Updated: Published
RN amputates foot .... me thinks necrotic foot possibly fell off or cut during dressing change.
ABC News
11/10/2022
Charges: Wisconsin nurse amputated man's foot without orders
QuoteA nurse in Wisconsin has been charged with elder abuse, accused of amputating a hospice patient’s frostbitten foot without his consent and without doctor’s orders.
After she cut off the man’s right foot last Spring, Mary K. Brown, 38, of Durand, told her colleagues that she wanted to display it at her family’s taxidermy shop with a sign that said: “Wear your boots kids," according to charges filed last week in Pierce County.
The amputation happened May 27, and within about a week the 62-year-old man was dead....
...According to the complaint, the man was admitted to Spring Valley Health and Rehab Center after he fell at his home in March. The heat in his home was not turned on, and he suffered frostbite to both feet, leaving the tissue necrotic. His right foot remained attached to his leg by a tendon and roughly 2 inches (5 centimeters) of skin.
One nurse who had changed the man's bandages on the morning of May 27 said he could wiggle his toes, the complaint said. Brown told two other nurses at shift change that she was “going to cut off the victim’s foot for comfort,” but they told her not to. Brown and two certified nursing assistants went into the man's room to change his bandages, but Brown cut his foot off instead, one of the nursing assistants told an investigator. ...
...Brown told an investigator that the man did not ask her to remove his foot, which she described as “mummy feet,” but that there was no life in the foot and she did it to make his quality of life better, the complaint said. She acknowledged that it was outside her scope of practice and that she did not have authorization. ..
Oy ve......reported to BON.
On 11/18/2022 at 10:12 PM, KalipsoRed21 said:If the title of the article was “Nurse debrided necrotic skin flap on patient in hospice without an order.” would y’all be all up in arms about that?!
Based on what I read, and there is always that caveat, what the nurse did was no worse than that. Does she deserve some sort of minor punishment for not asking first and writing an order? Sure. Does she need some sort of decorum education? Okay, I’ll by that.
Should this be license revoking? Nope. This did not lead to an unexpected outcome to the patient. It didn’t expedite any poor outcomes. It is only shocking enough to make the news because they can describe it as an amputation.
I think the problem is there's not enough information to really know one way or another. I've read that it was barely hanging on but also that he could wiggle his toes. It would be interesting to read an official investigative report to get some facts and not just sensational reporting by news outlets.
Either way, I'm not perfect by any stretch and I don't know how things work outside of critical care in my state (so I could be wrong) but the intentional severing of a limb doesn't sound like it's within my scope even with an order.
Anyone else here think there's a problem with a patient languishing in a care facility that has a foot hanging by necrotic connective tissue? Wisconsin? Sounds more like some back alley in Mogadishu. Lot's more going on than some psychotic nurse taking souvenirs off of patients bodies...
On 11/28/2022 at 1:53 PM, offlabel said:Anyone else here think there's a problem with a patient languishing in a care facility that has a foot hanging by necrotic connective tissue? Wisconsin? Sounds more like some back alley in Mogadishu. Lot's more going on than some psychotic nurse taking souvenirs off of patients bodies...
Thank you!! I feel this way about ALL of healthcare in the USA at this point.
4 hours ago, KalipsoRed21 said:Thank you!! I feel this way about ALL of healthcare in the USA at this point.
*All* US healthcare? Wouldn't say that as it's the best in the history in the world in both delivery and research and development. That's what makes this OP such a ridiculous story...
There is an apparently endless amount of weirdness about this story. I really can't process why the charge nurse would counsel Ms Brown about her scope of practice while she and her colleagues seem unconcerned about Ms Brown's expressed desire to take the foot home and display it with that macabre instruction to "wear your boots, kids".
Anyway, I found the entire complaint here:
https://www.courthousenews.com/wp-content/uploads/2022/12/wis-brown-complaint-pierce-county.pdf
After reading it (doesn't get any less weird) I came away from it thinking it was really heavy-handed. It's pretty clear her misguided intention was to relieve him of discomfort rather than cause it.
On 12/10/2022 at 5:09 PM, offlabel said:*All* US healthcare? Wouldn't say that as it's the best in the history in the world in both delivery and research and development. That's what makes this OP such a ridiculous story...
?????? Sorry friend, I have to disagree 100%. I would say healthcare has been slipping in delivery for the last 30ish years…at minimum for the last 15 that I have been in it. And the research shows that we are over worked and doing a deadly job.
https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us
21 hours ago, KalipsoRed21 said:?????? Sorry friend, I have to disagree 100%. I would say healthcare has been slipping in delivery for the last 30ish years…at minimum for the last 15 that I have been in it. And the research shows that we are over worked and doing a deadly job.
https://www.hopkinsmedicine.org/news/media/releases/study_suggests_medical_errors_now_third_leading_cause_of_death_in_the_us
You're basing your poor assessment of delivery of medical care in the US relative to the rest of the world based on a single, controversial, arguably flawed assessment of 'medical error?' If that's an example of critical thinking in US medical care, maybe you're right....
1 hour ago, offlabel said:You're basing your poor assessment of delivery of medical care in the US relative to the rest of the world based on a single, controversial, arguably flawed assessment of 'medical error?' If that's an example of critical thinking in US medical care, maybe you're right....
I have not ever worked outside the US healthcare system. And what I see in the USA is more frequently deadly errors, excessive and deadly short cuts, waste of resources, and pandering to money instead of need. It maybe better than a poorer country’s healthcare system, but leaders are not made from doing “better than the worst”. Leaders are made from doing better than all. The US healthcare hasn’t been that for a while now. And I don’t really deem the wealthy few who can get extraordinary care as examples of what the system is made of.
On 12/12/2022 at 11:25 PM, KalipsoRed21 said:I have not ever worked outside the US healthcare system. And what I see in the USA is more frequently deadly errors, excessive and deadly short cuts, waste of resources, and pandering to money instead of need. It maybe better than a poorer country’s healthcare system, but leaders are not made from doing “better than the worst”. Leaders are made from doing better than all. The US healthcare hasn’t been that for a while now. And I don’t really deem the wealthy few who can get extraordinary care as examples of what the system is made of.
I kind of agree with you. I haven’t been at ALL US hospitals so I can’t really say what they all are doing however what I see is that the business side of how things are run far outweigh how things should be run for good quality medical care.
Tweety, BSN, RN
36,354 Posts
Agree. My first thought was reading the headline and thinking "does a doctor ever give orders to a nurse to amputate a foot"? It just went on from there.