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Beaney AM et al Development of a risk assessment tool to improve the safety of patients receiving intravenous medication. Hospital Pharmacist ; Hospital Pharmacist ; 7, Black A et al Overcoming cost related and other barriers to implementing risk reduction strategies for injectable therapies.

Fall of Medusa V

The Breckenridge Report. London: Department of Health and Social Security. Cousins DH et al Medication errors in intravenous medicine preparation and administration: a multicentre audit in the UK, Germany and France. Quality and Safety in Health Care ; London: DH. Hardy L, Mellor L Risk assessment of parenteral product preparation across secondary care acute trusts in the North of England.

Promoting Safer Use of Injectable Medicines. London: NPSA. Pharmaceutical Journal Trust fined for malaria death. Pharmaceutical Journal ; , Pratt RJ et al epic2: National evidence-based guidelines for preventing healthcare-associated infections in NHS hospitals in England. Journal of Hospital Infection ; Suppl 1, S Rowley S Aseptic non touch technique.

Nursing Times Infection Control Supplement ; 7, 6. Taxis K, Barber N Ethnographic study of incidence and severity of intravenous medicines errors. British Medical Journal ; Williamson A Raising prescribing standards through doctor training. British Journal of Clinical Pharmacy ; 1: Sign in or Register a new account to join the discussion. You are here: Archive. Preparing injectable medicines safely. BOX 1.

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Key points The majority of injectable medicines are prepared in clinical areas The risk presented by preparation of these medicines varies Risks to patients are greater when injectable medicines are prepared in clinical areas rather than in pharmacy High-risk products should be prepared in pharmacy or be provided by pharmaceutical companies in ready-to-use form Defined standards and competency-based training should cut risks for injectable medicines that are still prepared in clinical areas.

Related files. NT Contributor. Share Facebook Twitter LinkedIn. As nurses, no matter what our field of practice, we always work…. Lush agricultural districts were put to the torch by the Forces of Chaos and millions died in their panic to escape. With every passing month, more of the populace of Medusa IV degenerated into insanity, siding with the Dark Gods and turning their backs upon the sacred light of the Emperor.

Soon, only a few major hive cities remained loyal to the Imperium. Overwhelmed and outnumbered, the Loyalists sent Astropathic pleas for help. Their urgent calls for aid went unanswered for the most part, for while the Warp Storms that isolated the system persisted, no help from the Imperium could come. Only Medusa V was able to answer the call and with admirable courage and unshakeable faith in the Emperor, an army of sorts was mustered.

With no real military force of its own, the meagre Planetary Defense Forces PDF of Medusa V recruited thousands of willing miners and labourers before departing for Medusa IV on commandeered bulk ore freighters and supply vessels. For two and half standard years, Medusa V's hastily raised army kept the citizens of Medusa IV still loyal to the Emperor from being totally overwhelmed, turning back one assault by the Chaos Cultists after another. Eventually, the defenders knew there could be no true victory against such odds, not even when the Warp Storm finally dissipated and the 2nd Company of the Ultramarines Chapter was at last able to come to the planet's aid.

The Inquisition despatched its agents to ascertain the scale of the Medusan IV heresy and eventually, regrettably, the Inquisition determined that Exterminatus was the only viable solution. The Cult Mechanicus and the Adeptus Administratum lobbied the Inquisition agents monitoring the Schism to suspend the sentence just long enough to allow what Loyalist citizens remained on Medusa IV to be evacuated. Tithe forecasts and resettlement schedules showed the crippling effect leaving them to die would have on industry in the sector, so the Inquisition granted a one-week stay of execution.

Millions of Loyalists were loaded onto transports normally used for shipping foodstuffs to Medusa IV and a mass exodus of the Loyalist hive cities began. While the Ultramarines and the PDF regiments of Medusa V fought a heroic rearguard defence against an endless horde of insane Chaos Cultists, those innocents that could be saved were ferried off-world to Medusa V.

Even the Astartes could only prevail so long in the face of such overwhelming numbers and unreasoning hate. Finally they too were forced to withdraw, leaving the heretics and remaining civilians to their fate. A sleek Inquisitorial corvette under the command of Inquisitor Baptiste fired a single salvo of Cyclonic Torpedoes at the planet, a deadly payload of the variant known as Atmospheric Incinerator Torpedoes. The warheads ignited the oxygen-rich atmosphere of the planet in a massive thermonuclear reaction, devouring everything in a blistering conflagration that seared all signs of life from the world, turning metal into molten slag and rock to glass as the Inquisition 's fiery judgment took its toll.

The planet burned brightly for a whole solar month, and from the safety of their own world, the people of Medusa V looked on in awe as their neighbour was consumed in the purifying flames of the Emperor's justice.


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Those Loyalist citizens of Medusa IV who had escaped offered prayers of gratitude to the Emperor for their deliverance. The new residents of Medusa V arrived from their burning planet by the millions and were welcomed by the waiting agents of the Inquisition 's Ordo Hereticus. A drawn-out process of screening to root out any heretics amongst the refugees commenced and many thousands found their way to the pyre as the Inquisition acted ruthlessly to ensure the future purity of Medusa V. Colossal prefabricated cities were hastily erected by the Adeptus Mechanicus , vast structures that could house millions upon millions.

Into these makeshift hive cities the refugees from Medusa IV were herded in droves, kept separate as a precaution against the spread of heresy. These "refugee cities," grim edifices of steel and stone, gradually found their place within the society of Medusa V, providing a vast new labour force to work the ore extracted from the mining world's crust. In only a few years, Medusa V found itself producing more promethium fuel, metals and supplies than it had ever been able to manage before the arrival of the refugees.

Perseus Beheading Medusa IV - Indianapolis Museum of Art

In the two centuries before the outbreak of the conflict on the world in M41, Medusa V continued to thrive as the gateway through Van Grothe's Rapidity, resupplying convoy vessels and exporting millions of tons of precious strategic ores to the ever-hungry Imperial Navy and the Adeptus Mechanicus. Only in the past few years had events begun to accelerate, casting the safety of Medusa V into doubt.

The Rapidity had begun to "boil over," a phenomenon that has left even the wisest of the Imperium's savants and Observators baffled. Initially, the change in the nearby Warp rift was not deemed to be of concern, but soon there was little doubt that its instability was growing at an unexpectedly rapid rate. The Rapidity began to expand through space at a terrifying speed and every outpost and waystation the Warp storm touched was lost, all signs of life completely eradicated.

Adeptus Mechanicus vessels attempting to monitor the storm calculated that in only a few months it would reach Medusa V. The best minds of the Imperium agreed on a single fact: all the people of Medusa V would die.

Even as the Imperial forces in the region attempted to come to terms with the onrushing tide of destruction from the Warp and plan the evacuation of Medusa V , more sinister events were unfolding. The Tau Water Caste arrived on the world, seeking to carry on diplomatic negotiations as they sought to lay claim to the world, desiring to use it as a base from which to penetrate the secrets of the Warp. Unrest boiled on the surface of the planet, mirroring the hideous Warp Storm that was approaching it.

Gorgoneion - IV

Several of the cities that contained the descendants of the refugees from Medusa IV openly revolted against the world's Imperial authorities. Imperial Governor Lord Soloman, the world's ruler, hoped that this was an emotional reaction to the dire threat approaching his planet, but with every passing day news of the rebellion grew worse. The attendant Tech-priests of the Mechanicum who operated the vast Auspex arrays in the orbital space docks above the planet detected a series of astronomical energy spikes.

The first had originated on Medusa VII, a blasted and lifeless planet that had previously been dismissed as completely unremarkable by the Imperium.


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A second and third new energy signature were then detected on Medusa V itself, one in the uninhabited southern region of the planet and the other on the outskirts of Macavius Hive, the second largest population centre on the world. Rumours soon abounded that alien invaders were laying siege to the city, alien invaders who matched the description of the feared xenos known as the Necrons , indicating that perhaps Medusa VII had been one of their Tomb Worlds.

Awakened from their long hibernation by the proximity of the Warp Storm, the Necrons had sought out the closest populated world to begin one of their genocidal "red harvests" of all the intelligent life they could find. Three vessels, part of a Mechanicus Explorator Fleet heading further into the Eastern Fringes, were then attacked under mysterious circumstances, within surveyor range of Medusa V 's Imperial Navy picket fleet.


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Several frigates were despatched to assist, but the Imperial warships arrived to find the vessels were nothing more than drifting hulks, all crew and passengers lost with no sign of the attackers, though the Dark Eldar were suspected, and believed to be moving deeper into the Medusa System in search of a good fight.

As if matters were not bad enough, more than a hundred farming colonies on the northern edge of Medusa V 's settled continent were destroyed in a spate of barbaric attacks by an Ork WAAAGH! All the farming machinery was looted and not even the great reaping machines were left behind by the attackers as only smouldering ruins and scattered corpses of the farmers remained.

Venus Prime IV. El encuentro con Medusa

In reaction to these attacks, the remaining farmers began to abandon their settlements for fear of similar assaults. Every day more agri-labourers abandoned their communities and the threat of famine on a global scale for the people of Medusa V became more of a reality. Deathwatch Space Marines of the Inquisition 's Ordo Xenos , tasked with eliminating the remaining splinters of the Tyranid Hive Fleet Kraken , warned that a sizeable surviving portion of that Hive Fleet had broken its course following a titanic engagement with the Imperial Navy at Lycanis.

Librarian Andreas of the Deathwatch postulated that the vastly swollen Rapidity might be acting as a beacon to the Hive Mind of the Tyranids , drawing the vile creatures towards it. The best efforts of the Ordo Xenos to turn the Tyranids aside amounted to naught, and a full-scale invasion of those rapacious aliens soon added to the utter insanity that was reigning on Medusa V as the world approached its own apocalypse. With events quickly spiralling way out of his control, Governor Soloman turned to the Imperium's Sector Command, who brought the matter before the Inquisition.

The Ordos immediately despatched an entire cell of Inquisitors to investigate matters on Medusa V. They arrived some weeks after the governor's request to find that Hive Euyrales, the capital city of Medusa V, had already erupted into civil war, with the Governor's personal guard and the Adeptus Arbites desperately fending off the rebels. Now openly claiming allegiance to the Chaos Gods , vast swathes of the planet's populace rose in defiance of the Imperium and rumours that the terrible Traitor Legions of the Chaos Space Marines were directing their efforts filled every loyal heart with despair.

The Inquisition wasted no time in making a wider call for aid, before the planet was consumed by the war raging across its surface. Captain Cato Sicarius of the Ultramarines Chapter was the first to answer the Inquisition's call to arms, bringing the mighty 2nd Company of the Ultramarines to the Medusa System once more.