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Mother Dies While Undergoing Outpatient Procedure
8/27/2012
A 39 year-old mother of two young children, ages seven and one, went to the University of Illinois Medical Center on April 17, 2008 for what was represented to be a relatively routine outpatient procedure.
She was scheduled for an endoscopic retrograde cholangiopancretography which involves the removal and replacement of a stent in the biliary tree, which transports fluid secreted by the liver into the small intestine.

The anesthesia plan was to use moderate sedation, but she was over-medicated during the procedure which resulted in the cessation of her breathing. The caregivers were slow to recognize her deteriorating condition or its cause. When her lack of breathing and resulting severe hypoxia was finally recognized, a code blue was called. The code team misinterpreted electrical activity in her heart and failed to perform chest compressions as part of the cardiopulmonary resuscitation (CPR) to ensure that blood was being circulated through her. The team’s failure to perform appropriate CPR resulted in both the heart and the brain not receiving adequate oxygen, and she suffered severe hypoxic brain damage. She died on April 25, 2008 without regaining consciousness.

It is crucial that health care providers receive adequate education and training before performing Moderate Sedation. Our latest CE course was designed to educate those healthcare personnel responsible for performing Moderate Sedation.

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Pedagogy’s online course “Moderate Sedation” states “the patient should be medically monitored before, during, and after the procedure. The nurse should closely monitor the patient’s heart rate, heart rhythm, blood pressure, and oxygen levels to ensure patient safety. The patient should wear a nasal cannula through which oxygen may be administered if needed, as the patient’s breathing may become slower and even more shallow than normal under moderate sedation. Health care providers should have training in basic life support (CPR), the equipment needed, as well as training in moderate sedation. Moderate sedation should not be taken lightly, and health care providers should be trained and practice often to ensure patient safety. The health care provider should understand the sedation continuum, sedation medications, nursing responsibilities, complications, and patient education.”

To learn more and view details or purchase the course: CLICK HERE

Critical to the care of patients undergoing moderate sedation is the correct reading and interpretation of the paitents EKG. EKG monitoring is becoming more common in inpatient and outpatient care settings as well as emergency and critical care areas. Nurses and other healthcare professionals are responsible for cardiac patients including monitoring and interpreting cardiac dysrhythmias. They must develop critical thinking skills required to quickly and accurately identify potentially life threatening conditions. This EKG course is designed for these healthcare professionals wishing to enhance their level of education to include anatomy and physiology of the cardiac system, EKG electrode placement, equipment, and recognition of lethal and non-lethal dysrhythmias. A thorough understanding of the cardiac conduction system, circulatory system, lay out of the EKG waveforms to include the P-Wave, R-Wave, QRS Complex, T-Wave, as well as the PR Intervals, ST Segments, and the normal timings of each area is essential to EKG recognition and best patient outcomes. This course will also describe and discuss the different pacemakers, their uses, and troubleshooting techniques.

To view Pedagogy Inc’s online continuing education course on EKG Recognition: CLICK HERE

Pedagogy is an online training resource unlike any other training site on the internet today. We offer current, comprehensive and cost effective online training to individuals, facilities, hospitals and home health agencies. Take a look around, explore the site and see how Pedagogy has raised the bar for online training! We offer individual as well as facility and corporate benefits.

To view our complete Course Catalog: CLICK HERE

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