The people at fault in this case were; the doctors for not ordering correct medication doses. Nurses for not questioning orders. RT for not examining the vent settings closely. Pharmacy for improper medication doses. Hospital for possible low staff, poorly trained staff and lack of oversight and policies.
As a RN, this case shows us that as a team we can rise and fall, everyone is accountable and everyone is at fault. Don't always go with the flow, think about your actions and think for yourself and protect your license.
Remember "The power is yours".
11 comments:
That post was from
Travis Cox
Maggy Eldridge
Stephen Ball
Lei Correa
Was that a quote from captain planet? Anyhow, Of course I agree that the fault was shared by MD's and RN's alike. It just makes me worry a little for when we are novice nurses and aren't very good at what we do yet but we are still supposed to know how to do the doctor's job too so we can make sure he doesn't make any mistakes either.
Meg, Molly
Kalia
True! Going with the flow can get you in trouble. Our role as nurses is to be an advocate for the patient, especially when they can not advocate for themselves. Make sure to check what is going on around you, if you see something that's not right...speak up. Who cares if your wrong, because there might be a chance you are right.
Tim, Ivan, Joe, and Jenny McB.
You all are absolutely right as a team they should have watched out for mistakes that others were making and spoke up about the care of the patient. "Don't go with the flow" is a great lesson to learn from this case.
The last post was from Rachael, Jennifer and Allison.
(Sorry I got submit happy ;)
I agree with you guys. I have seen it in the workplace where a lot of times the team members are not as vigilant in checking everything by simply assuming that the other team member looked at it more carefully or will look at it more carefully and notice if there are any discrepancy. The problem is that the other team members can be assuming the same thing and in the end the work is not done right. In this case, there is a team failure instead of individual failure and everyone is accountable. Every member of the team must do their part in catching these errors.
Meg's comment was from Sonnie too>
This case study shows a sort of Kobioshi Maru (random Star Trek reference courtesy of Marcus) scenario. A worst case where every member of the team failed spectacularly. It does show the importance of critical thinking, asking questions, and being bold. If you are afraid to look stupid you won't ask the question.
marcus,sam,jessica,jamie
Everyone had their hand in the cookie jar with that law suit. I find it very scary that so many educated professionals could follow along with the mistakes and not catch on. Sometime I wonder if they were to scared to stand up and say something or if they were totaqlly oblivious to the mistake. I would actually hope that they were oblivious instead of being negligent and not standing up and saying something. Doctors can be intimidating at times but RN's are there to be patient advocates not to hold the doctors hand.
If you look at this whole process of liability who wins and what is improved with all t his money transfer. Does any of it go back to solving the problems that cause these issues in the first place?
Post a Comment