Things go wrong sometimes.

[whitewriter]

Other than the fact that very low volumes of patients require CRRT in neuro intensive care (my old joint) -- I'm not sure why, but somehow, when stuff happens to the brain, most of the time all other organs are totally fine. We run CRRT in my old unit maybe, once or twice a year 2-3 pt will require it, and then everyone panics and they send us staff from general to run it because the majority of nicu staff don't know how or its been ages since they were in general and are super rusty.

One day in one of the general units, a machine was set up by a very old senior and a student; for someone else whose pt it actually was: and it was set up incorrectly, and instead of the blood getting filtered, it flowed backwards (??? not sure exactly because I wasn't there at the time
) and out of the pt and yes, they died.

Since then the set up has to be checked by a senior prior to starting the CRRT.

When before you'd set it up, and start it, and there was no mandatory "pre-check".

The nurse whose pt it was, guess where she ended up?

A manager in aged care.

Poor thing was a lovely girl -- super nice and friendly. I can't imagine returning after such an event. I can understand why she would go totally into management - and be as far away as possible from the clinical world.

That's my big fear-- it gets less and less the longer your in one place-- but that one day I'll without meaning, (of course) - make a mistake, and cost someone their life.