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re: Prayers Needed from the OT Community *Update Page 28*
Posted on 3/20/19 at 9:25 pm to LSUTigerDoc
Posted on 3/20/19 at 9:25 pm to LSUTigerDoc
quote:This too from my family to your family Red.
Lean over right now and hug your wife. Tell her that hug is from strangers who hurt for both of you. I hope that the support of others, known and unknown, brings even a hint of comfort.
Well-said, TigerDoc, thanks.
0
Posted on 3/20/19 at 9:25 pm to OKellsBells
quote:
s an RN have you ever heard of a pressure bag used in a mildly dehydrated non critical patient?
This makes NO sense to me. Like I said...I never worked in ER or ICU but I was always under the impression that you HAD to always use an IV pump when giving pediatric patients IV fluids.
I could see if they were trying to rapidly fluid resuscitate a peds patient...then yes....pressure bag makes sense. But on a child that is sitting up and alert?
quote:
but I think dumping part of a bag into a sink
This sounds really weird as well. Again though...no ER or ICU experience so maybe (to be fair) that is something done in certain situations?
Posted on 3/20/19 at 9:27 pm to LSUTigerDoc
quote:
Where was this IV that the medical personnel was having trouble with? I’m assuming near the elbow?
No it was near his wrist.
Posted on 3/20/19 at 9:32 pm to OKellsBells
Again thank each of you for taking time to try and answer the questions both my wife and me are processing through.
It's difficult at times not to look at the sequence of events and wonder "what if I had done this" and hope the outcome would have been different.
The last time I saw him alive I swear it was like he was begging me to take him out of there and protect him. It's really heart wrenching.
It's difficult at times not to look at the sequence of events and wonder "what if I had done this" and hope the outcome would have been different.
The last time I saw him alive I swear it was like he was begging me to take him out of there and protect him. It's really heart wrenching.
This post was edited on 3/20/19 at 9:35 pm
Posted on 3/20/19 at 9:38 pm to OKellsBells
quote:
but I think dumping part of a bag into a sink
Bleeding the air out the lines or getting the correct amount of fluid in the bag for a medication mix
Posted on 3/20/19 at 10:07 pm to windshieldman
quote:
Bleeding the air out the lines or getting the correct amount of fluid in the bag for a medication mix
The second bag was just D51/2NS with no additives charted. It’s recorded as 50ml/hr and recorded as stopped 30 min after starting. When the baby coded 1.5 hours afterwards, the parents see that the fluid bag is empty.
If the infusion rate was 50ml/hr and lasted 30 min, the empty bag contained 25 ml of D51/2NS? This is not possible.
quote:
Not sure of the size of the first IV bag but my wife told me when they brought in the second IV bag they told her that they didn't have any bags for small children and the nurse poured part of the contents into the sink before connecting the bag. Below is what is written in the IV STARTS section. Start Time: 13:00 NS 0.9% IV 200 ml/hr Stop Time 13:30 Amount Infused 200/0. Start Time: 15:00 D5 1/2 NS IV 50 ml/hr Stop Time: 15:30 That's all they have written for the IV section but when he coded at 16:51 the IV and bag was still connected. They were not using a programmed pump to deliver the fluids.
Posted on 3/20/19 at 10:10 pm to redstick13
I’m very sorry to you and family prayers sent.
Posted on 3/20/19 at 10:14 pm to redstick13
I'm so sorry to hear this. I want to let you know I too lost a son at a very young age. Time will not heal, get some counseling. Seriously, wife and I didn't and its been a long road with substance abuse because we can't stop the pain in our soul. If you ever need a one and one talk please let me know.
This post was edited on 3/20/19 at 10:15 pm
Posted on 3/20/19 at 10:24 pm to rantfan
We will most definitely go through grief counseling. My company's HR has already reached out to us.
Posted on 3/20/19 at 10:35 pm to redstick13
Damn man. That is devastating. Praying for you and your wife brother.
Posted on 3/21/19 at 6:15 am to redstick13
Do you want any media spotlight on the clinic and medical examiners office to make sure all resources in the city of Houston help get to the bottom of this? I feel pretty certain we can help make this happen.
Your story and the way this unfolded is really disconcerting to me. I just cannot reconcile how a seemingly routine trip for treatment ends up in such an irreversible tragedy. You and your wife were the first thing I thought about when I woke up. I want to help somehow.
Your story and the way this unfolded is really disconcerting to me. I just cannot reconcile how a seemingly routine trip for treatment ends up in such an irreversible tragedy. You and your wife were the first thing I thought about when I woke up. I want to help somehow.
Posted on 3/21/19 at 10:45 am to Tridentds
quote:
Do you want any media spotlight on the clinic and medical examiners office to make sure all resources in the city of Houston help get to the bottom of this? I feel pretty certain we can help make this happen.
Thank you for the offer but as this is unfolding I think that part will take care of itself. I asked someone in the medial field to read through the clinic's medical records and give their opinion and they stated there is information missing in the medical report like the IV Push he was given and the problems they experienced with the IV (no mention of the pressure sleeve). The one thing they picked up on which I had not is that when the Fire Department arrived they had to start a second IV because the existing one was bad.
Posted on 3/21/19 at 11:08 am to redstick13
I'm a pretty tough old a-hole and am sitting here at my computer with tears rolling down my cheeks.
Saying a prayer right now for you and your wife.
Saying a prayer right now for you and your wife.
Posted on 3/21/19 at 11:32 am to redstick13
quote:
The last time I saw him alive I swear it was like he was begging me to take him out of there and protect him. It's really heart wrenching.
As more information comes out, there is a possibility that your child had an unknown illness that what happened was inevitable, not that it makes it any better. I just hope for you and your wife's sake, human error wasn't a deciding factor. I am thinking about y'all and hope you can get through this.
Posted on 3/21/19 at 7:36 pm to lsunurse
Doesn’t sound like the pediatric clinic is not set up for pediatric patients. They probably need to be shut down.
Posted on 3/21/19 at 7:39 pm to redstick13
Something not right here. I would think that any doctor out of an abundance of caution would have transferred you child to a hospital in the first couple of hours. An urgent care clinic is not a place where patients are watched for 6-8 hours more, esp considering your son’s condition on arrival.
Posted on 3/21/19 at 7:47 pm to OKellsBells
Never heard of a pressure device used on an IV bag on a mildly dehydrated patient. They are often used in major traumas, severe burn patients and also used to rapidly infuse blood products to patients who are in shock due to blood loss. I have never, every seen or heard of a pressure device being used on a bag of IV fluids being given to a pediatric patient, esp one as young as this boy was. An IV pump would be standard of care, this care was well below standard.
No, never heard of emptying part of an IV bag in the sink before handing it. Doing this may cause splash and contamination. I have heard of marking the bag with silk tape and keeping an eye on it, but not in the case of a pediatric patient. Again an IV pump with a rate and volume limit set would be standard of care.
If push came to shove in a disaster one would have to give IV fluids to pediatric patient the best way they could, but not in a controlled situation. I don’t honestly think this clinic should have been seeing pediatric patients. I guess the clinic doesn’t understand that pediatric patients are not little adults!!! Sickening. I am so very sorry this happened. I know the pain is indescribable, as I too lost a son, but I did have him for 22 years.
No, never heard of emptying part of an IV bag in the sink before handing it. Doing this may cause splash and contamination. I have heard of marking the bag with silk tape and keeping an eye on it, but not in the case of a pediatric patient. Again an IV pump with a rate and volume limit set would be standard of care.
If push came to shove in a disaster one would have to give IV fluids to pediatric patient the best way they could, but not in a controlled situation. I don’t honestly think this clinic should have been seeing pediatric patients. I guess the clinic doesn’t understand that pediatric patients are not little adults!!! Sickening. I am so very sorry this happened. I know the pain is indescribable, as I too lost a son, but I did have him for 22 years.
Posted on 3/21/19 at 8:54 pm to redstick13
My wife is an ICU nurse and finds the undocumented medicine push suspicious. If it was potassium and too much was given it can cause fatal arrhythmia. Potassium should never be pushed thru a line. It’s pushed into the bag so it’s diluted. And unless it’s an emergency you’d never pressure bag fluids into an infant - never.
However, if the push was done during the code, it was probably epinephrine and that’s a standard move.
However, if the push was done during the code, it was probably epinephrine and that’s a standard move.
This post was edited on 3/21/19 at 9:08 pm
Posted on 3/21/19 at 9:01 pm to redstick13
Man.. im just seeing this, and just read through all of your mesgs. So many emotions. As someone who has no clue who you are, or you me.. im deeply hurt, confused, angry (not at you).. all sorts of emotions for you. I can not ever imagine the pain you are going through. I pray God will give you some sort of comfort, whatever way that may be. I know nothing I say will make you feel any better. I would be hating the world right now. I dont have any magic words for you, but i will pray for you. So so sorry
Posted on 3/21/19 at 11:07 pm to redstick13
I have avoided reading this thread ever since it was first posted. My ex wife and I lost our daughter in October of 1997 and I knew reading this thread was going to bring back a lot of pain and dark thoughts. Tonight I finally read through it in tears and I can only say how sorry I am for you and your Wife's loss. I know first hand that anything I say won't help and ease the pain but I will be praying for you both. Please keep your wife close during this terrible time and no matter what, keep talking, comforting,loving, and listening to each other. My Ex Wife and I didn't and we each withdrew into our own little worlds to try and deal with our loss, anger, and pain in our own different ways. She distanced herself from me and began to hang out with new friends as an attempt to put her pain and grieving behind her and by the time she decided she was ready to talk about her feelings and our loss with me I had crawled so deep into bottles of whiskey and pills to numb the pain that I couldn't even find myself. I wish there was something more I could do or say to ease the pain but please know that I will be keeping ya'll in my thoughts and prayers 24/7. May God Bless you and guide you through this difficult and dark time.
This post was edited on 3/21/19 at 11:10 pm
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