Posted on 09/12/2022 5:40:41 AM PDT by CodeToad
Nurses in North Carolina can now be sued for following doctors’ orders when they cause harm to the patient. On Friday, August 19, 2022, a narrowly-split North Carolina Supreme Court struck down a 90-year-old precedent that protected nurses from liability. The opinion of the three justices in favor of overturning the ruling stated that because nursing had evolved, the decision was necessary. The two dissenting justices countered that holding nurses accountable for physicians’ decisions would create “liability without causation.” How this latest ruling will affect future cases is unclear. The full legal briefing can be found here.
(Excerpt) Read more at nurse.org ...
That is a ridiculous statement. My wife is an acute care nurse and was nearly fired for questioning her doctor. She was right and he knew it. She has over 30 years of experience. After, he began to harass her. She had to file a harassment and hostile work environment complaint to keep her job. The clinic and hospital backed the doctor but corporate split the baby and and told my wife to follow doctors orders, but the doctor had no right to harass her. Since that occurred they have cut her hours dramatically. Other nurses took note and fell in line.
In that case, maybe I'll be able to find a native-born nurse now
Having worked in a tertiary care children’s hospital for more than a decade, yes I do think this is a case for a CRNA. The CRNA here was working with a physician anesthesiologist, by the way, so if the “mid level” provider was in over his head, where was the all-knowing doctor?
If it is a blatantly bad call in the preview of the nurse’s education and responsibility they should say something/question/stop an order and get clarification or refuse the order. Too many docs have made a totally wrong decision that led to maiming or death of a patient could of been prevented by a nurse.
To cover this change, all medical personnel need at least personal liability insurance. when I was an EMT/firefighter and ski patroller I had an umbrella rider on my personal insurance and still keep it now in case of stupid folks suing me.
I’m not in need of any clarification.
You attempted to obfuscate the facts by ignoring that this was a care team model anesthetic and an anesthesiologist was present. You quickly turned this into “CRNA bad, doctor good” argument which was never the purpose of the original Pat at all.
You really ought to change your handle to “gaslighting_dr”. More often than not, you bloviate then accuse others of twisting your words.
Was the CRNA working with an actual MD anesthesiologist, or just working under their license, so the MD gets sued, too? That is what is happening nowadays. Hospitals hiring midlevels, and forcing the MDs to be liable for them. If you are working as a midlevel, you should be responsible for your own errors. Right now, nurse practitioner training is largely online. When they graduate, they rely on an actual MD to train them. Its a dumbing down of healthcare. Know who is treating you. It may save your life. They are called noctors, not doctors.
Read the legal brief of the case. The MD and CRNA were working as a team and induced the child together.
I am not a nurse practitioner and my education was not “online”. I carry my own malpractice and never once stated that a physician should be sued and/or liable for my decisions. Stop putting words in my mouth.
What is the definition of a team? How many other patients did that MD supervise at that time because hospitals find CRNA cheaper?I knew an MD who was sued over a patient case, who never saw the patient, never even knew that patient existed. That patient was being seen by a PA under the MD license in a different clinic.Its happening now in ERs.
The demand for Nurses is extraordinarily high. An RN with experience can go anywhere in the country and earn good pay. North Carolina will pay a price for this foolishness.
This appears to be just more undermining of our Health Care System. North Carolina Court has truly stepped in it here, IMO.
Nurses have always had responsibility, and can get sued. But midlevels who promote themselves as better than MDs use the MD license to protect themselves. In this case, it was a nurse anesthesiologist taking a three year old with multiple medical problems including heart disease. When CRNA came onto the scene, they only took the easy cases.Now, they are trying to displace MD. Watch who delivers your care, their license and training.
That is a ridiculous statement.
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Well, the point of the article is that nurses can be made responsible if they see a doctor’s error & do nothing about it. Your wife is in an untenable situation. Follow orders & possibly be involved in a lawsuit or find a new job. If it was me, I’d be out there looking...
nurses carry malpractice insurance for this very reason
Ever heard of the expression “$hit flows downhill”. On just about any job, even in the military, it doesn’t matter what orders from above say, it’s the bottom guy on the totem pole who be held accountable if something goes wrong.
Has it has always been.. not just the guy at the bottom but eveyone as it rolls down hill
CRNA’s are supervised by an MD during admin of anesthesia.the MD must be in the room with the CRNA
You might want to read the original complaint.
You also don’t seem to be able to answer questions.
You said I impugned the care team model. I did not. I said CRNAs should be strictly supervised.
I asked you do you think you should be able to practice independently? This lawsuit simply reaps what the AANA has sown.
And someone else is exactly right. This is not a CRNA case. My I only complaint is that the health system would allow a pediatric heart to be done by a CRNA.
billing as suprrivsed and reimbursed under the supervising dr, or so how its done in california
CRNAs see extenders. The MD does not have to be in the room with the CRNA. additionally CRNAs want to tell you there is no difference between them and a physician. Bill Clinton the great liberal gave them independent practice.
They should be strictly supervised. They simply are not trained like an anesthesiologist and should not practice alone.
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