This whole saga should be put in a playlist. I’m in it now. I can’t tell if I’m watching in order or not. I’m glad this man got some compensation for his loss.
The hospital CEO & the cronies all want to say “ our patients are our top priority “ . Actually their priority is giving the patients half ass care . Anymore you don’t even see a f@$king doctor u see a PA but your charged for seeing a doctor! Anymore for doctor visits or any Emergency visit I flat out tell them SEND ME A DOCTOR not someone who hasn’t did 8 years of school; not a nurse that can’t tell shit from shine O!
30 years as a nurse and to me she's the most bad ass, professional old school nurse I've ever seen. Love and respect her, wish I could have had the opportunity to have her as a mentor if not for a short time. She is a real hero
As a ER/Trauma RN with decades of experience and multiple national certifications (CCRN, CEN, TNCC, etc.) watching these depositions, it is evident this patient received substandard care, particularly when mechanism of injury (MOI) was not taken into account. As for "charting by exception", that does not benefit the patient in any way.
At the end of the day it is a cover-up when they treat patients thisWay it is obvious it’s negligenceCan you say not be tolerated The patient came near for services not to be abuse neglected it’s not about picking and choosing it’s about doing the job right for what you have a profession people put their hands in the hands of doctors and nurses How many people are traumatized by the abuse there’s no way man had to get his leg amputated this could’ve been avoided had people do their damn job right this was unprofessional end it hurts that many people who are being violated all their rights under the color of law they are being denied quality services painful things must change The quality of care is very important people look up to it I hope that people would do that job no one should be left out when they want to go to the ER and get the services because it’s serious and it must be done right so they go to the emergency but basically it may be because of the color of their skin maybe that’s why they were missed treated who knows but we know for a fact that many people have been violated from getting the proper services that anyone should be entitled toA disgrace if you’re going to have a license to your job right or you will be held accountable
Thank you for this insight. I am not in medical care. I believe that after listening to all these depositions a major problem is “charting by exception” So if a nurse or medical provider forgets to do something they can just say I did it and it was normal that’s why nothing is charted!! That needs to be changed!!!!!!!!
No, charting by exception absolutely does save patients. With all of your alleged experience, and you are completely oblivious to the insurmountable amount of paperwork involved when NOT charting by exception. NOT charting by exception is excessive and superfluous There is so much of it that it TAKES AWAY from patient care. Anyone who has worked with Medicare patients will tell you. It does NOT help them and in fact hurts them as more time is spent on paperwork than on the patient.
I think I've watched every providers deposition you have posted on this case. Very cool to see the "behind the scenes" to the flashy news stories! Isn't as cut and dry as the TV shows lead you to believe!
I was an RN with a BSN from Purdue University. I am now retired and am glad. Other nurses who have lesser educations put us down. Evey nurse can go back to school. Maybe it's because they are too lazy or know they are not capable of getting through the program.
Maddening deposition. Nothing to keep this attorney from asking the same question thousands of times because he refuses to accept the expert testimony. What a travesty.
Thanks for putting these depositions up. As another commenter said, it’s neat to see “behind the scenes”.. one thing I like about these more than watching actual courtroom trial videos is when there is an objection the person can still answer unless their attorney flat out tells them not to answer. Anyway I tend to ramble on, basically thanks. Have a good weekend.
The reason they continue to answer after objections is because in a deposition there is no judge to rule on each objection. So the witness is supposed to go ahead and answer and the objection is just made to get it on the record so that the objection is preserved. If you don't object to a particular question at the deposition you might waive your ability to object at trial.
That appears to have been the outcome of the case. The nurse they were getting opinions on is also shown in video on youtube (she's not as quick as this woman, but the caption in her deposition says she wasn't a defendant in the malpractice case and the client won $5.2MM ultimately) This witness did a *superb* job explaining what a triage nurse does and continually clarifying that the nurse doesn't make diagnosis and at the triage station is sorting patients.
Attorney: do you know how long the nurse took to do the triage? Badass nurse: no Attorney: would it matter? (Trying to get her to say that if the nurse spent more time the guy wouldn’t have lost his leg) Badass nurse: Nope
Thank you for sharing this series of depositions. I’d like to watch more. Can you show the world a case featuring hospitalist medicine? This would be fascinating (although I’m in another state). Sepsis is another a topic I’d like to learn more about.
This defendant’s attorney is a beast. I want her on my side if I’m ever in trouble! Love her! Gaston sure doesn’t like her defending against her witness against his leading and inappropriate questions. He’s a piece of work, man.
He’s a very good attorney. Her attorney is okay I suppose. This witness is pretty good and her attorney won’t let her answer questions that should be answered.
You think the victims attorney was bad? Lmao what were you watching? His questions were all appropriate. What’s not appropriate is not answering pertinent questions & instructing your client to not answer.
The nurse saying it's not standard to ask HOW he was injured is wrong. Knowing this simple fact helps to know possible complications and how to properly diagnose.
Yes, thank you for saying that. Basically an overhead door closed on his knee. There's a big difference between a garage door and a loading dock door. Apparently, the thing was heavy enough to separate almost all the tendons and ligaments in his knee.
I would think that it would be extremely important to know how the injury concurred And it should’ve been documented sounds like a cover-up is important to write everything down and putting it in the chart in case the patient needs this information will not be overlooked but it will be documented And also make sure if the patient suffers from anything it is documented not overlooked people need to do their job right people are traumatized by the abuse and he said to know that these things are happening to many people yeah people failed to diagnose people when they are suffering it is important for nurses to document the persons diagnosis even if they are in the ER for some other courses but it is important for them to document everything and making sure if they suffer from anything they know it isn’t taking any other medication as they know it they must write everything down at overlook it some people don’t deserve to have license to be a nurse or doctor because they failed to do their job right and people suffer the outcome people just don’t go to the ER for nothing they go because they’re sick or they were injuredIt is negligence when these people do not ask what happened and how it happened and document it is a problem And I called it unprofessional And now it’s about accountability At the end of the day people don’t deserve to suffer like this when people got a job to do
Reminds me of my first interview with the head of nursing at New York Hospital. She was a rather large bodied chain smoker telling me I should have been on time for my appt. This type used to scare me, and now I laugh. I also remember the Director of Nursing approaching me at UCSF and saying I'm the director of nursing. I laughed. I was supposed to be impressed.
When someone introduces themselves with their job title they are likely letting you know who they are and what they do. The Director of Nursing is different than a floor nurse. If I was meeting someone for a job interview and they showed up late, I might not be impressed and that's a situation when you actually are trying to impress.
There was nothing wrong with the triage nurse's assessment. The most important part of the triage nurse's assessment - as it pertains to this particular case- was CSM of the extremity. Palpation of DP pulses (which is DISTAL to the location of injury) was correct and palpation of popliteal pulse not only unnecessary, but inappropriate and excessive. Why? When DP pulses are palpable, standard practice indicates it is safe to assume the pulse is also there anywhere above the DP pulse of the extremity. The triage nurse is not responsible for a very detailed assessment. If triage nurse(s) were expected to make extensive and very detailed assessments, the consequence would be other patients coming into the ER not being assessed in a timely manner...and the nurse, ironically, finding herself in lawsuit.
She wasn’t there when the injury occurred, that information is subjective, and the provider can ask that information again and the provider can document how the injury occurred. what matters is the treatment to the injury.
@@nasdaqdjitraders so if someone was bitten by a snakewpuld the nurse need to know or just assume the two bite marks are from a cat? How hard is to ask how the injury occured. Sounds more like a union deal to save people from getting charhed with negligence.
Although I think the PA and MD were liable, I'm a bit on the fence about whether the damage to the artery happened after he left the hospital. That poor guy. That was a devastating injury.
It really turns my stomach listening to this attorney malign the triage nurse. Based on the depositions I have watched regarding this case, this attorney expects the triage nurse to 1.) Make decisions outside of her scope of practice and 2.) Make assessments excessive to the role of a triage nurse.
No, he's trying to get her to say things that are outside her scope of practice and say things that are excessive of the role of a triage nurse. She should answer with: I don't know, I don't recall, and I don't remember as much as possible.
A triage nurse is the first line of assessment. It this immediate observation of the presenting problem, location, how long, how painful, what was done, allergies, other problems,diagnosis, medications taken, time taken. Etc. Triage nurse thru her quick assessment acts or show act accordingly and as correct as possibly. Bc it’s a matter of life or death. If it’s stat-) heart attack-) directly to ‘now’ attendance!
@@bertharuiz1225 a triage nurse is not a walking doppler or CT or MRI scanner. NOR is it within her scope to order those. She palpated DPs which tells us the patient was perfusing at the time of HER assessment. Then she documented the patient's reports. It is up to the MD/PA to f/u with THEIR assessment AND order diagnostics/labs/prescriptions etc. accordingly.
@@MC-fp5rr an experience RNBSN having 19 years experience can form a plan of action w/I 5 minute patient assessment. (Problem here was race negativity) I seriously doubt that she & entire career providers’ didn’t ‘take an active toll ‘ and relied on X-rays - which only show fractures- trouble here heavy metal frame severed his popliteal artery -this stopped supplying blood flow below the cut- losing sensation,oxygen to tissues( no circulation - no temp.. No one listened to his complaints. All involved dropped the ball(care nec. Bc he was Black American. Racial difference of care. He deserved compensation. 49y/o -having to endure hardships for next 17 yrs. (66)Medicare kicks in. HE deserved that help. [ They all went thru the motions- failing miserably]. Irritates me when expert Nurse couldn’t confirm or deny- both feet were not touched!
@@bertharuiz1225 I couldn't care less how much alleged experience you have or alleged credentials you have. I know LVNs that would mop the floor with you in their knowledge which usurps yours ten fold.
@@valiakloeppel7252 No.. she is not representing both sides, defendants will have their expert witness, and plaintiffs will have their expert witness, and each side will get a chance to cross examine the adversarial expert witness.
The same thing happened to my kids Father. He had an injury to his knee and went to the hospital. They sent him home with meds. Didn't care about looking into it further. With in the hour his knee swelled up like a melon was on it. We went to a different hospital and was told if we didn't get there when we did his leg would have needed to be cut off as he had cellulitis. He needs weeks and weeks of IV's and care. When I was prego at 16 a hospital told me I was about to loose my daughter and to say my goodbyes and they were goin to take he from my stomach. I left and went to another hospital and was told my baby was fine. They were goin to rip her out and kill my child. Not even drs can be trusted
If you haven't already, watch the depositions of the MD and PA who cared for the patient. Both provided rather substandard care. Documentation seemed inadequate. I dislike charting by exception rather than SOAP by computer. Or something similar.
I hate Ambulance chasers as well but, in this case, it seems like a legit lawsuit. This man lost his leg!!! As a nurse for 29yrs, I’m sure you have seen and worked with some of the best AND some of the worst medical staff. There are some legitimate malpractice suits. And when that happens, I feel the patient should be compensated.
@@pinkgorilla99 very well stated. This generalisation is not founded for this case. I worked 21 years in Aust and retired post H1N1 2009. Saw the entire spectrum of patients. This gent couldnt chase an ambulance! The money, yes it helps. The impact on his body, it screams every minute. Regards Tassie Joy
*Triage Nurse :* _"What brings you to our hospital today?"_ *Mr Tolson :* _"An ambulance. Try 'n keep up, wouldya?"_ *Atty :* _"And how would a typical day progress in the ER over an 8 to 10 hr shift?"_ *Triage Nurse :* _"480 to 600 minutes. Sequentially."_ *Triage Nurse :* _"I didn't ask Mr Tolson how he sustained the leg deforming injury. It was blantantly obvious that he was bitten by a shark at work. Fortunately, there was no neurovascular damage, according to the incompetant triage nurse who assessed the injury that resulted in the loss of Mr Tolson's limb. Mr Tolson failed to bring the shark into the ER for further analysis, and now he's filed a wrongful medical malpractice lawsuit due to his own negligence!"_ 😲
I agree with Sara. I’ve been watching for hours. I don’t think the playlist is in order, but I’m learning a lot about e.r protocol. Great attorney for the injured man. I’m glad he won and received a settlement.
Yes the triage nurse's priority is to do a focused assessment to determine which patients need to be seen first (Level 1-5) however part of taking the "history of present illness" is obtaining information on how/when the injury occurred, what may have brought it on, and importantly how long his leg has been that way. If the pulse is not accessible, then SOC is to assess the proximal and distal pulses of the leg. Visual inspection during this timeframe is important. If the pt. is complaining of pain/numbness then the splint should have been removed to determine further possibilities of neurovascular compromise (i.e. color, temperature, sensation, edema, open areas). The nurse failing to identify the anatomical locaton of the actual deformity on the leg was a big problem as well. Had all of these been done, then his acuity level more likely than not would have been higher than a 4. The triage nurse's assessment was insufficient and incomplete. It is a collaborative approach to determine if this gentleman needed a higher level of care as the nurses are the eyes and the ears of the physician and the physicians depend on us to perform a complete assessment.
The expert witness in this deposition is making Nursing look bad. How in the world doesn't a Nurse know how to do Neuoros? Is feeling not a Neuro! It makes me sick watching her lye!!
This deposition would take about 20 minutes if you cut out the repeated questions to see if he gets a different answer and cut out all the hypotheticals.
We sometimes ask questions in different ways because we get different answers. Hypotheticals are fair game and also useful. But I think our firm generally takes longer depositions than is necessary. We are always trying to get better and this is something we all need to improve on. Shorter depositions and shorter trial testimony.
He doesn't get the answers he wants, so he asks them again and again again. That is a big problem in depositions. If this was in court, he wouldn't be able to get away with it.
Good Sam is a great hospital. I lost complete feeling in my left leg while walking to my car and fell. I couldn’t get up and screamed for my son who was in the house. When I was triaged at Good Sam, I was asked how I hurt my foot. So when the doctor came in to evaluate me, she ordered X-ray. I was told I broke my foot and the doctor put me in a rocker boot for 9 months. Someone close to me, an excellent nurse over 30 years would have properly triaged a patient. I need to ask her about this lady. They did something wrong, they had to pay. Okay had enough with this defense. Really don’t care. Done!
There is a standard of care for every disease or health problem and standards of professional practice in every specialty in medical profession which encompasses all allied medical healthcare professionals.
It’s common practice to check distal pulses in an injured extremity. BUT if you don’t write down that you did that and what the results were, you never did it (according to the courts).
You are exactly right! I was taken there once and never ever again, it was quite a few years ago, sounds like it hasn’t changed a bit, sad very sad! Worse patient care I ever had I told them discharge me or I’m walking out!
The defense couldn't get any quality expert witness so they got the worsed of the pool that are there for the money. It Hurt the case bad!!! Following this depos, the defense attorney should have suggested to settle this out of court because it is very obvious there was a missed assessment that cost someones' leg. Own up to your mistakes!!!
If the patient is telling you his feet feels cold and that will give a signal showing something is wrong and it should’ve been documented everyone is aware this is certainly malpractice people look up to people to do their job right it’s about accountability and she has failed to do your job right and dealing with people who comes into the ER and we know that many people are violated OK constitutional rights when it comes to quality of care how people have been picking and choosing who will get the quality of care who will not and you should not be tolerated it’s important to document even when you are going to let a doctor now it is very important The patient looked up to these people to do their job right not violate them and not give them the proper services that they are looking up to should not be tolerated negligence
Many people have been violated of the constitutional rights under the color of law Brown and black Afro-Americans and people of color and you should not be tolerated rules or regulations and protocols must be examined so these things do not happen to other people in the future because Many people are hurt And also affect the families as well people must be able to look up to the services and not have to worry about being abused by those that don’t care can I make mistakes because it affects the person whole life will change it will never be the same but God is making away without him we don’t know what we would do but we keep faith and hope because God is on his way things are going to change it’s about dignity and respect and caring enough when you have a job to do it rightThat you were held accountable make it a better place where people can look up and not have to worry malpractice is a serious problem and you can get away but you cannot hide when you have violated someone’s constitutional rights
@@vearryhale8257 I really hope you are right because I think we need him now more than ever. The corruption and greed is just so much in everyone face.
wow that was hard to listen to ... who was the deposing lawyer anyway?? 🤣 .. I yelled at my phone to tell that lady lawyer to stfu!! The Judge Judy of Nurses .. She scares me!! No Sponge Bath For You!! Hope the lawyers bled 🏥 dry .. poor man!!
@@cdnkate9902 i disagree. I've listened to all these depo's and he is very condescending and rude to EVERY one of the female defense attorney's and female witnesses, not AT ALL with the male ones. Even his tone of voice is different when speaking to either or. Imo Rod is misogynistic and an a**hole! Part of the Good ol boys club!
Rodney Gaston is a piece of work. He’s trying to get this nurse to say things that help his case instead of eliciting the opinions she has. He should be more interested in her honest opinions rather than trying to hem her into saying something she doesn’t mean or misspeak because of his verbal wrangling. As a paramedic of 18 years, I hope I NEVER have to face an attorney like him across from me in an adversarial position, but if I did, I’d HAVE TO HAVE this defendant’s lawyer with me. She don’t put up with his horse crap.
I like this nurse he's arrogant and rude he keeps asking her to say it's the nurses fault he lost his leg it's always the works force that are targeted the people on the top get protected
5 P's Pain, Pallor, Pulses, Parathesis, and oh no I forget the 5th. But anyway you ask about pain and where it is, as you are touching the extremity dies it hurt here, etc, does it hurt when you pull your foot up or press it down, what color is the extremity, red, purple, blue, pale, bruised, etc. Pulses femoral, popliteal, brachial ,pedal if present is it plus 1, 2,3,4 . Touching assesses Parathesis ( numbness and tingling) this can be a sign of decreased circulation somewhere in that extremity. We assess on ALL extremity injuries, surgeries, etc and if there is decreased sensation we ,as nurses must notify the hcp of those findings asap as lack of sensation maybe linked to decreased circulation, from maybe a clot or arterial occlusion and if not assesd and addressed immediately could result in loss of that extremity.
How meaning mechanism of injury. Ugghhh it is necessary. We need to help doctors put pieces of puzzle together by getting as many pieces as possible. Smh
The nurse found no difference from the triage nurse’s assessment? Than she didn’t take off clothing nor did she check skin temp of leg for cold/warm ,sensation, swelling either. Pretty clear, changes will be evident and documentation necessary if she did look at the leg. If it’s not documented,it didn’t happen-assessment included. Charting by “exception” shouldn’t mean “I don’t have to spend time charting at all”.
Incorrect. Based on her assessment ability/hands on and visual exam at the time, and noting no changes from triage, there was no further documentation required. Verbal interactions/reporting w/ the primary care provider of whatever level above the R.N. is regular/acceptable. Definitive physical eval is at the scope of the provider, inclusive of prior to and after removal of immobilization devices, and not the scope/purview of the R.N. There is also no notation of the type of clothing worn by the pt or how the splint was applied, which could potentially give differing perceptions to an appearance of deformity/deviation.
@@yamahabiker1937 if the triage nurse made her assessment while the patient was clothed, and the next nurse made hers while his leg was exposed, how is it that she found “ no change” from the triage assessment.
@@shelleyj1780 There was no statement made by or indication that Carloine Stelle (sp) removed the immobilization device as that is not in her scope. Removal of an immobilization device and subsequent physical exam is upon the Dr. or PA. Caroline noted no deviation/abnormality from the original triage and conducted her assessment limited to the immobilization device/ROM ( where she could touch, ability to do a doppler, palpation, movement, etc....). It is very possible that she noted no change from triage. Not all injuries/changes are "evident" as you stated.
@@yamahabiker1937 I watched the entire deposition. It was asked of her if a dopler was used to assess circulation to his foot and she said she did not.
@@shelleyj1780 You make no sense. There was no need to use it on his foot as there were noted bilat pedal pulses. The doppler would have been used for eval of the popliteal artery at the site of complaint primarily and worked down to note area of occlusion/restriction.
This hospital is bad news. From the outside in. I live by this hospital and it’s KNOWN for being a horrible place. Bad part is 90% of this hospital is emergency services. While there I sat in a hallway from 4 hrs- rooms were open. Nurses were discussing a patient there going through withdrawals and saying absolutely horrible things. “He can wait- he did it to himself”….I was ONLY assisted and moved to a room when I asked for an update. I then waited for another hour only to have my vitals taken, left alone again for 40 min then finally “helped” after evaluation I was sent for an ECG. Horrrrrible
The following 2 depos are from a medical malpractice case that we lost in 2018: ruclips.net/video/9hjNW-eHvlg/видео.html ruclips.net/video/rb1GiUAX6aw/видео.html
I disagree, I believe nursing expert very believable and knowledgeable regarding nursing practices, nursing assessments and scope of practice that nurses are expected to be proficient.
This is such a mess, plaintiff’s council doesn’t know how to ask a question. This is a garbage deposition and this lawyer should have to go back to school, pathetic! He is a sly fool.
I’m blessed that I don’t have to go to this place, God bless the ones that do! This poor man was abused, an lost a leg because no one cared, even in the end!
As a Trauma Nurse yes it's important to obtain all the information from EMS but to wait for the written EMS report may take time. This is regards to this lawyer asking about reviewing the EMS report. Some places the EMS run sheet is faxed later after triage. This is because they are using an IPad to chart everything. Some places EMS hands you a carbon copy of the report. As a Nurse I can not always trust EMS reports. Sorry to have to say that. I always assess the patient despite what EMS reports. Sometimes they get it wrong or after their initial assessment it may change and they are only reporting their initial findings. An example, if you uncover an extremity and it's mottled, having EMS say "Good PMS" is not longer correct.....because the extremity is mottled. This exact story I am describing happened to me. Old lady leg pain. Once on the ER gurney I felt for pulses and found both feet to be cool to the touch and slightly mottled and palor. I got a hold of my Charge Nurse and MD. "I believe we have an arterial occlusion or possible aneurysm". So EMS's "Good PMS" is now garbage and incorrect. Arterial pain is painful and hard to treat with pain meds so the patient's whaling in pain was 100% real. I can honestly say I did give EMS (BLS) a very stern talking to about their assessment and report. Oh they were pissed at me. lol. I could have handled it better but what if this was my mom? So yes I was pissed. After all was said and done the MD acknowledged me with "That was a good pick up!!!".
Sorry late to the party but no matter if you are doing triage or admitting a patient to a floor or seeing a patient in a doctors office ( all of which I am familiar with) you ask a patient the same questions upon initial interaction with a patient. " hello my name is Karen I'm one of the nurses here at xy,, what brings you to the doctors office, emergency room, what are you being admitted, " pt I hurt my left leg at work" nurse " ok when did you hurt it" pt " today at about ( time). Nurse: what were you doing when you hurt your leg? How did you hurt you leg? You get the idea, not only is it important to get the patients ' chief complaint ' which is a clue as to what is concerning them the most, but mechanism of injury is more important as knowing this will further aid doctors in knowing possible complications of said injury. I may have more to say. Lol sorry this lady is not right
Honestly this plaintiff’s lawyer doesn’t ask good questions, he stumbles and asks the same question 300 times, without clarifying what he’s asking. Not to mention him being a pompous and unimaginative. It’s frustrating to watch. I get this was an intense case and he won.
Bullcrap.. I had a back issue.. 1st thing , ermerg Doctors said .. her foot is cold.. The other foot was warm...If there is no circulation, nerve issues!!
Can any of these "EXPERT'S" not answer the simple questions as it pertains to their role under "The Standard of Care" ....ACROSS THE BOARD? Is "IT DEPENDS" a valid answer?
Ok so this "expert" doesn't know of any books or literature that expressly illustrates how a nurse should assess a patient when they come in with knee injuries??? I definitely beg to differ there are nurse magazines, MERCK manual, not to mention articles all over the web.. and l bet she has never opened a book or read anything since she left school.
I just love the way that this nurse calls the patients "he" and assumes the nurse is "she". Not kidding when I say that - it's from an earlier age when you didn't have to feel so guilty every time you caught yourself making an assumption.
He asked how do you assess pulses in the leg? So there is femoral pulse ( in the groin area) popliteal pulses ( behind the knee) brachial pulses ( sides of ankles) pedal pulses ( top of foot) and ALWAYS COMPARE SIDE TO SIDE. I feel that even if splinted the nurse can and should assess all of these pulses as a matter of course. Especially owing to the fact that it does not seem as though he was bought in by ambulance ( unless I missed this) .
The treating nurse absolutely but triage nurse not necessarily. She is correct triage is to sort patients and identify those that need immediate care or those that can wait. Taking down the splinting and assessing the entire leg is not the role of triage. That should be done when the patient is in the room by the nurse that will be caring for the patient and is doing the full nurse assessment.
She's every nursing supervisor I've ever had.😁
My OB instructor was just like her. Wisdom oozed from her with every movement! What a blessing.
Same 🤣🤣💕💕
I know right she's old school reminds me of several nursing school instructions.
Yep, she's a badass
This whole saga should be put in a playlist. I’m in it now. I can’t tell if I’m watching in order or not. I’m glad this man got some compensation for his loss.
Jen ok C in inn nbbb. O
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It’s in playlist at this channel.. may not be in order but probably can figure it out.
The hospital CEO & the cronies all want to say “ our patients are our top priority “ . Actually their priority is giving the patients half ass care . Anymore you don’t even see a f@$king doctor u see a PA but your charged for seeing a doctor! Anymore for doctor visits or any Emergency visit I flat out tell them SEND ME A DOCTOR not someone who hasn’t did 8 years of school; not a nurse that can’t tell shit from shine O!
30 years as a nurse and to me she's the most bad ass, professional old school nurse I've ever seen. Love and respect her, wish I could have had the opportunity to have her as a mentor if not for a short time. She is a real hero
She was on it😅
As a ER/Trauma RN with decades of experience and multiple national certifications (CCRN, CEN, TNCC, etc.) watching these depositions, it is evident this patient received substandard care, particularly when mechanism of injury (MOI) was not taken into account. As for "charting by exception", that does not benefit the patient in any way.
At the end of the day it is a cover-up when they treat patients thisWay it is obvious it’s negligenceCan you say not be tolerated The patient came near for services not to be abuse neglected it’s not about picking and choosing it’s about doing the job right for what you have a profession people put their hands in the hands of doctors and nurses How many people are traumatized by the abuse there’s no way man had to get his leg amputated this could’ve been avoided had people do their damn job right this was unprofessional end it hurts that many people who are being violated all their rights under the color of law they are being denied quality services painful things must change The quality of care is very important people look up to it I hope that people would do that job no one should be left out when they want to go to the ER and get the services because it’s serious and it must be done right so they go to the emergency but basically it may be because of the color of their skin maybe that’s why they were missed treated who knows but we know for a fact that many people have been violated from getting the proper services that anyone should be entitled toA disgrace if you’re going to have a license to your job right or you will be held accountable
Wrong. Charting by except is acceptable but not when lies or sorry laws lies applied. The root of ALL.EVIL.
Thank you for this insight. I am not in medical care. I believe that after listening to all these depositions a major problem is “charting by exception” So if a nurse or medical provider forgets to do something they can just say I did it and it was normal that’s why nothing is charted!! That needs to be changed!!!!!!!!
No, charting by exception absolutely does save patients. With all of your alleged experience, and you are completely oblivious to the insurmountable amount of paperwork involved when NOT charting by exception. NOT charting by exception is excessive and superfluous There is so much of it that it TAKES AWAY from patient care. Anyone who has worked with Medicare patients will tell you. It does NOT help them and in fact hurts them as more time is spent on paperwork than on the patient.
@@vearryhale8257 don't make it about racism lady and learn to punctuate
I think I've watched every providers deposition you have posted on this case. Very cool to see the "behind the scenes" to the flashy news stories! Isn't as cut and dry as the TV shows lead you to believe!
Nursing is the red headed stepchild to beat when medical goes sideways.
except I've never yet met a nurse who wasn't taught to cover thier own asses!!! log EVERYTHING you do!! why?? THIS IS WHY OF COURSE!
@@danielleh6590 I was taught to chart everything with the idea that it will be read back to you in court.
This species of Karen truly scare me…..😬👵👱🏻♀️👩⚕️
Slack, you are right. We are the lowly ones. Sh** rolls downhill .
I was an RN with a BSN from Purdue University. I am now retired and am glad. Other nurses who have lesser educations put us down. Evey nurse can go back to school. Maybe it's because they are too lazy or know they are not capable of getting through the program.
Grandma haircut...check! Grandma sweater....check! Grandma glasses.....yep! Who doesn’t believe grandma?
Grandma voice compliments of Phillip Morris.
Age discrimination!
That “cartoon land” got me too good. I still laugh a bit - he got so mad 😂
Love that ciggarette voice
Lol
It is terrible
It's her 1-900 # voice. Lol
I find it funny how she’s there to give opinions, but her attorney doesn’t want her to give any opinions 😂
"I'll be right back to finish charting" I need a darn cigarette" 🚬
🤣
Maddening deposition. Nothing to keep this attorney from asking the same question thousands of times because he refuses to accept the expert testimony. What a travesty.
Thanks for putting these depositions up. As another commenter said, it’s neat to see “behind the scenes”.. one thing I like about these more than watching actual courtroom trial videos is when there is an objection the person can still answer unless their attorney flat out tells them not to answer.
Anyway I tend to ramble on, basically thanks. Have a good weekend.
The reason they continue to answer after objections is because in a deposition there is no judge to rule on each objection. So the witness is supposed to go ahead and answer and the objection is just made to get it on the record so that the objection is preserved. If you don't object to a particular question at the deposition you might waive your ability to object at trial.
@@Millerandzois I didn't know this - thank you!
Honestly, watching this particular nurse expert is painful.
The physician is the one absolutely negligent.
That appears to have been the outcome of the case. The nurse they were getting opinions on is also shown in video on youtube (she's not as quick as this woman, but the caption in her deposition says she wasn't a defendant in the malpractice case and the client won $5.2MM ultimately)
This witness did a *superb* job explaining what a triage nurse does and continually clarifying that the nurse doesn't make diagnosis and at the triage station is sorting patients.
How can she give witness of someone else than herself !
@@juttapluhar2819 she is here as an expert witness.. ED nursing
The other golden girls are waiting for Ma to get home 🍾
Lol
Discrimination!
They should put these 2 Attorneys in the Cage together with commentary by Joe Rogan.
She doesn't know what the standard of care is.
Attorney: do you know how long the nurse took to do the triage?
Badass nurse: no
Attorney: would it matter? (Trying to get her to say that if the nurse spent more time the guy wouldn’t have lost his leg)
Badass nurse: Nope
This expert witness has no mental faculties to testify. She will say anything in exchange for money.
Thank you for sharing this series of depositions. I’d like to watch more. Can you show the world a case featuring hospitalist medicine? This would be fascinating (although I’m in another state). Sepsis is another a topic I’d like to learn more about.
This dude made ambulance into a one syllable word.
Sleasy, slippery and nasty. No sense of responsibility of ACTUALLY FAILING the patient and missing a horrible injury. Disgusting.
This defendant’s attorney is a beast. I want her on my side if I’m ever in trouble! Love her! Gaston sure doesn’t like her defending against her witness against his leading and inappropriate questions. He’s a piece of work, man.
He’s a very good attorney. Her attorney is okay I suppose. This witness is pretty good and her attorney won’t let her answer questions that should be answered.
j.g. You are funny , they lost !
You think the victims attorney was bad? Lmao what were you watching? His questions were all appropriate. What’s not appropriate is not answering pertinent questions & instructing your client to not answer.
My goodness. That poor nurse's body language said "I know this is BS, I am going to get caught"
The nurse saying it's not standard to ask HOW he was injured is wrong. Knowing this simple fact helps to know possible complications and how to properly diagnose.
Yes, thank you for saying that. Basically an overhead door closed on his knee. There's a big difference between a garage door and a loading dock door. Apparently, the thing was heavy enough to separate almost all the tendons and ligaments in his knee.
I would think that it would be extremely important to know how the injury concurred And it should’ve been documented sounds like a cover-up is important to write everything down and putting it in the chart in case the patient needs this information will not be overlooked but it will be documented And also make sure if the patient suffers from anything it is documented not overlooked people need to do their job right people are traumatized by the abuse and he said to know that these things are happening to many people yeah people failed to diagnose people when they are suffering it is important for nurses to document the persons diagnosis even if they are in the ER for some other courses but it is important for them to document everything and making sure if they suffer from anything they know it isn’t taking any other medication as they know it they must write everything down at overlook it some people don’t deserve to have license to be a nurse or doctor because they failed to do their job right and people suffer the outcome people just don’t go to the ER for nothing they go because they’re sick or they were injuredIt is negligence when these people do not ask what happened and how it happened and document it is a problem And I called it unprofessional And now it’s about accountability At the end of the day people don’t deserve to suffer like this when people got a job to do
I completely agree with you. We need to be aware of complications due to the mechanism of the injury.
Reminds me of my first interview with the head of nursing at New York Hospital. She was a rather large bodied chain smoker telling me I should have been on time for my appt. This type used to scare me, and now I laugh. I also remember the Director of Nursing approaching me at UCSF and saying I'm the director of nursing. I laughed. I was supposed to be impressed.
Lol awesome
When someone introduces themselves with their job title they are likely letting you know who they are and what they do. The Director of Nursing is different than a floor nurse. If I was meeting someone for a job interview and they showed up late, I might not be impressed and that's a situation when you actually are trying to impress.
Wow I couldn’t imagine how stressful that would be facing women like this..
You should have been early, goes to show who deserves their jobs and who doesn’t especially in fields where time can take lives.
Lol, i mean. You were late to a nurse interview? Anyone would've given you shit for that .
There was nothing wrong with the triage nurse's assessment. The most important part of the triage nurse's assessment - as it pertains to this particular case- was CSM of the extremity. Palpation of DP pulses (which is DISTAL to the location of injury) was correct and palpation of popliteal pulse not only unnecessary, but inappropriate and excessive. Why? When DP pulses are palpable, standard practice indicates it is safe to assume the pulse is also there anywhere above the DP pulse of the extremity. The triage nurse is not responsible for a very detailed assessment. If triage nurse(s) were expected to make extensive and very detailed assessments, the consequence would be other patients coming into the ER not being assessed in a timely manner...and the nurse, ironically, finding herself in lawsuit.
She failed to detail how injury occurred. Mechanism is important. She'd never make it at hospitals I worked at. They were sloppy.
Assume nothing.
She wasn’t there when the injury occurred, that information is subjective, and the provider can ask that information again and the provider can document how the injury occurred. what matters is the treatment to the injury.
@@nasdaqdjitraders so if someone was bitten by a snakewpuld the nurse need to know or just assume the two bite marks are from a cat? How hard is to ask how the injury occured. Sounds more like a union deal to save people from getting charhed with negligence.
Although I think the PA and MD were liable, I'm a bit on the fence about whether the damage to the artery happened after he left the hospital. That poor guy. That was a devastating injury.
It really turns my stomach listening to this attorney malign the triage nurse. Based on the depositions I have watched regarding this case, this attorney expects the triage nurse to 1.) Make decisions outside of her scope of practice and 2.) Make assessments excessive to the role of a triage nurse.
No, he's trying to get her to say things that are outside her scope of practice and say things that are excessive of the role of a triage nurse. She should answer with: I don't know, I don't recall, and I don't remember as much as possible.
A triage nurse is the first line of assessment. It this immediate observation of the presenting problem, location, how long, how painful, what was done, allergies, other problems,diagnosis, medications taken, time taken. Etc. Triage nurse thru her quick assessment acts or show act accordingly and as correct as possibly. Bc it’s a matter of life or death. If it’s stat-) heart attack-) directly to ‘now’ attendance!
@@bertharuiz1225 a triage nurse is not a walking doppler or CT or MRI scanner. NOR is it within her scope to order those. She palpated DPs which tells us the patient was perfusing at the time of HER assessment. Then she documented the patient's reports. It is up to the MD/PA to f/u with THEIR assessment AND order diagnostics/labs/prescriptions etc. accordingly.
@@MC-fp5rr an experience RNBSN having 19 years experience can form a plan of action w/I 5 minute patient assessment. (Problem here was race negativity) I seriously doubt that she & entire career providers’ didn’t ‘take an active toll ‘ and relied on X-rays - which only show fractures- trouble here heavy metal frame severed his popliteal artery -this stopped supplying blood flow below the cut- losing sensation,oxygen to tissues( no circulation - no temp.. No one listened to his complaints. All involved dropped the ball(care nec.
Bc he was Black American. Racial difference of care. He deserved compensation. 49y/o -having to endure hardships for next 17 yrs. (66)Medicare kicks in. HE deserved that help. [ They all went thru the motions- failing miserably]. Irritates me when expert Nurse couldn’t confirm or deny- both feet were not touched!
@@bertharuiz1225 I couldn't care less how much alleged experience you have or alleged credentials you have. I know LVNs that would mop the floor with you in their knowledge which usurps yours ten fold.
Why didn’t she have a list - she knew this question was going to be asked. She says stuff like - I believe I glanced at this. Lmao
Because she is the expert witness for the case, she doesn’t represent the facility. You do know the difference right?
@@nasdaqdjitraders of course I know the difference. Even more reason to be prepared. She’s representing both sides.
@@valiakloeppel7252 No.. she is not representing both sides, defendants will have their expert witness, and plaintiffs will have their expert witness, and each side will get a chance to cross examine the adversarial expert witness.
The same thing happened to my kids Father. He had an injury to his knee and went to the hospital. They sent him home with meds. Didn't care about looking into it further. With in the hour his knee swelled up like a melon was on it. We went to a different hospital and was told if we didn't get there when we did his leg would have needed to be cut off as he had cellulitis. He needs weeks and weeks of IV's and care. When I was prego at 16 a hospital told me I was about to loose my daughter and to say my goodbyes and they were goin to take he from my stomach. I left and went to another hospital and was told my baby was fine. They were goin to rip her out and kill my child. Not even drs can be trusted
Curious who the settlement was adjudged against. Who was found to be negligent/at fault/the probable or proximal cause of this patient’s injury?
The PA and the doctor. The nurse was not a defendant at trial.
I love all the characters but this nurse is classic🤩 !
I feel sorry for nurses, cause we all make mistakes in our jobs but nurses get much greater consequenses.
If you haven't already, watch the depositions of the MD and PA who cared for the patient. Both provided rather substandard care. Documentation seemed inadequate. I dislike charting by exception rather than SOAP by computer. Or something similar.
Nurse for 29 years. I love the attorney for the witness. Ambulance chasers make me sick.
I hate Ambulance chasers as well but, in this case, it seems like a legit lawsuit. This man lost his leg!!!
As a nurse for 29yrs, I’m sure you have seen and worked with some of the best AND some of the worst medical staff. There are some legitimate malpractice suits. And when that happens, I feel the patient should be compensated.
@@pinkgorilla99 very well stated. This generalisation is not founded for this case. I worked 21 years in Aust and retired post H1N1 2009. Saw the entire spectrum of patients. This gent couldnt chase an ambulance! The money, yes it helps. The impact on his body, it screams every minute. Regards Tassie Joy
This wasn't ambulance chasing though
*Triage Nurse :* _"What brings you to our hospital today?"_
*Mr Tolson :* _"An ambulance. Try 'n keep up, wouldya?"_
*Atty :* _"And how would a typical day progress in the ER over an 8 to 10 hr shift?"_
*Triage Nurse :* _"480 to 600 minutes. Sequentially."_
*Triage Nurse :* _"I didn't ask Mr Tolson how he sustained the leg deforming injury. It was blantantly obvious that he was bitten by a shark at work. Fortunately, there was no neurovascular damage, according to the incompetant triage nurse who assessed the injury that resulted in the loss of Mr Tolson's limb. Mr Tolson failed to bring the shark into the ER for further analysis, and now he's filed a wrongful medical malpractice lawsuit due to his own negligence!"_ 😲
I love this nursing supervisor! No BS.
Yes same here..she was perfect for this case..I would have enjoyed working with her 👍👍
Did you have an opinions on the question of the man speaking? He was so clueless and refused to receive advice or feedback
I know understand why she’s never been paid for her expert testimony. She’s very scary.
I agree with Sara. I’ve been watching for hours. I don’t think the playlist is in order, but I’m learning a lot about e.r protocol. Great attorney for the injured man. I’m glad he won and received a settlement.
What do you believe ER protocols and standard practice to be based on these depositions?
This lawyer is chasing that money.
Mechanism of injury is an important part of triage survey to determine ESI level 😑 🤦🏻♀️
The D attorney seems to report that the Mr. Tolson worked at Federal Facility and the cause of the injury was a metal gate. Why was no video produced?
I agree with you
Yes the triage nurse's priority is to do a focused assessment to determine which patients need to be seen first (Level 1-5) however part of taking the "history of present illness" is obtaining information on how/when the injury occurred, what may have brought it on, and importantly how long his leg has been that way. If the pulse is not accessible, then SOC is to assess the proximal and distal pulses of the leg. Visual inspection during this timeframe is important. If the pt. is complaining of pain/numbness then the splint should have been removed to determine further possibilities of neurovascular compromise (i.e. color, temperature, sensation, edema, open areas). The nurse failing to identify the anatomical locaton of the actual deformity on the leg was a big problem as well. Had all of these been done, then his acuity level more likely than not would have been higher than a 4. The triage nurse's assessment was insufficient and incomplete. It is a collaborative approach to determine if this gentleman needed a higher level of care as the nurses are the eyes and the ears of the physician and the physicians depend on us to perform a complete assessment.
The expert witness in this deposition is making Nursing look bad. How in the world doesn't a Nurse know how to do Neuoros? Is feeling not a Neuro! It makes me sick watching her lye!!
This deposition would take about 20 minutes if you cut out the repeated questions to see if he gets a different answer and cut out all the hypotheticals.
We sometimes ask questions in different ways because we get different answers. Hypotheticals are fair game and also useful.
But I think our firm generally takes longer depositions than is necessary. We are always trying to get better and this is something we all need to improve on. Shorter depositions and shorter trial testimony.
She reminds me of joe Pesci somehow
Injurious Personalities hahahahaha I almost peed
🤣🤣🤣🤣🤣🤣🤣🤣
YES!!! ABSOLUTELY!!! I believe she really is Joe Pesci in a brown wig.
Totally
"My foot is cold and I have no feeling in my foot."......wait, it can't be both.
Mechanism of injury is most important question.
I think he asks some really dumb questions.
He also asks the same questions over and over again it's annoying.
He doesn't get the answers he wants, so he asks them again and again again. That is a big problem in depositions. If this was in court, he wouldn't be able to get away with it.
Interviewer is about as smooth as a gravel highway.
The counsel for the plaintiff is arrogant and I am glad that today he found his match in the female lawyer.
@Think Dude Yes but I like her resistance 😜😜😜😜
Yes
Good Sam is a great hospital. I lost complete feeling in my left leg while walking to my car and fell. I couldn’t get up and screamed for my son who was in the house. When I was triaged at Good Sam, I was asked how I hurt my foot. So when the doctor came in to evaluate me, she ordered X-ray. I was told I broke my foot and the doctor put me in a rocker boot for 9 months. Someone close to me, an excellent nurse over 30 years would have properly triaged a patient. I need to ask her about this lady. They did something wrong, they had to pay. Okay had enough with this defense. Really don’t care. Done!
Wow he's an a**hole . I think the attorney or judge did a great job at explaining the reasoning behind the objecting reasoning.
There is a standard of care for every disease or health problem and standards of professional practice in every specialty in medical profession which encompasses all allied medical healthcare professionals.
It’s common practice to check distal pulses in an injured extremity. BUT if you don’t write down that you did that and what the results were, you never did it (according to the courts).
Depends what your normal practice and policy says.
@@tren380 Distal pulse check is not an option. It has always been standard practice, so if it’s not done, the examiner is negligent.
@@kkdoc7864 not when you are charging by exception. So you are wrong in this case.
@@tren380 nor sure what you are saying
@@tren380 no. They left themselves wide open for this.
This is a great nurse!
Glad I have never been to St. Agnes for anything!
You are exactly right! I was taken there once and never ever again, it was quite a few years ago, sounds like it hasn’t changed a bit, sad very sad! Worse patient care I ever had I told them discharge me or I’m walking out!
@@sandyjones7513 I’m sure that crushed them. 😂
This is fantastic! Can I share this possibly?
The defense couldn't get any quality expert witness so they got the worsed of the pool that are there for the money. It Hurt the case bad!!! Following this depos, the defense attorney should have suggested to settle this out of court because it is very obvious there was a missed assessment that cost someones' leg. Own up to your mistakes!!!
Exactly !!
Imagine this woman as your nurse
If the patient is telling you his feet feels cold and that will give a signal showing something is wrong and it should’ve been documented everyone is aware this is certainly malpractice people look up to people to do their job right it’s about accountability and she has failed to do your job right and dealing with people who comes into the ER and we know that many people are violated OK constitutional rights when it comes to quality of care how people have been picking and choosing who will get the quality of care who will not and you should not be tolerated it’s important to document even when you are going to let a doctor now it is very important The patient looked up to these people to do their job right not violate them and not give them the proper services that they are looking up to should not be tolerated negligence
Absolutely correct. Wish more people can think like you do.
Many people have been violated of the constitutional rights under the color of law Brown and black Afro-Americans and people of color and you should not be tolerated rules or regulations and protocols must be examined so these things do not happen to other people in the future because Many people are hurt And also affect the families as well people must be able to look up to the services and not have to worry about being abused by those that don’t care can I make mistakes because it affects the person whole life will change it will never be the same but God is making away without him we don’t know what we would do but we keep faith and hope because God is on his way things are going to change it’s about dignity and respect and caring enough when you have a job to do it rightThat you were held accountable make it a better place where people can look up and not have to worry malpractice is a serious problem and you can get away but you cannot hide when you have violated someone’s constitutional rights
@@vearryhale8257 I really hope you are right because I think we need him now more than ever. The corruption and greed is just so much in everyone face.
at the end , it’s just money an lucky OJ did hired this firm
wow that was hard to listen to ... who was the deposing lawyer anyway?? 🤣 .. I yelled at my phone to tell that lady lawyer to stfu!! The Judge Judy of Nurses .. She scares me!! No Sponge Bath For You!!
Hope the lawyers bled 🏥 dry .. poor man!!
The deposing lawyer was our very own Rod Gaston
www.millerandzois.com/rodney-m-gaston.html
SuperLawyer ... He's such a gentleman .. patient kind and slow to anger ... unlike me! Well Done!!
@@cdnkate9902 i disagree. I've listened to all these depo's and he is very condescending and rude to EVERY one of the female defense attorney's and female witnesses, not AT ALL with the male ones. Even his tone of voice is different when speaking to either or. Imo Rod is misogynistic and an a**hole! Part of the Good ol boys club!
@@morgandunn2946 ok I'm gunna take a listen to all these depos.. and report back
Rodney Gaston is a piece of work. He’s trying to get this nurse to say things that help his case instead of eliciting the opinions she has. He should be more interested in her honest opinions rather than trying to hem her into saying something she doesn’t mean or misspeak because of his verbal wrangling. As a paramedic of 18 years, I hope I NEVER have to face an attorney like him across from me in an adversarial position, but if I did, I’d HAVE TO HAVE this defendant’s lawyer with me. She don’t put up with his horse crap.
This poor nurse seemed truly rattled at times. I feel bad for her.
I like this nurse he's arrogant and rude he keeps asking her to say it's the nurses fault he lost his leg it's always the works force that are targeted the people on the top get protected
,,,,"I can go with that." LOL
The behavior, and faces this "expert nurse" is demonstrating is unbelievable. Looks like she is bored or aggravated
Wow, took a quarter hour to get answers to questions. Mr. Gaston has the patience of Job.
Seriously? When you're collecting 20% of a $5M judgement, I think patience is not hard to maintain.
Clearly without a doubt it was a case of substandard care and gross incompetence and gross negligence.
Nurses are gentle?! LOL!
Link to “part 2” is actually a link back to the beginning of part 1. Thanks for posting otherwise though.
39:00 : Defendant’s lawyer should have taken a break and warned this witness of his predatory practices.
This species of Karen are truly scary…🤦🏼♀️👵👱🏻♀️👩🏻🦳😬
The Male lawyers questions are not even pertaining to triage. He seems very childish in his attempt to get the answer he wants.
Completely agree.
VERY childish, yes. He is a clown.
5 P's Pain, Pallor, Pulses, Parathesis, and oh no I forget the 5th. But anyway you ask about pain and where it is, as you are touching the extremity dies it hurt here, etc, does it hurt when you pull your foot up or press it down, what color is the extremity, red, purple, blue, pale, bruised, etc. Pulses femoral, popliteal, brachial ,pedal if present is it plus 1, 2,3,4 . Touching assesses Parathesis ( numbness and tingling) this can be a sign of decreased circulation somewhere in that extremity. We assess on ALL extremity injuries, surgeries, etc and if there is decreased sensation we ,as nurses must notify the hcp of those findings asap as lack of sensation maybe linked to decreased circulation, from maybe a clot or arterial occlusion and if not assesd and addressed immediately could result in loss of that extremity.
Not in triage however
Paralysis is the 5th cardinal sign. Did this patient have compartment syndrome?
@@patriciagiles5833 No , a severed popliteal artery.
Not in triage sis
what kind of nurse touches everything on the table then sticks her fingers in her mouth? expert?
the patient was splinted while clothed, then triaged while still splinted and clothed? Seems pretty pertinent to view the leg
How meaning mechanism of injury. Ugghhh it is necessary. We need to help doctors put pieces of puzzle together by getting as many pieces as possible. Smh
Absolutely.
And lawyer wonder why they're held in less high esteem than used car salesmen.
The nurse found no difference from the triage nurse’s assessment? Than she didn’t take off clothing nor did she check skin temp of leg for cold/warm ,sensation, swelling either. Pretty clear, changes will be evident and documentation necessary if she did look at the leg. If it’s not documented,it didn’t happen-assessment included. Charting by “exception” shouldn’t mean “I don’t have to spend time charting at all”.
Incorrect. Based on her assessment ability/hands on and visual exam at the time, and noting no changes from triage, there was no further documentation required. Verbal interactions/reporting w/ the primary care provider of whatever level above the R.N. is regular/acceptable. Definitive physical eval is at the scope of the provider, inclusive of prior to and after removal of immobilization devices, and not the scope/purview of the R.N. There is also no notation of the type of clothing worn by the pt or how the splint was applied, which could potentially give differing perceptions to an appearance of deformity/deviation.
@@yamahabiker1937 if the triage nurse made her assessment while the patient was clothed, and the next nurse made hers while his leg was exposed, how is it that she found “ no change” from the triage assessment.
@@shelleyj1780 There was no statement made by or indication that Carloine Stelle (sp) removed the immobilization device as that is not in her scope. Removal of an immobilization device and subsequent physical exam is upon the Dr. or PA. Caroline noted no deviation/abnormality from the original triage and conducted her assessment limited to the immobilization device/ROM ( where she could touch, ability to do a doppler, palpation, movement, etc....). It is very possible that she noted no change from triage. Not all injuries/changes are "evident" as you stated.
@@yamahabiker1937 I watched the entire deposition. It was asked of her if a dopler was used to assess circulation to his foot and she said she did not.
@@shelleyj1780 You make no sense. There was no need to use it on his foot as there were noted bilat pedal pulses. The doppler would have been used for eval of the popliteal artery at the site of complaint primarily and worked down to note area of occlusion/restriction.
I love Lucy..long lost sister
.
This hospital is bad news. From the outside in. I live by this hospital and it’s KNOWN for being a horrible place. Bad part is 90% of this hospital is emergency services. While there I sat in a hallway from 4 hrs- rooms were open. Nurses were discussing a patient there going through withdrawals and saying absolutely horrible things. “He can wait- he did it to himself”….I was ONLY assisted and moved to a room when I asked for an update. I then waited for another hour only to have my vitals taken, left alone again for 40 min then finally “helped” after evaluation I was sent for an ECG. Horrrrrible
Would you mind showing some depositions from the cases you have lost or were dropped ? I'm begin as sincere as certainly any Lawyer would be.
The following 2 depos are from a medical malpractice case that we lost in 2018:
ruclips.net/video/9hjNW-eHvlg/видео.html
ruclips.net/video/rb1GiUAX6aw/видео.html
@@Millerandzois Thank you.
I presume the insurance company won't use this "expert" again. Not very persuasive at all.
Bye
I disagree, I believe nursing expert very believable and knowledgeable regarding nursing practices, nursing assessments and scope of practice that nurses are expected to be proficient.
@@JDAbelRN I like this nurse expert - I understand her & she is clear in explaining care standards. I trust her :)
This is such a mess, plaintiff’s council doesn’t know how to ask a question. This is a garbage deposition and this lawyer should have to go back to school, pathetic! He is a sly fool.
Are you sure this video is from 2014 and not 1982...
Triage nurse don’t have to mention source of pain - knee but triage determines his care. Ex x-rays etc. this is not logical
if you feel has no feelings how can you tell it’s cold . does not make sense
I’m blessed that I don’t have to go to this place, God bless the ones that do! This poor man was abused, an lost a leg because no one cared, even in the end!
Not true at all. lol
As a Trauma Nurse yes it's important to obtain all the information from EMS but to wait for the written EMS report may take time. This is regards to this lawyer asking about reviewing the EMS report. Some places the EMS run sheet is faxed later after triage. This is because they are using an IPad to chart everything. Some places EMS hands you a carbon copy of the report. As a Nurse I can not always trust EMS reports. Sorry to have to say that. I always assess the patient despite what EMS reports. Sometimes they get it wrong or after their initial assessment it may change and they are only reporting their initial findings. An example, if you uncover an extremity and it's mottled, having EMS say "Good PMS" is not longer correct.....because the extremity is mottled. This exact story I am describing happened to me. Old lady leg pain. Once on the ER gurney I felt for pulses and found both feet to be cool to the touch and slightly mottled and palor. I got a hold of my Charge Nurse and MD. "I believe we have an arterial occlusion or possible aneurysm". So EMS's "Good PMS" is now garbage and incorrect. Arterial pain is painful and hard to treat with pain meds so the patient's whaling in pain was 100% real. I can honestly say I did give EMS (BLS) a very stern talking to about their assessment and report. Oh they were pissed at me. lol.
I could have handled it better but what if this was my mom? So yes I was pissed. After all was said and done the MD acknowledged me with "That was a good pick up!!!".
Arterial Occlusive pain*
She's quite the ol battle axe
Sorry late to the party but no matter if you are doing triage or admitting a patient to a floor or seeing a patient in a doctors office ( all of which I am familiar with) you ask a patient the same questions upon initial interaction with a patient. " hello my name is Karen I'm one of the nurses here at xy,, what brings you to the doctors office, emergency room, what are you being admitted, " pt I hurt my left leg at work" nurse " ok when did you hurt it" pt " today at about ( time). Nurse: what were you doing when you hurt your leg? How did you hurt you leg? You get the idea, not only is it important to get the patients ' chief complaint ' which is a clue as to what is concerning them the most, but mechanism of injury is more important as knowing this will further aid doctors in knowing possible complications of said injury. I may have more to say. Lol sorry this lady is not right
Except when doing triage, you do not go into all that. You clearly do not do triage.
Not in triage. Triage is short and sweet.
We assess more when the patient is brought back
Isn't triage a case of stabilizing and referral?
At triage if a patient or someone with him says a gate fell on someone leg then i would examine the pulses and ask patient to wear gown.
They obviously have no standard of care. Despicable! How can they not have basic check points!
Honestly this plaintiff’s lawyer doesn’t ask good questions, he stumbles and asks the same question 300 times, without clarifying what he’s asking. Not to mention him being a pompous and unimaginative. It’s frustrating to watch. I get this was an intense case and he won.
Bullcrap.. I had a back issue.. 1st thing , ermerg Doctors said .. her foot is cold.. The other foot was warm...If there is no circulation, nerve issues!!
The pt is also at fault for not wearing the brace, walking on his leg and waiting days to go the follow up appointment
Can any of these "EXPERT'S" not answer the simple questions as it pertains to their role under "The Standard of Care" ....ACROSS THE BOARD? Is "IT DEPENDS" a valid answer?
Ok so this "expert" doesn't know of any books or literature that expressly illustrates how a nurse should assess a patient when they come in with knee injuries??? I definitely beg to differ there are nurse magazines, MERCK manual, not to mention articles all over the web.. and l bet she has never opened a book or read anything since she left school.
I just love the way that this nurse calls the patients "he" and assumes the nurse is "she".
Not kidding when I say that - it's from an earlier age when you didn't have to feel so guilty every time you caught yourself making an assumption.
He asked how do you assess pulses in the leg? So there is femoral pulse ( in the groin area) popliteal pulses ( behind the knee) brachial pulses ( sides of ankles) pedal pulses ( top of foot) and ALWAYS COMPARE SIDE TO SIDE. I feel that even if splinted the nurse can and should assess all of these pulses as a matter of course. Especially owing to the fact that it does not seem as though he was bought in by ambulance ( unless I missed this) .
The treating nurse absolutely but triage nurse not necessarily. She is correct triage is to sort patients and identify those that need immediate care or those that can wait. Taking down the splinting and assessing the entire leg is not the role of triage. That should be done when the patient is in the room by the nurse that will be caring for the patient and is doing the full nurse assessment.
He was brought in bu stretcher, ie by ambulance
@@ethicalpepper8253 absolutely correct...thank you for writing ACCURATE, not copied, info.
Brachial pulses are in the arms, posterior tibialis is inner sides of ankles
Triage.... he really does not get it what it is....