Judges are now telling hospitals how to treat covid patients.
TLDR; A man was in the ICU for COVID. The wife asked the physicians to prescribe Ivermectin. They refused saying it wouldn't help and could interfere with treatment that does work. Wife went to a Dr associated with Front Line Covid-19 Critical Care Alliance who gave her a prescription for her husband. Hospital refused to administer it. She went to court and got a judge to force the hospital to administer it.
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Butler County Common Pleas Judge Gregory Howard ordered West Chester Hospital, part of the University of Cincinnati network, to treat Jeffrey Smith, 51, with Ivermectin. The order, filed Aug. 23, compels the hospital to provide Smith with 30mg of Ivermectin daily for three weeks.
Specializes in NICU, PICU, Transport, L&D, Hospice.
17 minutes ago, verene said:
Whoever is the agent for the hospital I would think is potentially liable (Hospital Superintendent? CMO?) If it isn't administered (Like CEO of a major corp may have to answer for legal accusations against that corp). It seems like a nightmare case for all involved.
Like I said, sort of like Perdue and their oxycontin crimes. No one goes to prison when the defendant is a corporation.
Specializes in mental health / psychiatic nursing.
4 minutes ago, toomuchbaloney said:
Like I said, sort of like Perdue and their oxycontin crimes. No one goes to prison when the defendant is a corporation.
Except weren't the family that owns Prudue individually named in the legal action and ultimately forced to pay several billion dollars in settlement in order to avoid further sanctions? It's not jail time, but it also isn't walking away with no repercussions at all.
Specializes in NICU, PICU, Transport, L&D, Hospice.
13 minutes ago, verene said:
Except weren't the family that owns Prudue individually named in the legal action and ultimately forced to pay several billion dollars in settlement in order to avoid further sanctions? It's not jail time, but it also isn't walking away with no repercussions at all.
They paid a tiny fraction of what they profited. That's not justice.
This guy is entertaining I guess, but an absolute moron and displays it in every possible way, yet he has the most listened to podcast and take a guess what segment of the population listens to him?
Or by the way, he's recommended Ivermectin. Anyone surprised?
She found the doctor online. The doctor has never seen/examined/treated the patient and does not have privileges at that hospital. The fact that the admitting hospital could not find one doctor with privileges to agree to order this medication is telling.
Specializes in Mental Health, Gerontology, Palliative.
10 hours ago, Horseshoe said:
She found the doctor online. The doctor has never seen/examined/treated the patient and does not have privileges at that hospital. The fact that the admitting hospital could not find one doctor with privileges to agree to order this medication is telling.
Why the hell is a doctor prescribing for a patient they have never seen in person?
Why the hell does a court of law think it has any role in this situation?
This is beyond mental...?
We do endeavour to respect the wishes of NOK in terms of palliative and end of life care, however at times when the NOK/EPOA suggest something that is completely inappropriate we find a gentle yet therapeutic way to say 'no'
The FDA did not say the one from the hospital was dangerous, they said the one over the counter meant for horses is, as I read the FDA release on it. While I don't think the one in the hospital, meant for humans will help him, I can't blame her for wanting to try everything to save her husband. Any of us would do the same.
I don’t think many of us blame the wife. She’s desperate. The concern is for the legal system getting involved and telling the hospital what to do. And I agree that in this case it probably won’t harm him— but what about the next case, in which somebody wants something that is harmful? Since the US has a “common law” system, meaning that each decision sets a precedent for the next decision, it is a concern.
Specializes in Mental Health, Gerontology, Palliative.
8 hours ago, CommunityRNBSN said:
I don’t think many of us blame the wife. She’s desperate. The concern is for the legal system getting involved and telling the hospital what to do. And I agree that in this case it probably won’t harm him— but what about the next case, in which somebody wants something that is harmful? Since the US has a “common law” system, meaning that each decision sets a precedent for the next decision, it is a concern.
Absolutely.
I blame the doctor who prescribed a medication for a patient they have never seen or examined.
I blame a system which allows a non medically trained person eg judge to make medical treatment decisions.
If this goes through it has significant impact to set precedents which are really concerning.
I've never had issues with a doctors orders, but have had senior nurses trying to impliment things which have left me saying "oh hell no". I have told at least one manager/senior nurse "if you want this done you will need to do it as I do not believe that its clinically appropriate. You will also need to document this in the patients notes, as I will be documenting our conversation and why I will not be doing this"
Specializes in NICU, PICU, Transport, L&D, Hospice.
23 minutes ago, Tenebrae said:
Absolutely.
I blame the doctor who prescribed a medication for a patient they have never seen or examined.
I blame a system which allows a non medically trained person eg judge to make medical treatment decisions.
If this goes through it has significant impact to set precedents which are really concerning.
I've never had issues with a doctors orders, but have had senior nurses trying to impliment things which have left me saying "oh hell no". I have told at least one manager/senior nurse "if you want this done you will need to do it as I do not believe that its clinically appropriate. You will also need to document this in the patients notes, as I will be documenting our conversation and why I will not be doing this"
I've actually been in the position of refusing to carry out irresponsible orders from pediatric intensivist, years ago. I was the unit manager. The RN called me to the bedside to collaborate. We agreed, the RTA agreed arms I went to the Chief Medical Officer and Director of Nursing who both agreed with my assessment. The physician was advised that if he was expecting risky treatment to be carried out he needed to be the professional identified as the ordering and administering professional. And he needed parental consent for treatment falling outside of protocol or labeled usage/dosing.
Specializes in Specializes in L/D, newborn, GYN, LTC, Dialysis.
I, too, have been in the unfortunate position of having to refuse orders that were unsafe and/or deadly. It's no small task to stand up and refuse. And in one case, the issue went to the Medical Director. That bad doctor thought he had my job.
They had his.
Not just based on my complaint, but many assembled like mine that spelled bad medicine. He is no longer a practicing physician.
toomuchbaloney
16,043 Posts
Like I said, sort of like Perdue and their oxycontin crimes. No one goes to prison when the defendant is a corporation.