posted on Mar, 6 2014 @ 09:13 PM
I actually wrote some of that trauma center's policy and procedures but I'm not an automaton and am capable of thinking for myself.
Your policies and procedures are nothing more then a “checklist” the same as a pilot uses to ensure they don't skip a step in the heat of the
moment. In an emergency do you want a pilot who is just winging it, or one that follows the emergency procedures to the letter? I'll give you a hint,
Capt Skully followed his to the letter. Those procedures should be based on industry wide “lessons learned”, “best practices”, and in the
case of a pilot thousands of hours of simulation time. If you think that you can “wing it” better than all that accumulated knowledge, then I wish
you the best of luck. Eventually your luck will run out though, and the first thing that you will be asked when they bring you in to investigate what
happens is, “did you follow the policies and procedures for that scenario?”
We'll have to let the lawyers battle out the rest.
If they followed their P&P then there is nothing for them to battle. You put them on a court stand and all they have to say is that, “we followed
the state approved P&P to the letter”. Someone would then have to go and attempt to sue the state over it. As it sounds like there few damages here,
the reality is that is most likely never going to happen.
The policies and procedures for a fire /fire drill (which we DID follow in that we got all patients and visitors out) did not account for an ICU being
on the 9th floor. Whoever thought it was a good idea to put an ICU on the 9th freaking floor was an idiot. The "designated area" to which we were
supposed to rally everyone (patients and visitors) was on the same floor as the fire. Obviously that wasn't well thought out either. We got everyone
to safety in record time and the policy/procedure was later changed based on our reactions to reflect what we did in the situation. In other words,
the procedure for dealing with a fire on the 9th floor ICU was changed to: "Do what they did".
And nurses can be sued for failure to follow "standards of care", not just for not following policy and procedures. Gone are the days when you can
plead, "I was just following Dr.'s orders". You're expected to have enough intelligence to know when you're told to do something stupid and refuse to
do it. Maybe teachers are not held to such standards?
There are any number of unanswered questions in the report. If it took 10 minutes to evacuate everyone, was the girl first to be evacuated or last?
Was she evacuated at the 2 minute time frame or the 10 minute time frame? Did anyone say, "screw this! Who's got their car keys?" Was the sweater
and coat offered to her as soon as she came out of the building or after she started shivering and stamping her feet? I've done plenty of triage and
an evacuation can usually be handled with one less person. How many people does it take to keep the doors open and wave your arms at the exiting
And you didn't answer my question either because it wouldn't serve your cause. What should have been done if she came out in flames? Should she
continue to stand in line burning to death until everyone was evacuated and accounted for? We don't know the severity of her frostbite and, really,
it shouldn't matter. She suffered damage/injury while in the care of the school.
And to answer your question about the pilot "winging it", ask any pilot what they would do if the air traffic controller came on the radio and shouted
"Turn Left Now!" The best pilots know WHEN to wing it and when to strictly follow P&P.
Teachers are being asked to take on more and more responsibility and, even with training/drills/practices, not everyone will respond according to
Hoyle in a crisis. At the very least, an investigation needs to occur with an eye toward rewriting the P&P and certainly the girl's medical bills
should be covered.
edit on 6-3-2014 by whitewave because: (no reason given)