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.

What that triage nurse did was assume that because the pt had already been discharged, that there was nothing wrong with her. That was her big mistake. All pts returning with worsening symptoms have to be categorized as a fresh pt, and that didn't happen.

Specializes in Nurses who are mentally sicked.
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.

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...

Where is the critical thinking skill?

Read carefully, including their profiles...I only address this problem to those ER nurses...anyone of them has any feeling for those kids....

ER doctors did do something wrong...as a nurse, when you discharged a patient...if you see anything wrong...or after you discharged a patient, and that patient is having a problem..don't you think, as a human being, that you should bring this patient back to square one, rather than "rushing" her out. If you don't address the problem to the doctors, how would they know. Don't forget, we have to learn to speak for the patients when doctors are not doing thing right. As a result of that, Ms. Rodriquez died.

Specializes in Nurses who are mentally sicked.
What that triage nurse did was assume that because the pt had already been discharged, that there was nothing wrong with her. That was her big mistake. All pts returning with worsening symptoms have to be categorized as a fresh pt, and that didn't happen.

This is really my first time to agree with you...and based on your statement, I already know that you are a nurse with common sense...a nurse with common sense is a good nurse....

Good luck with your job interview....

Specializes in Nurses who are mentally sicked.
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:

It is true that abd pain might not be a priority.

But when the patient came in and c/o the pain in the abdominal area, you takes notice...at this point, you should have a clear picture or baseline about this patient's mental status....when the patient's mental status has changed, then you should address the problem to the ER doctor.

Abdominal pain is one thing, but when the abdominal pain persists and mental status has changed....in the case of Ms. Rodriquez, she was laying down on the floor...this is a Big Red Flag!!!! The nurse taking care of Ms. Rodriquez has missed a big one....a human life.

Specializes in ER, ICU, Infusion, peds, informatics.
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:

no, it isn't true that abd pain is always triaged as "top priority." at best, it is going to be a level 2 (on a 5 level triage scale). i usually traige it as a 3, sometimes i give it a 2. but then, i frequently give chest pain a 3, as well.

why???? well, for one, on any given night, chest pain and abd pain make up anywhere from 50%-75% of the patients in the waiting room. rating them all an esi of 2 kind of defeats the purpose of having a triage system in the first place (and the purpose of triage is to sort who should go where and when).

also, most causes of abd pain (and chest pain, where i work) are not emergent -- bladder infections, constipation, stds. (for chest pain, our most commen dx is bronchitis or atypical chest pain, atypical chest pain moslty just means that the cardiac workup is negative, no cause of the chest pain was found). these patients can get bumped up to a level 2 or even a level 1 based on assessment findings (abnormal vs, abnormal assessment findings, abnormal labs, abnormal ekg -- and we do start labs/ekg in triage where i work). that is where assessment skills come in.

thinking that everyone that c/o abd pain gets moved right to a stretcher in the back is very idealistic. it really is a nice thought, and it would really cut down on my headaches if it happened. reality, however is the following: you have 36 people in the waiting room. 12 c/o chest pain, 12 c/o abd pain, (and the other 12 probably have a "spider bite" :) ). you have 16 rooms in the back, and can stretch it to 24 in a pinch (hall beds), which you have done tonight. things are moving slow, because you are only staffed for 16 beds, even though you have an additional eight patients in the back. you can't get extra staff in to help move things along because no one will answer their phone. so, if everyone that c/o chest or abd pain should be brought straight to the back, where on earth do you put them, and who is going to take care of them?

once again, i'm not trying to make excuses for the triage nurse. what i am trying to do, however, is to point out that it isn't so simple. it really surprises me how so many other nurses her are condeming the nurse that worked triage that night.

there wasn't all that much information in the articles that i have read, and the information that is there did not come from medical professionals. much of the information came from her family, and they have a very unique perspective on the situation. please, try to remember that there are at least two sides to every story. we have no idea how full the waiting room was, if the nurse was caught up in triage or had many people in front of her. we don't know what the patient load was like in the back, or how many ambulanes were rolling in. we don't know what kind of medical work-up had been done in previous visits. we don't even know what the patient told the nurse she spoke with. and actually, we don't even know that she spoke to a nurse.

as i've said before, i know that hospital has a horrid reputation. i've read many stories about its troubles that spacenurse has posted here. i wouldn't be all that surprised if everyone is right about the triage nurse being negligent and irresponsible. however, there are an awful lot of facts missing to pass that kind of judgement right now, and that bothers me.

The only thing I condemn her for is not re-triaging the pt but telling her to go home. BIG EMTALA violation!!! When you present to triage again, even if it's only been 5 minutes since discharge, you get another medical screening exam.

Myxel67, If you run for president, I will vote for you. I would even work countless hours on your campaign. We really need this scale.

tazz yo jump across the puter as a competent nurse with honed assessment skillls

i didn't read the papers on this hospital but i know that we have charity hospitals where the care is is first rate..we hae a lot of working poor and they just cannot pay for hospital/halth insurance..if a patient comes into the er and needs to be followed up there are clinics whee appts ae made at the d/c from er [i know that this wouldln't have helped this woman but this issue was brought up]

frequently the waits are long but they are also long at private pay hospital and the care is good

can't spell, can't type, hate to proofread - i love you all anyway

Thanks, Dale!

This woman did have an appt made for her, but she was told to return with worsening symptoms, and that's what she did. Problem with the triage nurse is that she looked at the fact that the pt had just been discharged, not that she was worse.

Specializes in ER, ICU, Infusion, peds, informatics.
the only thing i condemn her for is not re-triaging the pt but telling her to go home. big emtala violation!!! when you present to triage again, even if it's only been 5 minutes since discharge, you get another medical screening exam.

yeah, i most certainly agree with you there. however, it really isn't all that clear that she even saw a nurse.

our registration clerks wear scrubs, and get called "nurse" all the time. (and they sometimes say some pretty dumb things).

who was it that attributed that comment to a nurse? i thought it was either the boyfriend or the person that wrote the article. either of them could have made an assumption. even if the comment came from the initial police report, it could have be attributed to the wrong person.

but i do agree that if it was an actual nurse that told her to go home, it is a huge emtala violation, and probably a criminal act.

(i once triaged a 30-something that presented with a pimple on her back. i soooooo wanted to tell her "it is a pimple, not an abscess. go home. it will go away." but i didn't. i couldn't. as a nurse, i am not qualified to do the mse at my hospital. so i triaged her -- level 5 -- somewhere around midnight. we were very busy, and she didn't get seen until around 6am -- can't believe she stayed. well, the doc saw her, and told her she had a pimple, and sent her home. she was furious -- at me -- because she waited all night for a pimple. sigh. we just can't win)

The article said it was a triage nurse. Gave the name too. She resigned, the department manager was reassigned.

Specializes in Nurses who are mentally sicked.
Thanks, Dale!

This woman did have an appt made for her, but she was told to return with worsening symptoms, and that's what she did. Problem with the triage nurse is that she looked at the fact that the pt had just been discharged, not that she was worse.

That is NEGLIGENT.

....Not to mention Ms. Rodriquez was collapsed on the floor....and there was a CCTV....according to the news, the nurses over there were "indifference."

+ Add a Comment