Report: Ohio Nurse Didn't Realize She Flushed Living Donor's Kidney

[eb1040]

Hospitals have national agencies for quality reporting. When something happens, it runs through the system and expectations are raised.

http://psnet.ahrq.gov/primer.aspx?primerID=18

http://www.jointcommission.org/sentinel_event.aspx

Electronic orders have also created more or a different source for error along with preventing others. It is easy to select the wrong patient and enter an order for medications or procedures. A nurse will usually have to verify the correct patient by scanning the ID ban before the med is given but if it was not meant for that pationt, it might still be given unless the RN or pharmacist questions the order.

[DwayneEMTP]

You know, the nurse wasn't necessarily incompetent if she was working withing the processes put in place by the hospital....

[Just Plain Ruff]

Suspicion is she came back after break and entered in a process that she was unfamiliar with. She may not have been briefed completely and fully on her return.

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