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Malpractice
Wound infection

1. Duty: The doctor performed wound care to the child.
2. Breach of duty: The doctor violated office protocol by using non sterile equipment.
3. Harm: Patient contracted an infection.
4. Proximate cause of harm:  Patient was hospitalized due to infection and caused severe damages.

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Lluvia P, Priscilla R  A02

Duty:  Dr. "N" was to perform an Angiogram on Pt. "S" and not an Angioplasty.
Breach: Doctor and the nursing staff must have double checked for correct procedure on correct patient. Also asked the patient if this process was explained to him prior to the procedure. The medical staff should have asked for a family member of pt. "S" to witness the signing of consent.
Harm:  Pt. was given Heparin (blood thinner) which caused him to hemorrhage and go into cardiac arrest.
Proximal Cause:  Pt. was not asked how he felt after been given heparin, soon after hemorrhaging, eventually killing him.
This case is pending Verdict.

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Malpractice

Duty: Obstetrician performed a sonogram on pregnant mother in labor. The equipment used to sonogram was outdated and of poor quality. Dr. diagnosed intrapartum death.

Breech- Dr. should have checked equipment and verify that it was up to date.

Harm- 81 minuets passed and baby was still alive. Mother was rushed for an emergency c-section. Baby had no oxygen to his brain.

Proximate Cause- .This caused severe spastic quadriplegic cerebral palsy.

Blumenthalm, J. and George J., (2012). Pottstown hospital ordered to pay $78.5 million. Philadelphia Business Journal,  retrieved from http://www.bizjournals.com/philadelphia/news/2012/05/04/pottstown-memorial-medical-center.html.

Liz Priscilla Ayala
Dulce Garcia

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Incorrect IV push of Potassium Chloride 

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Incorrect IV push of Potassium Chloride 

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1.)    Duty- the nurse should have questioned the order and stood at bedside after administration of potassium

2.)    Breach of duty- the nurse is responsible to know how to administer the medication, if the nurse did not know the nurse should of asked a fellow nurse on how to administer it

3.)    Harm- potassium given as IV push with out dilution, it burned the arm and caused the patient to die

4.)    The breach of duty- the wrong route of medication caused pain and death of patient, due to ignorance.

According to Reports a $250,000 verdict was returned for pre-death suffering only.

http://www.nso.com/risk-education/individuals/legal-case-study/Nurse-Incorrect-IV-push
Yadira hinojosa
Marcela Cantu
Deoraj Sankar

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Duty- The nurses care for, monitor and assist in the birth of the child and the delivery process the mother goes through.

Breach of Duty- Two nurses did not report observations of the change in heart rate of the baby during  labor.

Harm-  Heart rate change during the first 13 minutes of labor

Proximate Cause- The girl was born with brain damage and now suffers spastic quadriplegic cerebral palsy.

Bethanee Campos and Alexa Casas  AO2

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Man Remains Conscious During Exploratory Surgery

*Duty: The anesthesiologists did not keep the patient asleep during surgery.
*Breach of duty: The anesthesiologists during the surgery did not give the patient the general anesthetic that would have rendered the patient unconscious until 16 minutes after the surgery began.
*Harm: Patient awakes during surgery, due to a rare condition known as anesthetic awareness. The patient is awake and can feel every ounce of pain during the surgery.
*Proximate cause of harm: Patient was traumatized of the experience which led the patient to kill himself two weeks after surgery.

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*** Ingestion of Ketchup Packets

*Duties: Being cared by Nurses in an Nursing Home. (patient, nurse relationship)

*Breach: Nurses were not compliant with patient's needs. Malpractice with patient, cause of death.

*Harm: Ingestion of unknown objects. Which caused patient to vomit.

*Proximate cause of harm:
Patient not been watched or attended. Lead to ingestion of ketchup packets, paper towels, plastic bags and candy wrappers.

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Medical Malpractice Story: Alexandra Katada

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Medical Malpractice Story: Alexandra Katada

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Duty :During the birth of Sandra’s daughter Alexandra, the doctor contorted and stretched Alexandra’s spine
Breach of duty:The doctor applied so much force that, in addition to the spinal injury (which would prove fatal), the baby’s elbow was broken and pulled from its socket.
Harm:Alexandra’s spine  was destroyed along with  her nerves, leaving her partially paralyzed.
The Breach of Duty:Alexandra died on Valentine’s Day, 1994, at age eight-months.

Melissa Reyes
Ana Galvan A03

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Family of Fort Worth Mom Sues Hospital For Medical Malpractice

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Family of Fort Worth Mom Sues Hospital For Medical Malpractice

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Shelly Lovera and Amanda Hernandez

Duty- ER Doctor and Neurologist accused of malpractice. To a patient who suffered from seizures  in Dallas, Texas.

Breach of Duty- CT scan was taken, results were ignored patient had blood in the brain, it was diagnosed with a sinus infection and a migraine, was discharge from ER and sent home.

Harm occurred - seconded seizure had occurred went to a different hospital in Fort Worth, during the transfer she had a third seizure.

The breach of duty- the patient was brain dead 30 minutes during the trip. The patient was on life support was taking off the next day.

Husband is filing a lawsuit due to the reasoning of malpractice.

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Amputating wrong leg.
1. Duty: The nurse was suppose to make sure the right leg was prepped.
2. Breach of duty: the duty of the surgeon was to double check if he was amputating the correct leg.
3. Harm: the wrong leg was amputated.
4. the patient lost both legs due to the error of the surgeon because by the time he realized their mistake it was too late to reverse the damage caused and the leg had to be removed.
by: Michelle Flores and Victoria Gonzalez

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Duty: Doctors and nurse duty was to perform emergency heart and lung transplant to a 17 year old patient.

Breach of Duty: The doctor's duty to check for the compatibility of the blood type between the patient and donor.

Harm: After trying to rectify mistake of first heart and lung transplant surgery caused the patient to slip into a coma. After severe brain damage and other complications the patient died.

Proximate cause: Doctor being negligent to confirm compatibility of blood type  between patients.

Amanda Mendietta
Ana Gonzalez

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Dana Carvey Wrong Bypass Surgery

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Incorrect IV push of Potassium Chloride 

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Incorrect IV push of Potassium Chloride 

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Eileen Cuellar and Joanna Cruz

Duty: The Nurse was responsible for administering a proper IV drip.
Breach of Duty:  The Nurse failed to administer the IV the correct way. The Nurse pushed instead of doing a drip.
Harm: The patient died as a result.
Proximate Cause of Harm: The patient would still be alive if the Potassium Chloride injection would have been dripped rather than pushed.

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SOPHIA SAVAGE CASE

Duty: Surgeon  performing an hysterectomy.
Breach of duty: Omitting steps to proper procedure, left a surgical sponge in the patients abdomen.
Harm: Cause abdominal pain, diarrhea, and constipation. Resulting in removal of 49 centimeters section of the small intestine.
The surgical sponge was the  breach of duty that cause direct harm.

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Carol Weihrer Case Rikki Arguelles & Robert Bazan

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Carol Weihrer Case Rikki Arguelles & Robert Bazan

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Duty: The anesthesiologists' committed actions failed to verify if the equipment was working properly and failed to administer the correct dosage of anesthesia.
Breach of Duty: The anesthesiologist failed to provide a safe environment for the patient.
Harm: The patient now suffers from psychological  issues, she fears to lie supine because it brings up memories from the incident.
Proximate cause of Harm: The patient awoke during her procedure and could feel the surgeons working on her, she did not die but her fear has paralyzed her psychologically.
The case was settled outside of court.

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Cristobal Villalpando            Rodolfo Quintanilla III
Duty: The doctor and the nurse's duty was to perform brain surgery on the patient.
Breach: The doctor and nurse failed to follow the checklist
Harm: Cut open wrong side of brain by someone with no experience in the procedure
Proximate Cause: Patient had to go back to correct the procedure 3 times.

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 "Nurse Reveals STD Results of Patient to Girlfriend"  Jose Narvaez and Brittany Closner 

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 "Nurse Reveals STD Results of Patient to Girlfriend"  Jose Narvaez and Brittany Closner 

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The duty by the nurse was to keep the medical information of her patient confidential. The nurse made a breach of duty by sending 6 text messages to her sister in law about her boyfriends STD results. The harm by the nurse was intentional due to her knowing the patient and patients girlfriend and sending out private information. The proximity of harm is that patient suffered emotional distress harm due to the breach of the nurse.

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Malpractice                    Duty: Nurse failure to take pt. to correct room and Dr. failed to recognize patient.             Breach: Failure to discharge pt. in the morning.                Harm: Wrongful surgery               Proximate cause of harm: Wrong surgery left pt with increase of heart attack, stroke, internal bleeding, and infection                                        -- Marco Flores and Olga Calderon          

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Malpractice                    Duty: Nurse failure to take pt. to correct room and Dr. failed to recognize patient.             Breach: Failure to discharge pt. in the morning.                Harm: Wrongful surgery               Proximate cause of harm: Wrong surgery left pt with increase of heart attack, stroke, internal bleeding, and infection                                        -- Marco Flores and Olga Calderon          

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Malpractice

Refers to professional negligence

Nursing responsibilities include actions taken as well as omitted

Must contain four key elements

Duty

Breach

Harm

Proximate cause of harm

TALKING POINTS:

Discuss what each of the four key elements is and give examples of each related to malpractice.