Expert answer:Need health and medical help with liability issues

Answer & Explanation:Hello. So this assignment is a group assignment. It is regarding the case study #2 you have been using previously in other questions you have answered for me. I attached a document that shows what it is that we have to do. The whole assignment should be 10-15 pages, but I only have to do one part of it, which should be between 2-3 pages long, and including 2 references. You do not have to do a title page. My topics regarding the case study are highlited in yellow in the document, but I will also write them here. 
Liability issues
Parties involved and who should be
sued
Defenses of the parties
Again, about 2-3 pages long with 2 references/citations. Thank you for your great work!unit_7_assignment.docx
unit_7_assignment.docx

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Unit 7 Assignment
Directions:
The group will write a10–15-page APA formatted paper (title page and references list do not
count towards the 10–15 pages). Support the paper with peer reviewed articles and case law
where applicable. You must have minimum of eight references. You may have an appendix that
has samples of documents that support your positions or expands on the facts of the case.
The paper should discuss the following issues:
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Liability issues
Parties involved and who should be sued
Defenses of the parties
Documents that the plaintiff’s side will ask for and how they will be used
Standards of care
Duty, breach, damages, and proximate cause
Insurance issues
Risk management issues before and after the incident
Documentation and mandatory reporting
Who should write the incident report and what should it say?
The doctrine of Respondeat Superior and how it would apply the issues surrounding
informed consent Preparation for court of the parties.
Case Study 2: Wrongful Death by Howard Carpenter on Behalf of Wilma Carpenter,
Deceased
People Involved in Case:
Mrs. Wilma Carpenter — patient, deceased
Mr. Howard Carpenter — husband and plaintiff in wrongful death suit
Mrs. Scale, RN, MS — nursing supervisor
Elizabeth Adelman, RN — recovery room nurse
Richard Washington, MD — orthopedic surgeon
Judy Gouda, RN, NP
Joseph Alsoff, LPN — post-surgical unit nurse
Kelly Wheeler, RN — post-surgical unit nurse
David Casler, LRT
Susan Post, JD — risk manager
Amy Green — quality assurance
Michael Parks, RN, MS, CNS — education coordinator
Caring Memorial Hospital
Facts:
The plaintiff, Mrs. Carpenter, was a 55-year-old woman who underwent a total hip replacement
at Caring Memorial Hospital. The physician was Richard Washington, MD. Dr. Washington is an
orthopedic surgeon. His nurse practitioner is Judy Gouda, RN, NP. Dr. Washington reviewed
the consent with Mrs. Carpenter prior to surgery. Joseph Alsoff, LPN, witnessed the consent
and Mr. Carpenter was present. Joseph does not remember the doctor ever mentioning that
death could be a result of the surgery. The recovery room nurse is Elizabeth Adelman, RN. The
respiratory therapist is David Casler, LRT. The nurse on the post-surgical unit was Kelly
Wheeler, RN. The supervising nurse was Mrs. Scale, RN, MS.
The patient had an epidural catheter for a post-operative pain management following an
episode of hypotension in the recovery room which was treated with Ephedrine. Judy Gouda
made rounds on the patient in the recovery room after the hypotensive event and vital signs
were stable. The patient, Mrs. Carpenter, was placed on a medical surgical nursing unit with the
epidural. The nurse, Kelly, was assigned to the patient and had not worked on that unit before,
but had worked in post-acute critical care units. The nurse’s assignment was to provide patient
care on the entire floor for that shift. There was also an LPN, Joseph, on the unit. It was a busy
day on the unit. Mrs. Carpenter was not the only post-operative patient.
Kelly assessed the plaintiff upon admission, checked the IVs, asked if the patient was in pain,
noted that the patient was responsive and understood where she was, and was stable. She then
left to care for other patients.
The licensed practical nurse, Joseph Alcoff, had been working on the unit for several years. It
had been rumored that Joseph was an alcoholic. There was no evidence that he had been
drinking on the unit. Approximately an hour after the patient arrived on the unit, she was unable
to tolerate respiratory therapy that was ordered and she became nauseated and vomited. David
Casler administered the respiratory therapy. According to Kelly, the registered nurse, 10
minutes after the vomiting episode, Joseph Alcoff, the LPN, found the patient blue and
unresponsive and called a code. Joseph is the only person other than the physician that carries
his own liability insurance. The hospital also has malpractice insurance.
The code team responded, along with Kelly, the registered nurse. Mrs. Carpenter was intubated
and cardiac resuscitation was initiated. The patient responded to resuscitative efforts and she
was transferred to the intensive care unit. Subsequently, Mrs. Carpenter did not do well, was
unresponsive, and declared brain dead and taken off the respirator. She did not have a DNR in
place.
There is a conflict in testimony between Joseph the LPN and Kelly the RN. Joseph indicated
that Kelly found the plaintiff to be unresponsive after the vomiting episode and called the code.
The record is not clear as to when the vital signs and epidural site were assessed. Kelly said
she did a motor and sensory level assessment and they were fine — it is not charted though.
The time elapsed between the vomiting episode and finding the patient is in dispute. The final
diagnosis was anoxia encephalopathy due to the time lapse between CPR being initiated. The
patient was eventually extubated, breathed independently for a period of time, and then
subsequently expired.
The vital signs ordered by the physician were hourly. The hypotensive episode in the recovery
room had not been reported to the registered nurse.
The risk manager is Susan Post, JD, who works in collaboration with the quality assurance
director Amy Green. Amy had noted when doing chart reviews over the last 3 months prior to
this incident that the vital signs taken in the recovery room were not charted, not done, or not
reported to the units. She was in the process of collecting data from the different units on this
observation. She also noted a pattern of using float nurses to several postoperative units. Prior
to this incident, the clinical nurse specialist, Michael Parks, RN, MS, CNS, was consulting with
Susan Post and Amy Green about the status of staff education on these units and what types of
resources and training was needed.
Assignment Requirements:
Before finalizing your work, you should:
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be sure to read the Assignment description carefully (as displayed above);
consult the Grading Rubric (under the Course Home) to make sure you have included
everything necessary; and
utilize spelling and grammar check to minimize errors.
Your writing Assignment should:
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follow the conventions of Standard American English (correct grammar, punctuation,
etc.);
be well ordered , logical, and unified , as well as original and insightful ;
display superior content, organization, style, and mechanics ; and
use APA 6th Edition format as outlined in the APA Progression Ladder.
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