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infant's blood pressure

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  • Jurydoctor@aol.com
    Need your opinion on this case. $20 donated to Habitat for Humanity. Thanks in advance for your opinions and questions regarding this case. Amy This is a civil
    Message 1 of 4 , Oct 4 10:20 AM
      Need your opinion on this case. $20 donated to Habitat for Humanity.
      Thanks in advance for your opinions and questions regarding this case.
      Amy



      This is a civil suit against a the nursing staff and medical device manufacturer for allegedly causing the brain damage of 6 month old Robbie.

      The plaintiff claims that the medical device manufacturer (MDM) did not provide adequate warnings.

      The MDM claims the nursing staff did not read the instructions.



      THE DEVICE: is an invasive blood pressure device which measures blood pressure directly from an artery



      Here are the facts:

      1.Nurses did not realize that an infusion pump had to be used with the device to limit the flow rate of liquid.

      2. The fluid in the pressure bag emptied more quickly leaving air in the bag. The air entered into Robbie's vascular system causing an air embolism resulting in brain damage.



      Please help us decide:



      ______________% fault to the hospital staff

      ______________% fault to the MDM

      100%





      Here are the ALLEGATIONS:



      THE PLAINTIFF CONTENDS:

      1. The plaintiff contends the device had inadequate warnings. "30 ML per hour" was written in light yellow letters on a tube. They contend the letters are not easily observable nor does it

      mention that an infusion pump is necessary. Further, is is not clear whether the 30 ML per hour refers to flush rate or flow rate.



      2. This is the first time the nurses used this device. The hospital person ordering both the adult and pediatric devices stated that the sales rep did not mention that the pediatric

      version requires an infusion pump. (the adult version the hospital had been using does not)



      3. 4 years prior to this incident, the exact same thing happened in New Hampshire. MDM did nothing to change the warning.







      THE DEFENDANT CONTENDS:

      1.The brain damage was caused by the nursing staff who did not read the instructions before using the device for the first time. The instructions plainly state that an infusion pump must be used with the device.



      2. The nurses did not empty the air out of the pressure bag which is clearly below the level of standard of nursing care (malpractice).



      3.Fluid in the bag would have been measured from time to time. If that had been done nurses would have noted the bag was emptying too fast.



      4. The doctor is critical of the nursing staff's care.



      5. Properly trained pediatric ICU nurses should know how to use and infusion pump with this device.



      6. The yellow letters on the tube was adequate



      7. One of the clamps is a different color and there is no spike or drip chamber included in the pediatric kit (which is included in the adult kit). These differences should have

      alerted the nurses to notice the difference and prompted them to read the instructions.



      ------------------------------

      The FDA regulations allows the sale of this device. However the FDA does not review the warnings or instructions. The FDA relies on the manufacturer for proper warnings and instructions.



      Please tell me:

      1. Who is at fault and why?



      2. what is your general opinion of the case?



      If you believe both the nurses and the MDM are at fault please tell me

      what % of fault you give to each. The total must equal 100%



      3.______________% nurses

      _______________% mDM

      100%



      4. Should properly trained pediatric ICU nurses should know how to use an infusion pump with this type of device?












      [Non-text portions of this message have been removed]
    • suesarkis@aol.com
      Amy - This is definitely a case where knowing too little will cause us all to give bad opinions. Since you are describing the device as an invasive blood
      Message 2 of 4 , Oct 4 12:05 PM
        Amy -

        This is definitely a case where knowing too little will cause us all to
        give bad opinions.

        Since you are describing the device as an invasive blood pressure monitor
        while describing an IV drip monitor, it would truly help to know the precise
        name of the monitor in question. Since the already filed case is public
        record, you would not be violating any privacy issues.

        Please advise.

        Sue


        In a message dated 10/4/2010 10:23:00 A.M. Pacific Daylight Time,
        Jurydoctor@... writes:

        Need your opinion on this case. $20 donated to Habitat for Humanity.
        Thanks in advance for your opinions and questions regarding this case.
        Amy

        This is a civil suit against a the nursing staff and medical device
        manufacturer for allegedly causing the brain damage of 6 month old Robbie.

        The plaintiff claims that the medical device manufacturer (MDM) did not
        provide adequate warnings.

        The MDM claims the nursing staff did not read the instructions.

        THE DEVICE: is an invasive blood pressure device which measures blood
        pressure directly from an artery

        Here are the facts:

        1.Nurses did not realize that an infusion pump had to be used with the
        device to limit the flow rate of liquid.

        2. The fluid in the pressure bag emptied more quickly leaving air in the
        bag. The air entered into Robbie's vascular system causing an air embolism
        resulting in brain damage.

        Please help us decide:

        ______________% fault to the hospital staff

        ______________% fault to the MDM

        100%

        Here are the ALLEGATIONS:

        THE PLAINTIFF CONTENDS:

        1. The plaintiff contends the device had inadequate warnings. "30 ML per
        hour" was written in light yellow letters on a tube. They contend the
        letters are not easily observable nor does it

        mention that an infusion pump is necessary. Further, is is not clear
        whether the 30 ML per hour refers to flush rate or flow rate.

        2. This is the first time the nurses used this device. The hospital person
        ordering both the adult and pediatric devices stated that the sales rep
        did not mention that the pediatric

        version requires an infusion pump. (the adult version the hospital had
        been using does not)

        3. 4 years prior to this incident, the exact same thing happened in New
        Hampshire. MDM did nothing to change the warning.

        THE DEFENDANT CONTENDS:

        1.The brain damage was caused by the nursing staff who did not read the
        instructions before using the device for the first time. The instructions
        plainly state that an infusion pump must be used with the device.

        2. The nurses did not empty the air out of the pressure bag which is
        clearly below the level of standard of nursing care (malpractice).

        3.Fluid in the bag would have been measured from time to time. If that had
        been done nurses would have noted the bag was emptying too fast.

        4. The doctor is critical of the nursing staff's care.

        5. Properly trained pediatric ICU nurses should know how to use and
        infusion pump with this device.

        6. The yellow letters on the tube was adequate

        7. One of the clamps is a different color and there is no spike or drip
        chamber included in the pediatric kit (which is included in the adult kit).
        These differences should have

        alerted the nurses to notice the difference and prompted them to read the
        instructions.

        ------------------------------

        The FDA regulations allows the sale of this device. However the FDA does
        not review the warnings or instructions. The FDA relies on the manufacturer
        for proper warnings and instructions.

        Please tell me:

        1. Who is at fault and why?

        2. what is your general opinion of the case?

        If you believe both the nurses and the MDM are at fault please tell me

        what % of fault you give to each. The total must equal 100%

        3.______________% nurses

        _______________% mDM

        100%

        4. Should properly trained pediatric ICU nurses should know how to use an
        infusion pump with this type of device?

        [Non-text portions of this message have been removed]






        [Non-text portions of this message have been removed]
      • Jurydoctor@aol.com
        I will have my assistant ask the arbitrator. but remember a jury would not be able to google this or anything. However, if you dig up some stuff (using your
        Message 3 of 4 , Oct 5 5:12 AM
          I will have my assistant ask the arbitrator. but remember a jury would not be able to google this or anything. However, if you dig up some stuff (using your super powers) I'd certainloy
          like to know about it. I will send the info private email to u
          thanks
          amy



          This is definitely a case where knowing too little will cause us all to
          ive bad opinions.

          ince you are describing the device as an invasive blood pressure monitor
          hile describing an IV drip monitor, it would truly help to know the precise
          name of the monitor in question. Since the already filed case is public
          ecord, you would not be violating any privacy issues.





          [Non-text portions of this message have been removed]
        • suesarkis@aol.com
          Amy - I sure hope you are working for the defense on this one. Although it would have been nice to know how long Robbie was in the hospital, i.e., was he
          Message 4 of 4 , Oct 5 12:39 PM
            Amy -

            I sure hope you are working for the defense on this one.

            Although it would have been nice to know how long Robbie was in the
            hospital, i.e., was he neonatal and still there or was this a newly discovered
            cardiovascular issue at 6 months of age. Regardless, you are talking about
            two separate mechanisms. Without reading the chart it is very hard to say
            what the doctor actually ordered. However, meds to be dispensed via IV at
            the rate of 30 ml/hr are usually drip unless the doctor orders bolus. I'm
            at a loss as to why the nursing staff did not realize the infusion pump would
            be required even without reading the instructions since there was no drip
            chamber. HOWEVER, since this a new device, failure to read same wreaks of
            total carelessness on the part of the staff.

            Nurses in the neonatal/pediatric ICU would not usually be privy to what the
            adult unit does or does not require. Even so, considering the difference
            between a baby's heart and an adults, common sense should have dictated.

            The 4 years between incidents tends to lend credibility to the fact that
            the directions/instructions have been adequate sans carelessness.

            I also fault the hospital and staff including the purchasing agent for not
            insisting that a company tech be on site to demonstrate the use of the
            equipment if they were unfamiliar with something so very important.


            95______________% nurses

            5_______________% mDM

            100%

            4. Should properly trained pediatric ICU nurses should know how to use an
            infusion pump with this type of device? MOST DEFINITELY !!!! Howe
            ver, the key words here are "properly trained" and for that, no one can be
            blamed but the hospital.




            Sincerely yours,
            Sue
            ________________________
            Sue Sarkis
            Sarkis Detective Agency

            (est. 1976)
            PI 6564
            _www.sarkispi.com_ (http://www.sarkispi.com/)

            1346 Ethel Street
            Glendale, CA 91207-1826
            818-242-2505

            "one Nation under God" and "in GOD we TRUST"

            If you can read this, thank a teacher. If you can read it in English,
            thank a military veteran


            [Non-text portions of this message have been removed]
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