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Re: JCAHO strikes againFrom: ainsron (dean@thehuffpeople.net)Mon Dec 6 11:00:52 2004
.. We have a slight variation on that theme at the hospital where I work. Seems that the nursing and anesthesia staff frequently mistake penecillin for epidural solution and vice versa. They both come in similar appearing plastic packs with similar looking labels. (Of course, the labels correctly describe the contents of the packs.) But they keep mistaking them and giving the wrong medication (epidural solution for beta strep prophylaxis or penicillin for an epidutal). Solution seems simple. Put a purple lable on one. Or put them in separate drawers. Or put each pack inside a plastic envelope with the contents clearly labeled and the labels for one solution being clearly different than the label for the other solution. Hospital's response: Bags of 3.0 million units of penicillin look distinctly different than bags of 2.5 million units of penicillin. Therefore, CHANGE THE DOSE rather than changing the label! Dean Huffman - - - - Date: Mon, 6 Dec 2004 11:27:11 -0600 Reply-To: ob-gyn-l@obgyn.net Originator: ob-gyn-l Sender: ob-gyn-l@obgyn.net From: evsono@pipeline.com (art fougner, md) To: Multiple recipients of list OB-GYN-L <ob-gyn-l@dns.obgyn.net> Subject: Re: JCAHO strikes again X-Comment: Obstetrics & Gynecology for MEDICAL PROFESSIONALS ONLY X-ELNK-AV: 0 So how much micromanagement are you willing to swallow? Also, would violation of what seems to be overreaching place the hospital in a precarious state? Why not alert the state and county medical societies as well as your acog district? art
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