MEDICATION ERRORS: Beware a fatal flaw
MICHAEL R. COHEN RPH, MS, ScD

$3.95
Nursing2014
December 2004 
Volume 34  Number 12
Pages 12 - 12
 
  PDF Version Available!

ABSTRACT
© 2004 Lippincott Williams & Wilkins, Inc. Volume 34(12)             December 2004             p 12 Beware a fatal flaw [MEDICATION ERRORS: NEEDLELESS I.V. ACCESS]

COHEN, MICHAEL R. RPH, MS, ScD

President of the Institute for Safe Medication Practices

A child was receiving medication via a nebulizer to treat asthma when the oxygen tubing became disconnected from the nebulizer fluid chamber. Later, a staff member accidentally reconnected the loose tubing to the injection port on the child's needleless I.V. access system. The child died instantly. According to the FDA report on this event, the pressure of the oxygen forced the needleless valve open and air entered the tubing, resulting in a venous air embolism.

Oxygen tubing doesn't have a Luer connector, but the manufacturer of the needleless port in this case (Clearlink by Baxter) confirmed that such a connection is possible ...

Purchase Now !

To purchase this item, follow the instructions below. If you’re not already logged in, be sure to enter your login information below to ensure that your item is saved to your File Drawer after you purchase it.

Not a member? Join now for Free!


Cost:$3.95
1) If you're not already logged in, enter your information below to save this item in your File Drawer for future viewing.

User name:


Password


Forgot your user name or password?
2)  If you have a coupon or promotional code, enter it
here.(If not, just click Continue.


Digital Coupon: (optional)

3)  Click Continue to go to the next screen, where
you'll enter your payment details.






jQuery UI Accordion - Default functionality

For life-long learning and continuing professional development, come to Lippincott's NursingCenter.

Nursing Jobs Plus
Featured Jobs
Recommended CE Articles Recommended Nursing Articles Evidence Based Practice Skin Care Network NursingCenter Quick Links What’s Trending Events