woman dies in ER waiting room (article)

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.

Specializes in Cardiac.

However, the poor judgment and the poor assessment skills of the nurse who was taken care of Ms. Rodriquez is really the "cause of death.

.

Lol, so it's the poor assessment of the nurse, not the MD that is the 'cause of death'?

Nobody is legal then...

Can we go back to the table and discuss how Ms. Rodriquez died...

You're the one who took this in another direction.

Getting back to the topic, the nurse wasn't the only one at fault. Yes, she should have reassessed the pt, but the doc missed a perforation.

I'm not a nurse yet, I don't pretend to have any experience at all.

I'm curious though chuck1234, I see you have Med/Surg and ICU experience. Have you had an oportunity to spend any time working in the ER? If so, how much time did you have an oportunity for?

Peace,

Cathie

Cathie, I've worked ER for 19 years, and Chuck is right about one thing: the woman should have been assessed.

Specializes in Cardiac.

You're right Tazzi..

But why is the nurse taking all the responsibility and the MD's none of it?

It's not the collapsing on the floor that was the problem, it was the triage nurse telling her that she had just been seen, there's nothing more to be done. She was never reassessed.

Specializes in Cardiac.

But do we really know that? Or did she die before it was her turn in line?

First page of the article says that's what the nurse told her.

Thanks Tazzi,

I'm just trying to find some context for the varied opinions and make sure I treat each with the respect they deserve.

Back to studying for my A&P final :p

Peace,

Cathie

Specializes in Cardiac.

It says that the nurse said that there's nothing they can do for her. She didn't say to go away, and didn't say that she wasn't going to see her. She probably just got bumped to the bottom of the list.

BUT, we don't really know.

It's not the nurse's job to tell a pt "You've already been seen and there's nothing more we can do." That is a blatant violation of EMTALA because a pt could very easily take that as refusal of services.

Specializes in Cardiac.

Fair enough. I can see a pt thinking that.

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