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Running head: FINAL PROJECT I 1Final Project IAmanda NourseSouthern New Hampshire University
FINAL PROJECT I2Introduction:The stakeholders of this case include the plaintiff: Rosalinda Iturralde as the representative of the estate of Arturo Iturralde, and the defendants: Hilo Medical Center, Dr. Robert Ricketson, and Medtronic Sofamor Danek USA, Inc. Arturo Iturralde required spinal fusion surgery, to be performed by Dr. Ricketson at Hilo Medical Center. The M8 Titanium CD Horizon Kit that was supposed to contain all necessary tools and instruments for the surgical procedure was ordered from a company called Medtronic. A complete kit was not available, thustwo separate orders from their Memphis and Tulane facilities with all necessary instruments and supplies were shipped to HMC. Both shipments were received by HMC on the same day, 2 days before the surgery was performed. Staff at HMC failed to complete an inventory of the contents in the kit as required by hospital policy. A nurse informed Ricketson that an inventory hadn’t been completed but he continued with the surgery. During the procedure, it was discovered that the titanium rods intended to be implanted in Iturralde’s spine were missing. After a call was placed to Medtronic, a sales representative informed Dr. Ricketson that rods could be delivered to the hospital in 90 minutes. Dr. Ricketson concluded that waiting that length of time would be risky for Iturralde and instead made a rod out of a surgical screwdriver from the kit. The screwdriver was implanted into the patient’s spine, without his nor any member of his family’s knowledge. Because of this, complications arose after Iturralde fell while working with physical therapy the day after surgery. The screwdriver shattered, requiring an additional surgery to remove it and implant the correct titanium rods. Janelle Feldmeyer, a nurse attending the original surgical procedure reported the incident to her supervisors. She was informed that communicating the doctor’s actions was his responsibility. When Ricketson failed to do so, Feldmeyer obtained the shattered makeshift rod, presented it to an attorney, and contacted
FINAL PROJECT I3Iturralde’s family. Iturralde’s condition deteriorated after his discharge from HMC. He required two additional revision surgeries for his spine, occasional catheterization which eventually was made permanent. Iturralde died from complications of urosepsis.Medical MalpracticeThe medical care provided to Arturo Iturralde issues of negligence and malpractice. The hospital staff did not do an inventory when the kit came in. Dr. Ricketson was informed before the surgery that an inventory had not been done, but still continued with surgery. Dr. Ricketson implanted makeshift screwdriver shafts, not approved nor intended for that purpose or for humanuse, into the spine of Arturo Iturralde. Dr. Ricketson did not inform the patient after surgery that screwdriver shafts instead of the titanium rods. Additionally, there was an issue of negligent credentialing introduced, as Dr. Ricketson’s credentials were called to question during the case.
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Health care provider, Rosalinda Iturralde, Hilo Medical Center, Dr. Ricketson