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Related: Editorials & Other Articles, Issue Forums, Alliance Forums, Region ForumsMissing from hospital for 17 days, stepped over TWICE by orderly, in stairwell where found dead.
S.F. General worker had reported a woman in stairwellA worker at San Francisco General Hospital reported seeing an unconscious woman in a fire-escape stairwell one week before the body of a missing patient was found in the same spot, according to sources familiar with the investigation into the patient's death.
Lynne Spalding, 57, disappeared from her room on the hospital's fifth floor Sept. 21, two days after she was admitted for treatment of an infection. Her body was found Oct. 8 on the fourth-floor landing of the locked stairwell.
The cause of death has not been determined, but police believe Spalding had been dead for several days and was not the victim of foul play, said the sources, who have knowledge of the police investigation but are not authorized to speak publicly.
According to the sources, a hospital orderly told a nurse Oct. 1 that he had seen a woman, apparently passed out, on the fourth floor of the stairwell. The orderly said he had stepped over the prone woman twice, once going downstairs and again when he returned to the fifth-floor door that he had used to enter the stairwell.
The nurse contacted the Sheriff's Department, the sources said. Sheriff's deputies provide security at San Francisco General.
http://www.sfgate.com/bayarea/article/S-F-General-worker-had-reported-a-woman-in-4909031.php
She had been hospitalized for a UT infection/ on antibiotics when she went missing.
NYC_SKP
(68,644 posts)But you know, it's the LAST place that the clientele need to interact with uncaring people, and I'm just talking about day to day interactions.
(And I LOVE those in the field who maintain their humanity and kindness)
So what is it that made it so easy for people in the business of caring for people to be so uncaring?
Is it the industry, with so much pain and misery on view?
Is it the city, San Francisco, where coming across a homeless person asleep (or dead?) is an everyday occurrence?
How very very sad!
Jesus Malverde
(10,274 posts)It's assumed she was in hospital gown and wearing ID bracelet.
We do see a lot of people passed out all over town, drunk or nodding on heroin or oxy. I've poked a few to make sure they were still alive. Most of the time I just walk by. These are people on the street and not a staff only accessible staircase. If I found someone at work I would not step over them to report them to a nurse particularly a woman in her 50's.
malaise
(269,054 posts)This is what you get when you destroy the notion of the social good
pscot
(21,024 posts)TwilightGardener
(46,416 posts)is a very big deal--let alone an unconscious patient. Normally staff would scramble, maybe call a code. This is very odd. And edit to add: why would the nurse call the SHERIFF'S DEPARTMENT, instead of going to investigate and help this patient? There was just a complete breakdown of responsibility and duty here. SF General is going to pay out, big time.
Jesus Malverde
(10,274 posts)Especially when a patient wandered off, why bother really.. it's a callous indifference likely reinforced by our litigious society.
TwilightGardener
(46,416 posts)patient and ensuring she was cared for from the get-go) reports an unconscious person in the stairwell, as a former nurse myself you wouldn't have been able to STOP me from checking on her. Were they afraid it was some sort of violent crime scene or something? Just fucking stupid and negligent.
Kelvin Mace
(17,469 posts)if hospital staffs were a tad more competent and humane.
Heather MC
(8,084 posts)of rotting corpse????
Jesus Malverde
(10,274 posts)She was only being treated for a UTI and was not considered terminal or critical.
jberryhill
(62,444 posts)Jesus Malverde
(10,274 posts)San Francisco General Hospital Foundation is dedicated to promoting excellence in research, education and care for all at San Francisco General Hospital and Trauma Center.
http://sfghf.net/our_mission.html
I see CARE is last in the list of priorities.
jberryhill
(62,444 posts)Nine
(1,741 posts)Orderlies are not trained to help unconscious patients. As far as I can tell, the orderly did what he was supposed to do - report the situation to a higher-up. The nurse also seemed to have done what he or she was supposed to do:
Stephen La Plante, former chief of public safety for the city Public Health Department, which formerly oversaw security at San Francisco General, (said), "It's the deputies who go check, who perform the well-being check for anyone found outside a hospital ward... That is just the standard of practice in American hospitals. I would never expect a nurse to go outside the ward, down a hallway and into a fire escape stairwell. That is automatically the purview of the security force."
It's possible that whatever deputy was assigned to check on this is the person directly at fault. There may be other factors. Did the hospital do a thorough enough search when the patient went missing? How did the woman end up in this area that was supposed to be alarmed?
Jesus Malverde
(10,274 posts)Check if human being lying in staff only stairwell was alive?
Check if human being lying in staff only stairwell had an ID bracelet?
Show the deputy where he found the human being.
Since this is a stairwell exposed to the elements, should the orderly made sure the woman lying there was not cold?
Should the orderly have followed up with a "Hey what happened to that unconscious woman I stepped over twice earlier?" later in the day.
Or should he have locked the door behind him and just go about his job after reporting it to the nurse....
Why would you send a deputy to assist someone in medical distress (unconscious), seems like paramedics would have be the obvious choice assuming the nurse was unable walk down the hallway herself.
Clear effort to pass the blame to the sheriffs department who are probably also to blame but this callous indifference is disgusting.
Nine
(1,741 posts)Once he reported this incident to his superiors, I see no reason for him not to assume that all these things would be taken care of promptly. There may be problems with the policies here, or the ball may have been dropped by a deputy or someone else higher than the orderly. But, no, I don't think the orderly should have been expected to, for instance, make his way to the supply closet and pull out a blanket and take it for this woman on his own volition. I just don't think hospitals work like that. Maybe they should, but that's not really under the control of the orderly.
Egalitarian Thug
(12,448 posts)What could possibly go wrong?
lunasun
(21,646 posts)Niceguy1
(2,467 posts)to check out as it should have been then it looks like the security which is the Sheriffs Department really screwed up. From what I've read another article that's an isolated stairwelland nursing staff really had no business going out there and checking without security present.