The nurses would have to be extremely clear, and admit what they truthfully remember, because someone is on trial for murder.
Within healthcare practice, it is a general legal truism that, if something is not written or recorded, (when it should have been), then it did not happen.
Where are the intravenous fluid record sheets containing the identification details of the new bag? These are legal documents and should ultimately be filed into the patient’s case notes.
Confusing Insulin and Heparin With Disastrous Results (a Preventable Error).
Safety alerts have been issued previously regarding a TPN bag for neonates, accidentally containing insulin instead of heparin.
We should learn from mistakes in 2007.
Nurses and Doctors Need to Act Decisively and Swiftly.
If a baby becomes and resolutely remains hypoglycaemic while on TPN, despite efforts to increase the blood sugar, the safety alert in the supplied link suggests stopping the TPN (while obviously still addressing the hypoglycaemia).
According to the warning, the hypoglycaemia will not resolve until the TPN bag containing insulin is stopped.
The TPN bag and contents should be analysed professionally at a lab.
Human Error.
Apparently, heparin and insulin can be confused (or were in the safety report issued) because of similarities in colour of vials, or due to a ‘mental slip’ causing a human error, maybe because both drugs are measured in units.