Posted: January 6th, 2015

Legal Malpractice Case; Malpractice Action Brought by Yolanda Pinnelas

Legal Malpractice Case

Order Description

Malpractice Action Brought by Yolanda
Pinnelas
People Involved in Case:
Yolanda Pinnelas-patient
Betty DePalma, RN, MS-nursing supervisor
Elizabeth Adelman, RN, recovery room nurse
William Brady, M.D., plastic surgeon
Mary Jones, RN-IV insertion
Carol Price, LPN
Jeffery Chambers, RN-staff nurse
Patricia Peters, PharmD-pharmacy
Diana Smith, RN
Susan Post, JD-Risk Manager
Amy Green-Quality Assurance
Michael Parks, RN, MS, CNS-Education coordinator
SAFE-INFUSE-pump
Brand X infusion pump
Caring Memorial Hospital
Facts:
The patient, Yolanda Pinellas is a 21-year-old female admitted to Caring Memorial Hospital for
chemotherapy. Caring Memorial is a hospital in Upstate New York. Yolanda was a student at
Ithaca College and studying to be a music conductor.
Yolanda was diagnosed with anal cancer and was to receive Mitomycin for her chemotherapy.
Mary Jones, RN inserted the IV on the day shift around 1300, and the patient, Yolanda, was to
have Mitomycin administered through the IV. An infusion machine was used for the delivery.
The Mitomycin was hung by Jeffrey Chambers, RN and he was assigned to Yolanda. The unit
had several very sick patients and was short staffed. Jeffery had worked a double shift the day
before and had to double back to cover the evening shift. He was able to go home between shift
and had about 6 hours of sleep before returning. The pharmacy was late in delivering the drug
so it was not hung until the evening shift. Patricia Peters, PharmD brought the chemotherapy to
the unit.
On the evening shift, Carol Price, LPN heard the infusion pump beep several times. She had
ignored it as she thought someone else was caring for the patient. Diana Smith, RN was also
working the shift and had heard the pump beep several times. She mentioned it to Jeffery. She
did not go into the room until about forty-five minutes later. The patient testified that a nurse Updated: June 2014 MN506- Unit 9 Page 3 of 5
came in and pressed some buttons and the pump stopped beeping. She was groggy and not
sure who the nurse was or what was done.
Diana Smith responded to the patient’s call bell and found the IV had dislodged for the patient’s
vein. There was no evidence that the Mitomycin had gone into the patient’s tissue. Diana
immediately stopped the IV, notified the physician, and provided care to the hand. The
documentation in the medical record indicates that there was an infiltration to the IV.
The hospital was testing a new IV Infusion pump called SAFE-INFUSE. The supervisory nurse
was Betty DePalma, RN. Betty took the pump off the unit. No one made note of the pump’s
serial number as there were 6 in the hospital being used. There was also another brand of
pumps being used in the hospital. It was called Brand X infusion pump. Betty did not note the
name of the pump or serial number. The pump was not isolated or sent to maintenance and
eventually the hospital decided not to use SAFE-INFUSE so the loaners were sent back to the
company.
Betty and Dr. William Brady are the only ones that carry malpractice insurance. The hospital
also has malpractice insurance.
Two weeks after the event, the patient developed necrosis of the hand and required multiple
surgical procedures, skin grafting, and reconstruction. She had permanent loss of function and
deformity in her third, fourth, and fifth fingers. The Claimant is alleging that, because of this, she
is no longer able to perform as a conductor, for which she was studying.
During the procedure for the skin grafting, the plastic surgeon, Dr. William Brady, used a
dermatome that resulted in uneven harvesting of tissue and further scarring in the patient’s thigh
area where the skin was harvested.
The Risk Manger is Susan Post, J.D. who works in collaboration with the Quality Assurance
director Amy Green. Amy had noted when doing chart reviews over the last three months prior
to this incident that there were issues of short staffing and that many nurses were working
double shifts, evenings and nights then coming back and working the evening shift. 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 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 this unit and what types of resources and training was needed.

I need topic 1: pertaining to the above scenario regarding Utilization of Documents three in-text citation 1 page.

Topic #2: Respondeat Superior on page 2 with 3 in-text citations

Topic #3 Court Preparation on page 3 also with 3 in-text citations and 6-8 references all in APA formatting thank you

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