[tri-med] Re: Request for help, please

Thank you for your comment Mary. 
 
The physician ordered 0.3 mg X 2 morphine when he wrote the effective DNR with 
no consent at a time when both my husband and I were present.
 
45 min later, the nurse withdrew 2 mg (no wastage shown), then returned and 
withdrew 10 X 2 = 20 mg of morphine (no wastage shown)
 
It begs the question of why the nurse returned to the narcotic cabinet at all, 
given that he already had over 3.5 times the amount ordered. Annie died 45 
minutes after the second withdrawal. The computerized medication report is 
missing.
 
Annie was not on life support. She was on BIPAP.  Shortly after the DNR order 
was written, the BIPAP pressure (insp and exp) was turned up suddenly by over 
40% despite the fact that the Resp Rate, heart Rate, Sat rate were all good 
numbers and were stable.
 
In Canada, we have a social health care system so that certain things (like 
this) are overlooked by all for the  "public interest". We have a coroner's 
report that says based on a forensic review of the narcotic cabinet, nothing 
was done to hasten Annie's death. This was not written by a coroner in little 
town in the middle of nowhere, but a Paediatric Death Review Committee 
consisting of 8 paediatric specialists. However, we have no idea how our 
daughter died and nobody has even tried to explain. Cause of death was 
"complications of trisomy 13"
 
 
The nurse has left our country and now works in United States. His record was 
clean because the hospital and coroner made no report. I just hope that he 
doesn't work with disabled children because he has no personal problem with 
administering an excess of morphine. These are not speculations I state, they 
are facts and I am pleased to send any information to anyone for validation. 
 
We never left Annie once and these events took place in front of us without our 
knowing as we had blind trust. One can never be too careful when these special 
children are hospitalized.
 
I am telling Annie's story at an upcoming International Symposium on euthanasia 
and disability with disability leaders from the UK, CAN and US. I hope it will 
have an effect.
 
 
Thanks for your response Mary.
 
barb


> From: mrcapp@xxxxxxxxxxxxxxxxxx> To: tri-med@xxxxxxxxxxxxx> Subject: 
> [tri-med] Re: Request for help, please> Date: Thu, 18 Oct 2007 11:08:01 
> -0500> > Barb if 30 time the amount of morphine prescribed was signed out 
> either Anne> recieved an overdose or the nurse was misappropriating the 
> morphine for her> own use. I do not know about Canadian laws, but a 
> discrepancy like that> should involve a hospital revue and possible go to the 
> local prosecutor.> > Mary> ----- Original Message ----- > From: "Barbara 
> Farlow" <b_farlow@xxxxxxxxxxx>> To: <tri-med@xxxxxxxxxxxxx>> Sent: Saturday, 
> October 13, 2007 9:13 PM> Subject: [tri-med] Re: Request for help, please> > 
> > > The morphine was signed out under Annie's name and the nurse was not> 
> treating any other patients.> >> > There is no accountability in the Canadian 
> health care system. In theory,> euthanasia is a criminal act but this is 
> readily overlooked. The coroner> undertook a 9 month "long and complicated' 
> review. He told us that nothing> was done to hasten Annie's death based on "a 
> forensic review of the narcotic> cabinet". We asked him how much morphine was 
> signed out for Annie and he> responded, "I don't need to tell you that". We 
> have since acquired a copy of> the log.> >> > A few hours prior to the 
> morphine, Annie had a full dose of chloral> hydrate followed by another full 
> dose 2 hours later. The second dose is> recorded in the medication record but 
> there is no physician's order for it.> >> > The "world class" hospital 
> believes that the order of a new "narcotic> ordering and dispensing system" 
> will rectify the unfortunate problems.> >> > barb> >> >> > > Date: Sun, 14 
> Oct 2007 11:48:31 +1000> To: tri-med@xxxxxxxxxxxxx> From:> jknowd@xxxxxxxxxx> 
> Subject: [tri-med] Re: Request for help, please> > I'm no> lawyer, but did 
> this nurse withdraw this amount of morphine > for exclusive> use with your 
> baby, or was she treating other patients > on the ward also?>> At 05:11 AM 
> 14/10/2007, you wrote:> > >Nobody has shown us an exray showing> lung failure 
> or proof that > >there was organ failure and we know that the> blood work 
> over the > >final 24 hour admission was stable. The final> medication report 
> is > >missing and a copy of the narcotic log sheet> recently acquired > 
> >reveals that the nurse withdrew over 30 times the> amount of morphine > 
> >prescribed, with none shown as returned or wasted, all> in the final > >2 
> hours of Annie's life.> >> > Jocelyn, loving Nanna to Tess> with Trisomy 18 
> aged 10 & 1/2 years> > Building ___ooOOoo__ Rainbows>> www.trisomyonline.org> 
> Families Helping Families On-line>> > 
> _________________________________________________________________> > R U 
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