You are the risk manager for University Hospital.

You have just been informed of an incident

that occurred on your facility grounds. A patient came to your emergency department for chest
pain. Unfortunately, he parked in a distant parking area around 100 yards away since parking
was crowded directly in front of the Emergency Department. He collapsed behind his car in the
parking lot. Security contacted the ED, whose charge nurse stated they were full and since the
patient was not in the ED, to call 911 and have an ambulance transport the patient to the next
closest facility. Security calls 911, but the EMS unit takes 14 minutes to respond. The patient
expires due to a prolonged cardiac arrest down time.

Question: Provide a list of at least 3 risk management issues from the scenario. Then
provide a way to mitigate the risk in this scenario. Be specific and provide details.

You just received notice of an issue in the surgical Unit of your facility. A 45 year old man was
admitted through the ED for a myocardial infarction (heart attack) and evaluated by the
cardiologist. The cardiologist told the patient that he needed an immediate balloon angioplasty.
After a proper informed consent process the patient agreed to the procedure. One hour later the
wife showed up angry and threatened to sue if they touch her husband. She read recently or saw
on TV that this is not always a necessary procedure. The cardiologist performs the procedure
anyway and the patent dies of complications. The wife sues the facility for battery. In reviewing
the record you find that the patient received the informed consent form but there was no nursing
staff witness signature.

Question: Research the concept of informed consent for your State. Note your State and
several key concepts related to informed consent. Then based on your States laws describe
who must have informed consent regarding the above scenario. Finally, describe any
ethical issues you note from the scenario based on your State research. Be specific