This article is from the source 'guardian' and was first published or seen on . It last changed over 40 days ago and won't be checked again for changes.

You can find the current article at its original source at http://www.guardian.co.uk/world/2013/mar/05/california-nurse-cpr-dying-woman

The article has changed 8 times. There is an RSS feed of changes available.

Version 0 Version 1
California nurse refuses to give CPR to dying woman California nurse refuses to give CPR to dying woman
(about 5 hours later)
A nurse's refusal to perform cardiopulmonary resuscitation on a dying 87-year-old woman in California despite desperate pleas on the telephone from an emergency dispatcher has prompted outrage and spawned a criminal investigation. A nurse's refusal to perform cardiopulmonary resuscitation on a dying 87-year-old woman in California despite desperate pleas on the telephone from an emergency dispatcher has prompted outrage and spawned a criminal investigation.
Loraine Bayless collapsed in the dining room of a retirement home, which state officials said was an independent living complex and does not operate under licensing oversight. Loraine Bayless collapsed in the dining room of a retirement home in Bakersfield which state officials said was an independent living complex and did not need a licence.
The harrowing seven-minute, 16-second telephone call also raised concerns that policies at living facilities for elderly people could prevent staff from intervening in medical emergencies and prompted calls on Monday for legislation to prevent a repeat of what happened on 26 February. The harrowing seven-minute, 16-second telephone call also raised concerns that policies at living facilities for elderly people could prevent staff from intervening in medical emergencies and prompted calls on Monday for legislation to prevent a repeat of what happened on 26 February.
During the call, an unidentified woman asked for paramedics to be sent to help the woman. Later, a woman who identified herself as the nurse got on the phone and told dispatcher Tracey Halvorson she was not permitted to do CPR on the woman. During the call, an unidentified woman asked for paramedics to be sent to help Bayless. Later, a woman who identified herself as the nurse got on the phone and told dispatcher Tracey Halvorson she was not permitted to do CPR on Bayless.
Halvorson urged the nurse to start CPR, warning the consequences could be dire if no one tried to revive the woman, who had been laid out on the floor on her instructions. Halvorson urged the nurse to start CPR, warning the consequences could be dire if no one tried to revive Bayless, who had been laid out on the floor on her instructions.
"I understand if your boss is telling you, you can't do it," the dispatcher said. "But … as a human being … you know, is there anybody that's willing to help this lady and not let her die?" "I understand if your boss is telling you you can't do it," the dispatcher said. "But … as a human being … you know, is there anybody that's willing to help this lady and not let her die?"
"Not at this time," the nurse answered."Not at this time," the nurse answered.
Halvorson assured the nurse that the home, Glenwood Gardens, couldn't be sued if anything went wrong in attempts to resuscitate the resident, saying the local emergency medical system "takes the liability for this call". Halvorson assured the nurse that the home, Glenwood Gardens, could not be sued if anything went wrong in attempts to resuscitate the resident, saying the local emergency medical system "takes the liability for this call".
Later in the call, Halvorson asked: "Is there a gardener? Any staff, anyone who doesn't work for you? Anywhere? Can we flag someone down in the street and get them to help this lady? Can we flag a stranger down? I bet a stranger would help her." Later in the call, Halvorson asked: "Is there a gardener? Any staff, anyone who doesn't work for you? Anywhere? Can we flag someone down in the street and get them to help this lady? Can we flag a stranger down? I bet a stranger would help her.
"I understand if your facility is not willing to do that. Give the phone to a passerby. This woman is not breathing enough. She is going to die if we don't get this started, do you understand?""I understand if your facility is not willing to do that. Give the phone to a passerby. This woman is not breathing enough. She is going to die if we don't get this started, do you understand?"
The woman had no pulse and had stopped breathing by the time fire crews arrived, Galagaza said. The woman reportedly had no pulse and had stopped breathing by the time fire crews arrived.
Sergeant Jason Matson of the Bakersfield police department said its investigation had not revealed criminal wrongdoing, but their inquiries were continuing. Sergeant Jason Matson of the Bakersfield police department said its investigation had not revealed criminal wrongdoing, but inquiries were continuing.
State officials did not know on Monday whether the woman who talked to the emergency dispatcher was a nurse, or just identified herself as one during the call. She said one of the home's policies prevented her from doing CPR, according to an audio recording of the call. State officials did not know on Monday whether the woman who talked to the emergency dispatcher was a nurse, or just identified herself as one during the call. She said one of the home's policies prevented her from doing CPR, according to an audio recording of the call.
"The consensus is if they are a nurse and if they are at work as a nurse, then they should be offering the appropriate medical care," said Russ Heimerich, spokesman for the California board of registered nursing, the agency that licenses healthcare providers. "The consensus is if they are a nurse and if they are at work as a nurse, then they should be offering the appropriate medical care," said Russ Heimerich, spokesman for the California board of registered nursing, which licenses healthcare providers.
The executive director of Glenwood Gardens, Jeffrey Toomer, defended the nurse in a written statement, saying she followed the facility's policy. The executive director of Glenwood Gardens, Jeffrey Toomer, defended the nurse in a written statement, saying she had followed the facility's policy.
"In the event of a health emergency at this independent living community, our practice is to immediately call emergency medical personnel for assistance and to wait with the individual needing attention until such personnel arrives," Toomer said. "That is the protocol we followed.""In the event of a health emergency at this independent living community, our practice is to immediately call emergency medical personnel for assistance and to wait with the individual needing attention until such personnel arrives," Toomer said. "That is the protocol we followed."
Independent living facilities "should not have a policy that says you can stand there and watch somebody die", said Pat McGinnis, founder of California Advocates for Nursing Home Reform. "How a nurse can do that is beyond comprehension."Independent living facilities "should not have a policy that says you can stand there and watch somebody die", said Pat McGinnis, founder of California Advocates for Nursing Home Reform. "How a nurse can do that is beyond comprehension."
McGinnis said: "This was so horrifying. I've never seen this happen before." McGinnis added: "This was so horrifying. I've never seen this happen before."