In the end, the MT was not to blame here. - lynlou Posted: Jan 3rd, 2019 - 7:49 am In Reply to: One patient most *definitely* has died as a result of an MT ERROR. - and no doubt more that we don't know about
Of course, we have no idea about the quality of the recording the MT was listening to. This, of course, could have played a factor. Medication dosages should have been flagged for follow-up if they did not make sense, but the physician has the ultimate responsibility to sign off on the records. Of course, the nurse did not follow protocol by referring to a discharge summary to administer medications. The nurse did not question the dosage either, could have followed up on it prior to administering what ended up being a fatal dose. So many things went wrong here. A real train wreck of a situation.
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