Did This Baby Have to Die?

This coverage sponsored by the SEIU. (cross-posted at FDL and Huffington Post)

Podcasts available, including interviews on the SEIU v. UHS talks.

If you haven't been following the SEIU nurse lock-out story in Las Vegas, it's
time you
got up to
speed. Because
this isn't just about Las Vegas. It is about the fight for accessible healthcare
in this country that has the patient's best interests at its core. It's also
about supporting the caregivers who get caught up in tragedy because for profit
hospitals have the bottom line in focus before patients. But the bottom line
isn't about unions or for profit hospitals. It's about allowing nurses to do
their jobs, which is much more than showing up and punching a time clock. It
may sound hokey, but for nurses, caring for patients is a calling. Anything
that gets in their way is not only counter-productive, but it can actually costs
lives. That is just what might have happened recently on one
November day.

The good news is that the public outcry of support and the progressive blogosphere's
wholehearted backing of the SEIU
nurses in the Valley Health System finally forced David
Bussone and Universal Health Services back to the bargaining table. But
considering Bussone has people like Brent
Yessin involved in this fight, it's impossible not to get the real point
of Bussone's lock-out of the nurses. He wants to keep unions out of his hospitals.
We need to make certain Bussone not only loses the battle in Las Vegas, but
the war he's waging against unions in hospitals. Because there is more and more
evidence that SEIU nurses are not only important, but critical to saving lives.

This one is going to break your heart. It happened at another of Bussone's
Universal Health Services
hospitals in Las Vegas, which happens to be non-union. It's also going to make
you ask if this tragic story could have been prevented.

Richard and Kathlene Shinn were eager to visit their first-born baby the morning after physicians removed breathing tubes from her delicate 21-day-old body. But they weren't prepared for what they witnessed when they entered the intensive care unit at Summerlin Hospital at 9 a.m. that November day. \”Alyssa's hands and feet were white. She was critically ill,\” Richard Shinn said Wednesday. Within hours, their daughter was pronounced dead. (snip) Now, the Shinns said they are desperate to learn what happened to their baby between the night of Nov. 8, when they left the hospital, and the morning of Nov. 9, when they returned. Alleging hospital officials have not answered their questions, the couple hired attorney Richard Harris. The trio spoke to the media Wednesday to notify the community of their ordeal and warn others to beware of what could happen to their infants. \”People need to know what happened to Alyssa. They need to hear her story,\” a sobbing Kathlene Shinn said. Harris acknowledged that he and the couple know little about the tragedy but speculated that the nursing shortage and overcrowding in the neo-natal intensive care unit might have contributed to Alyssa's death. \”Most people come to see me because they want to have answers,\” he said. \”I urge the hospital to be forthcoming.\” In a statement Wednesday afternoon, Summerlin Hospital officials acknowledged the death. \”We are aware and saddened by the situation and extend our heartfelt sympathies to the family,\” the statement said. \”As is the case with any adverse outcome, we take this very seriously. Therefore, we are thoroughly investigating the circumstances of this case.\” … Parents plead for answers

Preemies are a challenge to nurses, mothers, hospitals and all concerned. One
of my dearest friends gave birth to a preemie little boy just last year. They
fought together, father, mother, child and hospital, sometimes wondering if
they could all make it through it. What the nurses go through to care for preemies
is the stuff of true selfless heroism at times. Talking to people who know,
you learn that nurses wake up in the middle of the night fearing the worst with
intensive care patients and preemies. But it also takes a hospital director
who understands the demands on nurses in these units to get the job done. Enough
nurses need to be on duty in these high risk and high stress wards to make sure
mistakes are not made.

Again, UHS Summerlin Hospital is non-union. Bussone likes it that way. What
the SEIU nurses are fighting for in the Valley Health System is not about money.
It's about lowering the patient-to-nurse ratio, banning mandatory overtime,
and getting \”floating\” policies in place so nurses are not moved into
areas of the hospital where they have no expertise.

This raises an important question. Did Summerlin Hospital have enough nurses
on staff to take care little Alyssa? Why wasn't the IV changed on this preemie
at the scheduled time? Were too few nurses on duty? If so, you certainly cannot
blame the nurses when their worst nightmare plays out in real time.

Hospital staff administered intravenously Total Parenteral Nutrition, a common nutrient mix that includes zinc, to help Alyssa's metabolism. A pharmacist sent a new dose of the solution for Alyssa on Nov. 8, and nurses began the drip about 10 p.m., Harris said. At 6:30 a.m., the pharmacist sent a memo to the nurses notifying them of a possible error in the prescription. \”Send new TPN stat,\” Harris said, reading from the memo. But the IV was not changed until 1 p.m. on Nov. 9, when the nurses began flushing her body with an antidote, Harris said. That morning, Kathlene Shinn called the hospital before visiting hours to see how Alyssa was coping without the breathing tube. She said nothing was mentioned of Alyssa's condition. The Shinns were not told of any problems until after they arrived at the hospital at 9 a.m., walked into the intensive care unit and saw their ailing daughter. \”They didn't tell me to come in ASAP and spend the last three hours of her life with her,\” Kathlene Shinn said. Hospital officials escorted the Shinns away from their baby and shut down the intensive care unit, kicking out other parents, Richard Shinn said. The couple then sat in a conference room for hours with no information. The Shinns, who both work in the health care field, said hospital staff continued to tell them their baby was alive after her skin turned blue and cold. \”Some days it's hard for me to realize this actually occurred,\” Richard Shinn said. \”It seems so senseless. It really does.\” After reviewing the prescription by Alyssa's physician, Harris said the requested dosage appeared to be appropriate. How the lethal dosage of zinc was included in the solution or why no one at the hospital caught the mistake before it was administered was unclear, the Shinns said. \”There's five, six, seven people that have their hands on the TPN and review the dosage,\” Kathlene Shinn said. Harris said the Shinns simply want answers for closure, but he did not rule out the possibility of legal action. \”I'm not here to point fingers,\” Kathlene Shinn, a registered nurse, said as she sat near a tiny pair of black shoes and photos of her only child. \”I am urging the public, anyone who has been treated at a hospital or who has a family member or friend who has been hospitalized to listen. As health care consumers, we need to insist that hospitals institute all the technology that can prevent these types of medication errors.\” Parents plead for answers

There are many questions that need to be answered about little Alyssa Shinn's
death. However, one obvious point rings out on this tragedy. If you don't have
enough nurses in every area, especially critical care units, a nurse simply
cannot perform her or his duties up to the standard each and every nurse pledges
to their patients. My heart goes out to the nurses on duty the day Alyssa died.

What happened at Bussone's Summerlin Hospital? We don't know yet, but the Shinns
deserve answers.

And remember, what happens with Las Vegas doesn't always stay in Las Vegas.
As we debate national healthcare, with the intent of covering every American,
this very situation could be coming to a city or town near you. Because if you
believe little Alyssa's story and the Shinn's heartbreak can't happen to someone
you know, you just don't understand the ramifications of putting nurses under
pressure with patient-to-nurse ratios sometimes as high as 10 to 1, while patients
suffer the consequences, sometimes with their very lives.

NOTE: Commissioner Rory Reid and Speaker-elect Barbara Buckley, both of
whom were inside the negotiations between SEIU and UHS, will be guests on Taylor
Marsh LIVE! today, 6-7 p.m. eastern and 3-4 p.m. pacific, podcasts available.