I work on a pediatric intensive care unit, the nurse, after placing an NG should ALWAYS check placement. This is unacceptable. I'm so sorry for your loss. I cannot believe a veteran nurse dismissed you like that.
They didn't say placement was not checked, but unfortunately a lot of experienced nurses do the way they were taught 20 years ago, which was auscultation. We now know, that isn't the safe way anymore. More education needs to be done. Xray checking every placement also puts the baby at risk for high radiation levels. But changes do need to be made.
unfortunately sometimes these experiences happen and it shows what needs to change. She did what she was taught and you cant always point fingers with such hatred. There's things that have changed in society because of something that was once right and many people were not initially harmed. She may have felt dismissed but doesn't mean the nurse intended it to be that way. Theres very little compassion in this world and its increasingly thinning. She is a veteran nurse and probably does very well at her job, but she's still a person. She didn't say it wasn't checked, she has been doing it for 20 years. A lot of what you see today, often came as the result of finding out something isn't the best way. Sometimes when one thing works (and doesn't fail), a better way is found. In fact there's medications that were once used for good intention, didn't work out well but actually were the base formula and properties to drugs that are necessary today and it came at the initial result of failure. Medical science is not perfect but its always changing. Healthcare is not perfect and there's a risk for every single thing that happens in any setting.
My best friend from childhood, Beth, is part of a national team of nurses and other medical professionals working on educating nurses so this tragedy doesn't happen again. This wonderful woman is also part of that team. Her story is powerful and tragic. This doesn't need to happen!
As a student nurse, these videos are so important and informative. So incredibly heart breaking, for all involved. The weight of losing a child and the weight of knowing your practice has contributed to this for another family. So many emotions and feelings, medicine professionals and patients who experience these things are some of the strongest people in the world.
As a nursing student, I've been taught to never ever give ANYTHING through an NG tube until placement has been confirmed via X-ray. I know there are other ways like aspiration and auscultation but my instructors have discouraged these practices; for good reason. This is heartbreaking and was completely avoidable had the RN just looked at the X-ray and confirmed placement. I'm so sorry for the family's loss.
It is unfortunate how much it varies though. While in the nicu they did this. Yet when she was given a Nf tube again at 13 months old and sent home it was replaced many times a day by us and we were told not to use the ER for this or nG placement. We were not given Anything besides a stethoscope to check that way which I do not like I bought the Ph strips to check myself. After having other parents on a fb group tell me about it. She was also on a continuous feed including overnight and no pulse was given. Which they require where we now live. If it was to slip or move while asleep I wouldn’t know.
I also hope the nurse who killed this baby lost her job and registration. The mother stated changes in her baby, including huge indicators that the feeding tube was misplaced. I'm a student nurse and am already aware of policies and procedures that apply to a situation like this, all of which the nurse did not take into account or employ in her practice. This would be seen in his EMR, I really hope the family did the right thing and took the nurse to court. She should not be practising. 20 years in the field doesn't ever ever justify ignoring correct policies. Policies in place to protect the patient for this very reason.
This REALLY upset me & made me cry, I am SO sorry your baby died because medics made serious mistakes and failed to realise they had - in time. I'm so glad they learned from this fatal error, I hope this learning (& lessons learned from ALL medical errors = NO lies, denials & cover-ups - as happened to me when medics nearly killed me) spreads world-wide to protect everyone.
And it’s really simple to check the correct placement of the tube you just push a tiny syringe of air through the tube and listen for it with a stethoscope to gurgle in the stomach. if it doesn’t you know it’s not in the stomach most likely in the lung. It’s just a simple procedure I would never pour liquid down that tube until I checked to make sure it was in the stomach
It's really devastating that as a mother you KNEW something was wrong get you were ignored! 😟 there is no excuse for complacency and ignorance it doesn't matter if you have been a z nurse for two days or two decades you should never be to proud to consider you made a mistake or ask for help especially when parents who know their children better than anyone says somethings not right!
WHY DIDNT SHE USE Standard protocol of a tiny syringe of air while the stethoscope is on the babies belly and you can tell when the air is in the correct place. Sounds like she put in the two without overdoing the check to verify it’s not in the trachea instead I’d the esophagus! This is a first year of nursing school skill .
Another protocol is to pull back on the ng and test with a strip to check for gastric fluid. Why no one followed these are so beyond me. This is a clear example of medical neglect. I hope they lost their license to practice.
Im sorry this happened to this family. Same situation with my son. Aspirated with milk and ended up on a vent. He was breathing room air and coming home the next day until this happened. Wasnt told til later that night when i got off work and was completely dismissed and put off like it was no big deal. We were violated so many times that night. 😢😢
Tragic. So important that we speak up when we don't feel right about something but we're not used to doing that. We feel dismissed by nurses or Dr's or overpowered.
unfortunately even speaking up isn't always enough ,my husband died 6 months ago as a result of a series of medical errors which I repeatedly questioned only to be ignored or dismissed . i even tried to have him transferred to another hospital but was unsuccessful. Speaking up had helped save him from mistakes in the past but American medical care is becoming industrialized to the point of dehumanizing everyone involved : professionals ,patients and families alike are all just cogs in the system.
@@roxyb03 yeah I know. My husband is dead, my infant Dr was prescribed an overdose and I'm fighting for my life hear because of the care of physicians. I wish I had not been trained to trust these people. Now I fear them, for good reason. Many of them are dangerous. Too many errors, bad judgement, sloppy. Sorry for your loss also.
these critical changes in technical practice need to be complemented with attitudinal changes like replacing arrogant dismissiveness with attentive responsiveness to family/patient concerns.
This family lost their baby for the same thing that almost costed Jordan (my now 5month old son) his life at the same age, a feeding tube. The placement of the tube asphyxiated my son and he went into cardiac arrest. I feel so deeply for their loss and am blessed that our little boy survived it. These should be banned with infants.
As a nurse, I don’t think I would be able to live with myself after a fatal mistake like this. I wouldn’t dare put anything through that tube without confirming placement. Prayers to Mom & Dad. 🙏🏾
Oh my goodness… I am so heartbroken for this family. This brought me back to when my beautiful 34 weeker stayed in the NICU for two weeks and I was terrified every time the nurses had to feed him through the tube. I was terrified that he would rip it out. Terrified that we would rip it out on accident while he was being fed. I’m an RN myself and I am in awe of the ignorance of that nurse. I hope she lost her license for good over this. My son was given a vaccine we had refused during his stay as we didn’t want him to get it just yet, because she didn’t check the chart closely enough. I forgave her for it, but as nurses we MUST DO BETTER for our patients.
Please tell me shes in prison? This is way past a mistake, as a nurse you are taught to listen to the tummy with a stethoscope while pushing in a little air to check for the wooshing sound, or if you're still not sure a 30 second xray will easily tell you. She was being fed by her ego and her ego caused the death of your baby, she better be in prison.
I am a future nursing student & it breaks my heart to watch these but I know how important it so to understand medical errors so they can be prevented. The gold standard for NG tubes is an X ray afterwards to be sure of placement. I am still a student, but even if I had practiced for 20 yrs, I would never look at my patient and tell them not to worry I have been doing this for years - I would listen to their concerns and stop immediately. If they had told a previous nurse struggled to insert the NG tube and needed a guided x-ray, I would have put the tube away and gone to get a more experienced worker.
First of all what is the need for putting in the feeding rice, can't they be fed through mouth , they just want to keep you in hospital but complicating their health, for money , the more the complications the more money they get.
@@PatientSafetyMovement Please stop with the excuses. I am a RN with 35 years experience. I don’t know whether this nurse should’ve gone to jail or not, but what I do know is I would never put liquid down a feeding tube without checking its placement first. You can place the onus on the hospital and it systems but at the end of the day it is up to the nurse to check the five rights of administration of medication and to check the placement of any feeding tube. Period.
Wow I'm so sorry, geeze I'm no Dr. But even I know to check for the sound of air with a stethoscope on the tummy to make sure this deadly error doesn't happen
I work on a pediatric intensive care unit, the nurse, after placing an NG should ALWAYS check placement. This is unacceptable. I'm so sorry for your loss. I cannot believe a veteran nurse dismissed you like that.
NG tube placement should be checked not only after initial placement but before EVERY tube feeding. no excuses
They didn't say placement was not checked, but unfortunately a lot of experienced nurses do the way they were taught 20 years ago, which was auscultation. We now know, that isn't the safe way anymore. More education needs to be done. Xray checking every placement also puts the baby at risk for high radiation levels. But changes do need to be made.
unfortunately sometimes these experiences happen and it shows what needs to change. She did what she was taught and you cant always point fingers with such hatred. There's things that have changed in society because of something that was once right and many people were not initially harmed. She may have felt dismissed but doesn't mean the nurse intended it to be that way. Theres very little compassion in this world and its increasingly thinning. She is a veteran nurse and probably does very well at her job, but she's still a person. She didn't say it wasn't checked, she has been doing it for 20 years. A lot of what you see today, often came as the result of finding out something isn't the best way. Sometimes when one thing works (and doesn't fail), a better way is found. In fact there's medications that were once used for good intention, didn't work out well but actually were the base formula and properties to drugs that are necessary today and it came at the initial result of failure. Medical science is not perfect but its always changing. Healthcare is not perfect and there's a risk for every single thing that happens in any setting.
My best friend from childhood, Beth, is part of a national team of nurses and other medical professionals working on educating nurses so this tragedy doesn't happen again. This wonderful woman is also part of that team. Her story is powerful and tragic. This doesn't need to happen!
As a student nurse, these videos are so important and informative. So incredibly heart breaking, for all involved. The weight of losing a child and the weight of knowing your practice has contributed to this for another family. So many emotions and feelings, medicine professionals and patients who experience these things are some of the strongest people in the world.
As a nursing student, I've been taught to never ever give ANYTHING through an NG tube until placement has been confirmed via X-ray. I know there are other ways like aspiration and auscultation but my instructors have discouraged these practices; for good reason. This is heartbreaking and was completely avoidable had the RN just looked at the X-ray and confirmed placement. I'm so sorry for the family's loss.
It is unfortunate how much it varies though. While in the nicu they did this. Yet when she was given a Nf tube again at 13 months old and sent home it was replaced many times a day by us and we were told not to use the ER for this or nG placement. We were not given Anything besides a stethoscope to check that way which I do not like
I bought the Ph strips to check myself. After having other parents on a fb group tell me about it.
She was also on a continuous feed including overnight and no pulse was given. Which they require where we now live. If it was to slip or move while asleep I wouldn’t know.
Yup! I have NEVER given anything thru a tube of any kind without a thorough assessment and X-ray on a new placement or questionable placement.
I also hope the nurse who killed this baby lost her job and registration. The mother stated changes in her baby, including huge indicators that the feeding tube was misplaced. I'm a student nurse and am already aware of policies and procedures that apply to a situation like this, all of which the nurse did not take into account or employ in her practice. This would be seen in his EMR, I really hope the family did the right thing and took the nurse to court. She should not be practising. 20 years in the field doesn't ever ever justify ignoring correct policies. Policies in place to protect the patient for this very reason.
This REALLY upset me & made me cry, I am SO sorry your baby died because medics made serious mistakes and failed to realise they had - in time. I'm so glad they learned from this fatal error, I hope this learning (& lessons learned from ALL medical errors = NO lies, denials & cover-ups - as happened to me when medics nearly killed me) spreads world-wide to protect everyone.
Damn. I’m so sorry. So sorry. It’s terrible 😢 That nurses arrogance is inexcusable
And it’s really simple to check the correct placement of the tube you just push a tiny syringe of air through the tube and listen for it with a stethoscope to gurgle in the stomach. if it doesn’t you know it’s not in the stomach most likely in the lung. It’s just a simple procedure I would never pour liquid down that tube until I checked to make sure it was in the stomach
My son was recently killed by his feeding tube this hurts my heart so bad. And it’s crazy I’m not alone
I am so sorry for your loss.
Im sorry you had to go through this. Heartbreaking. God bless you.
It's really devastating that as a mother you KNEW something was wrong get you were ignored! 😟 there is no excuse for complacency and ignorance it doesn't matter if you have been a z nurse for two days or two decades you should never be to proud to consider you made a mistake or ask for help especially when parents who know their children better than anyone says somethings not right!
WHY DIDNT SHE USE Standard protocol of a tiny syringe of air while the stethoscope is on the babies belly and you can tell when the air is in the correct place. Sounds like she put in the two without overdoing the check to verify it’s not in the trachea instead I’d the esophagus! This is a first year of nursing school skill .
Another protocol is to pull back on the ng and test with a strip to check for gastric fluid. Why no one followed these are so beyond me. This is a clear example of medical neglect. I hope they lost their license to practice.
I work in veterinary medicine and even when we get gastric contents we still check with an X-ray before using.
Im sorry this happened to this family. Same situation with my son. Aspirated with milk and ended up on a vent. He was breathing room air and coming home the next day until this happened. Wasnt told til later that night when i got off work and was completely dismissed and put off like it was no big deal. We were violated so many times that night. 😢😢
Did you sue? Did the nurse get sued? Did the nurse lose their job?
Tragic. So important that we speak up when we don't feel right about something but we're not used to doing that. We feel dismissed by nurses or Dr's or overpowered.
unfortunately even speaking up isn't always enough ,my husband died 6 months ago as a result of a series of medical errors which I repeatedly questioned only to be ignored or dismissed . i even tried to have him transferred to another hospital but was unsuccessful. Speaking up had helped save him from mistakes in the past but American medical care is becoming industrialized to the point of dehumanizing everyone involved : professionals ,patients and families alike are all just cogs in the system.
@@roxyb03 yeah I know. My husband is dead, my infant Dr was prescribed an overdose and I'm fighting for my life hear because of the care of physicians.
I wish I had not been trained to trust these people.
Now I fear them, for good reason. Many of them are dangerous. Too many errors, bad judgement, sloppy.
Sorry for your loss also.
these critical changes in technical practice need to be complemented with attitudinal changes like replacing arrogant dismissiveness with attentive responsiveness to family/patient concerns.
oh no no..unbearably sad.
Im so glad things have changed.your baby is a ground breaker ! Halelujah
This family lost their baby for the same thing that almost costed Jordan (my now 5month old son) his life at the same age, a feeding tube. The placement of the tube asphyxiated my son and he went into cardiac arrest. I feel so deeply for their loss and am blessed that our little boy survived it. These should be banned with infants.
As a nurse, I don’t think I would be able to live with myself after a fatal mistake like this. I wouldn’t dare put anything through that tube without confirming placement. Prayers to Mom & Dad. 🙏🏾
arent they supposed to do xray to confirm placement before starting feeding?
Oh my goodness… I am so heartbroken for this family. This brought me back to when my beautiful 34 weeker stayed in the NICU for two weeks and I was terrified every time the nurses had to feed him through the tube. I was terrified that he would rip it out. Terrified that we would rip it out on accident while he was being fed. I’m an RN myself and I am in awe of the ignorance of that nurse. I hope she lost her license for good over this. My son was given a vaccine we had refused during his stay as we didn’t want him to get it just yet, because she didn’t check the chart closely enough. I forgave her for it, but as nurses we MUST DO BETTER for our patients.
Bless your heart and wow a strong family..👶👶
Please tell me shes in prison? This is way past a mistake, as a nurse you are taught to listen to the tummy with a stethoscope while pushing in a little air to check for the wooshing sound, or if you're still not sure a 30 second xray will easily tell you. She was being fed by her ego and her ego caused the death of your baby, she better be in prison.
Common sense to check placement. Not rocket science.
So sad 😔
I am a future nursing student & it breaks my heart to watch these but I know how important it so to understand medical errors so they can be prevented. The gold standard for NG tubes is an X ray afterwards to be sure of placement. I am still a student, but even if I had practiced for 20 yrs, I would never look at my patient and tell them not to worry I have been doing this for years - I would listen to their concerns and stop immediately. If they had told a previous nurse struggled to insert the NG tube and needed a guided x-ray, I would have put the tube away and gone to get a more experienced worker.
First of all what is the need for putting in the feeding rice, can't they be fed through mouth , they just want to keep you in hospital but complicating their health, for money , the more the complications the more money they get.
HORRIFIC!
Please tell me she went to prison for murder negligent homicide
@@PatientSafetyMovement Please stop with the excuses. I am a RN with 35 years experience. I don’t know whether this nurse should’ve gone to jail or not, but what I do know is I would never put liquid down a feeding tube without checking its placement first. You can place the onus on the hospital and it systems but at the end of the day it is up to the nurse to check the five rights of administration of medication and to check the placement of any feeding tube. Period.
In nursing school we learn the BEST way to check placement is XRAY.
I guess this could happen with adults as well.
Wow I'm so sorry, geeze I'm no Dr. But even I know to check for the sound of air with a stethoscope on the tummy to make sure this deadly error doesn't happen