The patient missed her follow-up appointment, but called one-month later requesting to see the physician about her wounds. (This was the last time our nurse spoke to the patient.) The patient indicated that the wounds were slowly healing. A second follow up appointment was scheduled two weeks later, but the patient was instructed to come in sooner if the wounds became infected or developed scarring.Ī week later, our nurse followed up with the patient over the telephone. The physician discussed the risks of not maintaining proper wound care (discussion was documented). The physician educated the patient about management of the wound including changing dressings daily and applying antibiotic ointment. The physician noted in the patient’s healthcare record that the wounds appeared to be without infection or necrosis. The nurse provided the patient with compression stockings and made a follow-up appointment with the physician.Īt the follow-up appointment, the patient reported the development of superficial wounds (blood blisters) at the injection sites. The procedure was successfully completed and the insured applied compression stockings to the right lower leg. Wear compression stockings for 7-14 daysĬonsent to the treatment and a copy of the pamphlet were signed and dated by the patient and maintained in the patient’s healthcare record.Avoid standing for long periods of time for the next 5 days.Do not massage or rub the injected area.The insured provided a pamphlet on sclerotherapy to the patient on the risks, benefits and post-treatment care. She did not take any prescribed medications, only vitamins, and reported that her occupation was a hair stylist.īefore beginning the therapy, the nurse reviewed the procedure and explained her technique of injecting into a vein in the patient’s leg. The patient’s medical history was negative for alcohol use and cigarette smoking. The patient had previously received sclerotherapy, but this was the first time our insured nurse had treated the patient. (Monetary amounts represent only the payment made on behalf of the insured registered nurse and does not reflect payments made on behalf of the other parties involved in the claim.)Ī 40 year-old was seeking sclerotherapy to her right lower extremity and was seen by our insured registered nurse employed by a vascular surgeon.
This case involves a registered nurse providing services for a vascular surgeon.Ĭase Study: Negligent performance of sclerotherapy negligent wound care management, failure to maintain clinical competencies failure to document the patient’s symptoms, response to treatment and changes in condition in the patient care record
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