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CRICO Guidelines by Topics

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Fire in the OR
By Kathy Zigmont, CRICO

The risk of an operating room (OR) fire should be assessed in the holding area, as well as early in the time out checklist.

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Lack of follow up for incidental finding results in poor outcome for patient
By Julie Hidgen, CRICO

Patient under 24-hour due to brain damage as a result of a radiologist failing to note mastoid disease, fluid, and bony erosion of the right ear.

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Policy Changed After L&D Medication Mix-up
By Jen Vuu Sanchez, CRICO

A 30-year-old female underwent an emergency cesarean delivery after receiving incorrect medication during her labor.

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Incomplete Record Review Delays Endocarditis Diagnoses
By Margaret Janes, JD, RN, CRICO

A diagnosis of endocarditis was made 18 days after the patient, who had a (known) congenital bicuspid aortic valve, initially presented with fever and fatigue.

 

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Fragmented Care Delayed a Diagnosis of Meningitis
By Melissa DeMayo, CRICO

Patient under 24-hour due to brain damage as a result of a radiologist failing to note mastoid disease, fluid, and bony erosion of the right ear.

 

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Disrespected by the New Boss
By Jock Hoffman, CRICO

After an employee gets a new supervisor, he is consistently undermined by her to the point where he needed HR to intervene and they don’t. Later he gets sick, his supervisor reassigns most of his work to two less experienced colleagues and eventually fires him leading to him filing a claim with the state.

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Was Age an Issue?
By Jock Hoffman, CRICO

A 64-year-old female registered nurse alleged that her 29-year-old manager purposely hired a young woman for an open position and commented about that new hire’s youthful appearance.

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Declining Performance
By Jock Hoffman, CRICO

Throughout her employment, a Black patient service coordinator’s multiple supervisors and colleagues had criticized her poor attendance and negative interactions with colleagues and patients. A year before her termination, the complainant received 2.9 out of 5 on her performance review, deemed by her employer as an unacceptable level. 

 

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Excessive Tardiness
By Jock Hoffman, CRICO

A 72-year-old Black, Haitian male, who worked as an interpreter, was terminated after a lengthy history of performance issues. Over 12 years, the hospital had documented 16 instances of excessive tardiness, unscheduled absences, and other attendance-related infractions, as well as performance issues that violated protocol.

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Missteps Before and After Patient Fall
By Annette Roberts, CRICO

A patient’s family filed a claim alleging a lack of proper fall precautions, failure of the nurse to report the patient’s fall to his physician or the oncoming nurse, and failure to monitor the patient post fall. Learn how to mitigate these scenarios in the future.

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