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Started By
Message
re: My next door neighbor is paralyzed from the hips down thanks to Ascension/St Thomas
Posted on 8/31/26 at 11:13 am to CAD703X
Posted on 8/31/26 at 11:13 am to CAD703X
quote:
pharmacy technician physically pulled the wrong drug
There’s the weak link. Just think the drugs you’re given in a surgery are prepped by some tech who may have a ged or at best a high school diploma.
2
Posted on 8/31/26 at 11:20 am to Rex Feral
quote:
There’s the weak link. Just think the drugs you’re given in a surgery are prepped by some tech who may have a ged or at best a high school diploma.
And then to think that the automation to protect from mistakes were bypassed is just astonding.
The true weak link is likely the hospital administration cutting personnel to increase the bottom line. I'm sure the tech was running around like crazy to keep up with demand.
Posted on 8/31/26 at 11:24 am to MikeD
This part is absolutely insane to me.
quote:
2. The Tech-Barcoding Failure
When the technician attempted to scan the medication at the workstation, the barcode scanner failed to verify it. Rather than stopping to investigate why the system rejected the drug, the technician overrode or bypassed the warning and proceeded with the preparation anyway.
Posted on 8/31/26 at 11:24 am to CAD703X
quote:
FACT
the Ascension/Williamson County Medical Center purchase was supposed to go through this month and that will never happen now.
Conjecture, or how/what do you know?
Posted on 8/31/26 at 11:27 am to Chucktown_Badger
quote:
the technician overrode or bypassed the warning and proceeded with the preparation anyway.
that should be jail time
Posted on 8/31/26 at 11:30 am to stout
Honest question: how fricked is that phamscy technician?
Posted on 8/31/26 at 11:31 am to CAD703X
quote:
about to transfer him to a specialized spinal institute in another state.
Shepherd Center?
Posted on 8/31/26 at 11:31 am to Chucktown_Badger
Yep. This tech committed a crime. I don't know how anyone downstream is supposed to recognize that it was the wrong medication when it is labeled and coded as the correct medication.
Posted on 8/31/26 at 11:32 am to boxcarbarney
quote:
If my surgeon isn't a white dude with salt and pepper in his hair, I'm requesting a different surgeon.
I had a hernia repair and a heart procedure - both with doctors of Indian descent. Great work all around. My radiology oncologist is Chinese - he is a brilliant brain guy which is what I need.
I go by qualifications, not race.
Posted on 8/31/26 at 11:40 am to CAD703X
We’re in the results phase of the DEI practices are involved in medical school application process.
Posted on 8/31/26 at 11:41 am to BestBanker
quote:i know someone on the legal team for this who says this is now on hold. temp or permanent, its not going to happen on the original timeline either way.
Conjecture, or how/what do you know?
Posted on 8/31/26 at 11:43 am to Rex Feral
quote:drug dispensing technology has reached a point where you can't even sneak an apirin out of those systems without someone catching you.
There’s the weak link. Just think the drugs you’re given in a surgery are prepped by some tech who may have a ged or at best a high school diploma.
how this happened at all still boggles my mind with that many safeguards around drug lockers.
Posted on 8/31/26 at 11:43 am to CAD703X
quote:
its not going to happen on the original timeline either way.
HCA was bidding also.
Posted on 8/31/26 at 11:48 am to MikeD
quote:
There’s the weak link. Just think the drugs you’re given in a surgery are prepped by some tech who may have a ged or at best a high school diploma.
quote:
And then to think that the automation to protect from mistakes were bypassed is just astonding.
The issue is the combination of these 2 things:
1. Pharmacy techs who don't have the most rigorous of training/certification
2. Permitting those in #1 to override the safety protocols
Posted on 8/31/26 at 11:49 am to Chucktown_Badger
quote:
2. The Tech-Barcoding Failure
When the technician attempted to scan the medication at the workstation, the barcode scanner failed to verify it. Rather than stopping to investigate why the system rejected the drug, the technician overrode or bypassed the warning and proceeded with the preparation anyway.
The tech should not have authority to override, especially if the minimum qualifications to work in that role are a GED. If there is an issue with the scanner or that something is rejecting the drug, it should only be reviewed and potentially cleared by the in-house pharmacist. The downstream fallout was catastrophic. I realize they have to mark all the failures, but I don't see how the surgical team (Anesthesiologist/CRNA) is at fault in this process.
Posted on 8/31/26 at 11:50 am to CAD703X
“A pharmacy technician physically pulled the wrong drug”
“the technician overrode or bypassed the warning and proceeded with the preperation anyway”
I never understood why hospital pharmacies allow techs to add anything to IV solutions.
The pharmicists double check the finished IV solutions and the empty vial of whatever was injected into the IV fluid but seems like that didn’t happen in this case.
The pharmacy technician,pharmicist and supervisor of that pharmacy should all go to prison.
Something I saw happen several times in my career was blood tests would be ordered,whoever entered the order in the computer would order it on the wrong patient,Sometimes the error would be caught in time but not always.
Pt. would be treated for an electrolye deficiency,for example,they didn’t have.
Sometimes lab tests would be ordered on several pts.and labels would get mixed up and blood work would be reported on wrong pts.
I know of a man had pre-op lab work done,white count was grossly abnormal on CBC,he was referred to an oncologist with suspected lymphocytic leukemia.He immediately went to MD Anderson,there his white count was totally normal.I can only guess some other pt.had leukemia but their white count came back normal.Hopefully it was caught in time.
Something happened to me before surgery that scared me.I was having a colon resection and a pre-op EKG was done on me late the evening before I was scheduled.EKG tech did the EKG.,never looked at it,put it on a stack to be reviewed by a cardiologist next morning.I asked her to hand it to me,the interpretation was abnormal EKG and it was fricked up looking.My wife(Cardiac NP)was outside the door,I told the tech to show it to her,wife immediately told the tech the limb leads were reversed,do it over.
That one was normal.
But what if I really did have a heart problem and the EKG wasn’t reviewed by a cardiologist before I went to surgery.
“the technician overrode or bypassed the warning and proceeded with the preperation anyway”
I never understood why hospital pharmacies allow techs to add anything to IV solutions.
The pharmicists double check the finished IV solutions and the empty vial of whatever was injected into the IV fluid but seems like that didn’t happen in this case.
The pharmacy technician,pharmicist and supervisor of that pharmacy should all go to prison.
Something I saw happen several times in my career was blood tests would be ordered,whoever entered the order in the computer would order it on the wrong patient,Sometimes the error would be caught in time but not always.
Pt. would be treated for an electrolye deficiency,for example,they didn’t have.
Sometimes lab tests would be ordered on several pts.and labels would get mixed up and blood work would be reported on wrong pts.
I know of a man had pre-op lab work done,white count was grossly abnormal on CBC,he was referred to an oncologist with suspected lymphocytic leukemia.He immediately went to MD Anderson,there his white count was totally normal.I can only guess some other pt.had leukemia but their white count came back normal.Hopefully it was caught in time.
Something happened to me before surgery that scared me.I was having a colon resection and a pre-op EKG was done on me late the evening before I was scheduled.EKG tech did the EKG.,never looked at it,put it on a stack to be reviewed by a cardiologist next morning.I asked her to hand it to me,the interpretation was abnormal EKG and it was fricked up looking.My wife(Cardiac NP)was outside the door,I told the tech to show it to her,wife immediately told the tech the limb leads were reversed,do it over.
That one was normal.
But what if I really did have a heart problem and the EKG wasn’t reviewed by a cardiologist before I went to surgery.
Posted on 8/31/26 at 11:51 am to CAD703X
“A pharmacy technician physically pulled the wrong drug”
“the technician overrode or bypassed the warning and proceeded with the preperation anyway”
I never understood why hospital pharmacies allow techs to add anything to IV solutions.
The pharmicists double check the finished IV solutions and the empty vial of whatever was injected into the IV fluid but seems like that didn’t happen in this case.
The pharmacy technician,pharmicist and supervisor of that pharmacy should all go to prison.
Something I saw happen several times in my career was blood tests would be ordered,whoever entered the order in the computer would order it on the wrong patient,Sometimes the error would be caught in time but not always.
Pt. would be treated for an electrolye deficiency,for example,they didn’t have.
Sometimes lab tests would be ordered on several pts.and labels would get mixed up and blood work would be reported on wrong pts.
I know of a man had pre-op lab work done,white count was grossly abnormal on CBC,he was referred to an oncologist with suspected lymphocytic leukemia.He immediately went to MD Anderson,there his white count was totally normal.I can only guess some other pt.had leukemia but their white count came back normal.Hopefully it was caught in time.
Something happened to me before surgery that scared me.I was having a colon resection and a pre-op EKG was done on me late the evening before I was scheduled.EKG tech did the EKG.,never looked at it,put it on a stack to be reviewed by a cardiologist next morning.I asked her to hand it to me,the interpretation was abnormal EKG and it was fricked up looking.My wife(Cardiac NP)was outside the door,I told the tech to show it to her,wife immediately told the tech the limb leads were reversed,do it over.
That one was normal.
But what if I really did have a heart problem and the EKG wasn’t reviewed by a cardiologist before I went to surgery.
“the technician overrode or bypassed the warning and proceeded with the preperation anyway”
I never understood why hospital pharmacies allow techs to add anything to IV solutions.
The pharmicists double check the finished IV solutions and the empty vial of whatever was injected into the IV fluid but seems like that didn’t happen in this case.
The pharmacy technician,pharmicist and supervisor of that pharmacy should all go to prison.
Something I saw happen several times in my career was blood tests would be ordered,whoever entered the order in the computer would order it on the wrong patient,Sometimes the error would be caught in time but not always.
Pt. would be treated for an electrolye deficiency,for example,they didn’t have.
Sometimes lab tests would be ordered on several pts.and labels would get mixed up and blood work would be reported on wrong pts.
I know of a man had pre-op lab work done,white count was grossly abnormal on CBC,he was referred to an oncologist with suspected lymphocytic leukemia.He immediately went to MD Anderson,there his white count was totally normal.I can only guess some other pt.had leukemia but their white count came back normal.Hopefully it was caught in time.
Something happened to me before surgery that scared me.I was having a colon resection and a pre-op EKG was done on me late the evening before I was scheduled.EKG tech did the EKG.,never looked at it,put it on a stack to be reviewed by a cardiologist next morning.I asked her to hand it to me,the interpretation was abnormal EKG and it was fricked up looking.My wife(Cardiac NP)was outside the door,I told the tech to show it to her,wife immediately told the tech the limb leads were reversed,do it over.
That one was normal.
But what if I really did have a heart problem and the EKG wasn’t reviewed by a cardiologist before I went to surgery.
Posted on 8/31/26 at 11:51 am to WylieTiger
quote:
The tech should not have authority to override, especially if the minimum qualifications to work in that role are a GED. If there is an issue with the scanner or that something is rejecting the drug, it should only be reviewed and potentially cleared by the in-house pharmacist.
Correct
Overriding alone is scary, but having people with professional-graduate degrees, training, residencies, etc. be able to override them in certain scenarios makes sense.
Giving that power to *checks notes* pharm techs? Insane
Posted on 8/31/26 at 12:07 pm to CAD703X
Gracious. I was born at the "original" St Thomas in Nashville.
Posted on 8/31/26 at 12:07 pm to chinhoyang
quote:
I go by qualifications, not race.
I think that’s all most people are asking of medical school admissions.
Unfortunately they do the opposite.
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