|
We filed an action on behalf of Monserrate D.'s family against
Kindred Hospital, Waltham, MA. for her negligent Death. Monserrate
entered Kindred Waltham for weaning off a ventilator, a common process
that Kindred Hospital advertises as a particluar specialty. Despite
being classified as a high risk for decannulation she was left unattended
and died by asphyxiation in May of 2009. Her case is scheduled for
trial in September, 2010.
The Massachusetts State Department of Public Health conducted an
official investiagtion into Monserrate's Death. As a result, a citation
was entered against Kindred.
DPH Findings:
1. The Patient was identified as being at risk for decannulation.
2. The Patient had attempted decannulation and/or attempted to
disconnect the circuit to the ventilator multiple times.
3. There was inconsistent documentation for the application, release
and reapplication of the Patient's restraints.
4. The licensed practical nurse did not ensure that the Patient
had been safely restrained at the time a visitor left the unit.
The licensed practical nurse did not properly observe for the application
of restraints and instead visually inspected for the application
of the mitts from the doorway.
5. On 05/09/09 at 4:10 P.M., the Patient decannulated and became
unresponsive and pulseless. The Patient never regained a pulse and
transferred with advanced life support to an acute care hospital
where she was pronounced dead.
6. DPH Complaint VALIDITY: Valid
Monserrate had a difficult life and a more tragic, unnecessary
death. She died solely and directly because of the lack of supervision
by Kindred who had the sole duty to protect her from Decannulation
danger.
The most vulnerable and the weak in our society such as the elderly
are most in need of our care and protection. Her life had value
to her family. She must have suffered a lonely and terrifying death,
gasping for air while her call bell didnt work. She may have
watched in helpless panic as staff walked right by her open door
while all life left her body.
Monserrat's Trial will take place in September 2010.
|