The Nashville Hospital Medication Mixup Explained by Nurses | The ER Edit Ep. 29
· 34 min · S1 E29 · Explicit
Episode The Nashville Hospital Medication Mixup Explained by Nurses | The ER Edit Ep. 29
Four joint replacement patients in Nashville received potassium phosphate instead of the intended spinal anesthetic, mepivacaine, and the investigation shows just how many opportunities there were for someone or something to catch the mistake. We break down the pharmacy workflow and medication safety failures, then bring back some of the wildest medication error stories we have heard before ending with a truly chaotic round of Whisper Line submissions.
LISTEN, WATCH, FOLLOW, AND SEND US YOUR STORIES
https://theeredit.com
Find The ER Edit episodes, Spotify, Apple Podcasts, YouTube, Instagram, TikTok, The Whisper Line, host links, and business contact in one place.
Spotify: https://open.spotify.com/show/4Ab8DoFQ3hTyQvIE69O2YR?si=fea43e1cda3140f0
Apple Podcasts: https://podcasts.apple.com/us/podcast/the-er-edit/id1884089840
YouTube: https://www.youtube.com/@theERedit
Instagram: @theERedit_
TikTok: @theERedit
Business inquiries: theeredit@gmail.com
The views and opinions expressed in this episode are those of Caitlin Armstrong and Karlie Tooley and do not represent the views, policies, or positions of their current or former employers, hospitals, healthcare organizations, or any affiliated institutions. This podcast is for entertainment and general discussion purposes only and should not be considered medical advice.
00:00 The Nashville Potassium Phosphate Mixup 01:02 How Spinal Anesthesia Usually Works 03:39 How Did the Wrong Syringes Get There? 05:30 Potassium Phosphate Reaches the Spine 06:36 Four Patients Are Seriously Harmed 08:47 Inside the 80 Page Investigation 09:04 How the Pharmacy Error Started 11:33 Five Syringes Get the Wrong Medication 13:45 The 29 Second Verification 15:38 Why We Want to See the Vial 16:01 What Happened After the Error 18:22 The Wild Medication Errors Begin 21:25 Tap Water in a Central Line 24:28 Medication Errors We Cannot Explain 27:41 The Whisper Line Gets Wild
Links in the notes 4
Shows are listed from Apple Podcasts' charts and directory, and Podcast Index where it is used. Every show and episode belongs to its publisher and plays from the publisher's own feed; this site hosts none of them. Explicit shows are for adult profiles only, and children’s profiles hear only children’s shows. More about this list.