A sentinel event in which oral sodium polystyrene (kayexalate) was given IV push resulting in the patients death undergoes root cause analysis. The nurse ad called the provider to notity of a high potassium level and took a verbal order which was transmitted directly into the computer system and administered fior to physician cosign or pharmacy verification. What satety fallure is demonstrated in this scenario?
[Solved]: A sentinel event in which oral sodium polystyrene…
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