Did the surgical team and the surgeon PURPOSEFULLY decide not to do a time out, and ignore all other checks and safety measures that were in place to prevent this sort of "event"? Did he just look at the patient and the chart and go "Forget the bad kidney, lets do the good one, I'm sure it will be fine?"
The RN that was arrested and charged was so because she made SEVERAL purposeful errors and used extremely poor judgement calls. She ignored a multitude of safety measures, including the simplest, most basic prevention in medication error; looking at the medication label. A woman CONSCIOUSLY suffocated to death because of this woman's lack of judgement and neglect. What she did was not accidental. It was purposeful. She didn't intend for it to happen, but it was purposeful nevertheless. And all she had to do was LOOK at the label (for more than reading the instructions).
So, if the surgeon acted in gross negligence like the nurse did? Sure, charge him with "something".
I also think attempting to compared what the RN did to "lesser" incidents of negligence, or even actual accidental errors, takes away from the grievous nature of what she did.
It's easy to have that perception when you don't know what the LTC nurses are doing when they are seemingly being lazy. Hospital nurses have far less patients and can jump in and help a lot more than LTC nurses can. This isn't because of laziness but because of the sheer volume of meds, treatments, assessments and summaries.
There are absolutely lazy nurses, but its really hard to judge because you don't know what you don't know.
You need legal advice asap.
You can't return to the home, you need to make clear that you are resigning and I suspect (but don't know) that it would be wise to carefully/neutrally document and inform them of your reasoning for such at the time of resignation from the case. I say this because there is no good reason to think you wouldn't become the subject of retaliation.
Especially since - according to my belief/understanding this should be reported according to mandated reporter laws.
I'm just curious what you all think...
I have a colleague who insists that when a patient is noncompliant regarding their diet, (diabetic CHF etc.) even when we document and alert the provider they are not adhearing to it, that we can ultimately be held liable?
Im in a sub acute rehab setting.
I feel like the patients have the right to do what they want and as long as we educate and document, the rest is out of our hands.
My colleague says the reason they have a diet ordered is to ensure they adhere to it. I just don't see how if I do everything in my power to keep the patient in compliance but they still choose to eat whatever they want, I've done all I can do.
What at do y'all think? What can I do differently?