Staffing Case 21-Year-Old Female Patient Yolanda Pinella

In case scenario one, 21-year-old female patient Yolanda Pinella received intravenous therapy as part of her chemotherapy treatment. She is suing because necrosis of the hand occurred that resulted in reconstruction and skin grafting of her hand, losing permanent function and deformity of several fingers, leading to her inability to continue to pursue a career as a musical conductor. There is more than one incident that could have prevented this occurrence; however, I think the defenses I think I will discuss with this situation are limited staffing and over working of hours, leading to sleep deprivation.
According to McLean (2005), “Presently, the most profession-specific provisions limiting an individual’s ability to work can be found in DOT regulations concerning commercial drivers, the aviation industry, and railroad employees” (p. 345). It is
Unable to diagnose Libby, the provider admitted her for hydration and observation (Lerner, 2006). Libby became increasingly agitated and was given meperidine, a painkiller, and sedative, as well as, haloperidol when she later became so agitated restraints were necessary (Lerner, 2006). Staff later checked on Libby and found her temperature at 107 and emergency measures were attempted; however, Libby’s death was the result (Lerner, 2006).
The Zion family was outraged to learn about the understaffing, overworking, and lack of supervision (Lerner, 2006). New York then adapted the Bell Regulations in 1987, limiting residents to no more than 84 hours a week, no more than 12 continuous hours of emergency room, 8 hours off in between shifts, and at least one day off a week (McLean, 2005). Furthermore, the American Nurses Association (n.d.) discusses research that does indicate a noted increase of medical errors with working shifts over 12 hours or more than 40 hours a