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eBook details

• Title: Did Dr. Fail to Order Much Needed Blood 'Stat'? (Nursing Law Case on Point)
• Author : Nursing Law's Regan Report
• Release Date : January 01, 2009
• Genre: Health & Fitness,Books,Health, Mind & Body,Professional & Technical,Law,
• Pages : * pages
• Size : 57 KB

Description

CASE ON POINT: Hall v. Porte, 0320.178 (4/8/2009) -NY CASE FACTS: On March 11,2003, Daria Hall came under the care and treatment of physicians and staff at Stony Brook University Hospital for the delivery of twin infants by cesarean section. After the delivery, Daria hemorrhaged. Following an unsuccessful dilation and curettage, a hysterectomy was performed after which Daria was admitted to the hospital's Surgical Intensive Care Unit (SICU). While in the SICU), her medical condition further deteriorated. It was alleged that blood products were not timely and sufficiently administered, causing Daria to go into cardiopulmonary arrest and suffer irreversible anoxic brain injury. On March 14, 2003, an exploratory laparotomy was performed on Daria. Daria died on April 19, 2003. Dr. Robert Barraco, one of many physician-defendants involved in Daria's treatment, filed a motion for summary judgment to dismiss the complaint filed by Daria's estate and others. Dr. Barraco alleged, inter alia, in support of his motion that he examined Daria at approximately 4:00 p.m., and found her to be arousable and her vital signs to be stable. His notes indicated "life-threatening hemorrhaging, check H& H (hemoglobin and hematocrit) and coags (blood coagulation), if not require [sic] more volume wean, extubate." He stated that Daria was to be given a couple units of FFP (fresh frozen plasma) that had already been ordered, and that he would then check laboratories to see if she required more. Her physical status would be watched. He testified that obvious signs of coagulation problems would be bleeding from her IV sites and surfaces, a drop in blood pressure, and increased heart rate due to hypovolemia. He did not write any orders at 4:00 p.m., nor did he verbally relay orders to the resident, but did indicate to the nurse in the unit, Jason Rotunno, that he wanted a w, hole panel of SICU labs (blood work). It was his opinion that Daria was not actively bleeding at that time. He left the SICU after the 4:00 p.m., examination to attend an unmandated symposium about social work at the hospital and stated he advised the staff that he would return at 7:00 p.m. The resident who had been on earlier was scheduled to leave at 5:00 p.m., and was replaced by a surgical resident. Dr. Barraco did not know whether it was a first or second year resident. He testified he was reachable by pager and that no one called him between 5 and 6 p.m. Dr. Barraco noted that one of the plaintiff's exhibits dated March 11, 2003 at 5:05 p.m., stated "M.D. aware" and ordered 2 U (units) PRBC (packed red blood cells). However, they had not arrived. Dr. Barraco did not know who wrote the order. There were no other surgical intensivists present or accountable to write the order.

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