Nurse's misdemeanor incident reveals potential dangers of modern technology

February 2011
Same-Day Surgery;Feb2011, Vol. 35 Issue 2, p13
Academic Journal
ECRI Institute has identified the top 10 technology hazards from 2011. (See list, p. 15.) To avoid Luer misconnections, trace the line to its source. Also, use labeling or color- coding to identify lines. ' , To avoid oversedation during use of patient-controlled analgesic (PCA) infusion pumps, look at pumps that are easier to program and have "soft" and "hard" medication limits. Consider preprinted physician orders, an independent nurse double-check of the settings incorporated into the orders, a policy requiring nurses to review settings during each shift and on shift handover, the implementation of a mandatory critical incident reporting program, and nurse education. To avoid cross-contamination from flexible endoscopes, post instructions from the manufacturer in the cleaning area. INSET: Top 10 Hazards for 2011.


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