Negligence in healthcare is described as the failure to provide the necessary care and treatment to a patient (O’Keefe, 2001). There are four elements of negligence; duty, breach of that duty, causation and harm/ damage (Helm, 2003). With this in mind, I strongly agree with student R who has evidently brought out the negligence of all staff members involved in the care and treatment of the patient involved.

From the presented case, the rising complications in the patient could have been as a result of the provision of a wrong medication or the IV site infiltration. With this, then it is true to say that the responsible staff members should be the physicians involved in the prescription and administration of the drug as well as the night shift nurse who noticed the infiltration but failed to attend to it.

It was the duty of the doctor who prescribed the caustic drug to properly diagnose the disease and to provide the correct treatment for it. Prescribing the wrong drug was a breach of that duty. Similarly, the pharmacist who provided the drug and the nurse who administered it to the patient had the duty of ensuring that the drug being administered was right one, to question the doctor on the prescription given and to ensure that the drug had no negative impacts on the patient. Failure to do this was a breach of that duty. Additionally, the nurse who noticed the infiltration had the duty of ensuring that the infiltration was well taken care of by for example changing the IV line which as recommended by Josephson (2003). Her failure to stop the infiltration breached that duty.

The breach of duty by each of involved healthcare givers in the treatment of the patient is a probable cause patient’s injury on the skin, and to her immobility, hence, they are all liable to be charged with negligence.