Avoiding Liability Bulletin – March 1, 2014

Some of you may have given a deposition in response to a lawsuit that named you as a defendant or subpoenaed you to testify because you were an occurrence witness.  You may recall that a deposition is form of discovery in a lawsuit.

The deposition can be oral or written (called “written interrogatories”). In either event, your answers are taken under oath, with all parties and their attorneys present, and what you say can be used in the actual trial of the matter, either to “impeach” you (saying something different during the deposition that you now state during the trial) or, if the deposition is an evidence deposition, it can be introduced into evidence at trial due to your inability to be at the trial (e.g., death, on vacation, out of the country). 1

Preparation is essential before giving an oral deposition. Your attorney will want to meet with you beforehand to prepare you as to the format of the deposition, who will be asking questions, what the focus of the deposition will be, and so forth.  Your attorney’s advice is critical to a successful deposition that will highlight the truth and, at the same time, protect you from any unnecessary exposure to further potential liability. Be truthful with your attorney as to what happened and any role you played in the matter at hand.

General guidelines for giving a deposition include the following:

  • Always testify truthfully;
  • Speak clearly and confidently;
  • Always wait for the complete question asked of you before answering;
  • Hesitate slightly before answering to give your attorney a chance to object to the question, if need be;
  • Do not guess at an answer;
  • Do not estimate distances or other facts if you cannot do so accurately;
  • If you don’t understand a question, ask for clarification;
  • If you don’t hear a question, ask that it be repeated;
  • Control your emotions (e.g., anger, fear, frustration);
  • Only answer questions asked of you;
  • Dress conservatively for the deposition; and
  • Remember to follow your attorney’s advice concerning the deposition.

The deposition is a good practice run for testifying at trial, should the case proceed to a trial.  However, what you say, how you act, and how you look when you give your deposition can not be a “first practice” event.  Rather, it should be a practice run for the trial, one that exactly mirrors what you will say and how you will present yourself during the judicial proceeding.

Please note: It is your duty as an insured to notify your professional liability insurance of any subpoenas, depositions or incidents that may result in a claim / suit against you. As a CPH & Associates policy holder, you may do so by logging into your CPH Customer Portal and selecting “Report a claim or incident” or “Report a subpoena or deposition” to fill out the appropriate form to notify CPH & Associates.

FOOTNOTES

  1. Bryan A. Garner (Editor) ( 2004).  Black’s Law Dictionary.  (8th Edition).  St. Paul, MN:  West, 472.

THIS BULLETIN IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT TO BE TAKEN AS SPECIFIC LEGAL OR OTHER ADVICE BY THE READER.  IF LEGAL OR OTHER ADVICE IS NEEDED, THE READER IS ENCOURAGED TO SEEK ADVICE FROM A COMPETENT PROFESSIONAL.

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About the Author

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Nancy Brent

Nancy J. Brent, RN, MS, JD, a nurse attorney in private law practice in Wilmette, IL, represents nurses and other health care providers before the state agency that regulates health professionals. Brent graduated from Loyola University of Chicago School of Law in 1981. Her experience prior to opening her private practice included a year of insurance defense for a major insurance company and establishing a law firm with two other attorneys. After three years of doing defense work at the firm, Brent decided to establish a private practice in 1986. Brent has published extensively and has lectured across the country in the area of law and nursing practice. She is a member of several legal and nursing professional associations, including the American Nurses Association, Sigma Theta Tau International Honor Society of Nursing, the Illinois State Bar Association, and The American Association of Nurse Attorneys (TAANA).

Avoiding Liability Bulletin – March 2014

There are many legal concerns/issues in the delivery of home health care.  One of the most important is the necessity of open, complete, timely and accurate communication among and between those who provide care to a patient in the home.

This mandate includes you as the home health care nurse.  In a 2008 case, a home health care nurse cared for a patient who was the victim of a crime that resulted in paraplegia.  He was discharged from a rehabilitation facility and the physician ordered daily home care visits to monitor his “almost healed” Stage 2 pressure sore.1 Because of difficulties with daily visits (his insurance company would not reimburse for them), the physician ordered less visits.

The home health care nurse visited the patient shortly after his discharge from the rehab facility.  She did an assessment and noted the dimensions of the pressure sore, which was located near the tailbone.  The nurse believed the ulcer would be completely healed in about three weeks, called the physician and left a voice mail with him concerning the visit and her findings. 2

Her second visit indicated that the pressure sore was “100% pink and there was no odor from the pressure ulcer.

The nurse attempted eight visits over the next several days but was unable to see the patient for four of those days due to no one being home. When she saw the patient, she did see changes in the pressure sore’s condition, did document these changes, and left a voice mail message with the physician.  Likewise, each time she was unable to see the patient she left a note for the family and also left a voice mail message for the physician.

The patient was admitted to the hospital after the R.N. did see the patient one more time.  The condition of the pressure sore had deteriorated even more than on previous visits so she told the family they needed to take the patient to the hospital.  The patient’s hospitalization resulted in a reduction in the size of the pressure ulcer but the patient required many additional procedures to treat the ulcer, which never really healed.  A “flap” enclosure was performed to try and close the wound. 3.

The family sued the home health agency alleging that its employees were negligent in their care of the patient.  The jury returned a large verdict in favor of the patient. The R.N.’s degree of fault was assessed at 30%. 4

At issue was the R.N.’s conduct as testified to by a nurse expert who was also certified in wound care.  She clearly stated that not contacting the physician personally about the patient’s care was a breach of the standard of nursing care.  In addition, the R.N.’s failure to recognize the symptoms of his deteriorating condition and not intervening to avoid the infection he suffered from the deteriorating wound ultimately resulted in the development of the Stage 4 ulcer that never healed.

FOOTNOTES

  1. Olsten Health Services, Inc. v. Cody, 979 So. 2d 1221 (Fl District of Appeals) 2008, 1-8.  Available at: http://caselaw.findlaw.com/fl-distric-court-of-appeal/1160380.html .  Accessed June 22, 2012.
  2. Id.
  3. Id.
  4. Nancy J. Brent (2012), “But I left Voice Messages And A Note….”, 1(2) Wound Care Advisor , 4.  Available at  http://www.WoundCareAdvisor.com .  Accessed 2/24/14.

GENERAL REFERENCE

    David Tammelleo (2008), “Treatment of Decubitus Ulcers Botched: Verdict for $3,050,000, 49 (1) Nursing Law Regan Report, 1.

THIS BULLETIN IS FOR EDUCATIONAL PURPOSES ONLY AND IS NOT TO BE TAKEN AS SPECIFIC LEGAL OR ANY OTHER ADVICE BY THE READER. IF LEGAL OR OTHER ADVICE IS NEEDED, THE READER IS ENCOURAGED TO SEEK SUCH ADVICE FROM A COMPETENT PROFESSIONAL.

Download PDF
CPH Insurance

Protect yourself with CPH Insurance.

Get a quote & apply online.

About the Author

Avatar photo

Nancy Brent

Nancy J. Brent, RN, MS, JD, a nurse attorney in private law practice in Wilmette, IL, represents nurses and other health care providers before the state agency that regulates health professionals. Brent graduated from Loyola University of Chicago School of Law in 1981. Her experience prior to opening her private practice included a year of insurance defense for a major insurance company and establishing a law firm with two other attorneys. After three years of doing defense work at the firm, Brent decided to establish a private practice in 1986. Brent has published extensively and has lectured across the country in the area of law and nursing practice. She is a member of several legal and nursing professional associations, including the American Nurses Association, Sigma Theta Tau International Honor Society of Nursing, the Illinois State Bar Association, and The American Association of Nurse Attorneys (TAANA).