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Current Events => The DUmpster => Topic started by: Revolution on March 03, 2013, 11:47:02 PM

Title: Primitives Pissed Over Protocol
Post by: Revolution on March 03, 2013, 11:47:02 PM
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BAKERSFIELD, Calif. (AP) — An elderly woman being cared for at a Bakersfield retirement facility died after a nurse at the facility refused to perform CPR on the woman after she collapsed, authorities said.
 
When the 87-year-old resident of Glenwood Gardens collapsed at the facility around 11 a.m. Tuesday, a staff member called 911 but refused to give the woman CPR, Bakersfield television station ABC23 reported Friday.
 
In refusing the 911 dispatcher's insistence that she perform CPR, the nurse can be heard telling the dispatcher that it was against the retirement facility's policy to perform CPR.

http://election.democraticunderground.com/10022456161

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840high (297 posts)

7. What if there

was a DNR order?

Quote
bluedigger (9,054 posts)

10. That was not the reason they gave in refusing to perform CPR.

The retirement facility released a statement extending its condolences to the family and said its "practice is to immediately call emergency medical personnel for assistance and to wait with the individual needing attention until such personnel arrives."
 
Read more: http://www.sfgate.com/news/article/Elderly-woman-dies-after-nurse-refuses-to-do-CPR-4323453.php#ixzz2MXrXmT8Z
]

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LiberalFighter (30,688 posts)

2. They need to lose their license.

Isn't it funny that this would be their exact same response had any of the employees done CPR, and ANYTHING had gone wrong. Not only that, they'd be demanding lawsuits out the wazoo. See libtards, this is what happens when you go screwy about little shit like kids making things with poptarts that ""look" to you like a supposed gun. Your policies are whacked out, and because of them, people are now scared shitless of getting sued, getting called racist, getting maligned, getting the license revoked, etc.

This death rests squarely on your shoulders, lefties. OWN IT! And make no mistake, the more areas of society you get your nasty little grubby fingers on, the more tragedies like this will happen.
Title: Re: Primitives Pissed Over Protocol
Post by: dutch508 on March 04, 2013, 12:02:26 AM
Isn't it funny that this would be their exact same response had any of the employees done CPR, and ANYTHING had gone wrong. Not only that, they'd be demanding lawsuits out the wazoo. See libtards, this is what happens when you go screwy about little shit like kids making things with poptarts that ""look" to you like a supposed gun. Your policies are whacked out, and because of them, people are now scared shitless of getting sued, getting called racist, getting maligned, getting the license revoked, etc.

This death rests squarely on your shoulders, lefties. OWN IT! And make no mistake, the more areas of society you get your nasty little grubby fingers on, the more tragedies like this will happen.

The reason that the Retirement Center has such a policy is so that they cannot be sued if something does go wrong. For example, In our department (Police) we cannot render first aid at the scene for this very reason. We must wait for the EMTs to arrive.
Title: Re: Primitives Pissed Over Protocol
Post by: GOBUCKS on March 04, 2013, 12:58:42 AM
The reason that the Retirement Center has such a policy is so that they cannot be sued if something does go wrong. For example, In our department (Police) we cannot render first aid at the scene for this very reason. We must wait for the EMTs to arrive.

So, if a policeman comes upon an accident victim who's bleeding to death, he will not apply pressure to the wound?

He will stand there and allow the victim to bleed out and die?

I cannot believe that a police officer, or any other human being, would do that.
Title: Re: Primitives Pissed Over Protocol
Post by: dutch508 on March 04, 2013, 01:15:43 AM
So, if a policeman comes upon an accident victim who's bleeding to death, he will not apply pressure to the wound?

He will stand there and allow the victim to bleed out and die?

I cannot believe that a police officer, or any other human being, would do that.

Until we complete an EMT class we are not to render first aid.
Title: Re: Primitives Pissed Over Protocol
Post by: RobJohnson on March 04, 2013, 01:54:24 AM
Too much liability thanks to 1-800-Get A CHECK (aka: litigation)

I call 911 when at work, if a by stander wants to help keep a person from bleeding to death they are more then welcome to jump in and help. I can't.
Title: Re: Primitives Pissed Over Protocol
Post by: 67 Rover on March 04, 2013, 05:13:39 AM
Funny, I always thought that the good Samaritan law protected those with basic first aid training that tried to help with good intent/faith?
Title: Re: Primitives Pissed Over Protocol
Post by: AprilRazz on March 04, 2013, 05:47:21 AM
Funny, I always thought that the good Samaritan law protected those with basic first aid training that tried to help with good intent/faith?
But that won't stop the family from suing the facility. The liability insurance in CA is crazy for places like that. The woman was not in a nursing home but an independent/assisted living facility.
But from what I understand the woman's daughter is a nurse and has no complaint about the care she got. There could have been a DNR or one in the works. We don't really know, but this does not seem to be the crunchy news that some think it is.
Title: Re: Primitives Pissed Over Protocol
Post by: marv on March 04, 2013, 06:42:02 AM
My wife and I both have DNR living wills. The doctors at our PPO hospital don't like it, but that's the way it is.
Title: Re: Primitives Pissed Over Protocol
Post by: Gina on March 04, 2013, 06:49:09 AM
Until we complete an EMT class we are not to render first aid.

Is taking a 1st Aid class solely up to you or is it required?
Title: Re: Primitives Pissed Over Protocol
Post by: Big Dog on March 04, 2013, 06:51:29 AM
Funny, I always thought that the good Samaritan law protected those with basic first aid training that tried to help with good intent/faith?

Good Samaritan laws vary from state to state, but only apply to bystanders (people without an affirmative duty to provide medical care). Licensed health care providers, public safety officers, and health care facilities are not covered.
Title: Re: Primitives Pissed Over Protocol
Post by: AprilRazz on March 04, 2013, 07:09:35 AM
Good Samaritan laws vary from state to state, but only apply to bystanders (people without an affirmative duty to provide medical care). Licensed health care providers, public safety officers, and health care facilities are not covered.
Well we are covered to a certain extent. A patient can't sue over broken ribs after CPR but can sue if you attempt something that a person at your level was never trained to do. I was trained in the military on how to insert a chest tube. But it is not in my scope of practice/training as a civilian nurse. Therefore if I try doing that on a patient and it goes wrong, good chance I will end up in court. Per Virginia law.
Title: Re: Primitives Pissed Over Protocol
Post by: Big Dog on March 04, 2013, 07:43:55 AM
Well we are covered to a certain extent. A patient can't sue over broken ribs after CPR but can sue if you attempt something that a person at your level was never trained to do. I was trained in the military on how to insert a chest tube. But it is not in my scope of practice/training as a civilian nurse. Therefore if I try doing that on a patient and it goes wrong, good chance I will end up in court. Per Virginia law.

Is that part of your Good Sam law, or part of the laws for your professional licensure? In NE and MO, where I was licensed as a paramedic, that immunity was part of our licensing laws. My liability insurance provider was very clear about what it would and would not cover.

Samey-same on Army vs. civilian training. I could insert a chest tube as a 91B, but could only do needle chest decompression as a civilian paramedic; also blade vs. needle crichothyrotomy. I was hell on wheels with external jugular lines, since I had ten years' experience before I graduated from paramedic school!
Title: Re: Primitives Pissed Over Protocol
Post by: 67 Rover on March 04, 2013, 07:55:31 AM
Good Samaritan laws vary from state to state, but only apply to bystanders (people without an affirmative duty to provide medical care). Licensed health care providers, public safety officers, and health care facilities are not covered.
Then why bother to have AED machines in the nursing home if no one will bother to use them? I understand they are now reporting that the patient did not in fact have a DNR.
Title: Re: Primitives Pissed Over Protocol
Post by: SSG Snuggle Bunny on March 04, 2013, 07:57:35 AM
The first rule of CPR is: if you aren't crushing ribs, you're doing it wrong.

I wouldn't want to perform CPR on an 87 year old.

Sure as **** never in Commiefornia.
Title: Re: Primitives Pissed Over Protocol
Post by: USA4ME on March 04, 2013, 08:08:29 AM
Part of the application into these retirement facilities are the rules and procedures by which they follow, one of which spells out it is against the retirement facility's policy to perform CPR.  The woman or, if she was mentially incapacitiated, the one who held her Power of Attorney knew about it when they entered and signed up anyway.

.
Title: Re: Primitives Pissed Over Protocol
Post by: SSG Snuggle Bunny on March 04, 2013, 08:14:28 AM
Then why bother to have AED machines in the nursing home if no one will bother to use them? I understand they are now reporting that the patient did not in fact have a DNR.

Because that's how the government has made it.

You need an AED on the wall because it makes some state legislator of city council critter feel important for having passed the reg because it shows they care. But the rest of the laws they write are intended to hand money to grieving families beacsue that too shows they care.

So now if any 1 of tens of thousands of professional witnesses hired by plaintiff's attorneys say you did any one of ten thousand things wrong you lose your job, your money, your reputation and may even do jail time.

On a 60-year old the odds of CPR being effective are 5 to 10 percent (closer to 5 but I don't want to be a Debbie Downer). For an 87 year old the trauma alone will kill them if the cardiac event doesn't. All anyone will ever hear in court is that when EMS arrived you were standing over a dead woman.
Title: Re: Primitives Pissed Over Protocol
Post by: JohnnyReb on March 04, 2013, 08:21:25 AM
Call her the first victim of Obamacare.
Title: Re: Primitives Pissed Over Protocol
Post by: FiddyBeowulf on March 04, 2013, 08:23:11 AM
Until we complete an EMT class we are not to render first aid.
No 1st responder training either? In WI, police recruits have to take so many hours of 1st responder training in order to get certified. At least in the 90's they did.
Title: Re: Primitives Pissed Over Protocol
Post by: Big Dog on March 04, 2013, 08:38:30 AM
Then why bother to have AED machines in the nursing home if no one will bother to use them? I understand they are now reporting that the patient did not in fact have a DNR.

Good Samaritan laws do not, as a rule, cover actions by staff in a nursing home. The AED in a nursing home may be required by the state agency which certifies the nursing home, and the nursing home staff would be trained to use it on people who need it (and who do not have a DNR).

This lady lived in an independent living facility/assisted care facility, which is different from a nursing home or skilled nursing facility. The state's responsibility will be to investigate whether the facility's policy is in compliance with state law and regulation, and whether the employees followed the policy. The family has the ability to sue, if they think the facility or its employees were negligent or breached a duty. At this point, the family has said they were satisfied, but you never know what will happen if a personal injury lawyer convinces them they can hit the jackpot.
Title: Re: Primitives Pissed Over Protocol
Post by: SSG Snuggle Bunny on March 04, 2013, 08:45:08 AM
No 1st responder training either? In WI, police recruits have to take so many hours of 1st responder training in order to get certified. At least in the 90's they did.

Yeah, but if he has CPR training, no EMT training and then does anything, such as put a blank on a patient, could be considered an attempt to "control shock." If the patient later dies of shock (and all dead patients do) then plaintiff's attorney can say he ineffectively rendered aid because he worked outside his scope of practice because controlling shock is an EMT-level skill but not a CPR-level skill.

If my patient dies of shock at least I can say "I tried my best according to the training I recieved."

Modern medical law: a license to kill
Title: Re: Primitives Pissed Over Protocol
Post by: Big Dog on March 04, 2013, 09:02:54 AM
Yeah, but if he has CPR training, no EMT training and then does anything, such as put a blank on a patient, could be considered an attempt to "control shock." If the patient later dies of shock (and all dead patients do) then plaintiff's attorney can say he ineffectively rendered aid because he worked outside his scope of practice because controlling shock is an EMT-level skill but not a CPR-level skill.

If my patient dies of shock at least I can say "I tried my best according to the training I recieved."

Modern medical law: a license to kill

 :yeahthat:

In addition, First Responder and EMT certification has a limitation: it is not an independent license. You respond or provide pre-hospital care for an agency. Fire departments and law enforcement agencies which use their officers as First Responders have written agreements with EMS providers, and written protocols. EMTs must be employed or volunteer for an EMS provider or hospital, which have written protocols and standing orders. 
Title: Re: Primitives Pissed Over Protocol
Post by: Karin on March 04, 2013, 09:25:44 AM
What you say makes sense, Snugs (and everyone else).  But, it is making for some uncomfortable moments for people when they hear the call in real time.  The robotic "not at this time" line.  The desperate-sounding dispatcher.  "Isn't anyone as a human being going to do something?"  Not in this litigious place.  There's a reason "ambulance chaser" is part of the vernacular.

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Call her the first victim of Obamacare.
 Congrats, Obama!  Well played.  
Title: Re: Primitives Pissed Over Protocol
Post by: 98ZJUSMC on March 04, 2013, 09:52:11 AM
Until we complete an EMT class we are not to render first aid.

Welcome to Litigationland.
Title: Re: Primitives Pissed Over Protocol
Post by: vesta111 on March 04, 2013, 10:15:51 AM
:yeahthat:

In addition, First Responder and EMT certification has a limitation: it is not an independent license. You respond or provide pre-hospital care for an agency. Fire departments and law enforcement agencies which use their officers as First Responders have written agreements with EMS providers, and written protocols. EMTs must be employed or volunteer for an EMS provider or hospital, which have written protocols and standing orders. 

Depends on the state, in some Good Samaritans laws are to protect someone with no medical training that gives aid to another.   Come across a burning car and some poor bugger trapped, you pull them to safty but break their neck doing so-------You are protected.

You are a Doctor, Nurse or EMT who does this you may get sued.

Kind of titchie how all of this works.   Last class I took for first aid about 5 years ago was same old review, except we were told that new changes had come about in CPR, in some situations just the chest compressions were needed. Then the new gadget AED and how to work the device.   Heck the darn thing TALKS you through each step of the way.   I had to laugh as if I would have to ever use that thing this would be the only time in my life I could order a Cop out of the area.  NO two way radios in the area.

As I mentioned before many changes have come to health care, it has been so very long since I had any part in it not in the nursing field but as a factory worker for 22 years.  If there is a need for trained First Aiders it is in the factorys.   Fingers get chopped off, people not looking dart out in front of fork lifts, Amonia leaks and any number of falls cuts and unexpected things happen.  

Worse day of my life was going to Hospital to visit my dad recovering from a heart attack.   When I reached his room the sheets had been pulled about his bed and I could hear a young Nurse crying out that she didn't know what to do.    Someone gave him the paddle and dad came back with an outragious out of body experience to tell anyone he could corner for a couple months.   Did I believe his story, Well Dad did some odd things, he was a Mason and Shriner and left the house wearing odd clothing and was a teller of Sea Storys, perhaps his last gift to us was to never fear death------Who knows.      

Title: Re: Primitives Pissed Over Protocol
Post by: BlueStateSaint on March 04, 2013, 11:05:22 AM
The first rule of CPR is: if you aren't crushing ribs, you're doing it wrong.

A friend of mine from grade school and high school was staying at his parents' house a few years ago when his father woke him up--his mother had stopped breathing.  Well, Greg started to do CPR, and actually broke a few of his mother's ribs while performing it.  It didn't revive her. :(
Title: Re: Primitives Pissed Over Protocol
Post by: J P Sousa on March 04, 2013, 11:26:52 AM
My doctor told me a DNR is not necessarily followed depending on the people involved.
Title: Re: Primitives Pissed Over Protocol
Post by: delilahmused on March 04, 2013, 02:22:50 PM
Until we complete an EMT class we are not to render first aid.

And no one can bring suit because you DIDN'T do anything? It would be thrown out? No qualified ambulance chasing attorney would take that case?

Cindie
Title: Re: Primitives Pissed Over Protocol
Post by: AprilRazz on March 04, 2013, 04:13:59 PM
Is that part of your Good Sam law, or part of the laws for your professional licensure? In NE and MO, where I was licensed as a paramedic, that immunity was part of our licensing laws. My liability insurance provider was very clear about what it would and would not cover.

Samey-same on Army vs. civilian training. I could insert a chest tube as a 91B, but could only do needle chest decompression as a civilian paramedic; also blade vs. needle crichothyrotomy. I was hell on wheels with external jugular lines, since I had ten years' experience before I graduated from paramedic school!
It is covered if you are not at work and to an extent licensing when you are. IE break ribs doing compressions. I was allowed to do much more as a Corpsman than I can now as a nurse and I still have to step back sometimes and tell myself "You are not allowed to do that anymore" :(
But I am still wondering if CPR was even warranted in this situation. Hard to say from the article.
Title: Re: Primitives Pissed Over Protocol
Post by: Celtic Rose on March 04, 2013, 04:44:03 PM
Also, in some states if you have not been trained in CPR and you perform CPR, you may not be protected from litigation. 
Title: Re: Primitives Pissed Over Protocol
Post by: GOBUCKS on March 04, 2013, 06:31:10 PM
I can understand someone being hesitant to use a defibrillator, or even to start chest compressions, but I don't understand how anyone could simply stand by and watch someone die without trying to help in some way.

As I asked in an earlier post, do you stand there and watch a car wreck victim bleed out, or do you apply pressure to the wound? I think I'd rather be sued or fired than to do that.

I hope the name of that nursing home company and of the unconcerned, cool, calm, and collected beast who was on the phone get into the headlines.
Title: Re: Primitives Pissed Over Protocol
Post by: Zathras on March 05, 2013, 08:17:46 AM
Quote
840high (297 posts)

7. What if there

was a DNR order?

If there was a DNR in place, then why did they call 911?
Title: Re: Primitives Pissed Over Protocol
Post by: SSG Snuggle Bunny on March 05, 2013, 01:16:51 PM
A friend of mine from grade school and high school was staying at his parents' house a few years ago when his father woke him up--his mother had stopped breathing.  Well, Greg started to do CPR, and actually broke a few of his mother's ribs while performing it.  It didn't revive her. :(

I'd guess a significant part was the time between when the patient stopped breathing and when CPR was begun. The number of minutes you get are single-digit. and past 5 minutes permanent damage sets in.

Even if you witness the patient go down, activate the EMS and begin CPR with AED assistance the odds of survival are scant.

... I think I'd rather be sued or fired than to do that.

I have an acquaintance who had a gun pulled on him. He got the better of the would-be mugger and walked away.

But he was also an EMT.

They called it "abandonment."

He lost his EMT, did time as a felon, lost the right to own a gun, lost his secuity clearance.

They destroyed him. He now works as a maintenance technician.

There is a broad chasm between the law and justice and the law is very eager to prove itself.
Title: Re: Primitives Pissed Over Protocol
Post by: RobJohnson on March 07, 2013, 01:11:51 AM
The whole story is bullshit. Family members have said the patient picked this facility because they did not have emergency medical care.

Suck it DUmmies.



Quote
Nonetheless, Bayless' family said it was her desire to forgo resuscitation efforts and that she died of natural causes, which her family said was her "greatest wish." The family said it has no intentions of suing the company or seeking punishment for its workers.

"They wish no hardship on those who were witnesses," said Sonja Eddings Brown, a spokeswoman for the family. "It is natural for there to be an appropriate investigation, and if Lorraine's death helps other families to learn from it or prepare for the future, then not only was her life a great blessing, but in some small way her passing too
."


http://news.yahoo.com/cops-no-charges-homes-refusal-cpr-023656608.html
Title: Re: Primitives Pissed Over Protocol
Post by: thundley4 on March 07, 2013, 09:35:08 AM
The whole story is bullshit. Family members have said the patient picked this facility because they did not have emergency medical care.

Suck it DUmmies.


."


http://news.yahoo.com/cops-no-charges-homes-refusal-cpr-023656608.html

That quote from the family should be the end of it.
Title: Re: Primitives Pissed Over Protocol
Post by: GOBUCKS on March 07, 2013, 11:15:23 AM
That quote from the family should be the end of it.
Quote

Not at all. The nurse who stood by and let the lady die didn't know about any discussion the old lady may or may not have had with her famiily; there was no DNR.

The family may have been pissed that the old lady was burning through their inheritance.

Nothing makes the nurse any less inhuman.

Title: Re: Primitives Pissed Over Protocol
Post by: thundley4 on March 07, 2013, 11:34:18 AM
That quote from the family should be the end of it.
Quote

Not at all. The nurse who stood by and let the lady die didn't know about any discussion the old lady may or may not have had with her famiily; there was no DNR.

The family may have been pissed that the old lady was burning through their inheritance.

Nothing makes the nurse any less inhuman.



The family and the person that died knew the policy and were satisfied with it.  It was , IMO a way of having a DNR .

Quote
Nonetheless, Bayless' family said it was her desire to forgo resuscitation efforts and that she died of natural causes, which her family said was her "greatest wish." The family said it has no intentions of suing the company or seeking punishment for its workers.

OTOH as the family said, this case allows others at the facility to fully understand their policy.