JCAHO Sentinel Event Alert: Patient controlled analgesia by proxy
Posted by Clark Venable on 12/21/2004
Sentinel Event Alert Issue 33: Patient controlled analgesia by proxy
I had this happen during my training. Healthy patient, uncomplicated anesthetic, uneventful recovery. Three hours after arriving on the floor she had a respiratory arrest. Despite numerous attempts from every quarter to blame my anesthetic (I had used Sufenta, a new synthetic narcotic at that time), it turned out to be the family pressing the PCA button.
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