FDA Adverse Event Other Summary report: N

RN +

MDR report key: 826271 · Received September 28, 2005

Report

Report Number
1650927-2005-00006
Event Type
Other
Date Received
September 28, 2005
Date of Event
April 1, 2005
Report Date
September 23, 2005
Manufacturer
NURSE ASSIST, INC.
Product Code
KMI
Removal / Correction Number
NA
Report Source
Manufacturer report
Reporter Location
MI, US
Reporter Occupation
RISK MANAGER

Narratives

Additional Manufacturer Narrative · 1

I HAD A CONVERSATION AT THIS FACILITY, SHE STATED THAT THERE WAS NOT ANYTHING THAT COULD BE DONE RELATIVE TO THIS SITUATION.

Description of Event or Problem · 1

PT WAS FOUND WITH RN + CORD WRAPPED AROUND HIS NECK BY STAFF RN. THE STAFF PROMPTLY REMOVED THE CORD, AND THE INCIDENT DID NOT INJURE THE PT.

Devices

Seq Brand Generic Product Code Manufacturer Model Lot UDI-DI
1 RN + BED ALARM KMI NURSE ASSIST, INC. BPP-10RF NA

Patients

Seq Age Sex Outcome Treatment
1 Other