100,000 people dead each year due to medical mistakes? Really? - Page 4 - cougarguard.com — unofficial BYU Cougars / LDS sports, football, basketball forum and message board

ERCougar · 03-15-2008, 07:00 AM

Just took a quick sample from the nurses on how JCAHO regulations can be harmful. Started a lively discussion with everyone having plenty to say.

Some of the highlights;
NS (normal saline), the IV fluid most commonly used to replenish body fluids (from everything from trauma to dehydration), is now considered a "drug" and must be locked away. Which means that when you get your gunshot wound and come into the ER, you will have to wait until a nurse can get in the mandatorily-locked med room (another genius JCAHO regulation) to get the NS that will save your life.

Lidocaine, which comes in small vials only accessible by needle entry, is a medicine used to anesthetize areas for suture repair. Wounds are extremely common in the ED and most have a "suture cart" that trucks around to all the wound repairs. Lidocaine is obviously way too dangerous to have on these carts. Yup...locked away in the med room. This causes indirect as it slows down patient flow and makes us unable to treat sick patients as quickly. This probably doesn't sound like nearly as big of a deal to the outsider as it is.

Hydrogen peroxide--another drug far too deadly to be in patient rooms. This one's just annoying.

RSI drugs--used to intubate patients. Need to be locked in the med room. Hope that intubation isn't really urgent.

Lots of more drug examples, as the discussion kind of went this direction. All show no conceivable safety benefit to patients with possibly serious consequences. All formulated by "doctors" with the apparent clinical acumen of Mike.

Again, not against regulation. Just would like some informed regulation.

Archaea · 03-15-2008, 12:31 PM

Quote:

Originally Posted by landpoke

I glory in being a small cog in Big Oil's death machine.

P.S. I never pegged you for a long-haired patchouli stink hippie. Just goes to show I guess.

I observed this characteristic of my favorite poker as a term of endearment.

Archaea · 03-15-2008, 12:38 PM

Quote:

Originally Posted by MikeWaters

ER docs are known as the biggest assholes in medicine.

This has nothing to do with this thread, but I thought I would mention it.

Now it sounds like you're trolling, as I've typically heard, as a close outsider that "SURGEONS" are the biggest assholes in medicine.

A surgeon taught me this one,

"What's the black line around an asshole?"

"A stethoscope."

landpoke · 03-15-2008, 01:23 PM

[QUOTE=Archaea;198529]I observed this characteristic of my favorite poker as a term of endearment.[/QUOTE

Are you flirting with me?

Archaea · 03-15-2008, 02:20 PM

[quote=landpoke;198539]

Quote:

Originally Posted by Archaea

I observed this characteristic of my favorite poker as a term of endearment.[/QUOTE

Are you flirting with me?

If you could set me up with one of Big Oil's little daughters I would.

UtahDan · 03-15-2008, 04:03 PM

Quote:

Originally Posted by ERCougar

I still can't figure out if you're a doctor. To make that statement makes me think absolutely not. ER doc's bigger assholes than surgeons? Are you kidding me? I know there are exceptions and you can call me an asshole (indirectly) if you want, but let's take a poll of doctors and nurses and see what they think.

Don't take it personally ER. Mike tries to run people off when they know more about something in his professional field than he does. OhioBlue leaps to mind.

landpoke · 03-15-2008, 04:04 PM

[QUOTE=Archaea;198547]

Quote:

Originally Posted by landpoke

If you could set me up with one of Big Oil's little daughters I would.

The chairman of out company has two attractive daughters. Unfortunately they're both engineers. Such a waste.

il Padrino Ute · 03-15-2008, 05:21 PM

RE: the tiff between Mike and ER:

On behalf of the entire funeral service industry, all doctors are assholes.

Just sign the damn death certificates. It's difficult to help the family of the deceased to take the next step toward closure when you don't allow them to place the casket into the vault at the grave site.

Archaea · 03-15-2008, 05:38 PM

Quote:

Originally Posted by landpoke

The chairman of out company has two attractive daughters. Unfortunately they're both engineers. Such a waste.

I can do trust fund girls. I can try to see what it's like to be a kept man, really.

Attractive daughters with access to money and brains. Do they train well?

landpoke · 03-16-2008, 01:39 AM

Quote:

Originally Posted by Archaea

I can do trust fund girls. I can try to see what it's like to be a kept man, really.

Attractive daughters with access to money and brains. Do they train well?

THEY"RE ENGINEERS. Such a sad, sad waste of attractive women.

03-15-2008, 01:23 PM	#34
landpoke Senior Member Join Date: Jul 2007 Location: North Central God's Country Posts: 1,534	[QUOTE=Archaea;198529]I observed this characteristic of my favorite poker as a term of endearment.[/QUOTE Are you flirting with me? __________________ I see a hobo. And when I see the hobo, I think to myself, "This man is poor. His monetary value is low, and my monetary value is high, and it's a shame that he is himself. What can I do?"

03-15-2008, 05:21 PM	#38
il Padrino Ute Board Pinhead Join Date: Jan 2006 Location: In the basement of my house, Murray, Utah. Posts: 15,941	RE: the tiff between Mike and ER: On behalf of the entire funeral service industry, all doctors are assholes. Just sign the damn death certificates. It's difficult to help the family of the deceased to take the next step toward closure when you don't allow them to place the casket into the vault at the grave site. __________________ "The beauty of baseball is not having to explain it." - Chuck Shriver "This is now the joke that stupid people laugh at." - Christopher Hitchens on IQ jokes about GWB.

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03-15-2008, 07:00 AM	#31
ERCougar Senior Member Join Date: Oct 2007 Posts: 1,589	Just took a quick sample from the nurses on how JCAHO regulations can be harmful. Started a lively discussion with everyone having plenty to say. Some of the highlights; NS (normal saline), the IV fluid most commonly used to replenish body fluids (from everything from trauma to dehydration), is now considered a "drug" and must be locked away. Which means that when you get your gunshot wound and come into the ER, you will have to wait until a nurse can get in the mandatorily-locked med room (another genius JCAHO regulation) to get the NS that will save your life. Lidocaine, which comes in small vials only accessible by needle entry, is a medicine used to anesthetize areas for suture repair. Wounds are extremely common in the ED and most have a "suture cart" that trucks around to all the wound repairs. Lidocaine is obviously way too dangerous to have on these carts. Yup...locked away in the med room. This causes indirect as it slows down patient flow and makes us unable to treat sick patients as quickly. This probably doesn't sound like nearly as big of a deal to the outsider as it is. Hydrogen peroxide--another drug far too deadly to be in patient rooms. This one's just annoying. RSI drugs--used to intubate patients. Need to be locked in the med room. Hope that intubation isn't really urgent. Lots of more drug examples, as the discussion kind of went this direction. All show no conceivable safety benefit to patients with possibly serious consequences. All formulated by "doctors" with the apparent clinical acumen of Mike. Again, not against regulation. Just would like some informed regulation.