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re: Prayers Needed from the OT Community *Update Page 28*

Posted on 3/22/19 at 8:12 pm to
Posted by redstick13
Lower Saxony
Member since Feb 2007
38495 posts
Posted on 3/22/19 at 8:12 pm to
Thank you HoustonChick and I sincerely hope you are coping with your recent loss. I've been thinking of you today and even though I'm not a praying man I find myself saying prayers and one was for you and your family today.
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 3/22/19 at 8:15 pm to
There was no “setting the rate”, you do that on a pump. They would have had to count the drops to calculate the rate. Lemme get a good look at that drip chamber.
Posted by HoustonChick86
Catalina Wine Mixer
Member since Dec 2009
57269 posts
Posted on 3/22/19 at 8:19 pm to
quote:

Houstonchick, as a mother who has lost a child, I can say there is no moving forward, there is no it’s getting better.

I know. I lived through both of my parents losing my sister. They never got over it.

Just trying to offer some positivity to him. Maybe getting answers and the service can offer some peace instead of the questioning stage they are in now. A sense of closure maybe. I was by no means saying it would be better immediately once that happened.
Posted by HoustonChick86
Catalina Wine Mixer
Member since Dec 2009
57269 posts
Posted on 3/22/19 at 8:20 pm to
Thank you! Will constantly be sending my thoughts to y'all as well.
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 3/22/19 at 8:20 pm to
Difficult to tell, but the IV tubing appears to be what is normally used for older individuals, not pediatrics. The drip chamber, coming right off the bag, in a pediatric tubing set contains a pin about 3/4 inch long from which the fluid drops into the chamber. I zoomed in but don’t see any light bouncing off the shiny pin that would be there. Even if the fluids were wide open, the flow would be considered micro flow. 60 drops off the pin would equal 1 ml of fluid. This type of tubing is used in pediatrics, nicu and whenever a very tight control on volume is needed. A micro tubing, evern smaller is used in nicu mostly.

Posted by OWLFAN86
The OT has made me richer
Member since Jun 2004
175826 posts
Posted on 3/22/19 at 8:21 pm to
There are no perfect words and even if they existed they would not undo the loss or lessen the pain.
You shared you hopes for he and his wife, they were from the heart and they were beautiful
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 3/22/19 at 8:22 pm to
It’s ok Houstonchick. I didn’t mean to bite. I remember 15 years ago after losing my son, others kept telling me it would get better. It is different now, but never better. Thanks.
Posted by redstick13
Lower Saxony
Member since Feb 2007
38495 posts
Posted on 3/22/19 at 8:22 pm to
quote:

There was no “setting the rate”, you do that on a pump. They would have had to count the drops to calculate the rate. Lemme get a good look at that drip chamber.



Isabelle I was sitting watching the drip chamber and it was not dripping into it at all. I mean not a single drip after it had reached the level in that photo. There was no fluid moving down the tubes. It started to drip at a pretty fast rate for a short time after they put the pressure sleeve on but after a short time the drips reduced down to a very low rate. It wasn't consistent. And as I said earlier the doctor was removing the drip chamber, dumping the contents on the floor then reconnecting it to allow it to fill again.
This post was edited on 3/22/19 at 8:26 pm
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 3/22/19 at 8:26 pm to
LSU Nurse, back up and look at the pic of that precious little man. Zoom in on the tubing, the drip chamber. I don’t see the light bouncing off the pin that would drip the fluid at a micro rate. Do you? That looks like standard tubing. Wonder if the nurse calculated drops as if it were microtubing. That would deliver a greater volume if standard IV tubing were used. Micro = 60 gtts/ml; Macro = 15 gtts/ml (4 x the micro volume), if I am remembering correctly. Thank God for IV pumps!!! These idiots should have had that as a minimum standard.
Posted by OWLFAN86
The OT has made me richer
Member since Jun 2004
175826 posts
Posted on 3/22/19 at 8:27 pm to
when the time comes and if it feels right, please let us know of visitation times and where we might send flowers.
not a request an offer.. whatever you feel most comfortable with is the right thing
Posted by redstick13
Lower Saxony
Member since Feb 2007
38495 posts
Posted on 3/22/19 at 8:35 pm to
Absolutely Owlie. I can't say enough about how much this online community has helped me process my feelings this past week. We all come here for a laugh and to act foolish but when tragedy strikes you guys are there and that says a lot about the people Chicken has assembled on this site.

May God Bless Each of You
Posted by 6R12
Louisiana
Member since Feb 2005
8635 posts
Posted on 3/22/19 at 8:37 pm to
Redstick, I lost a child several years ago. He was in his 20's. This stuff is tough on a family. You can get through this. Stay close to your family and your God.
Posted by Ba Ba Boooey
Northshore
Member since May 2010
4705 posts
Posted on 3/22/19 at 8:58 pm to


May God give you, your wife and family peace now and forever. I cannot begin to imagine. You and your family will remain in my prayers.
Posted by Isabelle81
NEW ORLEANS, LA
Member since Sep 2015
2718 posts
Posted on 3/22/19 at 9:00 pm to
The doctor disconnected the tubing from the bag and let it splash from the bag to the floor and reconnected it. Never in my life!!! What is the name of this clinic? Thanks
Posted by lsunurse
Member since Dec 2005
128970 posts
Posted on 3/22/19 at 9:06 pm to
quote:

These idiots should have had that as a minimum standard.



The lack of an IV pump is just really,really odd imo. Especially for a stand alone ER that claims they are equipped to care for children. Also...you can tell by the tape job of the IV that the nurse likely isn't a peds nurse or has a lot of peds experience. Peds nurses don't tape a wrist IV like that.

Posted by redstick13
Lower Saxony
Member since Feb 2007
38495 posts
Posted on 3/22/19 at 9:16 pm to
No the contents of the bag were not splashing on the floor. He just kept emptying the drip chamber on the floor because it was filling up and not flowing down the IV lines. I'm not a medical professional so my wording may be wrong. I'm only going by what I saw and interpreted.

I do know that the drip went from zero flow to flowing down the line pretty fast once the pressure sleeve was on. Having been on a drip before myself I was thinking "Oh I hope that much cold fluid flowing into him that fast doesn't upset him". As soon as the drip started flowing everyone left the room and I was watching the rate myself. The rate dropped off pretty rapidly and I thought everything was normal. The last thing I did before leaving to go get my wife something to eat was look at the drip tube to see if it was still flowing. It was but at a very slow rate. From my observation the staff was most definitely not monitoring the flow rates of the IV.
This post was edited on 3/22/19 at 9:19 pm
Posted by Blaeke
Member since Dec 2016
1019 posts
Posted on 3/22/19 at 9:17 pm to
Sounds like something was pushed into the child and the physician found out shortly before the patient was to be discharged and thus decided to extend his observation by 6-8 hours.

It sounds like the doctor's comments about increasing his glucose level was dishonest and he was covering for something else.
Posted by redstick13
Lower Saxony
Member since Feb 2007
38495 posts
Posted on 3/22/19 at 9:19 pm to
That's another thing. There's not a single IVP documented when I saw with my own eyes an IVP given.
This post was edited on 3/22/19 at 9:30 pm
Posted by redstick13
Lower Saxony
Member since Feb 2007
38495 posts
Posted on 3/22/19 at 9:25 pm to
quote:

Also...you can tell by the tape job of the IV that the nurse likely isn't a peds nurse or has a lot of peds experience. Peds nurses don't tape a wrist IV like that.



This comment just reminded me of something I had completely forgotten about nurse. She broke off the sections of tape to secure the IV before putting it in but just verbally told her assistant where they were which was across the room. When it came time to secure the IV line it took longer because the assistant couldn't find the tape and my son was fighting to the point that myself, the nurse and my wife had to hold him down. The nurse was getting very agitated during that time. I need to add this to my notes.
Posted by lsunurse
Member since Dec 2005
128970 posts
Posted on 3/22/19 at 9:27 pm to
quote:

From my observation the staff was most definitely not monitoring the flow rates of the IV.




I can't get over that. If using an IV pump...this isn't as necessary cause you program the pump to deliver the exact rate you want. But you still glance at it to make sure you see it dripping.

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