Should the nurse be sued?

[vetran]

which is why such routine tasks as vaccines should have strict procedures.

Tick box

Age of child > 12 months.

write serial / batch no of drug in following box - MMR...........

done.


If you think people should handle potentially lethal drugs without a procedure you are the Naive one.

having spent 20 years in the electrical industry you know its important to double check everything.

[EternalOptimist]

which is why such routine tasks as vaccines should have strict procedures.

Tick box

Age of child > 12 months.

write serial / batch no of drug in following box - MMR...........

done.


If you think people should handle potentially lethal drugs without a procedure you are the Naive one.

having spent 20 years in the electrical industry you know its important to double check everything.

phew. this explains why mistakes never happen then.

its all so simple. whats all the fuss ?


of course, we all know that its not so simple, and we all know that mistakes happen. We all know that some systems are prone to error and we all know that it is usually due to the number of parameters, which equates to the number of permutations.

as I say above, the parameters are 4
variable patients
variable staff
variable care plans
variable drugs rules

dont be naive

[suityou01]

EO, have you listened to yourself lately? Just because you have more wrinkles doesn't mean you are always right.

Stop being super silly arse it doesn't suit you.

[BrilloPad]

Mistakes do happen. I remember hearing about the Navy getting concerned that torpedos fired could hit their own ships. So software was added telling torpedos to self destruct if turned 90 degrees. To test this, a ship left port, armed some torpedos, fired one, told it to turn 90 degrees then self destruct. It worked.

Then the ship turned 90 degrees to return to port. The resultant explosion lost a naval rating his life.

The software then was modified to "if fired" and "if turned 90 degrees".

-------------------------------
We all mistakes - most of us are lucky that our errors have very few knock on effects. The nurse is probably alot more qualified now than most other nurses. Good the case gets publicity to warn others.

A professional learns by their mistakes. An expert learns from the mistakes of others.

And maybe the nurse had been checking health and safety requirements checklist beforehand which distracted her? Sometimes H&S checklists distract one from the important things.

-------------------------------
Anyway the question is should the nurse be sued. The answer is clearly no - no harm was done.

[speling bee]

which is why such routine tasks as vaccines should have strict procedures.

Tick box

Age of child > 12 months.

write serial / batch no of drug in following box - MMR...........

done.


If you think people should handle potentially lethal drugs without a procedure you are the Naive one.

having spent 20 years in the electrical industry you know its important to double check everything.

The weird thing about this story is that vaccination within the normal child health schedule is one of the most variation free protocol driven therapies in healthcare. I would think this is a professional competency issue rather than a systemic failure, but perhaps it will all come out.

Drug errors are common and probably inevitable, although electronic prescribing and medication administration records should reduce them significantly. Double checking went out of fashion as it was believed that individual nurses would rely on the other nurse to get it right and be less careful than if single checking (although it tended to remianfor high risk meds - work that one out), but there's an interesting systematic review suggesting that independent double checking is effective: https://www.ismp.org/Newsletters/acu...cle.aspx?id=51

[BrilloPad]

Can the Japanese car factory methods that transformed a Seattle hospital work on the NHS? - Telegraph

At Virginia Mason Hospital in Seattle honesty is far from unusual. A decade ago the hospital adopted a revolutionary approach that encourages all its 5,600 staff to report problems without fear of repercussions.

On a visit to the hospital in March, Jeremy Hunt, the Health Secretary, called it “inspirational” and one of the safest hospitals in the world. He announced plans to have the NHS sign up “heart and soul” to a similar culture of honesty and whistle-blowing to raise safety standards. In the wake of the Mid Staffordshire scandal, in which hundreds of patients may have died needlessly, Mr Hunt wants doctors and nurses to “say sorry” for mistakes, and hospitals that fail to be open about errors will be named and shamed.

[MaryPoppins]

I've changed my mind - SUE.

I like your forthright nature - MARY.

[d000hg]

If you think people should handle potentially lethal drugs without a procedure you are the Naive one.

Is the MMR vaccine potentially lethal?

[vetran]

Is the MMR vaccine potentially lethal?

apparently not. The experts say don't be so silly. We have to believe them without question because they are the experts!

[speling bee]

apparently not. The experts say don't be so silly. We have to believe them without question because they are the experts!

Where did you read that?

MMR vaccine side effects - Vaccinations - NHS Choices

Rare side effects of the MMR vaccine

Bruise-like spots

In rare cases, a child may get a small rash of bruise-like spots about two weeks after having the MMR vaccine. This side effect is linked to the rubella vaccine and is known as idiopathic thrombocytopenic purpura (ITP).
It's been estimated that ITP develops in one in every 24,000 doses of the MMR vaccine given. There is a greater risk of developing ITP from measles or rubella infection than there is from having the vaccine. ITP usually gets better without treatment but, as with any rash, you should seek advice from your GP as soon as possible.
Seizures (fits)

There is a small chance of seizures (fits) occurring six to 11 days after having the MMR vaccine. It sounds alarming, but it's rare, and only happens in only about one in every 1,000 doses. In fact MMR-related seizures are less frequent than seizures that occur as a direct result of a measles infection.
Allergic reaction

In extremely rare cases, a child can have a severe allergic reaction (known medically as anaphylaxis) immediately after having the MMR vaccine. Again it's an alarming prospect, but if the child is treated quickly, they make a full recovery. Medical staff who give vaccines are trained to deal with allergic reactions.