Scalpel Weekly News

Week of: February 29, 2016

IN THE NEWS


Morphine Syringes Recalled; Product Is Super-Potent

On February 16, 2016, the FDA alerted health care professionals of a voluntary recall of morphine sulfate 0.5 mg/mL preservative free in 0.9% sodium chloride, 1 mL syringe, CII, for intravenous use made and distributed by Pharmakon Pharmaceuticals because the product is super-potent. Pharmakon initiated the voluntary recall on February 11, 2016, after receiving laboratory results showing the product was super-potent. On February 16, 2016, the FDA was alerted of serious adverse events in three infants associated with the use of the recalled morphine sulfate products from Pharmakon. Click title to continue reading...


 
MEDICAL ALERTS


New Cleaning Instructions for Pentax Duodenoscopes

In a FDA Safety Communication issued February 19, 2016, PENTAX has issued updated, validated manual reprocessing instructions for the ED-3490TK Video Duodenoscope to replace those provided in the original device labeling. The FDA reviewed these updated reprocessing instructions and the validation data and recommends that facilities using PENTAX ED-3490TK Video Duodenoscopes train staff on the updated instructions and implement them as soon as possible. Click title to continue reading...



New Drug Added to Epilepsy Treatment Options

On February 19, 2016 the FDA approved Briviact (brivaracetam) as an add-on treatment to other medications to treat partial onset seizures in patients age 16 years and older with epilepsy. Briviact is marketed by UCB, Inc. of Smyrna, Georgia. Click title to continue reading...



One in Three Adults Do Not Sleep Enough; Disease, Cognitive Impairment Result

On February 19, 2016 the CDC issued a report stating that more than a third of American adults are not getting enough sleep on a regular basis. This is the first study to document estimates of self-reported healthy sleep duration (seven or more hours per day) for all 50 states and the District of Columbia. Click title to continue reading...


  CASE ALERTS


ER Doctor’s Failure to Diagnose Heart Attack Subject to High Willful, Wanton Standard

A woman presented to the emergency room (ER) complaining of severe chest pain radiating down her left arm. Hospital personnel assigned her to an exam room in the emergency department. Nurses ordered an EKG, lab work, and a chest x-ray. Approximately forty minutes after her arrival, an ER doctor saw her. Click title to continue reading...



Malpractice Against Cosmetic Surgeon Not Barred for Coagulation/Emboli Injury

A woman began treatment under a doctor’s care for hypercoagulopathy. Subsequently, she decided to have cosmetic surgery, including breast augmentation and liposuction. When she was no longer receiving anticoagulant therapy, a surgeon agreed to perform the cosmetic surgery. Subsequent to the surgery, the woman developed pulmonary emboli in the lungs and deep vein thrombosis in the legs, was hospitalized for a period of eight days—at least part of that time in intensive care—and allegedly will be required to take anticoagulant medication for the rest of her life. Click title to continue reading...



Denial of Benefits for Residential Mental Healthcare; De Novo Review

A boy was a derivative beneficiary of a group health insurance plan governed by the Employee Retirement Income Security Act (ERISA) furnished by his father’s employer. The terms of the plan were set out in a subscriber certificate. The subscriber certificate made clear that coverage under the plan was subject to a determination of medical necessity made by a claims administrator. Click title to continue reading...


FEATURE


Motion-Sleep Apnea Nursing Malpractice

As a special feature to our Premium subscribers we have included this feature containing an illustrative defendants’Motion and Brief for summary disposition in a nursing malpractice action involving a patient with sleep apnea and a nurse’s failure to monitor the patient’s vital signs and properly administer narcotic pain medication when there was a danger of respiratory depression after the patient’s hip surgery, resulting in an alleged neurological injury. Click title to continue reading...