Nurse accused of manslaughter in patient's death

Nurses General Nursing

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Nurse accused of manslaughter in patient's death

1/3/02

By JOSHUA MOLINA

SANTA BARBARA NEWS-PRESS STAFF WRITER

A nurse at Cottage Hospital was arrested Wednesday night in connection with a botched medical procedure that resulted in the death of an 81-year-old Ventura man.

Kevin Alan Rowland, 38, was booked on suspicion of involuntary manslaughter stemming from the death of Kenneth Mattern, authorities said. At the time of his arrest, the nurse was in custody at County Jail on suspicion of grand theft of prescription drugs from the hospital.

Mr. Mattern died on Christmas Eve, a day after his car was hit by a car driven by an 89-year-old man on Highway 101 near Haskell's Beach in Goleta. Mr. Mattern, who was heading to Pleasanton to spend Christmas with friends, was taken to Cottage Hospital, where he was treated for a broken left hand and chest trauma, according to a report from the California Highway Patrol.

During treatment, Mr. Mattern was supposed to be given a liquid vitamin and mineral supplement by mouth, said Lt. Nick Katzenstein, spokesman for the Santa Barbara Police Department.

Instead, while under Mr. Rowland's care, the medication was administered through a feeding tube inserted into one of Mr. Mattern's veins, according to the police department.

An autopsy later revealed that Mr. Mattern died from an embolism in his lungs, not as a result of injuries suffered in the collision, said Lt. Katzenstein.

Officials at Cottage determined that the death may have been caused by an error and alerted the coroner's office, who turned the investigation over to the Police Department.

Friend and neighbor Barbara Wise described Mr. Mattern as a nice, healthy man who swam 45 minutes a day at the mobile home park where he lived.

She remembered how he would sometimes call at 6 p.m. and tell her not to eat dessert because he was going to bring something over. Or, sometimes in the summer, he would bring watermelon over to share with her.

"He was a very giving, intelligent man," she said.

As part of the police investigation into the death, authorities learned that Cottage Hospital was already conducting an internal investigation of Mr. Rowland stemming from the disappearance of some narcotics that were under his control, Lt. Katzenstein said.

Authorities arrested the nurse at Santa Barbara Municipal Airport on Dec. 28 as he was preparing to board a flight to his permanent home in Platte City, Mo., Lt. Katzenstein said.

"We believe that he was using (the drugs) for his personal use," Lt. Katzenstein said. "We don't have evidence that he was under the influence of the drugs at the time he administered these drugs to the victim."

Lt. Katzenstein said that Mr. Rowland may have been fired from Cottage Hospital prior to his arrest at the airport.

Hospital officials did not comment on the suspect's work status, but Ron Werft, Cottage Health System president and CEO, said Wednesday the hospital is cooperating with the police in the investigation.

"We at Cottage are all terribly devastated by this incident," he said. "We have and we continue to express our deepest sorrow to the family and loved ones of Mr. Mattern."

Mr. Rowland was employed by Fastaff, a traveling nurse agency in Denver and worked at Cottage since October. Traveling nurse agencies contract with hospitals to provide nursing staff on a temporary basis. Traveling nurses typically work for a few months at one hospital and then move on to another assignment.

Cottage, like many hospitals in California, relies on traveling nurses to help cope with the statewide nursing shortage.

http://news.newspress.com/topsports/0103rowland.htm

FIESTY,

I''M ALSO SUSPICIOUSE OF THE ADMINISTRATIONS ACCUSATIONS AND THE FOCUS OF BLAME.

{Quote}

"Cottage admitted Mr. Mattern, an avid swimmer and resident of the Patrician Mobile Home Park in Ventura, to its Intensive Care Unit at 10:30 a.m. Dec. 23, police reports state"

ICU GETS HIM FROM ER. TWO SHIFTS OF NURSES IN SEPERATE UNITS.

{Excerpt}

"Sometime during the morning hours of Dec. 24, he was transferred out of intensive care and into a room on the 5th

floor."

THREE SHIFTS OF NURSES AND REPORTS THEN TO THE FITH FLOOR FOR REPORT TO YET ANOTHER SHIFT.

But at 5 p.m. Christmas Eve, Mr. Mattern began to have "cardiac rhythm disturbances," documents state.

{from the first article}

ONE MORE SHIFT AND REPORT UNTIL TROUBLE STARTS.

An intensive care nurse discovered a tube designed to deliver a liquid vitamin and mineral supplement into a patient's mouth -- in Mr. Mattern's arm. Police say the supplement is clearly labeled for oral use.

ANOTHER NURSE ON YET ANOTHER FLOOR THAT GOT REPORT.

The tube was allegedly inserted by Mr. Rowland.

WHEN WAS IT INSERTED?

"At the time Mr. Mattern was admitted to the hospital, he was assigned to Mr. Rowland," said Lt. Katzenstein.

IS THERE A NEW POLICY GOING AROUND?

THIS GUY WAS APARENTLY SO TALENTED THAT HE STAYED WITH THIS PATIENT FROM ADMIT. ACROSS THREE SEPERATE UNITS AND FOUR OR FIVE SHIFTS.

WHAT DEDICATION!

"He was responsible for giving Mr. Mattern everything. Through investigation, detectives eliminated the possibility that anyone else was involved."

WELL THERE YOU HAVE IT......."NOBODY ELSE INVOLVED"{PARAPHRASED}

THE ONLY TIME ANYONE WAS ALLOWED TO TOUCH OR LOOK AT HIS PATIENT WAS THE ICU NURSE, EVEN WHEN THE ARRYTHMIAS DEVELOPED.? THE SUPPOSED CAUSE OF THE EMBOLUS WAS DISCOVERED BY THE ONE ICU NURSE AFTER "THE TRAVELER" HAD SO CLEVERLY CONCEALED IT FROM SEVERAL SHIFTS?

I'm not buying what they're selling.

Does anyone else?

Your witness council.

Brad

Specializes in ORTHOPAEDICS-CERTIFIED SINCE 89.

Peeps that was my first impression. Something funny there. A lot more than meets the eye.

First off don't we all check the lines WHILE the patient is being transferred, if only to make sure they don't get pulled out?

I wonder if the site may have been labelled by this nurse and that's how he was connected with the "tube?"

Has anyone heard anything else since these reports? I seriously doubt ALL media accounts when it comes to something like this. It seems that they are all too quick with assumptions.

And Bonnie I think you are one brave lady.

I feel like I don't know enough of the situation to form an opinion. I do know that we have all made mistakes. I hope that it does not come down to a nurse fearing to make a med error & being charged with manslaughter--unless done on purpose or foolishly. We are all working under extreme pressures.

Wow, this is an oooold thread. I wonder what the outcome of the case was, though.

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