Discuss how the concepts of team cooperation, shared communication, and adhering to required protocols for drug handling in the operating room could have changed the outcome of the following real case...


Discuss how the concepts of team cooperation, shared communication, and adhering to required protocols for drug handling in the operating room could have changed the outcome of the following real case scenarios:


• A pediatric patient undergoing surgery was injected with pure epinephrine during the procedure because neither the medicine cup nor the syringe was labeled. The child died.


• A pediatric patient underwent surgery under local anesthetic with epinephrine added. The correct dose was calculated and administered in the operating room. At the close of surgery, the child was admitted to the postanesthesia care unit for observation. However, during her stay in the PACU, she required additional administration of epinephrine. The patient died in PACU as a result of epinephrine overdose. The surgical team had failed to properly document the administration of anesthetic with epinephrine during surgery



Jan 08, 2022
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