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Special Edition Legal Case Study


Nursing Professionals and Medical Malpractice: A Case Study with Risk Management Strategies

Medical malpractice claims can be asserted against any healthcare provider. Although there may be a perception that physicians are held responsible for the majority of lawsuits, the reality is that nursing professionals are more frequently finding themselves defending the care they provide.


Nurse Edition

Case Study: Medication Administration Error and Failure to Monitor

A 23-year-old woman with no significant medical history presented to the emergency room with flu-like symptoms. She complained of generalized body ache and had a fever of 102.6. For the past two weeks, she self administered over-the- counter medications with no relief. Instead, her condition deteriorated and she developed both shortness of breath and a cough. Her worsening symptoms motivated her to seek care a local emergency room... Read the Full Case with Risk Management Recommendations

Nurse Practitioner Edition

Case Study: Failure to Assess Resident and Failure to Inform the Physician of Resident’s Unstable Condition

This case involves the treatment and subsequent death of a 78-year-old female resident of a nursing home. She had a number of medical conditions including hypertension, chronic anemia, chronic renal failure, congestive heart failure and morbid obesity. She was prescribed the anti-coagulant drug Coumadin because of atrial fibrillation and the related risk of blood clot formation... Read the Full Case with Risk Management Recommendations




September 2010 Legal Case Study

Internal Medtronic Pump for Pain Control Not Properly Serviced by Home Health Nurse, Leading to Overdose of Plaintiff - Plaintiff Has Short Hospitalization - Confidential Settlements With Some - $6,000 Verdict Against Home Care Defendant.

The plaintiff, age forty-six at the time, was undergoing treatment in the summer of 2001 for chronic pain due to a previous accident. The treatment included surgical implantation of an internal Medtronic pump for the administration of anesthetic medications.

After the implantation of the pump the plaintiff would require home visits by nurses to empty the pump reservoir and refill it with a new supply of pain medication.

Company B for the servicing of the plaintiff’s pump.

In early September 2003 two nurses arrived at the plaintiff’s home to service the pump.

The first step was to insert a needle into the plaintiff’s abdomen to withdraw from the pump reservoir whatever medication remained. When this was done at this visit, nothing was withdrawn and the nurse felt that the reservoir was empty.

The plaintiff felt that this was incorrect, as the pump alarm had not gone off and she was also not experiencing withdrawal symptoms which would be expected if the pump was empty.

The nurse, however, just simply began refilling the pump. As the nurse began this, the plaintiff began to feel an intense burning sensation and asked the nurse to stop.

The nurse complied with this request, but then inserted a fresh needle and resumed the injection. There was no burning at this time and the nurse injected the entire supply, which was intended to last the plaintiff a couple of months. Upon completion of the injection, however, the plaintiff began to feel extremely hot.

The plaintiff then determined that the initial insertion of the needle had missed the pump reservoir and had allowed the first dose of the drugs to be injected directly into her body, which had numbed the injection site and prevented her from feeling the first effects of the much larger second injection.

The plaintiff then began to experience a severe itching sensation and she began to panic at the realization that she had received a massive injection of drugs outside the pump.

The plaintiff frantically asked that an ambulance be called, but the nurse refused to do so until she conferred with her supervisor.

After the call to the supervisor the nurse wanted to try inserting a needle again to see if she could withdraw some of the drug from the pump reservoir, but the attempt came up empty.

The plaintiff told the nurse she had missed the pump. When the needle was pulled out, it was bent in an “L” shape.

The nurse then admitted that she might have overdosed the plaintiff and an ambulance was called.

The plaintiff became hysterical in her struggle to remain conscious during the transport to a hospital, as she feared that she would die and never wake up. The plaintiff, however, did lose consciousness during the trip, but regained consciousness later that evening after receiving treatment. She was discharged home the next day.

The plaintiff initially made claims against several defendants, but Home Care Facility A settled for an undisclosed amount, and others were dismissed, leaving only Home Care Company B as defendant.

The plaintiff claimed that Home Care Company B was responsible for the negligent acts of the nurse in failing to service the pump properly.

According to Jury Verdict Reporter a $6,000 verdict was returned.

With permission from Medical Malpractice Verdicts, Settlements & Experts; Lewis Laska, Editor, 901 Church St., Nashville, TN 37203-3411, 1-800-298-6288.

 

 

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Recently Posted Legal Case Studies

ISSUE DATE
DESCRIPTION
September 2010
Internal Medtronic Pump for Pain Control Not Properly Serviced by Home Health Nurse, Leading to Overdose of Plaintiff - Plaintiff Has Short Hospitalization - Confidential Settlements With Some - $6,000 Verdict Against Home Care Defendant.
August 2010
Overdose of Pain Medication Administered Through Implanted Pump - Death - $1 Million Verdict.
July 2010
Failure to Properly Treat and Monitor Infant With Respiratory Problems - Death - $1.2 Million Verdict
June 2010
Failure to Timely and Properly Triage Woman With Gunshot Wound to Head - She Didn’t Seem Emergent Because She Walked Into Emergency Room - Bleeding, Swelling, Mid-Brain Herniation - Vegetative State - $12 Million Verdict.
May 2010
Failure to Provide Pneumococcal Vaccine for Woman Without Spleen - Pneumococcal Infection With Extended Recovery - $3 Million Settlement.
April 2010
Failure to Timely Evaluate and Treat Teenager’s Abdominal and Groin Pain - Boy Had History of Torsion - Loss of Testicle - $200,000 Settlement.
March 2010
Nurses Fail to Inform Surgeon of Pain and Numbness Following Laminectomy - When Epidural Hematoma is Diagnosed Hospital Fails to Provide Operating Room Emergently - Elderly Woman Rendered Paraplegic - $1.8 Million Verdict.
February 2010
Nurse Administers Part of Epinephrine Intravenously Instead of the Ordered Subcutaneous Delivery - Woman Kept Overnight for Observation - Claims Heart Damage - Defendant Claims All Tests Were Normal - Defense Verdict.
January 2010
Man Gets Out of Bed Alone After Nurse Fails to Respond to Request for Assistance to Bathroom - Fall When Bed Moves as He Returns to Bed - Fractured Hip With Decline and Death - $125,000 Settlement.
December 2009
Failure to Treat Lack of Blood Flow in Leg and Foot Following Trauma to Leg - Amputation Above Knee Ultimately Required - $2 Million Settlement.
November 2009
Woman Falls and Fractures Hip After Waist Restraint is Removed - Plaintiff Claims Nurses Removed It - Defendant Claims Plaintiff Removed It - $127,188 Verdict.
October 2009
Failure to Properly Respond to Fetal Distress During Labor - Emergency Cesarean Section Ultimately Performed, but Baby Dies - $325,000 Settlement.

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