HomeBabyNurse Kills Baby by Feeding Her 28 Times Too Much Food
Nurse Kills Baby by Feeding Her 28 Times Too Much Food
Nov 29, 2017
Ryan Waters and his partner, Laura Bennett, were given their miracle baby when their daughter, Maisie Waters, was brought into this world via Cesarean section. Maisie was born with an atrioventricular septal defect. She required special care because the walls of her heart were missing. So, she was admitted to the Pediatric Unit of the Bristol Royal Children's Hospital in South Wales. And then, Maisie was taken from Ryan and Laura. Not because of her heart defect, but because of human error.
Maisie Waters. This is a picture of Maisie Waters. She was the miracle baby of Ryan Waters and Laura Bennett. Maisie, born via Caesarean section, was born with an atrioventricular septal defect She required special care and was admitted to the Pediatric ICU of the Bristol Royal Children's Hospital in South Wales.
TPN. Maisie was fed Total parenteral nutrition, or TPN, intravenously. TPN reportedly meets a person's complete dietary and nutritional requirements. TPN is fed from a bag through an IV tube to the patient.
The machine. To administer Maisie's TPN, a nurse was responsible for configuring the infusion machine to properly regulate her feedings. The nurses were also responsible for replacing Maisie's TPN bags when appropriate. During her time in the ICU, Maisie had been doing well, and she was being prepared to undergo surgery.
Martyn Woods. Martyn Woods, a nurse, is believed to have caused the fatal error. "But when the nurse, Martyn Woods, re-configured the machine after replacing a bag he mistakenly entered the daily dose of 210ml under the hourly rate. As a result, she was given 28 times the 7.5ml she should have received in one hour. Mr Woods said he believed the mistake happened after the machine beeped at him, which he thought indicated he needed to re-enter the 24-hour dosage." Source: The Telegraph.
A huge mistake. As a result of Martyn's error, Maisie was given 210ml per hour. She was supposed to be given 7.5ml per hour. Martyn said that the infusion "bleeped" at him when he configured it, but he didn't determine why.
Cardiac arrest. Soon after, Maisie went into cardiac arrest. Doctors performed CPR on Maisie for 45 minutes but were unable to resuscitate her. Eventually, Maisie's parents gave the doctors permission to stop, and to let Maisie be at peace.
The inquest. Bristol Royal Children's Medical Hospital immediately launched an inquest after Maisie's death. It was determined that several safety measures had not been followed by the staff. Two nurses are supposed to double check the way the infusion machine is configured at all times. In this case, Martyn Woods had no one double checking his work.
Concerns about Maisie's care. Reportedly, Ryan Waters and Laura Bennett had expressed concerns over the quality of Maisie's care at the hospital. They had observed nurses joking and laughing as they administered Maisie's medications. According to Bennett and Waters, it did not always appear that the nurses were giving Maisie their full attention.
Grief. Laura Bennett described the incredible loss of losing Maisie. The doctors asked Laura if she wanted to be there when Maisie passed away, but Laura declined, stating that she could not bear the heartbreak of witnessing her child's death. The hospital prepared a memory box for Bennett and Waters, including a lock of Maisie's hair.
New procedures in place. Bristol has since put new procedures in place, and the staff is expected to strictly adhere to them. Two nurses are required to monitor and double check the configuration of the infusion machines. It has been reported that this rule was already in place at the time of Maisie's death, but the staff had become lax about it, and it was common for just one nurse to program the infusions.
Martyn Woods. Martyn Woods met with Laura Bennett and Ryan Waters. He took responsibility for what happened and profusely apologized. Laura said that at first she felt nothing but bitterness toward Woods, but eventually forgave him.
We know it was a mistake. "We know it was a mistake," Bennett said. She added that nothing would ever bring Maisie back. She further commented that Woods will have to live with the guilt of what happened for the rest of his life.
A miracle baby. Maisie was born without walls inside her heart. She was being prepared to undergo open heart surgery. The odds of her survival were slim, but according to her parents, Maisie was a fighter.
Still coming to terms with it. Bennett and Waters are still coming to terms with the death of their daughter. Bennett is deeply affected whenever she sees someone pushing a stroller. They had envisioned a life together, and now that life has changed.
Going on with life. Despite the unbearable pain of losing Maisie, Bennett and Waters have managed to carry on with their lives. They think of Maisie every day, and they love and miss her. They learned to forgive Martyn Woods, and are doing their best to just take things one day at a time.