re: DEI? Multiple patients at a Nashville hospital are paralyzed after staff accidentally

Okay, I've not posted on the site in a while d/t admin issues, but it sounds like Chicken has addressed those, and there are some medical issues in this thread that I can contribute to. So here goes:
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The news on these events remains opaque and confused.

As best I can assess, epidural anesthetics or CSE (combined spinal-epidural), rather than single injection spinals, were the procedures involved. There is no reason a pharmacy would ever need to prepare meds for neuraxial surgical anesthetics. To the contrary, there are a litany of reasons that would be a bad idea.

Potassium Chloride (KCL) is a very dangerous drug if improperly used. It is the lethal component of "lethal injections." The amount/volume of anesthetic used for epidurals is ~10x that of spinals. If Potassium Chloride (KCl) was mistakenly used as epidural medication, it would involve a very large KCl dose. So toxicity could involve direct damage to the spinal cord/nerves, as well as intravascular cardiac toxicity.

Pharmacies do prepare epidural anesthetic pain control compounds used for post-op pain management. But, unless something about the surgeries is slipping through the news reporting cracks, epidural anesthetic pain infusion is not normally indicated or necessary in hip surgery.

So either way, it appears there was already a "normalization of deviance" at play. To what extent the Hospital CEO, Dr. Shubhada Jagasia, was involved with these SOC deviations, or who else was, has yet to be determined.
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It gets much worse.

Confusing a vial of KCl with a vial of neuraxial anesthetic does not just happen. It is not just blatant medical negligence, it at least borders on criminality. KCl vials are black-capped and clearly labeled. Anesthetic vials are color-capped, and clearly labeled. A person with training does not just accidentally mix those up (much less multiple times).

A criminal investigation should be conducted, and the results publicly released. The hospital needs to be far more forthcoming. Their lawyers are probably telling the board just the opposite.

As with the CEO, to what extent this was a "DEI" issue remains TBD. But something there is terribly wrong. My experience is something this blatant indicates far more pervasive institutional issues.

There’s a ton of bullshite in whoever you’re quoting. ADCs have nothing to do with AI (yet).

This only happens one of three ways: someone is impaired, ignoring procedures, or doing it intentionally.

I will say that there is absolutely a difficulty in firing people in healthcare, even in the Deep South with robust “right to work” cultures.


Hospital HR depts are terrified of lawsuits and paying unemployment, for some reason.

You’d think I managed a system with a federal union with how many hoops I have to jump through to fire someone who deserved it yesterday. Even insubordination gets a warning before someone can be fired.


Whether or not that played a role here, I have no idea.

This tragedy is brought to you by King Barak Hussein Obama and his crowning achievement known as Obamacare. The medical industry showed its true colors during COVID by 'selling their souls for THE MONEY'. It will take a decade or more for the medical industry to recover.

“I am leaning towards a bad actor”
Sounds like it,I’ve read about things like that happening
There was an anesthesiologist in Dallas that was injecting paralytic drugs in IV bags and killing random pts.
Another anesthesiologist in France injected potassium and anesthetic drugs into IV bags,some pts.died.
Some years ago a dialysis nurse in Texas killed some pts.by injecting bleach into their dialysis lines during their treatment.

A really bad case I remember was a male nurse in the north eastern states killed pts in several hospitals in several states.What made that so bad was that pts would die under suspicious circumstances,internal investigation by hospital would implicate him.Rather than involve law enforcement they would fire him,they didn’t want the bad publicity.He would get a job in another hospital and do the same thing.He finally killed a pt at a hospital that did the right thing and contacted police.

Google search came up with a male nurse serial killer,Charles Cullin that was convicted of killing 29 pts,It is believed that he may have killed as many as 400.

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Could just be simple human error due to being overworked and understaffed

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I appreciate the sentiment. But there is not a chance in hell that is all there is to it. Nor was it a one off.

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It will continue to get worse. There will be nothing but jeet doctors.

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The whole medical system needs to be revamped and upgraded and heavily vetted.

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CR4090

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Not only that but there are now nurses in burka's with a religion to kill all infidels. If a female patient is not wearing a hijab, it indicates to them that they are not muz. Considering all the threats from other nurses we've seen...what can we expect from these?

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DEI” is now the convenient “catch-all” cause of all malfeasance.

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Did you bother to wonder why it’s so convenient? There’s a damned good reason that’s the first thought in these types of abject failure situations.

There are a lot of professions where social engineering should never happen besides medical: engineering, education, legal, finance, economics, accounting, plumbing, carpentry, painting, lawn care, waste disposal, food processing, farming, etc. I could go on.

Where is it acceptable? Cleaning sewers like Ed Norton. That’s it.