Boots chemists’ error killed newborn baby
By Adrian Lee
Two chemists were fined yesterday for making a catastrophic mistake in a prescription that killed a baby boy.
Lisa Taylor Lloyd and Ziad Khattab, who worked at a branch of Boots, used a dilution of chloroform which was 20 times too strong, a court heard.
Four-day-old Matthew Young turned blue and fell into a coma after his parents dripped the prescription into his mouth. He suffered severe brain damage and died 18 days after being prescribed peppermint water to treat colic. Matthew’s parents Neil and Collette said last night that they were preparing a civil case for damages against Boots.
Manslaughter charges against the two chemists were dropped shortly before they were due to face trial at Chester Crown Court. Taylor Lloyd was fined £ 1,000 and Khattab £ 750 after both admitted supplying defective medicine last May.
The court heard that Khattab, 25, a trainee pharmacist, confused double strength chloroform water with concentrated chloroform. His colleague Taylor Lloyd, 27, who supervised him, was not qualified to do so and failed to check his work.
Boots said after the case that it had now tightened its procedures.
The Royal Pharmaceutical Society, the governing body for chemists, said it would review its training and had alerted its members to the need for vigilance when preparing prescriptions. Taylor Lloyd, of Crewe, is likely to face disciplinary proceedings which could result in her being struck off. Her colleague, from Eccles, Greater Manchester will escape further investigation because he is not qualified. The society said that its guidelines required supervising chemists to have three years experience but Taylor Lloyd had only two. Boots could also find itself before the society’ misconduct committee, which has the ultimate sanction of preventing a chemist from selling medicines.
The court heard that Matthew was prescribed 150 millilitres of peppermint water. Unusually, because most medications are now supplied ready prepared by large pharmaceutical companies, it was to be made up by a chemist.
Peter Hughes, QC, for the prosecution, said that the formula was contained in a large book at the chemists, at the Hallwood health centre, in Runcorn. It was both misleading and out of date.
During interviews Khattab told police that he had difficulty understanding the instructions. He said: “There seemed to be lots of numbers’ all over the place. I couldn’t quite make head nor tail of it.” He said he had not realized the significance of notes at the side of the page, made by another chemist, which clarified the method.
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A “catastrophic mistake was made”, said Mr Hughes.
Taylor Lloyd initialled a box on the label indicating that the prescription had been checked, before giving the medicine to the baby’s mother, Collette Jackson.
Matthew died after his life-support machine was turned off at Alder Hey Hospital, Liverpool. His mother described how she then held the child’s body; “We had just had him christened and he was dressed in his robes. He looked so beautiful. I cuddled him, stroked his head, counted his toes, the way I had done the day he was born.”
The couple have another young child.
III. Послетекстовые упражнения
III.1. Ответьте на вопросы письменно.
1.* Do you work in retail or wholesale business? in a community pharmacy? in a private pharmacy? in a hospital-based pharmacy? If none of the above is applicable, say which of the settings you would like to work in?
2.* Where do you obtain drugs and appropriate chemicals for your pharmacy from?
3.* Do you handle prescription drugs or OTC drugs?
4.* Is your pharmacy licensed for drug compounding? If not, why?
III.2. Начертите план аптеки. Расскажите, какие отделы и подразделения в ней находятся.
III.3. Начертите структурную схему штатных единиц аптечного учреждения. Расскажите об обязанностях сотрудников, используя следующие модели:
... is responsible for ... ... deals with ...
... is in charge of ... ... monitors ...
... runs the department of ... ... registers ...
… dispenses … … compounds …
III.4. Опишите свой типичный рабочий день, ответив на следующие вопросы: *
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1. How long do you spend:
talking to the patients?
on the phone?
working on your own?
Выберите подходящие наречия из этой таблицы:
| a lot of | time |
| more than | an hour | a | day |
| not much | two hours | |||||
| around/about | half my time |
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| less than |
2. How often do you:
work overtime?
travel on business?
have a holiday?
(Эти наречия помогут вам ответить на вопрос:
always; usually (normally); sometimes; rarely; hardly ever, never)
3. What time do you start work in the morning?
4. And when do you finish?
5. How do you get to work?
6. How long does it take?
7. What do you do to relax in the evening?
III.5. Составьте пары синонимов из следующего набора слов и выражений:
to fill a prescription, to sell, to possess, prophylactic, to dispense, to trade, to have, to buy, a field, to purchase, an area, to make up a medication, personnel, to compound, the staff, preventive.
III.6. Приведите английские эквиваленты следующих слов и выражений:
рецептурный отдел, безрецептурный отдел, крупный / небольшой, отпускать лекарства по рецепту, готовить лекарства по прописи, обязанности, правильный, инвентарь, регистрировать (записывать), регистрировать (сообщать), фармацевтическая служба, оказывать услуги, консультировать, фармацевт (младший персонал), лицензированный провизор, продавать, провизор, технолог, фармацевт-стажер.
III.7. Переведите следующие предложения, описывающие ознакомительную практику студентов дневного отделения в аптеках:
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1. Ознакомительная практика – важный обязательный этап профессиональной подготовки провизора.
2. Цель практики – получение базовых знаний об организации работы (performance) аптеки.
3. Местом прохождения практики являются аптеки готовых лекарственных форм и производственные аптеки, независимо от формы собственности.
4. Продолжительность практики составляет одну неделю – 6 дней (по 6 часов ежедневно).
5. Студент обязан вести (make entries into a work log) дневник ознакомительной практики.
6. Практика должна начинаться с инструктажа по технике безопасности (safety measures).
7. Инструктаж проводит директор аптеки.
8. Руководитель практики знакомит (familiarizes) студентов с аптекой, ее задачами, функциями, структурой, оборудованием и оснащением, штатом сотрудников и обязанностями фармацевтического и вспомогательного персонала.
9. Студенты участвуют в санитарной обработке (sanation) помещений и оборудования, в оформлении витрин (counters) и написании этикеток.
10. Практика – важный этап подготовки фармацевтов.
III.8. Соедините в пары названия товаров, продающихся в аптеке, и форм их упаковки, например: a roll of adhesive tape.
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| A. cotton wool | 1. a roll of ___________ |
| B. lotion | 2. a cartridge of ___________ |
| C. vaccine | 3. a blister pack of ___________ |
| D. soap | 4. a box of ___________ |
| E. cream | 5. a packet of ___________ |
| F. crystals | 6. a bag of ___________ |
| G. plasters | 7. a bottle of ___________ |
| H. adhesive tape | 8. a vial of ___________ |
| I. ointment | 9. an ampoule of ___________ |
| J. lozengers | 10. a tube of ___________ |
| K. tissues | 11. a sachet of ___________ |
| L. injection solution | 12. a bar of ___________ |
| M. insulin | 13. a jar of ___________ |
| N. tablets | 14. a tin of ___________ |
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