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Serious After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat ah!

ginfreely

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Woman gets wrong jab, faced other errors at Choa Chu Kang Polyclinic

PUBLISHEDJUL 30, 2016, 5:00 AM SGT
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Salma KhalikSenior Health Correspondent

Over the past couple of months, housewife Karen Koh experienced a series of errors in her dealings with Choa Chu Kang Polyclinic, culminating in her getting the wrong vaccine earlier this month.

She had gone to the polyclinic to do three fasting blood tests in May.

She was having lunch after having her blood drawn when she saw that the bill did not include the test for cholesterol levels.


When she checked, she was told that the staff had not taken her blood for the test and was told to return the next day to have her blood drawn again as she had already eaten.

She asked to see a doctor, who got a nurse to divert some of the blood already taken, so she would not need to return the next day.

The next error occurred when Madam Koh, 32, wanted to use her Medisave. She filled up a form, but was told by the cashier that it was not needed.

After she got home, the polyclinic called to say the form was needed after all. Madam Koh refused another trip to the polyclinic. The cashier apologised and said she would collect the form from Madam Koh as it had been her fault.

Earlier this month, Madam Koh was bitten by a dog and went to the polyclinic for a tetanus jab but was given one for typhoid instead.

The polyclinic told her about the error the next day and apologised. A team from the National Healthcare Group Polyclinics (NHGP), which runs the polyclinic, met her to explain that she was told the next day as it took time to count the vaccines to confirm the error.

Dr Lew Yii Jen, NHGP senior director of clinical services, checked on Madam Koh and said she had not suffered from any side effects from the typhoid jab.

Ms Jancy Mathews, NHGP's deputy director of nursing, said one nurse had taken the vaccine to Madam Koh and another had given the jab. Neither had checked that it was the correct one.

She said the nurse "did not check the vaccine before administering it because she had been distracted" and the packaging for the two vaccines looked alike.

She added that the nurse had not followed protocol that required her to use the electronic immunisation system to verify the vaccine before administering it.

The minutes of a meeting which the NHG shared with The Straits Times said the nurses voluntarily told the clinic of the error.

Madam Koh did not subsequently get a tetanus jab.

Dr Asok Kurup, an infectious diseases specialist at Mount Elizabeth Hospital, said tetanus, a bacterial infection that can cause locked jaw, is rare here, but should be considered after a dog bite.

He said: "If it is a deep wound, and the individual had been previously immunised in childhood, but without a booster in the last five to 10 years, a tetanus toxoid shot is required."

It is best to get the jab within 24 hours, but it is also acceptable within a three-day period, he said.

Madam Koh asked for a refund. She received a refund this week of $25 for the injection, but not the $12.60 consultation fee.

Last night, NHGP said it will "refund the full consultation fees as an act of goodwill, even though consultation services had been provided and the doctor had managed Madam Koh appropriately".

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A version of this article appeared in the print edition of The Straits Times on July 30, 2016, with the headline 'Woman gets wrong jab, faced other errors at polyclinic'. Print Edition | Subscribe
TOPICS: POLYCLINICSDOCTORS/SURGEONS
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shittypore

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Die lah! Every thng gone wrong in Sinkieland.
 

winnipegjets

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Last night, NHGP said it will "refund the full consultation fees as an act of goodwill, even though consultation services had been provided and the doctor had managed Madam Koh appropriately".

Goodwill? Clinic screwed up.
 

halsey02

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

70% voted for it,,and is she one of the 70%?

The nurse should have given her a depo-provera....the 70% should be jab that...to stop stupidity from breeding. At least, she won't get typhoid but the dog bite gets infectious she might die & even get rabid.

:biggrin:
 

The_Hypocrite

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Goodwill? Clinic screwed up.
Hahhahahah they fuck up and offer refund,,,??? only singkies are dumb enough to accept such an offer....this is a damn malpractice suit and payout is huge,,,only in singkieland that the incompetent is protected....and the 70 % voted for it....they deserve even more crap from the PAP
 

ginbitchy

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Earlier this month, Madam Koh was bitten by a dog and went to the polyclinic for a tetanus jab but was given one for typhoid instead.

The polyclinic told her about the error the next day and apologised. A team from the National Healthcare Group Polyclinics (NHGP), which runs the polyclinic, met her to explain that she was told the next day as it took time to count the vaccines to confirm the error.

Dr Lew Yii Jen, NHGP senior director of clinical services, checked on Madam Koh and said she had not suffered from any side effects from the typhoid jab.

Ms Jancy Mathews, NHGP's deputy director of nursing, said one nurse had taken the vaccine to Madam Koh and another had given the jab. Neither had checked that it was the correct one.

She said the nurse "did not check the vaccine before administering it because she had been distracted" and the packaging for the two vaccines looked alike.

She added that the nurse had not followed protocol that required her to use the electronic immunisation system to verify the vaccine before administering it.

Dr Asok Kurup, an infectious diseases specialist at Mount Elizabeth Hospital, said tetanus, a bacterial infection that can cause locked jaw, is rare here, but should be considered after a dog bite.


She was bitten by a dog. What she needs is a rabies vaccination, not tetanus injection. You can't blame the nurses in the polyclinics because the polyclinics in Singapore do NOT have rabies vaccination - both SingHealth and NHBG.

You can only get rabies vaccination in hospitals, and only TTSH is a sure bet because it has an established travel clinic. Some of the polyclinics do have travel clinics but they simply don't cater for dog bites because there are no stray dogs in Singapore. The other place to get a rabies vaccination is Changi General Hospital.

The two most popular brands for rabies vaccinations are VeroRab and Rabipur. Hospitals in Singapore only carry the Rabipur brand. And after the dog bite, she needs to complete a course of 5 injections in total - all within a month - 24 hours, 3 days, 7 days, 14 days and 30 days.

If the doctors don't even know the proper vaccinations to administer, what do you expect from the nurses ? I bet she was being attended by a Pinoy nurse.

When you are bitten by a dog, you are afraid of 疯狗症,not 破伤风. Is Dr Asok Kurup from India?

The 2 joker directors SHOULD OWN UP. No rabies vaccinations say so lah. Even if they managed to give her tetanus jab, it's still the wrong prescription.
 
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ginfreely

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

She was bitten by a dog. What she needs is a rabies vaccination, not tetanus injection. You can't blame the nurses in the polyclinics because the polyclinics in Singapore do NOT have rabies vaccination - both SingHealth and NHBG.

You can only get rabies vaccination in hospitals, and only TTSH is a sure bet because it has an established travel clinic. Some of the polyclinics do have travel clinics but they simply don't cater for dog bites because there are no stray dogs in Singapore. The other place to get a rabies vaccination is Changi General Hospital.

The two most popular brands for rabies vaccinations are VeroRab and Rabipur. Hospitals in Singapore only carry the Rabipur brand. And after the dog bite, she needs to complete a course of 5 injections in total - all within a month - 24 hours, 3 days, 7 days, 14 days and 30 days.

If the doctors don't even know the proper vaccinations to administer, what do you expect from the nurses ? I bet she was being attended by a Pinoy nurse.

When you are bitten by a dog, you are afraid of 疯狗症,not 破伤风. Is Dr Asok Kurup from India?

The 2 joker directors SHOULD OWN UP. No rabies vaccinations say so lah. Even if they managed to give her tetanus jab, it's still the wrong prescription.

Wtf so not just nurses no standard, doctor also wrong. We need the Canadian doctor advice to confirm whether the polyclinic doctor malpractice.
 

ginfreely

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Hahhahahah they fuck up and offer refund,,,??? only singkies are dumb enough to accept such an offer....this is a damn malpractice suit and payout is huge,,,only in singkieland that the incompetent is protected....and the 70 % voted for it....they deserve even more crap from the PAP

Need the Canadian doctor advice whether this case qualified to ask SMC tribunal to look into it as negligence of nurses and/or doctor? Maybe can get some compensation that way.
 

winnipegjets

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Need the Canadian doctor advice whether this case qualified to ask SMC tribunal to look into it as negligence of nurses and/or doctor? Maybe can get some compensation that way.

Doctor was not at fault ...it is the nurse.
The clinic should be held accountable.
 

ginfreely

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

The nurse should have given her a depo-provera....the 70% should be jab that...to stop stupidity from breeding. At least, she won't get typhoid but the dog bite gets infectious she might die & even get rabid.

:biggrin:

Luckily she has heaven on her side to keep her safe. Can't count on PAP.
 

ginfreely

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Die lah! Every thng gone wrong in Sinkieland.

Now we know better ownself check the vaccination name and not count on the polyclinic nurses to do their job correctly.
 

The_Hypocrite

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

tetanus injection is used for dog bites..she was not given a tetanus shot,,she was given a typhoid shot,,,
She was bitten by a dog. What she needs is a rabies vaccination, not tetanus injection. You can't blame the nurses in the polyclinics because the polyclinics in Singapore do NOT have rabies vaccination - both SingHealth and NHBG. You can only get rabies vaccination in hospitals, and only TTSH is a sure bet because it has an established travel clinic. Some of the polyclinics do have travel clinics but they simply don't cater for dog bites because there are no stray dogs in Singapore. The other place to get a rabies vaccination is Changi General Hospital.The two most popular brands for rabies vaccinations are VeroRab and Rabipur. Hospitals in Singapore only carry the Rabipur brand. And after the dog bite, she needs to complete a course of 5 injections in total - all within a month - 24 hours, 3 days, 7 days, 14 days and 30 days.If the doctors don't even know the proper vaccinations to administer, what do you expect from the nurses ? I bet she was being attended by a Pinoy nurse.When you are bitten by a dog, you are afraid of 疯狗症,not 破伤风. Is Dr Asok Kurup from India?The 2 joker directors SHOULD OWN UP. No rabies vaccinations say so lah. Even if they managed to give her tetanus jab, it's still the wrong prescription.
 

ginfreely

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Doctor was not at fault ...it is the nurse.
The clinic should be held accountable.

Yeah they should pay compensation for the negligence and not just waiver of fees. Small claims tribunal can deal with polyclinic?
 

tonychat

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

What is the nationality, race and religion of the nurse?
 

ginbitchy

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Doctor was not at fault ...it is the nurse.
The clinic should be held accountable.

Don't be too cocksure. For all you know, the nurses were made scapegoats by the doctors and directors.

She was bitten by a dog but given a tetanus jab for typhoid. If it's your first appointment, you don't get to receive a jab directly from the nurse. The established protocol is for the patient to be examined by the doctor first. Subsequent injections can be carried out without having to see the doctor, but first injection you definitely need doctor's examination.

So what did the doctor prescribe for the dog bite ? The senior director says no side effect from the wrong tetanus jab. The deputy director says the mistake happened because the job was split between 2 nurses. They carefully avoided saying if it was the doctor who prescribed the wrong vaccination.

For as far as I know, polyclinics in Singapore do NOT have rabies vaccinations.

So they roped in a Mt E Kuching Kurup specialist to "spin" the story. Again, the Kurup doctor avoided mentioning the word "rabies" and the corresponding vaccinations for rabies. He said "tetanus should be considered after a dog bite", thus giving the impression that it was the correct prescription indirectly absolving the doctor in the polyclinic.

If you know polyclinics don't have rabies vaccinations, then it's not a matter of mistaking one medication for another. If polyclinics don't have means don't have, you have to refer the patient to hospital. TTSH is the authority in Singapore.
 

halsey02

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Re: After SGH, another case of nurses don't follow protocols at CCK polyclinic. Huat

Yeah they should pay compensation for the negligence and not just waiver of fees. Small claims tribunal can deal with polyclinic?

You won't be surprised if you do, you find out one little known legislation that will be dug up, just like the woman who sued SAF for gassing her son to death....you cannot sue the SAF....

She should be happy, the woman, she is immunised for typhoid plus a free jab for tetanus, in case another dog bite her or she step on a rusty nail...

But...when a dog bite you, shouldn't the clinic test her for rabies? maybe, she wasn't foaming at the mouth....I read an account of a person getting a rabies shot.....you wouldn't want one...
 
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