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Outpatient Surgery E-Weekly

Contact Congress Over Drug Shortage Issues

A Kentucky congressman is urging surgical facilities to contact their members of Congress and request that they sign his letter demanding changes to...

N.J. Posts ASC Inspection Reports Online

State and federal inspection reports of New Jersey's ASCs are now available online, giving patients an opportunity to make more informed choices abo...

Are Opioids Necessary?

While it's not always practical, or even possible, to eliminate opioids from your post-op pain management regiment, reducing their use in favor of n...

Archive > August, 2006 Vol. VII, No. 8

Medical Malpractice Quiz

NPO Nightmare

Sharon K. Smith, RN, JD, and Tyler J. Smith, JD

A 28-year-old, blind and mentally retarded male with bleeding gums is scheduled for a dental exam, cleaning and scaling under general anesthesia at an ambulatory surgery center due to his inability to cooperate with a full exam and treatment. During the pre-op exam two days before, staff inform the patient's mother that her son must be NPO after midnight. On the day of the procedure, the mother reports that the patient last ate at 9:30 p.m., at which time he took his first dose of Diazepam 10mg PO. A nurse administers the second dose at 7:30 a.m. Anesthesia is induced without incident at 7:41 a.m. The procedure begins at 8:20 a.m. and ends without complications at 10:20 a.m.

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Categories: Anesthesia, Malpractice
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