I want to know exactly what IV errors there were over 2 years. New IV bags and needles/angiocaths are used on every patient, so what exactly was the “break in protocol/standards”? Or was it improper cleaning of endoscopy equipment? I thought I read somewhere this occurred in the endoscopy lab.

I want to know exactly what IV errors there were over 2 years. New Iv bags and needles/a GI oaths are used on every patient, so what exactly was the “break in protocol/standards”?