Ginas Story Mark Rigby Head Of Theatre Services

Gina’s Story Mark Rigby Head Of Theatre Services Warrington and Halton Foundation NHS Trust Chair of NPAG Theatre Managers

THE DAILY NEWS www. dailynews. com THE WORLD’S FAVOURITE NEWSPAPER - Since 1879 Gran lost her leg after she was injected with DISINFECTANT during surgery The gran called Gina, who is 67, screamed out in pain but no one realised the blunder in 2013 until her skin came out in blotches. A woman had to have a leg amputated when she was injected with disinfectant during an operation. ‘Gina’s Story’ has been shown to NHS staff and organisations to show lessons can be learned and was mentioned in a report by MPs into the work of the Parliamentary and Health Service Ombudsman. The gran called Gina, who is 67, screamed out in pain but no one realised the blunder in 2013 until her skin came out in blotches. During the next two months, Gina was heavily sedated and nearly died after the ‘catastrophic’ event. The investigation later revealed a catheter wire being knocked onto the floor caused the solutions mix-up. The case has been made into a video by Doncaster and Bassetlaw Hospitals NHS Foundation to prevent similar mistakes. Gina said: "Please learn from this and that it must not happen again. “I woke up and I went, ‘what’s wrong here? I tried to sit up and I couldn’t. Then it hit me I’d lost my leg. “I had to come to terms with it. Everything was a challenge. They had to hoist me out of bed to put me into a chair.

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Sterile Labels

Review what you use in the surgical field. ✔

House of Commons Public Administration Select Committee Investigating clinical incidents in the NHS There also good practice examples in incident investigation, and in disseminating local learning from investigations. Doncaster and Bassetlaw Hospitals NHS Foundation Trust published a video clip on You. Tube entitled ‘The Human Factor: Learning from Gina's Story’ in September 2014. 202 This provides a learning resource for staff and organisations across the NHS and offers an example of the lessons that can be learnt from local investigations.

Gina’s Story • Share your stories to help us create a first class safe theatre environment. • Look how human factor education can eliminate errors in the health care settings. • Communicate and communicate with your theatre teams at safety briefs all your incidents and shared incidents nationally and internationally. Don’t hide them ?