Case Study – The Human Factor: Gina’s Story Gina was admitted to an English hospital for an angiogram to assess blood flow in her right leg.Gina has…

Question Case Study – The Human Factor: Gina’s StoryOn the day of the procedure, the correct checks were performed.Gina was admitted to an English hospital for an angiogram to assess blood flow in her right leg. Gina has had this procedure performed in an earlier admission and experienced no complications from what is often considered a ‘routine procedure.’The staff setting up the procedure work trolley poured skin disinfecting solution and injectable medications into the same coloured pots on the sterile field. This was a routine set up that had been done many times before. During the procedure, an event occurred that momentarily caused a break in staff concentration. This seemingly small event had catastrophic consequences. Instead of injecting a contrast medication into Gina’s right leg artery, a skin prep disinfectant was injected once and then repeated. The outcome of this mistake was devastating. Gina’s leg immediately became white and then mottled, eventually resulting in death of the leg tissue. Over a period of weeks, Gina required several operations to remove more and more of the ischaemic leg and spent many weeks in Intensive Care.Because of this error in the procedure, Gina has been left with a complete amputation of her leg (to hip level) and a significant, devastating, life changing disability.1.      After viewing the clip, identify three (3) human factors that may have contributed to the catastrophic event that occurred2.      On reflection, how could these human factors have been avoided?3.      How did you feel when you heard Gina scream in the video? What did you think may have occurred?4.      Try and put yourself in the position of the two procedural staff in the room at the time of Gina’s scream. How do you think the doctor and nurse may have felt when they heard the scream?5.      After they could not see blood flow on the screen, the doctor injected a second dose of fluid, causing Gina to scream in agony again. Do you think this was the correct thing to have done after the first scream? Why/why not? Health Science Science Nursing NURSING HLTENN015 Share QuestionEmailCopy link Comments (0)