Preview

Case Study: The Deadly Choices At Memorial

Good Essays
Open Document
Open Document
1058 Words
Grammar
Grammar
Plagiarism
Plagiarism
Writing
Writing
Score
Score
Case Study: The Deadly Choices At Memorial
Cast Study Review

After reading this case study I literally sat with my mouth wide open for hours, wondering how something like this could occur and why?

Article- The Deadly Choices at Memorial, a well written full account of the days and hours leading up to hurricane's Katrina's rescue mission. The passage give detail on the deadly dilemma and the lack there of from government official and organizations responsible for New Orleans's. Decisions that were made were done out of fear, frustration, fatigue and simply not knowing what to do. In all of this there is a standard of care and a evacuation plan that provided the medical staff with no direction. Due to the litigation surrounding this cast a complete account of what took place
…show more content…
It is understood that the Doctor's and other medical staff thought it would be the best decision for the hospital to triage patients as that would benefit the greater number of people beings though most were walkers and ones labeled as 2's only requiring little support where as the 3's ones who were bed bond, some having DNR's ( Do Not Resuscitate) orders and needing total support of care from hospital resources that were no longer available. It is clear to why anyone would help the least injured when heart tells you to run and provide care to the most injured. Yet in respects to the article many were sick not injured and so how do one as healthcare professional make that kind of decision. Would this decision satisfy most people's wants and needs? I don’t believe it would have. The law provides due process in these situations allowing everyone involved to describe the events that transpired and their own account, involvement and the account of others. To know that the staff done everything possible given the resources and or their ability that would suffice far more individuals than the known euthanizing of peoples love ones. In this case it is said to be right and wrong but it is not some of the wrong would be considered right and some of the right could be seen as wrong however legally someone has to be held responsible for the patients. The government and local authorities have …show more content…
It was said that evacuation efforts lasted to nightfall and due to the lack of resources and able bodies with strength the mission was abandoned given instruction from hospital officials that weren't on location but reached by phone. With many thoughts that it would resume at day break. I'm having a hard time understanding if the challenges were made known why couldn’t the helicopter go get lighting for the helipad and why weren't there a rescue team ready and able to switch with some nurses to provide relief? It is the standard of OSHA to provide safety for everyone in the workplace nevertheless the dilemma in this situation is proven not of normal circumstances and I suppose with emotions running ramped I'm most certain that individuals such as staff were concerned about their own safety and well being. In cause the staff's thoughts were justified. It is not safe for anyone to provide medical care and that of, administering medication with little to no sleep. I'm not certain as to what law allows medical professional to stop rendering care of those that are not helplessly ill yet one's that need medical care and in the same breath who advocates for the medical team who are human and not made of robotic material who desperately need a time out to

You May Also Find These Documents Helpful

  • Satisfactory Essays

    Therefore, it became necessary for Security staff to go hands on. Security Officers Alonso and Ayuso using MOAB Techniques had to put the patient down on his bed controlling his arms and legs while the nurse administered the medication. The patient struggled a bit attempting to get up but did not escalate the situation to where it was necessary to use soft restraints to control him. After the medication was given the patient was released by Security and he remained calm and did not try to retaliate or fight back. Officers Johnson and Evans kept on eye on patient Montalvo while this was happening and were not forced to go hands on with the second patient. Security Staff stood by until the medication took effect with patient Atsu who was the aggressor during this…

    • 365 Words
    • 2 Pages
    Satisfactory Essays
  • Good Essays

    Graci Kaiser Leadership (NR 4600.01) Professor Fagan April 7, 2024 In Five Days at Memorial, Chapter Six and Chapter Seven explained the evacuation from the hospital and the euthanasia of both animals and humans, and Chapter Eight described the legal aftermath of Hurricane Katrina. There were many decisions that had to be made by the healthcare management team, doctors, and nurses regarding patients and transportation out of the hospital. These staff members were faced with distressing circumstances which led to agonizing decisions that were made.…

    • 622 Words
    • 3 Pages
    Good Essays
  • Better Essays

    RTT TASK 2

    • 7486 Words
    • 19 Pages

    In the case of Mr. J, these were multiple issues that led to and contributed to his unexpected demise after what is usually considered a routinely performed procedure in an emergency department setting. The JCHAO (Joint Commission on Accreditation of Healthcare) defines a sentinel event as “an unexpected occurrence involving death or serious physical or psychological injury”, (Frain, Murphy, Dash, & Kassai, ∂ 1) and in the case of Mr. B, his death would be considered a sentinel event which would warrant a review by a team of interdisciplinary members of the hospital. In this particular case members of the team would include one or more ED physicians, the RN in the scenario and the LPN, a respiratory therapist, a nursing supervisor, a hospital administrator, the ED nurse manager, a hospital pharmacist, and a risk manager. More staff nurses from the ER could also be involved. A credible and successful root cause analysis will identify all of the elements that contributed to the event, an action plan will be developed to prevent the event from reoccurring and ensure that those actions are completed. Action plans should be based on best practices and appropriate standards. (Frain et al., ∂ 10)…

    • 7486 Words
    • 19 Pages
    Better Essays
  • Good Essays

    It was stated that the paramedics were unable to reach the…

    • 791 Words
    • 4 Pages
    Good Essays
  • Powerful Essays

    Respiratory Therapy is on staff, not present, but available if needed. When Mr. B arrived he made the third patient in a six bed Emergency Department. Additional back-up staff was available if needed. Policy for nurse to patient ratio for the facility is unknown however one on one care should have been addressed with the potential for respiratory depression with Mr. B. Additional staff were available to care for the incoming patients but were not utilized. With the issue of one on one care for conscious sedation if the only concern was respiratory related the in-house respiratory therapist could have been paged to monitor Mr. B while Nurse J was caring for other patients. Knowing Mr. B’s medication history of oxycodone use for chronic pain and the added medication for sedation would most definitely qualify him for one on one care until discharge criteria were met due to the potential for respiratory depression. With the added stressors of an additional critical patient arriving for care and multiple patients with need to be seen in the Emergency Department lobby the back up staff should have been…

    • 2481 Words
    • 10 Pages
    Powerful Essays
  • Better Essays

    Comprehensive documentation provides a defence for Paramedics in a very contentious world. Without documentation, it is very hard to show that something occurred. Thorough timely documentation and the use of the VIRCA method should not be seen as additional and unnecessary paperwork. Instead, it should offer the Paramedic some peace of mind. It has been established at law that a Paramedic owes a duty of care to their patient. The QAS as an organization also owes its patients a duty of care. As such, it is vital that the QAS perform their job professionally and correctly. This is because once a duty of care is established; the QAS has to ensure that they do not breach that duty. Virca Does not apply to case where transport is not required, but the documentation still needs to be completed with all Patient details and applied management and advice given.…

    • 1118 Words
    • 5 Pages
    Better Essays
  • Good Essays

    Unit 4222-371

    • 638 Words
    • 3 Pages

    The inquiry stated that there was a systemic failure to protect people and to investigate allegations of abuse. The hospital management had failed in its legal duty to notify the Care Quality Commission of serious incidents including injuries to patients.…

    • 638 Words
    • 3 Pages
    Good Essays
  • Good Essays

    Why were rescue efforts hampered in the first 24 hours? All the headquarters were underwater and the rescue efforts were trying to fix themselves.…

    • 1202 Words
    • 5 Pages
    Good Essays
  • Better Essays

    To begin with, the initial response from local emergency responders showed signs of weakness from the beginning. Almost immediately command and control of the situation was inadequate. Command and control was lost for a variety of…

    • 891 Words
    • 4 Pages
    Better Essays
  • Powerful Essays

    Five Days At Memorial

    • 3027 Words
    • 9 Pages

    Five Days at Memorial by Sheri Fink was a very compelling overview of the tragedy that took place at Memorial Hospital during the five days after Hurricane Katrina ravished New Orleans in September 2005. The book approached the ethical dilemmas faced by those physicians and staff involved in the key roles of the rescue effort at Memorial Medical Center, one of the many medical facilities that were devastated by this category 5 hurricane. The physicians who remained to care for the patients were put in the difficult position of deciding who was most appropriate for rescue, and what to do with those left behind. Staff members, nurses in particular, were put in the position of whether or not to obey seemingly unjustified orders. The catastrophe was worsened by the backlash from the patients’ families, the community, and the nation regarding their decisions, including arrests and wrongful…

    • 3027 Words
    • 9 Pages
    Powerful Essays
  • Good Essays

    Lack of funding and government cuts, lack of specialist training and keeping up to date with new guidelines and regulations, lack of trust and belief with the companies and the responsible bodies such as social services, the police, care providers and care staff and the families of the victims, sharing information with various outsiders who have input to the care given. All these reasons have understandably given the public a huge concern for the sector.…

    • 1255 Words
    • 6 Pages
    Good Essays
  • Satisfactory Essays

    The patients were put at risk by breaching their safety for not having properly trained staff. Not all of the…

    • 411 Words
    • 2 Pages
    Satisfactory Essays
  • Powerful Essays

    Every patient transported to a hospital lived. This was an extremely good outcome thanks to everyone involved and the quick transport times. The hospitals were well staffed and prepared for the worst due to the marathon, they also planned to not schedule too many operations on that day considering that they may have casualties form the…

    • 1590 Words
    • 7 Pages
    Powerful Essays
  • Good Essays

    Nursing Scenario Analysis

    • 947 Words
    • 4 Pages

    At many times, patients come in unconscious or with altered mental status. Many patients come in with major injury or trauma. When trauma comes in the nursing staff has little information about the patient. In a lot of cases, the nurse has very little time to gather data about the patient coming into the ED. Nurses have to perform invasive procedures without consent. Some patients require CPR and later the staff find the patient was a DNR. Even though the outcome was not what should have been, the nurse has to reflect beneficence, what is in the best interest of the patient, do good for each patient in their care. Patients need advocates and somebody to promote the patients’ rights. These are just a few of the ethical and legal issues in the emergency…

    • 947 Words
    • 4 Pages
    Good Essays
  • Good Essays

    They have a duty of care to make that decision to treat the patient, to potentially stop them from dying, or the risk of permanent injury. Imagine If you’re in a car crash, you’re legs are stuck, and the emergency crew can’t get you out. The only way you are getting out of that car, is if they cut off you’re legs. They will bring out a small handsaw, and whether you like it or not, they will put you to sleep and cut off you’re legs, because they see that as potentially saving you’re life. They have acted on behalf of you as their estimation of what was is in you’re best interests contradicted you’re own.…

    • 664 Words
    • 3 Pages
    Good Essays