Dialysis staff brought dialysis ro and machine to the icu and set up in patient's room for a dialysis run.They left the room and unit when the green man was on the machine, and the night nurse was coming in to start the run.When the night nurse arrived to run the patient, the machine was off and would not turn on.The room nurse said it was running and then made a noise and shut off.Two dialysis nurses tried to troubleshoot and noticed that one of the prongs of the outlet to the machine was loose, when they touched it, it literally fell off.
|