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SAFETYRULEFORDOCTORS
• Adoctormustpaycarefulattentionduringanoperation
• Ifadoctordoesnotpaycarefulattention duringanoperation,thedoctorisresponsiblefortheinjuriescaused
BREACHOFTHESTANDARDOFCARE
• Whatwentwrong?–Dr.Hillfailedtopaycarefulattentionwhenthepacingwireswereputinchest– Thewireswereplacedimproperly–Whenthewireswerepulled,hergraftwascutandshedied
“Therewasalonglacerationintherightcoronaryarterygraftcausedprobablybythepacingwire.Thelacerationwasbleedingprofusely…”
PULLINGOFPACINGWIRESFEBRUARY6,2011
Whenwiresareproperlyplaced,removalissimple• Routine• DonebyRN• Bed-side,noOR• Nodoctor’sorders• Nodoctorneeded• Notalifethreateningprocedure• Neverexpectedthistohappen• 1,000timesbefore;noinjury
DEFENSEWITNESS
• Assumes– wiresproperlyplaced– Admitsnoknowledgeofwireplacementtosupporthistheory
• Assumes– heartchangessize– Admitsnoevidenceinthecharttosupporthistheory
• Assumes– graftandwireswerenottouching– Admitsnoevidenceinthecharttosupporthistheory