Baby girl 40-degree fever, 4 days in hospital, 4 hours before death, no care record.

Family members question: Why is "primary care" patient, 4 hours before death without nursing records of the hospital side response: the recommendation of the family to do medical identification just full year old Lin Xiaoxuan (alias), after four days in hospital, died. She was hospitalized in the Fuzhou Infectious Disease Hospital on September 6 because of a fever suspected of having measles. The first three days of hospitalization, her condition was stable, until the early hours of September 10, a nightmare began. No one knows, from the beginning of a fever to the end of a short span of 6 hours, small xuan little body, endured what kind of pain. Xiao Xuan's father Lin Youmin said that in the hours before the child died, the medical staff did not arrive to understand the child's condition. He also sought the help of doctors and nurses on several occasions after the child had a fever, but they did not appear in time. "Family question" primary care children continue to have a high fever to 40 ℃ why not see the medical staff? According to Lin Youmin introduced, because the persistent fever three days, September 6, a year old daughter Xiao Xuan from Ningde Hospital to Fuzhou Infectious Disease hospital treatment. That afternoon, after the doctor diagnosed, to "fever, rash of the following: measles?" "The small Xuan is admitted to hospital. After admission, Xiao Xuan's condition is stable. September 9 Night 7 o'clock, small Xuan hang up every bit, Enron sleep. But unexpectedly, September 10 0:30 Xu, small Xuan again fever, 38.7 ℃. Lin Youmin immediately reported that the nurse, the nurse gave the child 3 ml of ibuprofen suspension of the fever. At 5:40 A.M. Xu, Lin Youmin oneself feel wrong, and then to the child to measure temperature, found the child burned to 40.2 ℃. He felt the situation bad, hurriedly find the Doctor on duty, did not find, and went to find the nurse on duty. The nurse on duty asked him to physically cool the ice cubes. He came to the ice with a cloth wrapped in a small porch under the armpit to cool. After a few minutes, he measured his child's armpit temperature by 38 ℃. He was not at ease, and after a few more minutes, he measured the temperature of his child and found that he had risen to 38.5 ℃. Lin Youmin went to the nurse again, and the nurse advised him to find a doctor. So he hurried to the doctor's office to find someone, the doctor advised him to give the child to eat 3 ml ibuprofen suspension, in addition to no treatment. Unexpectedly, this time after the medicine, the child immediately turned pale, the whole body weak. The parents of the ward said that this was not the case. He hurried to the doctor's office with his child in his arms. The doctor found the situation serious and immediately carried out the rescue. At this time the child has no breathing, the doctor rescued one hours failed to work. 10th 7 o'clock in the morning, the doctor announced Xiao Xuan rescue invalid death. Cause of death: cardiac and respiratory arrest. The death of the child made it difficult for the Lin Youmin to accept. Xiao Xuan's family questioned the management of the hospital and the patient's diagnosis and treatment problems, so that his children, a need for first-level care patients from 2 o'clock in the morning to 6, continued to fever to 40.2 ℃, but there is no medical staff to the scene of inspection and treatment, resulting in the tragic death of children. He said that according to the prescribed level of care of patients, medical staff must be one hours to inspect the child's condition, if the medical staff to do their duty, timely detection of the child's condition changes, timely measures, perhaps the child will not die. "Voice" family handshas a thick stack of medical records, according to the family's copy of the medical records, some people in the industry put forward some views. The family also expressed their voices. Voice 1 is the child's medical record "seriously ill" modified? Why is there no special care if a "serious illness" is issued? Industry insiders said that from the medical records provided by the family, there are some contradictory details. September 6 2 o'clock in the afternoon, hospital medical records showed that the child's body temperature of 37.5 ℃, this is not high, at the same time, both lung and heart examination also showed no obvious abnormalities, mental, good reaction, normal development ... The results of the preliminary diagnosis are: 1. Fever, rash is not diagnosed: measles? 2. Congenital deafness; 3. Mental and motor development retardation. Generally speaking, doctors are most serious about hospital medical examinations. "Mental, responsive, normal development" and the diagnosis of the results of "mental, motor development retardation", this paradox is a bit confusing. Meanwhile, in the doctor's order, September 6 Two o'clock in the afternoon, doctors were instructed to "be seriously ill". This is obviously inconsistent with the results of the physical examination of the admission cases above, the words used in the medical examination are "not", "none", but the doctor's advice shows "seriously ill". What is the basis of your illness? The patient did not have a dehydration appearance, nor coma, delirious, high fever and other symptoms. In addition, under the notice of serious illness requires the family to sign, the medical records also did not see the family signed the relevant notice of illness. Then the 6th "seriously ill" doctor's orders a little inconsistent with the rules. Industry insiders said that according to the above data to analyze, there are two situations, one situation is that children do have problems, but the doctor is not serious, neglected, not written in the hospital records. In another case, as the parents say, the child does not have a problem, the doctor's advice was modified after the first. "The hospital is lying. "Against the Doctor that day has been very ill informed of things, the child's father Lin Youmin said, the child is admitted to the physical examination indicators are very good, he did not sign the hospital issued" seriously ill "notice, if the child is really seriously ill, according to the nursing requirements, level is not aimed at a stable condition of the first level of care, but should be special care. Sound 2 high fever 6 hours without further measures not in line with the common sense industry also proposed that if according to the hospital to say a hospital is "seriously ill", uncomfortable 4 days still recurrent fever, unstable condition of patients, in the fever up to 40 ℃ over 6 hours, the medical records are only shown, simple take fever medicine, and physical cooling, without further checking and taking measures, this is a bit counterintuitive, especially when there are no records in the nursing history at 2 o'clock in the morning to 6. According to the relevant regulations of the Ministry of Health, nurses should record the nursing process during hospitalization of critically ill patients according to the doctor's order and condition. Patients with special care, critically ill, seriously ill, specific treatment, need to observe the condition closely and three days after the major operation should use the nursing records of critically ill patients. The contents include patient's name, section, inpatient medical record number (or medical record number), bed number, page number, record date and time, quantity of fluid, body temperature, pulse, respiration, blood pressure and so on, nursing measure and effect, nurse signName. The industry said that critically ill patients with the care record time should be more specific to the minute, rather than appear four hours of blank. Voice 3 Hospital management not in place the industry said, because did not see the complete medical records, the hospital whether there is negligence, this is difficult to determine. But the hospital staff is not rigorous work, management is not in place, this is obvious. For example, according to the relevant provisions, within 72 hours after admission, the hospital for the patient's condition to make a diagnosis, not find out the cause of the disease, it is necessary to find other sections of the consultation, or to request a superior hospital to consult, the patient diagnosed. Can not be discharged from the hospital, and not let the patient find out exactly what disease. And Xiao Xuan until death, her death certificate directly caused by death of disease or fever, rash is not the case: measles? Voice 4 The family of the child said that "the hospital is forging medical records". The family said that September 10 12 o'clock in the morning he copied the child's medical records from the hospital and found in his nursing records 6:50 "ibuprofen suspension" and the patient's temperature. In fact, after 00:30 the nurse and the doctor did not give the child any examination, more than 6 children are already in the rescue, how can a stop breathing and will stop the heart of the patient to take medicine to cool down and measure temperature?