Outpatient Surgery Magazine

Queasy Feeling - April 2017 - Subscribe to Outpatient Surgery Magazine

Outpatient Surgery Magazine, providing current information on Surgical Services, Surgical Facility Administration, Outpatient Surgery News and Trends, OR Excellence and more.

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1 2 8 • O U T PA T I E N T S U R G E R Y M A G A Z I N E • A P R I L 2 0 1 7 B y all appearances, it was another busy vascular case involving numerous insertions of embolectomy catheters and injections of contrast dye. However, the physician assistant who typically worked alongside the surgeon was tied up in another room, so the surgical tech stepped in to help while also performing her regular duties. During the procedure, she turned to draw up contrast dye, but instead filled the syringe with a local anesthetic. Luckily, she realized her error 6 Lessons Our (Near Miss) Medication Error Taught Us Catherine Dutton, MSN, RN, CNOR, and Diane Betti, MSN, RN, CNOR, CSPDT, ST Springfield, Mass. Injecting a patient with local anesthetic instead of contrast dye was a blessing in disguise. • HARD STOP After our near miss, we decided to store local anesthetics in lidded specimen cups. Catherine Dutton, MSN, RN, CNOR

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