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389). There was negligence and a breach in the standard of care when Dr. Ricketson proceeded with the surgery without the proper tools. The breach also included Dr. Ricketson performing
5MILESTONE ONEthe surgery without the informed consent from the patient on the unapproved hardware. By proceeding and performing this surgery, Dr. Ricketson was also misfeasance in his care for Arturo. Negligent care continued by Dr. Ricketson where he proceeded to give post-operative instructions for walking and physical therapy whereupon Arturo sustained at least one fall, if not more, causing the screwdriver shaft in his spine to shatter. It is the belief that the negligence, malpractice, and breach in standard of care by Dr. Ricketson led to the eventual death of Arturo Iturralde. Malpractice PoliciesEvery organization has policies and procedures in place to aid in avoiding potential medical errors and liability regarding malpractice. Malpractice is defined as the “professional misconduct or demonstration of an unreasonable lack of skill with the result of injury, loss, or damage to the patient” (Fremgen, 2016, p. 386). Each staff member is trained in their organizations policies and procedures both at time of hire and throughout the year. According to the World Health Organization (2011), Equipment inventory is an essential part of an effective health-care technology management (HTM) system. In order to be effective in assisting with various HTM activities, the inventory must be updated continually so that it provides at any given moment a correct look at the status of medical equipment within the health-care facility. Update points include initial data collection; as information is updated, such as when a new piece of equipment arrives or is retired; and during annual inventory audits.
6MILESTONE ONEThe staff at Hilo Medical Center USA, however, did not follow the hospitals policy and procedures in inventorying the M8 Titanium CD Horizon Kit upon arrival at the hospital as well as prior to Arturo’s surgery. The Hilo Medical Center also failed in properly following the credentialing process when extending hospital privileges to Dr. Ricketson. Dr. Ricketson had a history of professional issues including lapses in judgement, falsifying medical records, violatingstate and federal drug laws, abusing his authority to write prescriptions, lying to licensing authorities, and failing to report prior actions against his license (Leonard, 2018). By following the credentialing process, the hospitals are able to evaluate and verify the qualifications of healthcare providers to ensure that each individual practitioner has the necessary qualifications toprovide medical services to patients. If the credentialing process had been properly conducted, the Hilo Medical Center would have been aware of the multiple infarctions on Dr. Ricketson’s license and would have not given him hospital privileges thereby potentially avoiding this malpractice case. Health professionals have an ethical obligation and a duty to assure that medical standards are followed at all times.
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Health care provider, Dr. Ricketson, Mr. Arturo Iturralde