[Verified Answer]: Assume a physician making round on his…

Assume a physician making round on his patients arrive at Mrs. Buckman’s room. She’s an elderly lady in her late 70s who recently had colon surgery. She is also the wife of a prominent physician at the hospital. She has been known to be somewhat confrontational with the nursing staff.However, that day she states she was just given a shot of insulin to cover her elevated blood sugar and the amount of insulin did not seem to be the usual amount. Even though Mrs. Buckman often complains, the physician is somewhat concerned about this observation and decide that it would be best to check on this.The physician asks the charge nurse to review the dose of insulin given. She, in turn, finds Mrs.Buckman’s nurse, who states that, as ordered, she had given the patient 80 units of insulin. The physician become quite alarmed, as this is an extraordinarily large dosage. The physician makes sure that the patient is given a large amount of glucose supplement and that her blood sugar ismonitored every 15 minutes for the next two hours. To follow up, the physician also reviews the chart and notes an order from the house physician to give Mrs. Buckman 8.0 units of insulin. The physician can readily see how this could easily appear to be 80 units.The physician meets with the charge nurse, the nursing supervisor, the Director of Nursing, and the treating nurse to determine what can be done to prevent this type of error in the future.Discussion Questions:A. What are the facts in this case? Should the nurse have questioned giving this large amount of insulin without checking with doctor? Should the pharmacist have questioned the dosage?B. What mechanism can be put in place to prevent this from occurring in the future? Should this be considered as a sentinel event? Should root cause analysis be performed? Write your answers and rationale your views.