IHP420.MilestoneOne.pdf - Running head MILESTONE ONE 1 IHP420 Milestone One Arrian O\u2019Brien Southern New Hampshire University Running head MILESTONE

IHP420.MilestoneOne.pdf - Running head MILESTONE ONE 1...

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IHP420: Milestone OneArrian O’BrienSouthern New Hampshire University Running head: MILESTONE ONE 1
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Introduction The case is Iturralde v. Hilo Medical Center USA (HMC). The plaintiff is Rosalinda Iturralde, as representative for the estate of Arturo Iturralde, and the defendant is Hilo Medical Center USA. In summary, decedent Arturo Iturralde was admitted to HMC in January 2001 due to several falls resulting from increased weakness in his legs. On January 24, 2001, an orthopedic surgeon by the name Dr. Ricketson examined Arturo and diagnosed him with degenerative spondylolisthesis L4-5 with stenosis. The condition can be relieved by spinal fusion surgery, which was scheduled by Dr. Ricketson for January 29, 2001. The specific materials needed for this surgery requested by Dr. Ricketson was the M8 titanium CD Horizon Kit (Kit). The Kit was ordered from Medtronic and arrived in two separate shipments, as indicated by the company when ordering took place and prior to shipment, on Saturday, January 27, 2001 at 7:30 PM. The contents were sterilized and sent to the operating room for the surgery. HMC staff did not complete an inventory of the Kit contents, per the facility policy. A nurse named Vicki Barry made Dr. Ricketson aware of this failure to inventory the Kit prior to surgery, but Dr. Ricketson commenced the surgery regardless. When time came to affix two metal rods about two hours into the surgery and with portions of Arturo’s vertebrae already removed, surgical staff informed Dr. Ricketson the rods could not be located after an extensive search of the hospital. A staff membered contacted the Honolulu Medtronic sales representative, Eric Hanson, who could not confirm if the rods had actually been shipped, but had implant rods available in Honolulu and offered to deliver them to HMC within ninety minutes time. Per Dr. Ricketson’s testimont. it was Running head: MILESTONE ONE 2
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at this time he believed ninety minutes was a delay too risky for the patient. Instead, Dr. Ricketson continued with the surgery without the rods. He cut a three to four section of a surgical stainless steel screwdrivers shaft that was included in the Kit and implanted that shaft into Arturo’s spine, creating an improvised unilateral rod. This shaft was not intended for nor approved for implantation into a human. After the surgery, HMC failed to notify Arturo of the
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