Procedures of blood test on a 1 year old and change of medication? A standard dropped too low?

concernparent

New Member
Procedures of blood test on a 1 year old and change of medication? A standard dropped too low?

The baby was admitted to tmc on the 4th of August 2012 as she has developed a high fever. Pediatrician ordered blood test after visiting her in ward at 6pm. We waited unit 7pm and called the nurse if we are still proceeding with the test. We are told that the laboratory condition is not suitable for this test and will be informed once it's ready. At about 8pm 2 nurses came into the room and bring the baby to an unoccupied suites at the corner of the ward.

The baby was put on the bed by the nurses.  One hold her waist and the other try to collect the blood by holding her arm and squeezing her tiny finger. It soon turn out to be the most horrific  nightmare on the poor young soul.

 When the baby struggled, the nurse have to force her down to the bed. The other nurse that try to collect the blood has to squeeze and realize it's even harder to let the blood drip into the small test tube. Soon enough, the nurse and the baby hand is covered fully with the baby blood!

The baby face soon turn black in shock, she was no longer crying but screaming. Have at many time reminded tmc the baby has a history of fit. This could be trigger in shock or high fever. The same symptoms had appeared as her eye  rolled up and body started to shake. The mother was denied entry. We can only pray for the baby safety at this junction. 

We have gone through many blood tests, each time, either parent will be allow into the lab and the whole test will be over in 2 minutes. The innovative blood test tmc conducted has lasted more than 8 minutes. The whole experience will be traumatizing even for an adult not to say for a 1 year old. Imagine your own finger has been plucked by needle and you are totally straddled. The blood is then been squeeze from your finger at an interval that  seem endless. 

The baby have issue sleeping at night after the sega and we really hope that she will be back to her joyful self soon.  The baby was really traumatize by the whole experience, she will constantly cry with tears dripping. She will wake up in the middle of her sleep and started screaming and shouting, the mother who is now 6 months pregnant have to loss her sleep to comfort the baby.  No one can get close to the baby including myself and my maid. By admission to tmc  seem to endanger the baby as well as the unborn even more. A pure ironic for a private woman and children hospital, it is definitely not worth 'celebrating'! 

Next morning, we have confirm with the pediatrician and she had ordered a LAB blood test. What was performed by the nurses were highly inappropriate. We have also found out that the medicines ordered by pediatrician were not delivered and on the patient's log card been replaced by pencil marking that marked 'to use patient medication'. Whomever did that had made a serious mistake.

We have many time highlight to tmc what the baby had been taking. We have also confirm with both GP and pediatrician that although it's the same medicine, paracetamol, the dosage can be different due to the medication strength. In view of the different dosage, a new set of medication had been prescribed by the pediatrician. 

The baby temperature did not come down on the first day, we have strong reasons to believe that the correct medication were not given to her. Her temperature further went up at night, at this stage she was still given mild paracetamol. 

Nurse head have came to our room in an attempt to explain the whole situation. Unfortunately, explanation given is not sufficient and direct questions may have been tactfully avoided. The damage has already been done, a million apology cannot stabilize the young heart. As I am writing this, the baby is still in trauma and tears flowing non stop. The pain and agony is unbearable. We as parent will need a lot more effort to claim the little baby and this will be a long process in which a simple apologize can't certainly be accepted.

We have hereby some questions that would like to seek clarification from tmc. Will really like to seek the chairman awareness of this case and hope he can make reasonable suggestion to improve and lift up the standard for tmc.

1) Why was blood test not done in laboratory? 

If the laboratory is in renovation does it mean that all blood test for all patients in tmc will be conducted in the dubious dark room at the corner? ,

2) Hygienic blood test environment?

Nurse hand is cover in blood. Baby hand is cover in more blood?? 

3) The correct procedure of conducting a blood test for an infant or toddler? 

Is this the same procedure conducted for all infants in the hospital?

4) Can nurse overwrite a specialist prescription?  

The patient's prescription had been change somehow and that had mislead the changing shift nurse into giving the correct medication. Dosage of paracetamol can be different, put aside brand, is the correct dosage given? The correct prescription came in only on the second day.

5) Level 5 wards is usually warded with maternity patients, are all nurses train to handle minor patient needs in tmc?

At the point of admission why is it not highlighted that certain ward have it's speciality? Nurse head have confirm this by transferring us to level 4 on day 2 where we will be more well taken care of.

6) Measures and precautions tmc have adopted after this incident? 

Very disappointed parent that may have trust the wrong hospital. 
 
Hi Mervin,

I'm really sad to read your story. I remember when my son was only a few days old, we had to bring him to a polyclinic to monitor his jaundice level after discharge from hospital. His jaundice level shouldn't be that high, that in the end, the PD in poly suggested to do a blood test. Blood was taken from the heel and it took several minutes to fill 2 small tube as the nurse had to poke a needle and squeeze his heel hard enough for the blood to drip to the tube. 1 heel can't produce enough blood, she moved to the other heel and squeeze again...
Really heart pain watching my son screaming like mad!
In the end it was ruled out that my son suffered from breast milk jaundice. I we wanted to see the jaundice level drop faster, we needed to stop breastfeeding, otherwise if still breastfeeding, the jaundice level would eventually drop but very slowly.
And we chose to breastfeed still, coz we believed the benefit was much higher to continue breastfeeding.

I remember the nurse said for younger infant, it will be slightly easier to withdraw blood, coz can do thru the heel. For older child, the procedure may be different. I'm not sure about that.

Hopefully you get your answer soon.
 
Hi,

May I know how high is your little one's fever when she was admitted to TMC? Over 40 degrees? My little girl has never been asked to be admitted even though her fever has hit 40 degrees sometimes.

But I didn't bring her see TMC but to KK. They gave her 2 different types of fever medicine and told us to monitor her etc.

My daughter was admitted to Parkway East when she was nearly 1yr due to a fit episode and she was having diarrhea. They put those needle things into her hand directly and bandage her whole arm onto a hard board, so that blood can be easily drawn out or medication can easily be injected. I never knew that they can draw blood just by pricking.

Maybe the nurses who handled your little one were new.
 

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