December 6, 2023

Ainah Cervantes was tending to a affected person on a mattress when the machine’s magnetic drive pulled the hospital mattress towards it

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A California nurse was caught between an MRI machine and a mattress in a freak accident leaving her with “crushing accidents” that required surgical procedure.

Ainah Cervantes, a nurse at Kaiser Permanente medical heart in Redwood Metropolis, was tending to a affected person on a mattress when the machine’s magnetic drive pulled the hospital mattress towards it. Cervantes was pinned between the mattress and the machine because the affected person fell to the ground, unhurt.

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“I used to be getting pushed by the mattress,” the nurse informed investigators in a report obtained by KTVU. “Mainly, I used to be operating backwards. If I didn’t run, the mattress would smash me beneath.”

Cervantes had extreme lacerations requiring surgical procedure, together with the removing of two embedded screws, paperwork present.

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A probe was carried out a number of months after the February incident and concluded the medical facility “failed to supply radiologic providers in a protected method.”

The investigation revealed that the issue began with the nurse and affected person care tech being left unsupervised with out MRI personnel. Nobody, together with the affected person, was ever screened, KTVU reported.

“The various security failures… created a tradition of unsafe practices,” the California Division of Public Well being’s investigation concluded.

Sheila Gilson, senior vice chairman for Kaiser Permanente San Mateo, mentioned incidents like these don’t occur usually.

“This was a uncommon prevalence, however we aren’t happy till we perceive why an accident happens and implement adjustments to forestall it from occurring once more,” Gilson mentioned in an announcement.

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Kaiser Permanente is dealing with an US$18,000 wonderful from the California Division of Occupational Security and Well being for the office  accident.

The protocol to organize for an MRI requires people to vary right into a robe and take away issues that may have an effect on the magnetic imaging, akin to jewellery, hairpins, watches and dentures.

Failure to take action is a security hazard for the person present process the scan and for anybody else within the room as a result of they may get pulled towards the machine.

MRI professional Tobias Gilk mentioned MRI machines don’t cease being magnetically attracted as soon as they connect to an object.

“It retains pulling and pulling and pulling, squeezing to attempt to get the magnetically attracted object nearer to, in touch with the MRI scanner itself,” he mentioned.

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