Sage Catheter Case Summary

On June 4, 2009 Christopher and Angelina Gilbert gave birth to a daughter who they named Sage Elliana Gilbert. Sage was born premature at 34 weeks at Mercy Health Saint Mary’s in Grand Rapids, Mi. Even under the circumstances of being born 6 weeks premature, hospital staff stated that baby Sage was doing well within the hospitals NICU. Sage was born weighing 5 pounds and was utilizing an umbilical venous catheter to receive feedings. The catheter was placed by a nurse practitioner and is generally inserted in one of two arteries or the vein of an infant’s umbilical cord. It is protocol to preform an x ray after catheter placement to confirm the final position and ensure proper placement. Sage received her chest x-ray 9 minutes after the catheter …show more content…
Rosen had committed 3 violations of the standard of ethics. These errors include, number two in the ARRT ethics which state that, “The radiologic technologist acts to advance the principle objective of the profession to provide services to humanity with full respect for the dignity of mankind.” Dr. Rosen violated this ethic when he overlooked evidence on the x-ray that indicated the catheter had been placed in baby Sage’s heart. In addition, number four in the ARRT ethics states that “The radiologic technologist practices technology founded upon theoretical knowledge and concepts, uses equipment and accessories consistent with the purpose for which they were designed, and employs procedures and techniques appropriately.” Dr. Rosen violated this standard when he didn’t take advantage of the equipment and accessories as it showed evidence of the catheter puncturing the infant’s heart this resulted in negligence when Dr. Rossen failed to appropriately identify and notify the proper medical workers of the improper catheter placement. Number five of the ARRT code of ethics states, “The radiologic technologist assesses situations; exercises care, discretion, and judgement; assumes responsibility for the professional decisions; and acts in the best interest of the patient.” Dr. Rosen completely violated this standard of ethic by not exercising care when evaluation the patients x-rays, this was not acting in the best interest of the …show more content…
Tallman alleged that, If Dr. Rosen or any other medical practitioner would have taken note of the umbilical catheters placement, it could have been adjusted and the loss of her life could have been avoided. The best way to prevent another case like this from happening is to make sure the work is double and triple checked. It is no hidden fact the hospital workers are extremely busy undertaking demanding work throughout their long shifts, they are bound to become tired and miss important information. While this is not an excuse to allow sloppy work to become acceptable. Employees need to be proactive in making sure the work they do is of the utmost quality to evade unfortunate mistakes, like the one in this case, from happening again. It would have been beneficial to speak to the radiologist involved, However Dr. Darryl Rosen Died on May 5th, 2012 at the age of 63 while at his home 4 months before the Gilbert family’s attorney Mr. Tallman filed the medical malpractice case (Fenton). Speaking to the radiologist and acquiring details regaurding the events that occurred that day could have given valuable insight as to what happened that day while providing information that could have been used to avoided mistakes along these lines in the

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