Wrongful Death by Howard Carpenter on Behalf of Wilma Carpenter, Deceased

Case Study Order Description Request Writer: 468965 Rubric and Instructions will be attached. Unit 7 Assignment for MN506 Case Study 2: Wrongful Death by Howard Carpenter on Behalf of Wilma Carpenter, Deceased Presentation Transcript: Unit 7 Assignment Introduction As nurses, you may be called upon to testify or give a deposition about the care you have provided. Bein" rel="nofollow">ing aware of potential malpractice situations and how to deal with adverse patient occurrences when they happen is an important role of the advance practice nurse. There are two cases that will be explored in" rel="nofollow">in this Assignment. You will be assigned one case by your in" rel="nofollow">instructor. You will also be assigned to a group. The Project will begin" rel="nofollow">in with a group contract that outlin" rel="nofollow">ines the responsibilities of the group members. If a member is not participatin" rel="nofollow">ing, the in" rel="nofollow">instructor may deduct poin" rel="nofollow">ints for non- participation. Workin" rel="nofollow">ing in" rel="nofollow">in a group in" rel="nofollow">involves collaboration. Strong members of the group will help brin" rel="nofollow">ing weaker members up to the same level. In general, a group Project is a better product than a sin" rel="nofollow">ingle person could produce by themselves. Learn from the group and learn from the other group Projects that are presented in" rel="nofollow">in the Discussion Board. This is an opportunity brin" rel="nofollow">ing the course materials together in" rel="nofollow">into a cohesive paper. MY ASSIGNMENT IN THIS GROUP PROJECT IS AS FOLLOWS: • Insurance issues • Risk management issues before and after the in" rel="nofollow">incident Directions: Support this 3-4 page paper (not in" rel="nofollow">includin" rel="nofollow">ing title page and reference page) with peer reviewed articles and case law where applicable. You must have a min" rel="nofollow">inimum of three references. You may have an appendix that has samples of documents that support your positions or expands on the facts of the case. What are the in" rel="nofollow">insurance issues and risk management issues before and after the in" rel="nofollow">incident in" rel="nofollow">in this case study? CASE STUDY FOR THIS ASSIGNMENT IS AS FOLLOWS: The plain" rel="nofollow">intiff, Mrs. Carpenter, was a 55-year-old woman who underwent a total hip replacement at Carin" rel="nofollow">ing Memorial Hospital. The physician was Richard Washin" rel="nofollow">ington, MD. Dr. Washin" rel="nofollow">ington is an orthopedic surgeon. His nurse practitioner is Judy Gouda, RN, NP. Dr. Washin" rel="nofollow">ington reviewed the consent with Mrs. Carpenter prior to surgery. Joseph Alsoff, LPN, witnessed the consent and Mr. Carpenter was present. Joseph does not remember the doctor ever mentionin" rel="nofollow">ing that death could be a result of the surgery. The recovery room nurse is Elizabeth Adelman, RN. The respiratory therapist is David Casler, LRT. The nurse on the post-surgical unit was Kelly Wheeler, RN. The supervisin" rel="nofollow">ing nurse was Mrs. Scale, RN, MS. The patient had an epidural catheter for a post-operative pain" rel="nofollow">in management followin" rel="nofollow">ing an episode of hypotension in" rel="nofollow">in the recovery room which was treated with Ephedrin" rel="nofollow">ine. Judy Gouda made rounds on the patient in" rel="nofollow">in the recovery room after the hypotensive event and vital signs were stable. The patient, Mrs. Carpenter, was placed on a medical surgical nursin" rel="nofollow">ing unit with the epidural. The nurse, Kelly, was assigned to the patient and had not worked on that unit before, but had worked in" rel="nofollow">in post-acute critical care units. The nurse's assignment was to provide patient care on the entire floor for that shift. There was also an LPN, Joseph, on the unit. It was a busy day on the unit. Mrs. Carpenter was not the only post-operative patient. Kelly assessed the plain" rel="nofollow">intiff upon admission, checked the IVs, asked if the patient was in" rel="nofollow">in pain" rel="nofollow">in, noted that the patient was responsive and understood where she was, and was stable. She then left to care for other patients. The licensed practical nurse, Joseph Alcoff, had been workin" rel="nofollow">ing on the unit for several years. It had been rumored that Joseph was an alcoholic. There was no evidence that he had been drin" rel="nofollow">inkin" rel="nofollow">ing on the unit. Approximately an hour after the patient arrived on the unit, she was unable to tolerate respiratory therapy that was ordered and she became nauseated and vomited. David Casler admin" rel="nofollow">inistered the respiratory therapy. Accordin" rel="nofollow">ing to Kelly, the registered nurse, 10 min" rel="nofollow">inutes after the vomitin" rel="nofollow">ing episode, Joseph Alcoff, the LPN, found the patient blue and unresponsive and called a code. Joseph is the only person other than the physician that carries his own liability in" rel="nofollow">insurance. The hospital also has malpractice in" rel="nofollow">insurance. The code team responded, along with Kelly, the registered nurse. Mrs. Carpenter was in" rel="nofollow">intubated and cardiac resuscitation was in" rel="nofollow">initiated. The patient responded to resuscitative efforts and she was transferred to the in" rel="nofollow">intensive care unit. Subsequently, Mrs. Carpenter did not do well, was unresponsive, and declared brain" rel="nofollow">in dead and taken off the respirator. She did not have a DNR in" rel="nofollow">in place. There is a conflict in" rel="nofollow">in testimony between Joseph the LPN and Kelly the RN. Joseph in" rel="nofollow">indicated that Kelly found the plain" rel="nofollow">intiff to be unresponsive after the vomitin" rel="nofollow">ing episode and called the code. The record is not clear as to when the vital signs and epidural site were assessed. Kelly said she did a motor and sensory level assessment and they were fin" rel="nofollow">ine — it is not charted though. The time elapsed between the vomitin" rel="nofollow">ing episode and fin" rel="nofollow">indin" rel="nofollow">ing the patient is in" rel="nofollow">in dispute. The fin" rel="nofollow">inal diagnosis was anoxia encephalopathy due to the time lapse between CPR bein" rel="nofollow">ing in" rel="nofollow">initiated. The patient was eventually extubated, breathed in" rel="nofollow">independently for a period of time, and then subsequently expired. The vital signs ordered by the physician were hourly. The hypotensive episode in" rel="nofollow">in the recovery room had not been reported to the registered nurse. The risk manager is Susan Post, JD, who works in" rel="nofollow">in collaboration with the quality assurance director Amy Green. Amy had noted when doin" rel="nofollow">ing chart reviews over the last 3 months prior to this in" rel="nofollow">incident that the vital signs taken in" rel="nofollow">in the recovery room were not charted, not done, or not reported to the units. She was in" rel="nofollow">in the process of collectin" rel="nofollow">ing data from the different units on this observation. She also noted a pattern of usin" rel="nofollow">ing float nurses to several postoperative units. Prior to this in" rel="nofollow">incident, the clin" rel="nofollow">inical nurse specialist, Michael Parks, RN, MS, CNS, was consultin" rel="nofollow">ing with Susan Post and Amy Green about the status of staff education on these units and what types of resources and train" rel="nofollow">inin" rel="nofollow">ing was needed. Assignment Requirements: Before fin" rel="nofollow">inalizin" rel="nofollow">ing your work, you should: • be sure to read the Assignment description carefully (as displayed above); • consult the Gradin" rel="nofollow">ing Rubric (under the Course Resources) to make sure you have in" rel="nofollow">included everythin" rel="nofollow">ing necessary; and • utilize spellin" rel="nofollow">ing and grammar check to min" rel="nofollow">inimize errors. Your writin" rel="nofollow">ing Assignment should: • follow the conventions of Standard American English (correct grammar, punctuation, etc.); • be well ordered , logical, and unified , as well as origin" rel="nofollow">inal and in" rel="nofollow">insightful; • display superior content, organization, style, and mechanics; and • use APA 6th Edition format.