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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 > April, 2007 Vol. VIII, No. 4

Making All the Right Moves

How to prevent medication errors every step of the way in your facility.

Rodney Hicks, PhD, ARNP, Shawn C. Becker, MS, BSN, RN, and Diane D. Cousins, RPh

A 64-year-old patient in the pre-operative holding area was awaiting surgery for carpal tunnel repair. A nurse started the patient's IV line and concluded the patient examination and interview. The anesthesia provider then saw the patient. He intended to administer midazolam, famotodine, metoclopramide and ondansetron, but inadvertently swapped syringes and administered succinylcholine instead. The error resulted in immediate respiratory paralysis to the patient, who was transported to the OR for intubation and general anesthesia.

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