http://www.kevinmd.com/blog/2006/12/poor-handwriting-leads-to-infants.html Tue, 14 Feb 2012 22:04:00 +0000 hourly 1 http://www.kevinmd.com/blog/2006/12/poor-handwriting-leads-to-infants.html#comment-69815 Jon Mikel Fri, 22 Dec 2006 05:32:00 +0000 http://clients.emmense.com/kevinmd/2006/12/poor-handwriting-leads-to-an-infants-death.html#comment-69815 WTF is happening to people?<br/>I totally agree with Gasman. WTF is happening to people?
I totally agree with Gasman.

]]> http://www.kevinmd.com/blog/2006/12/poor-handwriting-leads-to-infants.html#comment-69789 Anonymous Thu, 21 Dec 2006 17:08:00 +0000 http://clients.emmense.com/kevinmd/2006/12/poor-handwriting-leads-to-an-infants-death.html#comment-69789 Any time a nurse or physician has to open multiple vials of any medication for a single patient, they should look carefully at the order and re-evaluate the situation. The recently posted phenergan overdose is another example. Any time a nurse or physician has to open multiple vials of any medication for a single patient, they should look carefully at the order and re-evaluate the situation. The recently posted phenergan overdose is another example.

]]> http://www.kevinmd.com/blog/2006/12/poor-handwriting-leads-to-infants.html#comment-69779 Gasman Thu, 21 Dec 2006 16:11:00 +0000 http://clients.emmense.com/kevinmd/2006/12/poor-handwriting-leads-to-an-infants-death.html#comment-69779 Inadequately trained nurses also contributed heavily. Since the dose given is several times the typical adult dose, some alarm bells should have gone off in the nurse's head. The thought should occur "I've never given this much heparin ever, and I'm about to give it to an infant?"<br/>The source for the error started with the physician, the error took life when the nurse misread the order, but it took probably several others to uncritically execute the error. Health system stretched tight on staffing have more holes in a system adequately staffed with experienced and unhurried people. Inadequately trained nurses also contributed heavily. Since the dose given is several times the typical adult dose, some alarm bells should have gone off in the nurse’s head. The thought should occur “I’ve never given this much heparin ever, and I’m about to give it to an infant?”
The source for the error started with the physician, the error took life when the nurse misread the order, but it took probably several others to uncritically execute the error. Health system stretched tight on staffing have more holes in a system adequately staffed with experienced and unhurried people.

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