Thank you yes that was helpful. I think we are some what on the same page that the bag was never changed. I mean a new bag was ordered at the later 4pm change (the only change imo), if one was ordered (I’m assuming from the pharmacy in this case) surely 11 am bag too would have been documented also?
So we have three scenario’s here, 1, the nurse changed the bag with another contaminated which for one reason or another was ready and waiting. 2, she used a cold bag, I don’t think that would be appropriate (also where would the contamination come from
). Or 3, she never changed the bag and has either forgotten or is lying now. I don’t think it was done out of malice but perhaps she thought that was the best option at the time. I can’t imagine she would want to administer a cold bag just out the fridge to a tiny neonate and I can’t imagine she would have wanted to wait either, so reusing the bag seems perfectly acceptable in some ways.