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Offline Heather

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Odd Experience
« on: January 21, 2011, 10:20:30 AM »
I recently spent the night at our local Hospital with my son Bradley who had a very badly infected toe.  He is doing well and acting like a normal 6yr old even without his toenail.  While we were there I had the strangest experience with getting him Tylenol.  Apparently now they have this new automated medication dispenser for the nurses.  They scan the doctors orders, type in the patient Id, scan their badge, and viola the medicine pops out.  Sounds great huh?  That is what I thought until I experienced the fatal flaw in a machine not being able to think like a human.  A machine has no compassion or reasoning.

It was after pharmacy hours when Bradley began to hurt badly as the swelling was increasing.  We contacted his nurse who said she would bring him some Tylenol soon.  An hour later she comes in the room with no medicine for my child who by now was crying in pain, to tell us that the machine does not have the proper dose and will not give the medicine.  There was tylenol in this machine, but not measured out in two teaspoons.  There was only one teaspoon doses.  It wouldn't give her two of the one to make up his dose.  She leaves me assuring that she will figure out something.

After another hour and a half goes by she comes in and tells me that she couldn't contact his physician to have him change his does so she could at least give him one teaspoon at a time, but assures me she will bring him Tylenol soon.  Another 30 minutes later she comes in with a box of medicine from the local Walgreens and gives him two teaspoons of it.

Now granted I appreciate that she went through the trouble to go buy him some medicine since the system in place at the hospital clearly failed my child, but the fact that he was in pain for over two hours before anything was done is ridiculous.  It was amazing to me to see a Nurse that truly cared about his suffering and went above and beyond to help him, but it scares me how much is left up to technology today.  What if it had been a more serious medication that the machine was out of?  I'm all for technology, but come on that's a little much.  There should have at least been one person on staff in the pharmacy all night to make sure the stock of medication could be accessed. At the very least the machine should have been fully stocked before the hospital pharmacy closed for the night!
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Offline Pat/Rick

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Re: Odd Experience
« Reply #1 on: January 21, 2011, 11:53:44 AM »
Kudos to the nurse who helped your family by taking the initiative to do a proper job. Sadly, there will always be those instances where the inability to think and do, will be the result of technology. I would write a letter(s) to the hospital administrater(s) and address the issue, and be sure to add mention of the caring services rendered by the nurse. Glad your child is on the mend.
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Offline powderman

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Re: Odd Experience
« Reply #2 on: January 21, 2011, 12:47:21 PM »
HEATHER. Wow, I had no idea they worked like that. POWDERMAN.  :o :o
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Offline blind ear

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Re: Odd Experience
« Reply #3 on: January 21, 2011, 03:40:39 PM »
If it came down to a court case per complications the nurse could lose her lisence for doing it. ear
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Offline spikehorn

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Re: Odd Experience
« Reply #4 on: January 21, 2011, 06:07:15 PM »
Quote from: blind ear on January 21, 2011, 03:40:39 PM
If it came down to a court case per complications the nurse could lose her lisence for doing it. ear

I'm not so sure about that because she did give the dose that was ordered by the doctor.
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Offline blind ear

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Re: Odd Experience
« Reply #5 on: January 21, 2011, 06:15:07 PM »
probably not but she was distributeing medications. ear
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Oath Keepers: start local
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Offline spikehorn

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Re: Odd Experience
« Reply #6 on: January 21, 2011, 07:25:27 PM »
They were ordered by a doctor. It doesn't necessarily have to come from an in house pharmacy and children's Tylenol is an over the counter medication. If it was Tylenol 3 with codeine that is a controlled substance and she would have had to have a script to get from walgreens anyway.   
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Offline goofyoldfart

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Re: Odd Experience
« Reply #7 on: January 21, 2011, 09:44:48 PM »
Heather : I am so sorry to hear that your child had to suffer for 2 hrs due to a screw up in technology.  I used to work as an Armed Security Officer (before I had to retire due to back injuries) at Indiana Orthopedics Hospital in Indianapolis. we had the same meds dispenser system. Probably a much earlier version than that one and often had the same issues. We had a policy that the Head Nurse on duty at night (when I used to work) would call the Officer on duty and together they had to use BOTH their Code Cards in order to enter Into the pharmacy. Then the officer had to watch the Head Nurse get the Med order, Verify that it was the correct meds and then BOTH had to sign and ID the Emergency Meds Removal Book. Not the best system I suppose, but it worked and a lot better than 2 hrs. wait, for sure. Also the Officer had watch and verify that the Meds were administered.  Then the Officer had to put in HIS report date, time, patient,meds, amount and that the Meds had been administered. Lot of extra work---But when you saw the pain some of the patients were in, YOU IN NO WAY REGRETTED THAT PAPER WORK.  Especially when children were involved.  I was lucky in that I had been a Volunteer Firefighter/ EMT for several years and knew how to read med orders. Later found out that was why they would not take me off of the Night Shift. Both my company and the hospital admim felt better with a Medical trained Officer on duty at night and I was the only one the company had at the time. Once they explained why they would not change my shift, I felt OK and really good about the issue. Hope your son is doing well. God Bless to all.



                                       Goofy <aka GOF>   


ETA: forgot to mention that I had to stay on duty every  time one of these issues happened and verify with the Pharmacist on duty when they arrived to work (usually about an hour later) who,why,where, what and when the issue arose. But they (hospital) willingly paid the OT. ;D
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Offline Old Fart

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Re: Odd Experience
« Reply #8 on: January 22, 2011, 03:52:14 AM »
Heather I'm glad your son is better and he got his tylenol.

More and more hospitals are going to this type of automation.
What's driving it? The all mighty buck.
They don't want to miss a chance to charge for any item or service.
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Offline ed k

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Re: Odd Experience
« Reply #9 on: January 22, 2011, 05:56:27 AM »
Glad your child is doing better. Lots of good people(nurses included) out there.My wife is a nurse and i'm very proud when she gets a personal thank you card from people for the care she gave them. Hoping your child the best. ED K
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Offline Heather

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Re: Odd Experience
« Reply #10 on: January 22, 2011, 08:29:55 AM »
I really don't think the Nurse broke any law.  It was an over the counter medication that the doctor had ordered in the first place.  She might have broken hospital policy of some sort, but she was a blessing to Bradley.  Old Fart you are correct on technology replacing people as a means to save money!  Greed will be the end of us as a society.

Heather
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Offline powderman

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Re: Odd Experience
« Reply #11 on: January 22, 2011, 09:40:03 AM »
I bet the stuff from Walgreens was a WHOLE lot less money than what  the hospitol was charging. POWDERMAN.  :o :o
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Offline spikehorn

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Re: Odd Experience
« Reply #12 on: January 22, 2011, 10:35:40 AM »
A+ on that powderman. I'am glad Bradley is doing better. I have been plagued with ingrown toenails my entire life and when they get infected they are no fun. I'm ready to have them remove the toe nails from my big toes and kill the nail beds. I'm tired of dealing with it.
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Offline williamlayton

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Re: Odd Experience
« Reply #13 on: January 23, 2011, 02:34:47 AM »
Bottom line.
All are good to go.
I understand pain and I don't tolerate it as well as some others---I also DO tolerate medication and some of them just do not work on me.
At least it was not a life threatening situation with the pain.
Blessings
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Offline Hooker

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Re: Odd Experience
« Reply #14 on: January 23, 2011, 10:46:03 AM »
I don't think automation is a good idea in the realm of health care.
But then again I don't care much for automation in anything. ;)
Glad the little one is doing better.

Pat
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Offline mechanic

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Re: Odd Experience
« Reply #15 on: January 23, 2011, 12:50:07 PM »
Glad the little guy is better, and thanks for opening our eyes to potential problems that we may face.  It's easier to plan a response if you know the problem up front.....ie, if there is not a good nurse to go get the meds, call Poppie!

Ben, aka Poppie
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Offline williamlayton

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Re: Odd Experience
« Reply #16 on: January 23, 2011, 09:48:05 PM »
Auto dispensing may not be the best for all, however, The Hen has had two knee replacements---she tore them up kicking me around, if your wondering how this came about--and the auto pain dispercments were a great help in her contain the pain.
The secret to pain control is to get the relief on the way before the pain gains control. Auto worked for her.
Blessings
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Offline ironglow

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Re: Odd Experience
« Reply #17 on: January 24, 2011, 04:25:12 AM »
  Sounds like some public schools;
  Nurse can'y give a child an asprin without full knowledge and consent of the parent;
   ...But the nurse can arrange for the child, a trip to an abortion mill without either...
  An odd mixture of Political Correctness and Nazism ...go figure..
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Offline Sourdough

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Re: Odd Experience
« Reply #18 on: January 24, 2011, 06:32:06 AM »
If no pharmacy personel are on duty, then the nurse should have the capability to over ride the machine.
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