Onsider the following case study from Frederico
Consider the following case study from Frederico
A one-day-old girl was transferred from a community hospital to a larger city hospital to rule out a GI bleed. An IV line in her right foot was used to infuse calcium gluconate. Over the next two days, an entry into her medical record during each shift indicated that the IV was running well. On the third day, during the overnight shift, the nurse noted an IV slough with a darkened area at the IV site.
Later that day, the patient was transferred to the ICU. A transfer note specified the time the infiltrate was noted and commented that the IV site had been checked prior to transfer; however, those details did not appear in the patientas chart. In addition, the nursing flow sheets from the shift when the infiltration was discovered, and the one preceding it, contained scratch-outs and re-writing over the original IV infusion numbers.
When they came in that morning, the parents discovered their daughteras injury and were upset that the staff had not notified them. When questioned by the parents, the staff characterized the injury as a blister. Subsequently, the parents were told by one of the physicians that the IV medication was very caustic and was a?usually given for babies with heart problems.a? The parents had not been told their daughter had heart problems (she did not). Another physician intimated that the problem originated in the community hospital. A third physician told the parents that the infiltrate should not have occurred and that he would not blame them if they took their child out of the hospital immediately. Two days later, when the child was discharged, her parents were surprised by the extent of her injury.
The parents brought suit against the nurse who cared for the baby when infiltration occurred. They alleged her failure to monitor the IV resulted in considerable scarring and subsequent loss of motion as their daughter grew older.
Discuss your thoughts about this case study. Consider the difference between ordinary negligence and professional negligence when discussing with classmates.