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It's a poorly designed interface, but the real problem, IMO is that the nurse didn't double check with somebody before giving the kid 38 of the same pill. A do
by jlarocco 8y ago
It's a poorly designed interface, but the real problem, IMO is that the nurse didn't double check with somebody before giving the kid 38 of the same pill. A dose like that just doesn't make sense, she should have known better.
- Someone1234 8y agoThat's quite a dismissive response for a complex issue. Nurses deal with pills in all kinds of concentrations, particularly in pediatrics, and while I acknowledge that 38.5 pills doesn't pass the sniff test, it isn't absurd that in pediatric medicine you may wind up giving multiple lower dose pills relative to one full adult dosage (particularly if they're right below the adult dosage, and so a dosage was "created" using multiple lower dosage infant pills). I think the article is terribly written (all five parts of it), but I cannot see how anyone could have read it and come away with the conclusion that "the nurse did it." There's like a million degrees of nuance here.
- wizzard 8y agoThe same problems could cause lethal over/under-doses with much more reasonable numbers of pills, i.e. accidentally ordering 2 pills instead of 1. The fact that 38 pills were ordered shows how crazy the problems can get, but a crazy number of pills like that should also be pretty trivial for a nurse to catch. How do you pour 38 pills down an 85-pound child's throat without considering that the consequence may be death?