If a stock bag was used at the time the line was changed, and has to be out of the fridge for 4hrs - could she not just have taken it out of the fridge before leaving? Baby F was already deteriorating fast at this point so they must have been preparing for various interventions anyway to try an eliminate the cause? They obviously wouldn’t have suspected the bag was contaminated with insulin but it would also make sense at that point that they went back to a stock TPN rather than the bespoke as they’d already know the issues started when it was connected. It may have already been suggested the bag may needed to be changed prior to the line tissuing and it becoming more urgent so a stock bag was prepped ready?
Also when the bag is out of the fridge how long does it last? Is it routine to have one out ready rather than have to wait 4hrs for it to be ready incase a baby is born and needs one and they can’t wait 4 hours?
Although I don’t actually believe the bag was changed I am just throwing out other possibilities.
Also when the bag is out of the fridge how long does it last? Is it routine to have one out ready rather than have to wait 4hrs for it to be ready incase a baby is born and needs one and they can’t wait 4 hours?
Although I don’t actually believe the bag was changed I am just throwing out other possibilities.