Parkland Dismissals Linked to Patient Safety, Accountability
Joe Cantlupe and Margaret Dick Tocknell, March 15, 2012
Among the nursing-related deficiency episodes identified by A&M:
- A patient death from respiratory arrest appeared to be related to the administration of a narcotic drug by a nurse who didn't possess either a written or verbal order from a physician for administration of the medication.
- In a one-week period five babies in the nursery received vaccine inoculations and had adverse reactions. Although nursing contacted the hospital pharmacy, neither nursing nor pharmacy completed a patient safety network report for any of the incidents. As a result multiple babies were affected and potentially suffered respiratory distress.
- Nursing staff could not locate or identify on computer the discharge planning screen and stated that they do not commonly refer patients to discharge planning. Parkland's case management department reported that referrals from nursing based on the initial nursing assessment were infrequent.
- An intake nurse in the emergency department placed in an open waiting room a patient reporting suicidal thoughts. The patient wasn't escorted immediately for care or provided a one-to-one sitter until care was available. The patient waited about 30 minutes and then disappeared. Following an intensive search and dispatch by the Parkland Police Department, the patient was recovered at home.
- An ED intake nurse failed to notice a mother and young child and mother on the floor under a water fountain in the ED waiting area. The intake nurse was unaware of the mother or child's presence or status in the waiting area and in fact was reading homework materials when interviewed by an A&M surveyor.
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