Reflective Journal 12

This week in class we discussed building a culture of safety. The thing I found most beneficial was reading about Robin’s story. Robin was a patient that received an enteral feeding via the IV route and ended up dying. Robin died because of many failures in that facility’s system. In response to this error, facilities started using specialty connectors and making it impossible to connect tubing to the wrong route. I will remember this story as a reminder to why we have checks for medications and different tubing for different routes. This story has made me much more cautious in my nursing practice. I always double check when I’m reconnecting tubing. I take a moment to evaluate the safety in the patient room each time before I leave. I feel like this story was very beneficial because it is one that will stick in the classes’ heads throughout their careers.

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