CASE STUDY 5
DefensesRaised in the Case
Whilereviewing the consent, Dr. Washington should have mentioned to Mr.Carpenter and Joseph that death could be an eventuality. The doctorwas also to review the consent with Mrs. Carpenter’s husband sincehe was the spouse. The nurse practitioner, Judy Gouda should haveassigned Mrs. Carpenter to Joseph instead of Kelly. Having workedwithin the unit for several years, he could have been moreknowledgeable. Kelly also could be overwhelmed since she was the onlynurse during that shift for the entire floor. Joseph could have beenon duty to help Kelly around the unit, since it was her first timethere. It also took so long before Mrs. Carpenter was attended to.That means that the patients had no personalized care.
Howthe Incident could have been Prevented
Inthe medical field, it is inappropriate to lack evidence of a drunkardmedical practitioner. One should be assessed not based on assumptionsbut facts. Therefore, Joseph should have been the one caring for Mrs.Carpenter since he has his own liability insurance. The hospitalought to be sued since it has a malpractice insurance that is notobserved. Having responded to the resuscitative efforts, Mrs.Carpenter should not have been taken off the respirator. A DNR shouldhave been put in place to support the respirator even after she wasdeclared brain dead (Kavaler,Alexander & Kavaler, 2014).
Thereshould have been a clear record as to what time the patient wasassessed last. The record was also to clearly show when the vitalsigns and epidural site was assessed. The tests performed on Mrs.Carpenter should have been filed rather than oral. The dispute abouttime that elapsed between the vomiting episode and finding thepatient could have been solved if personalized care was provided. Itwas wrong to extubate the patient while having difficulty inbreathing. The final diagnosis was inappropriate since time thatelapsed between CPR is not clear. Any episode in the recovery roomshould have been reported to the registered nurse without delay. Therisk manager, Susan Post failed in her duty to manage risks. Theclinical nurse specialist should have attended to the patients’needs before consulting about training (Kavaler,Alexander & Kavaler, 2014).
Whilemanaging risks, the doctor should have identified the risk and putcontrol measures in place. Since Joseph had the liability license, heshould have been assigned to care for Mrs. Carpenter even if it meantan increase in the cost of health care. The doctor should havereviewed the past unusual occurrences to establish a trend in case ofany eventuality. Dr. Washington should have given clear procedures onhow to handle old and new patients. This would ensure that nursesfamiliar with the patients handle them personally. There needed to bea personnel survey to ensure that there is balance in placements ofthose in duty (Iyer & Aiken, 2001).
Aftervomiting, the patient could have been bathed to keep her clean. Whenshe developed respiratory complications, she should have been wheeledto the intensive care unit using a wheelchair. Before the finaldiagnosis, Kelly should have drawn blood from Mrs. Carpenter toestablish where the problem was. Finally, when attending to thepatient, the nurses ought to have come together for a unified resultof restoring life. The purpose of healthcare provision thereforecould have been achieved (Menihan& Kopel, 2008).
Iyer,P. W., & Aiken, T. D. (2001). NursingMalpractice.Tucson AZ: Lawyers & Judges Pub. Co.
Kavaler,F., Alexander, R. S., & Kavaler, F. (2014). Riskmanagement in healthcare institutions: Limiting liability andenhancing care.Burlington, MA: Jones & Bartlett Learning.
Menihan,C. A., & Kopel, E. (2008). ElectronicFetal Monitoring: Concepts and applications.Philadelphia: Wolters Kluwer Health/Lippincott Williams &Wilkins.