Question

Discussion Question #3: During an endoscopic retrograde cholangiopancreatography (ERCP) -- a gallbladder x-ray that requires injection of a dy -- an inexperienced nurse injected the dye too forcefully and caused the patient to develop pancreatitis (inflammation of the pancreas) and suffered other debilitating injuries. The patien sued and won. Refer to the four Ds of negligence to explain the court's decision.

Answer 1

In this case court had ordered the decision according to the four D's of negligence. These four D's explain the physician or health care profession doing negligence in the clinical settings in providing care or doing critical procedure.

The first of the four D's states the role of nurse after they had been committed with nurse patient relationship, they are responsible for their every basic care, they are required to get the consent from the client whenever its necessary. It mostly refers to the "Duty" of the health profession.

The second 'D' explains the quality and the standard of the care provided to the client by the health care professionals accorsing to the state guidelines and the hospital protocol. It would be referred as "dereliction"

The third and the fourth 'D' explain the health care profession crossing their limits and end up in severe injury to the client by their known mistakes. This attitude may leads to severe suffering of the client, that is "damage" to the client .

Here the court decision had been made according to the third and fourth D's of negligence and the client had won the case.