re: My next door neighbor is paralyzed from the hips down thanks to Ascension/St Thomas

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This was not an anesthesia issue.

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I didn't say it was. I said it was

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a pharmacy issue.

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Sorry bro. I just hit reply on your post. I meant it for the general thread.

The airline industry was one of the first to adopt the “Just Culture” standard of accountability. This has since been adopted by many healthcare systems. It is system where peers hold each other accountable and the “system” (administration) must ensure they supervise and correct weak links when the system is at fault and not the individual.

Why this means is???
Would a different individual with similar experience, competency, qualification and motivation act in the same manner, in a similar situation and environment as the person being evaluated? (Pharmacy tech)

If the answer is “Yes” the person who made the error is probably blameless; the problem is not the individual, but more likely the environment that would lead most individuals to that action. (A system failure because they overrode the block on a regular basis.)

If the answer is “No”, then system-induced reasons such as insufficient training, personnel selection and experience shall be evaluated. (Review of these processes for this specific individual compared to what normally happens in training versus what should be done in training.)

If trained properly and no one else overrides the system when faced with the same situation, then, it is more likely that the individual being evaluated is more culpable and accountable - a negligent behavior should be considered.

I worked in the Just Culture system at work. When used properly and supported by administration it is a great process.
Just culture is a significant contributing factor to the safety of the airline industry and why we don’t have planes falling out the sky or crashing more frequently.

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Honest question: how fricked is that phamscy technician?

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Surely a pharmacist has to sign off on anesthesia, right?

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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

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You would be surprised at the characters hired to as IV pharmacy techs. Have seen some that legit came from fast food.

Your smaller hospitals don't pay them any different than regular techs, so there is no incentive for working in a cleanroom. Nobody wants to be garbed up all day, so they usually get new hires or folks that are less qualified.