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AS LEGAL NURSE CONSULTANTS, WE CAN PROVIDE THE MEDICAL INSIGHT AND EXPERIENCE NECESSARY TO PINPOINT MEDICAL DEFICITS AND CRITICAL FACTS IN A CASE THAT WILL MAKE THE DIFFERENCE BETWEEN WINNING OR LOSING A CASE.

SAMPLE CASE REVIEW  -  NAMES CHANGED TO UPHOLD ALL HIPAA RULES AND REGULATIONS


Jeff Whitaker

Whitaker, MacGregor, and Associates, LLC

1112 Agate St, Medford, OR 97501
Phone 310-283-4919       Fax 844-731-5209      jeff@rnconsult.net


 

TO:      Patrick Mahomes , Attorney at Law
DATE: March 29, 2019
RE:      Mrs. Client

Dear:  Patrick

Pursuant to your request that our office screen the case of Mrs. Client, it is our opinion that there are deviations from the standard of care that directly contributed to Mrs. Client’s injury to her left forearm and hand. As of the time of this request, there is currently unresolved pain, numbness, and inability to grasp objects. Additionally, please see the requested chronological timeline of relevant events surrounding the incident.

Plaintiff theme: This case is about failure to timely diagnose and treat phlebitis, thrombophlebitis, and extravasation following IV administration of Anzamet®, which resulted in compartment syndrome and permanent injury to Mrs. Client’s nerves and muscles in the left forearm and hand.

Defense theme: This is an unfortunate case about a rare, unavoidable adverse drug reaction.

It seems that multiple events and factors ultimately led to Mrs. Clients injury. To further develop this case, I recommend obtaining the following:

  • Copies of all medical records of the encounter (portions of current copies are not legible)
  • Relevant subsequent treating records
  • Policy and procedure manual table of contents for OR, PACU, and ASU
  • Table of contents for IV therapy manual
  • Policy and procedures for documentation
  • Training materials for training nurses on EMR
  • Assessment/reassessment policy for OR, PACU, ASU
  • Medication administration policy
  • Adverse drug reaction policy
  • Staff education training materials regarding IV therapy
  • Package insert for Anzamet® and all Anzamet® procedures
  • Discharge criteria for ASU


In my opinion this case is meritorious because there was a failure to timely diagnose and treat phlebitis, thrombophlebitis and extravasation following IV administration of Anzamet®. There was also possible deviation from correct dosing and administration of Anzamet®, according to manufacturer guidelines. These deviations resulted in compartment syndrome and apparently permanent injury to Mrs. Client’s nerves and muscles in the left forearm and hand.

If you would like additional assistance in further developing this case, we can provide additional services, including: locating potential expert witnesses, further research on Anzamet® and history of adverse reactions, phlebitis and thrombophlebitis, compartment syndrome, and fasciotomy.

Thank you very much for the opportunity to consult on this matter.

Sincerely,


Jeff Whitaker, RN, BSN, CLNC