woman dies in ER waiting room (article)

Nurses General Nursing

Published

http://www.latimes.com/news/local/la-me-king20may20,0,6057993.story?page=1&coll=la-home-center

the first few paragraphs, click link for rest of story (too long to cut/paste)

In the emergency room at Martin Luther King Jr.-Harbor Hospital, Edith Isabel Rodriguez was seen as a complainer.

"Thanks a lot, officers," an emergency room nurse told Los Angeles County police who brought in Rodriguez early May 9 after finding her in front of the Willowbrook hospital yelling for help. "This is her third time here."

The 43-year-old mother of three had been released from the emergency room hours earlier, her third visit in three days for abdominal pain. She'd been given prescription medication and a doctor's appointment.

Turning to Rodriguez, the nurse said, "You have already been seen, and there is nothing we can do," according to a report by the county office of public safety, which provides security at the hospital.

Parked in the emergency room lobby in a wheelchair after police left, she fell to the floor. She lay on the linoleum, writhing in pain, for 45 minutes, as staffers worked at their desks and numerous patients looked on.

Aside from one patient who briefly checked on her condition, no one helped her. A janitor cleaned the floor around her as if she were a piece of furniture. A closed-circuit camera captured everyone's apparent indifference.

Arriving to find Rodriguez on the floor, her boyfriend unsuccessfully tried to enlist help from the medical staff and county police — even a 911 dispatcher, who balked at sending rescuers to a hospital.

Alerted to the "disturbance" in the lobby, police stepped in — by running Rodriguez's record. They found an outstanding warrant and prepared to take her to jail. She died before she could be put into a squad car.

interesting. says she was in for abd pain 3x in 3 days,but never what they did for her test wise, or what they suspected her diagnosis was, etc.

Specializes in Cardiac.
Janitor is not trained to do that, therefore, he/she is not responsible for it.

Boy, you are filled with one lined catch phrases.

I don't work in an ER, and therefore cannot possibly understand what it's like to be a nurse in one, nor do I have the right to unfairly criticize the nurses who work in them.

However, I used to be an EMT, and frequently had to drop off people who were always in "10/10" pain, or faking unconsciousness or some other kind of malady. I know how easy it is to become desensitized to this type of behavior.

I've seen many people sleeping on the ground in triage. Lots and lots. I've seen lots of people pretending to do lots of things. The ER is the premier location for bad behavior of our population. And if making someone wait 45 minutes is a crime, then lots of nurses will be in trouble in my neck of the woods.

It's typical for nurses to turn on each other, while still holding the doctor in high esteem. Fact is, this patient had been seen and worked up by a physician not once, but twice. One of which was 3 hours ago! But of course, it's the nurses fault, and somehow, she must 'go to jail' or 'lose her license'. :uhoh3:

But, it must somehow be the nurses fault, and never the physician's fault. No, they can do no wrong...

Specializes in ER/Trauma.
I found an interesting article regarding this hospital:

http://www.latimes.com/news/local/kingdrew/la-me-kdday2dec06,1,1314406.story?coll=la-news-politics-local

It sounds like this hospital is quite possibly the worst hospital in the United States. This woman's death is but one occurrence among many.

That article, in one word: Terrifying. :uhoh3:
Not to mention that nurse will go straight to hell....

"judge not, lest ye be judged yourself"

anyway, the solution may just be to have more triage nurses...I have been alone many times in a sea of people in the WR, and as critterlover said, you may be an hour behind in just triaging.

The last ER I worked in had a greeter nurse. A pre triage is done, and if the greeter nurse thinks someone is really sick, then that pt gets bumped and taken right to triage...

rest assured the triage nurse in that ED would certainly have taken the pt right to a bed if there had been one available...Histrionic patients are common, and more often than not, I would argue that they become a disruption to the WR, and I'll "find" a bed in back, just to quiet the WR. Are they manipulative? YES, but why fight the battle...

However, as the triage nurse, I would have gone back to a doc, and gotten his take on the quick bounce back...

However, maybe she was alone in triage, and couldn't leave...

Triage sucks

there should always be at least 2 nurses out there 24/7...

Specializes in Acute Care Psych, DNP Student.
That article, in one word: Terrifying. :uhoh3:

Here's a more terrifying article. This one details the history of malpractice at this hospital:

http://www.latimes.com/news/local/kingdrew/la-me-kdday1dec05,0,5281026.story

It would be inappropriate for me to have a nursing opinion about the woman's death detailed at the beginning of this thread since I'm a student. However, I will say one thing. I bet this woman's death has more to do with systemic failings at this hospital than one triage nurse's actions.

Specializes in Cardiac.
That article, in one word: Terrifying. :uhoh3:

Well, I read all 17 pages of both articles, and I can't sum it up in one word! They were awful...

I remember when that first article came out, one of the LA-area docs came in to do a shift and brought it with him. We all sat around reading it and every few seconds someone said "Oh my God!" and "I don't believe it!"

Specializes in Nothing but ER.
BOPPS:

As I said: Of course you don't do this. But just because you don't do it, it doesn't mean that no one else does it either. That, too, would be a generalization. It seems to be what happened in the case of Mrs Rodriguez. She apparently thought she had gallstones....

Three words to assess ability to spell (at least on Allnurses.com)

1. receive

2. definitely

3. separate

Nice dig! I could just let this slide......but that comment brings out the evil ER nurse in me! I do know how to spell, however typing is another story. Whooooppss i madeee aaa speillling mictak wundir how i made it throg nerzing scul. Hmmm whoes bein judmintal now? Gues i kint spull cause i dunt match du free wurds uzed to assis spullin on allnurzes! How do ya now my computeeer wasnut workin. Guz ye jist assummed i didn't meet ur staendards.

I will work on my typing and proofreading skills. I sure want to be seen as a professional.

Specializes in Nurses who are mentally sicked.
Boy, you are filled with one lined catch phrases.

I don't work in an ER, and therefore cannot possibly understand what it's like to be a nurse in one, nor do I have the right to unfairly criticize the nurses who work in them.

However, I used to be an EMT, and frequently had to drop off people who were always in "10/10" pain, or faking unconsciousness or some other kind of malady. I know how easy it is to become desensitized to this type of behavior.

I've seen many people sleeping on the ground in triage. Lots and lots. I've seen lots of people pretending to do lots of things. The ER is the premier location for bad behavior of our population. And if making someone wait 45 minutes is a crime, then lots of nurses will be in trouble in my neck of the woods.

It's typical for nurses to turn on each other, while still holding the doctor in high esteem. Fact is, this patient had been seen and worked up by a physician not once, but twice. One of which was 3 hours ago! But of course, it's the nurses fault, and somehow, she must 'go to jail' or 'lose her license'. :uhoh3:

But, it must somehow be the nurses fault, and never the physician's fault. No, they can do no wrong...

"Unfairly criticize the nurses who work in them."

I have never worked in the ER....

Anyhow, Ms. Rodriquez came in and everybody in the ER did not take her seriously. She was discharged....and died..... Just only this statement along, if you have experience in the nursing field....you could tell someone did something wrong. As a result of that, Ms. Rodriquez died unnecessarily. She might not be anybody to anyone working in the ER, but she is a "butterfly" to her loved ones. If you read from the first post to the last one, the so-called ER nurses give all kinds of reason why they could not prevent the death of Ms. Rodriquez, they seldom mentioned the feeling of Ms. Rodriquez's kids. They are so self centered... What do you think if they are related to Ms. Rodriquez.... I am not related to her, but her death is not needed. Her death is horrible....not to mention that she has to suffer before she died.

If you read from the first post to the last one, the so-called ER nurses give all kinds of reason why they could not prevent the death of Ms. Rodriquez, they seldom mentioned the feeling of Ms. Rodriquez's kids. They are so self centered... What do you think if they are related to Ms. Rodriquez.... I am not related to her, but her death is not needed. Her death is horrible....not to mention that she has to suffer before she died.

Please tell me you're not referring to the ER nurses who responded in this thread, because if you are you just paid us one horrible insult.

"Unfairly criticize the nurses who work in them."

I have never worked in the ER....

Anyhow, Ms. Rodriquez came in and everybody in the ER did not take her seriously. She was discharged....and died.....

you could tell someone did something wrong. As a result of that, Ms. Rodriquez died unnecessarily. ...

but her death is not needed. Her death is horrible....not to mention that she has to suffer before she died.

My question: can a person with a perforation be helped?

This woman was in an appropriate setting to receive help.

Was the help provided?

The people with the assessment skills were present.

Did they use those skills to asses this woman?

Could this woman have been helped?

And I read the link about the hospital (as included above)

http://www.latimes.com/news/local/ki...politics-local

and the place seems to experience an interesting collection of problems.

Specializes in Cardiac.
.... if you have experience in the nursing field....

Uhh, chuck, you have a whole whopping 8 months more experience than me in nursing. Not to mention I was a PCT for 10 years prior (mostly in ICUs and ERs) and actually worked in EMS prior to that.

If you read from the first post to the last one, the so-called ER nurses give all kinds of reason why they could not prevent the death of Ms. Rodriquez, they seldom mentioned the feeling of Ms. Rodriquez's kids. They are so self centered... What do you think if they are related to Ms. Rodriquez.... I am not related to her, but her death is not needed. Her death is horrible....not to mention that she has to suffer before she died.

Yep, I actually did read all the posts. It's nice of you to assume that I didn't, but whatever. :uhoh3: And what does "so-called ER nurses" mean? Now they aren't even ER nurses??? So, not mentioning the pt's kids somehow makes the ED nurses who responded self-centered? That's quite a naive, simplistic and ignorant view.

Her death was horrible..so why did the Dr's miss it? Do they need any punishment?

I guess, until you become a triage nurse (no thanks, for all the reasons listed in the thread, invluding having your fellow nurses throw you to the wolves) then you really can't critize what you do not know...

Is it not still true that abdominal pain is always triaged as a top priority? No matter how often the same patient presents with the same problem...abdominal pain as chest pain, eye injuries, or anything else that threatens loss of life, sight, or limbs is a true emergency. I know ER can be hectic, but it seems the triage person was taking a lot on her shoulders when she let this one by. I would hate to be in his/her shoes.:nono:

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