SJDH accused of mishandling intravenous line

A baby attached with intravenous line shouldn’t be left alone. It’s a delicate device that may hurt the patient and can cause heavy bleeding if accidentally misplaced.

In an attempt to take back dignity that’s allegedly been tarnished by a mother who posted a photo on Facebook of her child’s bleeding hand due to mishandled intravenous line, San Jose District Hospital has issued an “official statement” explaining their side of the story, June 24.

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Days ago, a mother named Rizalyn Milan posted a photo of her child’s bleeding hand, alleging that a certain nurse from District Hospital incompetently mishandled the intravenous line.

A peripheral intravenous line is a small, short plastic catheter that is placed through the skin into a vein, usually in the hand, elbow, or foot, but occasionally in the head. 

medlineplus.gov
SAN JOSE DISTRICT HOSPITAL RELEASES OFFICIAL STATEMENT 1

The purpose of peripheral intravenous catheter (PIV) insertion is to infuse medications, perform intravenous (IV) fluid therapy, or inject radioactive tracers for special examination procedures. Placing a PIV is an invasive procedure and requires the use of an aseptic, no-touch technique.

jove.com

She said in her post:

“..sa gumawa nito sa baby namin makunsensya ka sana pinahirapan mo yung bata gawa yan ng isang nurse sa SAN JOSE DISTRICT HOSPITAL ..pinilit niyang tanggaling ang swere ng hindi naman pla marunong..”

intravenous line
Intravenous line attached to a baby’s hand. Photo by www.ivhouse.com.

Her post was picked up by Facebook user Ben Sanchez, offering his own view of the incident which triggered a lengthy discussion. The debate spilled over different Facebook groups since then.

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Here’s the full text of San Jose District Hospital‘s official statement as issued and signed by of Chief of Hospital Noelito S. Fernandez MD, MHA. Some portions of the letter were covered for the child’s protection.

On (June) 22, 2019 7:00AM -3:00 PM shift there were 87 patients in Section 3 with Registered Nurses-on-Duty.

  • Ms. Rose Sangutan – 29 patients (Pedia & Surgery)
  • Ms. Ruth Sanchez – 43 patients (16 Rooming-in)
  • Ms. Jamaica Reyno – 15 patients
  • Ms. Leonore Therese Buenavista – 4 patients (Admitted Newborn)

The document shows San Jose District Hospital’s account of the events pertaining to the child’s condition and the actions they have taken:

..1 year old was admitted June 22 1:15am as Acute Gastro Infection (AGE) with moderate dehydration. Dra. Santos made her rounds. Ms. Sangutan to carry out the doctor’s orders by Dra. Santos is preparing the medication at the treatment room. Ms. Leonore volunteered to do the skin testig, one of the patients for skin testing was baby _____. He was asleep when she entered the room, she prepared the skin test site (m/3 of the right forearm), avoiding the IV site. The baby struggled on her 1st and 2nd attempted but she was successful in her 3rd attempt. When she was about to leave the room, the relative of patient  ____ called her because the IV site is bleeding. She came to the patient and checked the IV line, the IV tubing was detached from the cannula/abbocath, so she attached the IV tubing to the cannula and check for the back flow. After ascertaining the line was still patent, she left to get some cotton balls to clean the mess. She told Ms. Roses what happened. Ms. Roses told her to remove the IV line. She informed the relative that the IV line should be reinserted to start the medication ordered by Dra. Santos. The grandmother refused. The mother came to Ms. Roses to sign the waiver/HAMA.

All pediatric patient with IV fluids should be watched over closely by the watcher/relative because the IV line can easily be dislodged or worse, get detached and the back flow of blood results. One precaution the hospital staff can do is put a splint on the palm-wrist (as seen in the post) so the patient cannot bend his/her wrist and prevent the IV line from being dislodged. “Pero dahil malikot ang bata, the IV line got connected and back flow of blood spilled.

The nurse had nothing to do with that, she just did the skin test (ST) without touching on the IV site and she did what is right by checking the patency of the IV line when she secured it back.

It is the right of the patient to file a complaint in the proper venue, but not in the social media.

Meanwhile, another Facebook user with the handle Lloyd Reynaldo gave his take on the issue on a lengthy comment on a post at Occidental Mindoro Opinion Board Facebook group in attempt to clarify opposing sides’ bones of contention.

Dagdag opinion lang po sa mga hindi marunong umintindi ng official statement posted above:
Kung susuriin natin, nakakabit pa ang splint and ang tape(micropore). hindi naman kailangang maging nurse o doctor para malaman na kailangan tanggalin muna ito bago tanggalin ang plastic na catheter na nakatusok (hindi po ito karayom). Ibig sabihin, hindi intensyon na tanggalin na ang swero ng nurse. Maaaring nagalaw o aksidenteng nabunot ung catheter (maaaring lumikot ung bata o kulang ung dikit ng tape o sumabit lang). Madalas na mangyari ito sa mga bata. Kung mangyari po ito, huwag tayo mataranta at sabihin nyo agad sa nurse para mapigilin ang pagdudugo.

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Huwag po tayong basta basta magpost ng ganito sa social media platforms. lagi po may dalawang side ng story at mas mainam ay alamin din ang side ng medical staff o atleast magtanong po tayo sa mga kakilala nating allied health professionals if possible ba ung mga ganyang insidente na mangyari at pssible na dahilan. Sana po ay kung talagang may pagkukulang ang nurse, maaring magreklamo pwedeng verbal o written report(gumawa ng incident report para ma-document). maaari naman na ifollowup kung anong aksyon ang ginawa ng management if tingin tlaga may neglegence. Hindi puro post nang post na tumatawag lang ng masasamang reaksyon sa ibang taong nkikisimpatya at wala namang sapat na kaalaman sa isyu.

 
Marami po ako o kayong mga kakilalang nurses. kamag-anak o mga kapitbahay. Tanungin nyo po sila kamustahin sila paano ang trabaho nila sa setup dito sa pilipinas o kahit dito sa mindoro. lahat tayo dismayado sa health services dito s probinsya natin (kasama na ako dun). Pero ang mga nurses, midwives, medtechs, radtechs, doctors na nakikita nyo sa mga ospital natin may mga kanya-kanyang sakripisyo din. Tanungin nyo sila kung may mga plano sila mangibang bansa o may mga matataas na offer ba sa kanila sa ibang lugar. at tanungin nyo din sila bakit pinili pa nila na magstay sa mabaho maduming at bulok na hospital na sinasabi nyo: dahil pinakiusapan sa ospital na magstay kasi wala nang nag-aapply? kasi ayaw malayo sa pamilya? kasi mas masaya sila sa sariling bayan? o mas masarap magsilbi sa kababayan mo?

 
Bakit itong mga taong pinili nilang paglingkuran e ang nagnanais magpatanggal pa ng lesensya nila? Alam mo ba ang tunay na nagyari? Ganun ba kasama tingin nyo sa kanya? kung ikaw ang magulang ng nurse na ito maaaring nagsanla ng hayop nila o ng lupa para makapgtapos ang anak nila para sa ganitong bokasyon, ano mararamdaman mo na ung mga taong pinagsisilbihan ng anak mo e ang nagpapatanggal ng lisensya ng anak mo na walang matibay na basehan?

 
Bakit mo naman siya ipapa-tulfo? bakit hindi ang congresswoman mo, o ang gobernador mo, o mga bokal, mayor, o kung sino sinong pulitiko na paulit-ilit mong binoto na nagpapalakad sa ospital ang ipa-tulfo mo? Nasa kanila ang kapangyarihan ng mag-approve at maglaan ng budget. nasa kanila ang desisyon if bibigyan nila ng priority ang health at magcreate ng items para dumami nurses at doctors. sakit ng taga-oksi mindoro ang ngawa nang ngawa tungkol sa mga di maagandang basic services ng pamahalaan pero pagdating ng elksyon pera lang katapat ng karamihan kaya paulit ulit binoboto, pareho parehong mukha, pareparehong reklamo, pero hindi natututo. ano ang inaasahan natin sa mga nurses o doctors, sabihan nila mga friends nilang nurses o doctors: “uy mga friends, dun tayo sa oksidental mindoro, kulang mga nurses/doctors dun. help nyo kami kulang kasi kami dun e. pero konti lang sweldo ha, o baka pwede kaya kayo magvolunteer na lang? La kasi bakante e.”…Ganun ba?

 
Lahat ng pagbabago sa sistema ay magmumula sa mga taong binoto mo. hindi ko sinasabi na may karapatan nang magpabaya ang mga medical staff porke kulang sila. pero hingin nyo din ang panig nila at bigyan ng konsiderasyon. Walang nurse o doctor ang nagnais na mapasama ang pasyente nila. pero hindi mo pwedeng hatiin katawan nila para ibigay sa dami ng pasyenteng nangangailangan sa kanila. Hindi sila pwedeng icharge kpag lowbat na sila para magamit mo uli. kahit sino kahit kayo kapag napagod may limitasyon din. Nakakita na ba kayo ng pasyente na tinatapunan, sinusukahan ang doctor o nurse? pero iniintindi nila sila pati mga kamag-anak nila. ngseserve sila hindi lang sa mga pasyente nila kundi pati sa mga kamag-anak, mga bisiting kapitbahay, mag tumatawag mula sa ibang bansa o kahit sa mga nkiki-epal lang.

 
Hindi porke may dugo sa damit o sa bedsheet pinabayaan na. Magsuri at magisip po muna.

In the past, even before May 2019 Midterm Election, San Jose District Hospital has been subjected to social media slurs with complaints ranging from poor service to lack of facilities which were eventually attributed to Provincial Government. They remained mum on the issues leveled at them. But not this time, up to the point of apparently telling the concerned parties to have it discussed “in the proper venue” and not to blow matters out of proportion in social media.

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SAN JOSE DISTRICT HOSPITAL RELEASES OFFICIAL STATEMENT 2

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