Jury: Negligent Post-op Care to Blame for Patient's Brain Injury After Arthroscopy

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  1. This is a discussion on Jury: Negligent Post-op Care to Blame for Patient's Brain Injury After Arthroscopy in Nursing News, part of General Nursing ... Patient sued nurse and her employers, claiming overmedication caused his injury. scary!!...

    Patient sued nurse and her employers, claiming overmedication caused his injury.


    A patient who claimed an overdose of post-op pain medications caused him to code and suffer an anoxic brain injury after arthroscopic surgery won a $126,500 jury verdict in his malpractice suit against the nurse assigned to his post-operative care and her employers.

    Ralph LeCroy and his wife, Earline, sued Sasha Sanders, RN, and both the staffing company that employed her — Interim Health Care Staffing of North Louisiana — and Glenwood Regional Medical Center in West Monroe, La., arguing that Ms. Sanders breached the standard of care in her treatment of Mr. LeCroy while he recovered from rotator cuff surgery at Glenwood in June 2001. According to a report from West's Jury Verdicts, Mr. LeCroy received a total dose of 50 mg of IV Demerol in the recovery room after his procedure, and was then transferred to a room and assigned to the care of Ms. Sanders, a contract nurse employed by Interim.
    scary!! However, I think there's more story to it. A nurse would not just administer more demerol to a patient unless he was complaining of increased pain. How's that not following doctor's
    order?

    http://www.outpatientsurgery.net/new...er-Arthroscopy
    Last edit by brian on May 17, '11 : Reason: added some article context
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    http://allnurses.com/showthread.php?t=566035

    elprup likes this.
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  3. 9 Comments so far...

  4. Seems like it wasn't a whole lot of demerol... must be more to this.
  5. Huh? He was ordered 50 - 75 in a 3 hour window. He had received 25. 2 1/2 hours later, she gave him 50. That equals 75 in a 3 hour window.

    Something must be missing from this story...
  6. He got a total of 50 in recovery.
  7. ewww....demerol

    I agree, there is more to this story.
    cherryames1949 and barbyann like this.
  8. I'm wondering if there's more too this and if this nurse took the fall because she was an agency nurse.
    cherryames1949, heron, herring_RN, and 1 other like this.
  9. Only spent 5 days in the hospital after "coding." Right... And I'm sure the code team didn't think to try narcan if it was from the demerol.
    cherryames1949 and wooh like this.
  10. I wonder if he was on an MAOI prior to surgery? This could have possibly caused the acute reaction to the dose?
  11. IV demerol is pretty standard in PACU and the PACU demerol didn't seem to be the problem here. I notice the article fails to mention the route for the 50-75mg order. My guess is it was supposed to be IM and was given IV. It may seem like a minor point to a reporter which may by why it was not in the article. That's my guess as it's the only thing that would fit with sudden onset of apnea.
    cherryames1949 and CCRNDiva like this.
  12. I agree with all of the above comments. Something is missing in this report. We really need more details to make an informed comment.