Baby died from injected Potassium Chloride IM - page 6

Batangas City, Philippines - A one-year-old boy died last week in a hospital in Batangas City after a nursing student inadvertently injected him with a chemical compound meant to be infused through... Read More

  1. by   makarena
    "And yes, I can also confirm that students are given the task to give meds without clinical instructor's supervision."

    >>>i am also a nursing student and i think and i believe you're clinical instructor should still be checking up on you especially in giving meds like KCL for christ sake.
  2. by   its meeh
    Full Story:[/quote]

    i think nursing students can give iv medications with the full supervision of a clinical instructor, assessing the students knowledge of purpose side effects, contraindications and nursing responsibilities. and also with the registered nurse acknowledgement of the student nurse action corresponding with the doctors order. the student nurse should not be the only one to be blaimed in this situation.
  3. by   fultzymom
    Quote from bluesky
    I wasn't allowed to give injections in nursing school and I certainly wouldn't let a nursing student with me do it. Sorry, folks.
    So how are students supposed to get practice giving injections? I know there are dummies in the lab but it is not the same. If they have been checked off by the teacher in the lab then why should they not be able to if they can tell you all about the drug et can correctly find the site? And as long as the instructor is right there with them, I see no problem. I gave my first injection in my second quarter of nursing school in OB. I got to give Rhogam et my instructor went over everthing with me, I had to look up the drug with her et show her how to find the site before we even went into the patient's room to give the injection. I later found out she was the county's prosecuting attorney. Good thing I did a good job! HEE! HEE!
    Last edit by fultzymom on Mar 22, '07
  4. by   sequelae
    i am a RN in the philippines and i myself have seen so many times that a single staff nurse would be in charge of (in an average) 45 patients in the ward. in the hospitals where we were assigned, we were allowed to inject medications (although there were certain classifications of medications which ONLY the staff nurse could administer). however with that said, the student's instructor should have his or her radar on his/her students at all times. a typical number of students per group is 12 or 13, which means the instructor still has them under his or her sights. the instructor is at fault here because the instructor's job is TO SUPERVISE HIS/HER STUDENTS and TO TEACH THE STUDENT'S ON THE PROPER WAY ON HOW TO DO THINGS IN THE WARD. the student was under the instructor and therefore the instructor's license should be revoked for failure to supervise the student. Respondeat superior right?

    i myself have been a student nurse as well and whenever i am to inject a medication that i know is relatively "risky" to give, i always seek the help/advice of my instructor, or if the instructor is unavailable for any reason, the staff nurse and again if the staff is busy, another instructor from the same school i am going to. they are going to be always willing to help out. it turns out that students who are pretending to be know-it-all are the ones who commit the gravest mistakes. i do hope that the instructors who supervise the students in the ward be more VIGILANT and ATTENTIVE to their students.
  5. by   one student nurse
    I am very glad you did post!! IT is an eye opener for everyone!! And - my comments on the hospital and program are not to say that it is a bad program - but the status of the nursing shortage, and extreme lack nursing instructors is a problem everywhere - again - 40 pediatric patients to one nurse!!!! that problem speaks for itself - - as a student nurse we are given total care for two patients - that can be difficult - but 40!! that poor nurse - poor student - and tha baby and family; words cannot express enough sympathy. None of the situation is conducive to effective health care.
  6. by   639new
    Quote from one student nurse
    I am very glad you did post!! IT is an eye opener for everyone!!
    thanks, I appreciate it.

    i am also a nursing student and i think and i believe you're clinical instructor should still be checking up on you especially in giving meds like KCL for christ sake
    I agree. I guess since this incident became a big news with student nurses here, hopefully, there will be a change.
  7. by   PANurseRN1
    i am a student nurse myself and yes, we are not supposed to give injections and IV meds (especially to paying patients).
    Wow...what is that supposed to mean? That paying pts. get a different/better level of care than the indigent?
  8. by   gillkden
    Quote from critterlover
    i wonder how the nursing education system works in the phillipines.

    if this baby was part of a 40 patient assignment, it is no wonder that so many of their nurses want to come to the us. how sad for all involved.
    sorry to say but not only in the phillipines that nurses or one nurse is the caregiver of 40 odd patients. in trinidad and tobago on the medical and surgical unit especially there are 60-80 patients with 2 rn and a na. i feel it for the nursing student but i feel it most for the nurse because the student was under her supervision and by rights she should have supervised her giving the medication no matter how many patients.... it is also unfortunate to that it lead to the death of the infant...condolences to the family
  9. by   gillkden
    That Too I Agree that the instructor should have been there
    Last edit by gillkden on Mar 22, '07 : Reason: didnt finish my comment
  10. by   Sabby_NC
    that poor child and poor student nurse.
  11. by   FlyLady
    That poor babys Mother
  12. by   jjamijup
    Same here in our nursing school in Detroit, Michigan. We were taught the dangers of KCl long before ever going to the hospital for clinicals. That is just a tragic thing.Why are they begging these Phillipine nurses to come to America to work? that is scary

    very racial-descrimination-uncalled-for-comment..........stick to the issue....don't generalize
  13. by   patjasdona
    I am from the Philippines, maybe most of you were correct!THAT IS THE REASON OF LEAVING OUR OWN COUNTRY. TOO MUCH WORK BUT LESS PAY. poor thing