Patient Safety Medicine Essay 

Everybody makes mistakes, since we are human beings. Nurses and medical staff in general are not an exception. However, there is a great difference between just receiving an «E» for a poor grammar and confusing prescribed drugs. That is why identifying, analyzing, learning from the cases and involving actual breakdowns in the nursing process seems to be of great importance nowadays. The episode I am going to talk about may also become quite an instructive lesson. At least, it has become for me as a witness. At 10:30 a.m. on Sunday, the 27 years old woman on the 34 week of pregnancy phoned her neighbor and asked to visit her as soon as possible. He was a registered nurse (RN), working in an intensive care unit. The woman complained of pain adown belly. It was not severe but annoying. She also rejected the proposal to visit a doctor immediately because she had a plan to celebrate her marriage anniversary at home. The same reason caused hiding the fact of some blood-tinged discharge.Patient Safety Medicine Essay Sample Besides she had some financial problems. The woman also assured that the pregnancy had been running well and it was just a matter of a little excitation about the celebration. It sounded quite persuasively. As a result, she was prescribed nifedipine in an appropriate dosage as a tocolytic therapy and vitamins to improve the ceotrophy. As the general state kept growing worse, women decided to increase the dosage. In 6 hours she had to call an ambulance. The obstetric ICU diagnosed anomalous uterus tonus and began the hexoprenaline infusion while transferring her to the hospital. Due to the calcium presence in vitamin pills, they faced the blood pressure increasing, which resulted in vaginal hemorrhage. Hexoprenaline was replaced with magnesium sulfate. But it was interaction with nifedipine that caused cardiovascular system failure and resuscitation necessity, which luckily was successful. The uteroplacental apoplexy (Couvelaire uterus) was diagnosed in the hospital in 10 minutes after the arrival of the ICU. The urgent hysterectomy was the only chance to save the mother and her child, and it was performed immediately.Patient Safety Medicine Essay Sample