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This paper is in base Case Study Yolanda Piniella; Assignment Legal Malpractice Case Description
The paper should discuss the following issues:
Liability issues
Parties involved and who should be sued Defenses of the parties
please use APA journal 5 years old.and the class book: as a reference too: Westrick, Susan J.. Essentials of Nursing Law and Ethics . Jones & Bartlett Learning. Kindle Edition
Case Study 1: Malpractice Action
Brought by Yolanda Pinnelas


People involved in case:

Yolanda Pinnelas — patient

Betty DePalma, RN, MS — nursing

Elizabeth Adelman, RN — recovery
room nurse

William Brady, M.D. — plastic

Mary Jones, RN — IV insertion

Carol Price, LPN

Jeffery Chambers, RN — staff

Patricia Peters, PharmD —

Diana Smith, RN

Susan Post, JD — risk manager

Amy Green — quality assurance

Michael Parks, RN, MS, CNS —
education coordinator


Brand X infusion — pump

Case Study Yolanda Piniella; Assignment Legal Malpractice Case Description


Caring Memorial Hospital


The patient, Yolanda Pinellas, is
a 21-year-old female admitted to Caring Memorial Hospital for chemotherapy.
Caring Memorial is a hospital in upstate New York. Yolanda was a student at
Ithaca College and studying to be a music conductor.

Yolanda was diagnosed with anal
cancer and was to receive Mitomycin for her chemotherapy. Mary Jones, RN,
inserted the IV on the day shift around 1300, and the patient, Yolanda, was to
have Mitomycin administered through the IV. An infusion machine was used for
the delivery. The Mitomycin was hung by Jeffery Chambers, RN, and he was
assigned to Yolanda. The unit had several very sick patients and was short
staffed. Jeffery had worked a double shift the day before and had to double
back to cover the evening shift. He was able to go home between shifts and had
about 6 hours of sleep before returning. The pharmacy was late in delivering
the drug so it was not hung until the evening shift. Patricia Peters, PharmD,
brought the chemotherapy to the unit.

On the evening shift, Carol
Price, LPN, heard the infusion pump beep several times. She had ignored it as
she thought someone else was caring for the patient. Diana Smith, RN, was also
working the shift and had heard the pump beep several times. She mentioned it
to Jeffery. She did not go into the room until about 45 minutes later. The
patient testified that a nurse came in and pressed some buttons and the pump
stopped beeping. She was groggy and not sure who the nurse was or what was

Diana Smith responded to the
patient’s call bell and found the IV had been dislodged from the patient\’s
vein. There was no evidence that the Mitomycin had gone into the patient\’s
tissue. Diana immediately stopped the IV, notified the physician, and provided
care to the hand. The documentation in the medical record indicates that there
was an infiltration to the IV.

The hospital was testing a new IV
infusion pump called SAFE-INFUSE. The supervisory nurse was Betty DePalma, RN.
Betty took the pump off the unit. No one made note of the pump’s serial number
as there were six in the hospital being used. There was also another brand of
pumps being used in the hospital. It was called Brand X infusion pump. Betty
did not note the name of the pump or serial number. The pump was not isolated
or sent to maintenance and eventually the hospital decided not to use
SAFE-INFUSE so the loaners were sent back to the company.

Betty and Dr. William Brady are
the only ones that carry malpractice insurance. The hospital also has
malpractice insurance.

Two weeks after the event, the
patient developed necrosis of the hand and required multiple surgical
procedures, skin grafting, and reconstruction. She had permanent loss of
function and deformity in her third, fourth, and fifth fingers. The claimant is
alleging that, because of this, she is no longer able to perform as a
conductor, for which she was studying.

Case Study Yolanda Piniella; Assignment Legal Malpractice Case Description

During the procedure for the skin
grafting, the plastic surgeon, Dr. William Brady, used a dermatome that resulted
in uneven harvesting of tissue and further scarring in the patient\’s thigh area
where the skin was harvested.

The risk manager is Susan Post, JD, who works in
collaboration with the quality assurance director Amy Green. Amy had noted when
doing chart reviews over the last 3 months prior to this incident that there
were issues of short staffing and that many nurses were working double shifts,
evenings, and nights then coming back and working the evening shift. She was in
the process of collecting data from the different units on this observation.
She also noted a pattern of using float nurses to several units. Prior to this
incident, the clinical nurse specialist, Michael Parks, RN, MS, CNS, was
consulting with Susan Post and Amy Green about the status of staff education on
this unit and what types of resources and training was needed.

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