The patient subsequently died that day source source

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Unformatted text preview: Professionals Other potential Areas of Vulnerability for Emergency Departments Departments Duty to contact on call physician Call lists and procedures for knowing which physician is on call Failure to respond timely Facility must not only treat, but must do so timely Refer to Futch v Attwood page 232 – child suffered from ketoacidotic coma cerebral hemorrhage and pulmonary edema – physician failed to draw labs nor did he examine patient when she presented to ER – he communicated via telephone. Laboratories - Potential areas of Liability Critical Values CV are values that indicate potentially life threatening conditions and facilities need to have procedures in place to ensure immediate and accurate place to ensure immediate and accurate communication communication of results Blood Transfusions Facilities need have strict guidelines regarding type and cross matching procedures, verification procedures that correct patient gets the correct transfusion 31 32 Liability by Department and Other Health Care Professionals Liability by Department and Other Health Care Professionals Pharmacies - Potential areas of Liability Pharmacy is responsible for ordering, storage dispensing, and labeling medications Medicines need to contain Pharmacies - Potential areas of Liability Examples of Potential Errors Prescription errors – wrong patient, wrong drug, transcription error b/c of illegible handwriting Dispensing errors improper prep of med (i Dispensing errors – improper prep of med (i.e., IV mixture), dispensing expired medications, wrong dosage, wrong patient Administration errors – wrong patient, wrong route, administering discontinued drugs Documentation error – transcription errors, errors on MAR an accurate description of the drug, the proper dosage, instructions regarding administration, potential adverse effects, precautions Prescriptions need to filled in accordance with the Physicians orders 33 34 Liability by Department and Other Health Care Professionals Liability by Department and Other Health Care Professionals Pharmacies - Potential areas of Liability Liability Facility needs to check pharmacy license at hire and periodically thereafter at hire and periodically thereafter Stocking of crash carts and periodically checking integrity of carts See page 244 for list of ways to decrease medication misadventures Other Health Care Professionals Potential areas of Liability Liability Physician Assistants – regulated by state statute, physician cannot delegate his responsibilities to the PA Respiratory Therapist – ventilator management Security – remember the Huntsville case Security the Huntsville case Sexual improprieties Alleged sexual misconduct and/or abuse Responsibility to investigate If proven, may not only lead to civil and/or criminal litigation, if it involves a practitioner, practitioner may have license revoked 35 36 6 2/22/2011 Liability by Department and Other Health Care Professionals Pharmacies - Potential areas of Liability Health care professionals will be held to the same standard of care of other individuals in the same profession To prove the standard of care for the particular individual attorney will generally engage an expert individual, attorney will generally engage an expert witness witness that is similarly situated to the defendant Professionals can only testify as to the standard of care for their specific field For example, a nurse cannot testify as the applicable standard of care for a pharmacist or physician; likewise, neither a pharmacist nor a physician can testify as to the standard of care applicable to nursing 37 Questions 38 7...
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This note was uploaded on 08/21/2011 for the course AHS 318 taught by Professor Estep during the Spring '11 term at University of Alabama at Birmingham.

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