A baby was born at the hospital and had difficulty breathing
and an un-certified respiratory therapist attempted to intubate (the insertion of a tube for the purpose of adding
or removing fluids or air) the baby but missed the lungs and put the
tube in the baby’s stomach. The therapist had never intubated a baby by her own
admission. Eventually, the baby was sent to another hospital and the tube
removed. The baby was eventually discharged unharmed by the hospital. The
member's of the medical staff were not told of the error but only heard through
scrupulous nurses who were outraged at the behavior of the respiratory
therapist.
The medical staff leaders made a formal report to the Joint
Commission of Hospitals. The Joint Commission investigated the incident and
sanctioned the hospital with formal written reprimand. The hospital was
required to have all respiratory therapist certified. The medical staff wanted
to know why the doctor's in house were not intubating the patients. The
hospital would not use the in house specialists who are available 24 hours per
day to assist in an emergency but allow the therapist who is less qualified to
perform this procedure.
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