom had just given her one. i'm having such a hard time imagining the whole scenario....
this little baby girl crawling over the ledge of the tub in order to plug the drain because she cannot reach it, crawling back over the ledge while the tub fills, getting her own washcloth, getting her toys and then crawling back into the bathtub.....
it seems that in order to be burned that severely on 60% of her body she didn't get in the tub until it had a couple of inches or so of water, right?
as hard as it is to understand the errors and mistakes that took place in this tradegy, i'm struggling even more so with the events that lead up to it.
sorry...i've just been pondering this for 2 or 3 days now and i cannot get it out of my mind....
Jul 16, '04Occupation: Lactation consultant, L&D RN, some postpartum Specialty: OB, lactation ; Joined: Oct '03; Posts: 1,951; Likes: 96Isn't it a bit odd for an 18 month old child to draw themselves a bath? Especially after her Mom had just given her one. I'm having such a hard time imagining the whole scenario....
Anyway, I guess I don't think it's odd that she would play with the bath or go back to the bath after already having one. My 2 year old has gotten out of the bath, gotten dried off and dressed, and gotten back in (with his brothers) once or even twice before! Precious little wack jobs, they are.
Jul 16, '04Joined: Apr '04; Posts: 252; Likes: 8Quote from ERslaveI agree. At first, I was wondering about who was watching the child, but as the mother of a one year old I realize how fast things can happen...I also know that the guilt she must have to face on a daily basis must be more than anyone could bear. The family is in my prayers.Anyone who has small children knows that no matter how careful you are 99% of the time - it only takes a few minutes for a tragedy to happen. My heart goes out to her.Last edit by Chevelle on Jul 17, '04
Jul 17, '04Joined: Jul '04; Posts: 4there was clearly a problem with the charting.
the baby's weight fell 20% in her final 24 hours (!!!). there is no way this happened with her maintaining "good/average ins and outs" throughout her course. i'm also a bit surprised there was absolutely no change in bp.
her iv had been removed the day before her discharge from the unit. she was getting whatever fluid she had po. i think her nurse was fudging the ins/outs, you know how everyone's respiratory rate is always 20?
Jul 17, '04Joined: Jul '04; Posts: 4the other possibility is that she became septic, remember she did have an infection fromthe line they were treating. maybe it wasn't working, certainly you can go downhill that fast with sepsis. but then you'd expect to be able to tell from the autopsy, so this is unlikely.
Jul 17, '04Occupation: L.P.N. in LTC Specialty: med surg,homecare,hospice ; Joined: Aug '00; Posts: 4,682; Likes: 4,825Quote from caroladybelleThat's a little harsh,I think...It's not as if the parent purposfully dumped her in the hot water as a punishment-they were not incapacitated by drugs or drink....It was an accident and accidents happen-especially in a houseful of kids....No negligence here IMHO-not like many other cases.....they were not letting her play in the yard while her 8yr old brother got on the riding mower-nor did they leave in the car while they ran an errand enabling some scum bag to drive away with her-or succumb to the heat.............. so sad......I am also almost sure that the mom did all she could while her dtr was going down-she is NOT a nurse.....And who was supervising her when she got the burns????Last edit by ktwlpn on Jul 17, '04
Jul 18, '04Occupation: Jack of all trades Specialty: 20 year(s) of experience in Med/Surg, Geriatrics ; From: US ; Joined: May '01; Posts: 4,438; Likes: 3,918This story was extremely disturbing for a lot of reasons the most obvious being that a child died. But there are other things:
If I was a layperson reading that story in the Baltimore Sun I would have come away with the following impressions:
Only physicians give meaningful "safe" care. Every bit of meaningful care this little girl received was performed by physicians(according to this story).
Only physicians have any significant interaction in the lives of the patients and their families.
Nurses are nameless, faceless insignificant drones whose only job is to record vital signs, I&Os and call the doctors when things go wrong and they can't even get that right.
Patients cannot get safe care unless their family members(even negligent ones who let their children fall into bathtubs full of scalding water) stand watch over them.
The story also states that a code had been called and when Doctor somebody arrived, several staff members were just standing there "shocked" apparently waiting on him to give orders which he then proceeded to do.
There is a lot more to this story than is being told and the one that has been told is clealy misleading. I am not convinced from what I have read that there was absolute negligence by the hospital staff. The doctor seemed to accept blame for what happened after first blaming the nurses(I&Os not recorded properly). But an autopsy and other investigations show that it isn't clear what led to Josie's quick deterioration. According to the story, several people were following her and trying to determine what was causing her lethargy or her fevers. They were not just "neglecting" her. People and medical personnel forget that a good outcome is not guaranteed and sometimes no matter what you do, there can be bad endings.
Jul 18, '04Occupation: Looking for FNP job! Specialty: 5 year(s) of experience in med/surg, new FNP ; From: US ; Joined: Dec '02; Posts: 65There is a video about this story with the momma making a speech. We are required to sit down and watch it at my school right before we start passing meds. So sad.
Jul 20, '04Joined: Jul '04; Posts: 4Quote from SharonMH31Patients cannot get safe care unless their family members(even negligent ones who let their children fall into bathtubs full of scalding water) stand watch over them.Quote from caroladybelleThere have been several insinuations here that the parents especially the mother of the child was "negligent", simply due to the mere fact the child had sustained the burn injury. I do not want to be rude, but my honest reaction to this sort of unbelievable holier than thou thinking is sheer disgust.And who was supervising her when she got the burns????
The child went into the bathroom unobserved and within minutes had scalded herself turning on the shower. It does not take a lot of time for hot water to scald the skin of an 18 month old. And any child who can walk can do what this girl did. The only way a parent can 100% prevent it is to keep the child imprisoned, totally, 100% of the time.
If you think you are so perfect, and the parent of any child who has any accident is "negligent", 1. there are a millions of negligent parents in America, hell, every parent in this country would be negligent, 2. why are you even nursing? Resign your job taking care of the children of negligent parents, and go home and watch your own kids, 360`, around the clock, 24 hours, 86,4000 seconds a day.
The mother here is clearly one who is incredibly devoted to her kids. her grief, even after so many years is palpable. Unlike people who post anonymously on internet boards, she has gone out and through tremendous effort is trying to improve our medical system, starting with the world's greatest hospital. And she is just a lay person, not a nurse or doctor or some powerful politician. Kudos to her.