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Veteran Dies Following Delay in “Code Blue” Alert at Memphis VA Medical Center—Rebroadcast
Manage episode 445633316 series 3333001
محتوای ارائه شده توسط VA Office of Inspector General and VA OIG. تمام محتوای پادکست شامل قسمت‌ها، گرافیک‌ها و توضیحات پادکست مستقیماً توسط VA Office of Inspector General and VA OIG یا شریک پلتفرم پادکست آن‌ها آپلود و ارائه می‌شوند. اگر فکر می‌کنید شخصی بدون اجازه شما از اثر دارای حق نسخه‌برداری شما استفاده می‌کند، می‌توانید روندی که در اینجا شرح داده شده است را دنبال کنید.https://fa.player.fm/legal
In this latest episode of Veteran Oversight Now, we’re revisiting a highly downloaded episode from April 2024—Veteran Dies Following Delay in “Code Blue” Alert at Memphis VA Medical Center.
Hear from a VA OIG healthcare inspection hotline director discuss how a telemetry technician’s failure to follow a series of communications within the time frame established in the facility’s cardiac telemetry monitoring policy delayed initiating a code blue alert, ending with the patient’s death. This edition also includes highlights of the VA OIG’s work from August 2024.
“Once the patient's heart rate completely stopped and they went into asystole, that should have triggered a code blue. Period.”
– Trina Rollins, VA Office of Inspector General, Office of Healthcare Inspections, Hotline Director
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