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Cipherous
08-21-2004, 02:50 PM
Girl dies of cerebral palsy (http://www.washingtonpost.com/wp-dyn/articles/A9675-2004Aug17.html)


Missteps Cited In Girl's Death
Sick, Disabled Student Was Put on D.C. School Bus

By Theola Labbi
Washington Post Staff Writer
Wednesday, August 18, 2004; Page A01

Cindy Alvarado, a 13-year-old girl with cerebral palsy, had been lethargic and breathing more rapidly than normal that day at school. Her teacher was concerned and called for the nurse. But at the end of the day, Cindy was placed on a D.C. school bus with the nurse's urgent note tucked away.

After an hour-long bus ride to her foster home in Fort Washington, Cindy, who used a wheelchair and was unable to speak, had stopped breathing and was turning blue. Soon she was pronounced dead at a hospital.


Hours later, her foster mother found the nurse's note at the bottom of Cindy's backpack. It read: "Please evaluate re: emergency room ASAP."


The details of Cindy's Sept. 26 death are in a newly released report by University Legal Services, a federally mandated watchdog group for the mentally retarded and disabled. An autopsy found that Cindy died from volvulus, an abnormal twisting of a segment of bowel that can be fatal if untreated, the report states.

"It defies all nursing standards and common sense to place a child that needs emergent care on an hour-long bus ride with buried instructions for the parent to seek emergency medical treatment," concluded nurse investigator Andrea Procaccino, the Legal Services consultant who wrote the report.

Based on the report's findings, the D.C. Department of Health plans to ask its Board of Nursing to review the case. "We are very concerned about protecting the health of these medically fragile children," said Walter Faggett, the department's interim chief medical officer.

Legal Services learned of Cindy's death in April and launched an investigation, which included a review of records from C. Melvin Sharpe Health School in Northwest, where Cindy was a special education student, and interviews with the school's transportation staff.

D.C. school officials received a copy of the report Friday. Four attempts to reach Interim Superintendent Robert C. Rice were unsuccessful. Veleter M. B. Mazyck, the school system's attorney, said officials have been cooperating with an investigation by the D.C. Child Fatality Review Committee, an independent group. Schools spokeswoman Lucy Young said, "We categorically deny any wrongdoing of any kind."

LaGrande Lewis, principal of Sharpe, a special education school that serves 203 students with severe physical and emotional needs, said she regrets Cindy's death. She said members of her staff told her it was not uncommon for Cindy to cry in pain from her ailments, which included gastrointestinal reflux and a seizure disorder. The school's only nurse, identified by Legal Services as Vandalia Joyner-Taylor, did not return several telephone calls.

"The school nurse goes above and beyond to help sick students," Lewis said.

The Legal Services report is critical of Joyner-Taylor, who wrote the note found in Cindy's backpack. Investigators said there was "no indication that the nurse assessed or responded appropriately to [Cindy's] abnormal vital signs."

Joyner-Taylor still works at the school and is employed by National Nurses Service Inc., a company with three offices in the Washington region that provides nurses to private and public institutions. The president of National Nurses did not respond yesterday to telephone messages left at his office.

Joyner-Taylor is in a school nurse program run by Children's School Services, a subsidiary of Children's National Medical Center.

In an Oct. 21 memo sent to the D.C. Health Department, Children's School Services concluded that Joyner-Taylor's actions surrounding Cindy's case did not violate nursing standards, said Ray Sczudlo, president and chief legal officer for the medical center. He said Joyner-Taylor has been a nurse for more than 20 years and has worked at Sharpe for more than nine years.


can you fucking believe this shit?

The girl goes to the nurse because she has problems breathing and the nurse has the nerve to send her back to class with a note to her mother to call the ER room. Why doesn't the nurse just call the ER in the first place?

Makes you wonder why kinda idiots are running the school system.

Green_Jade
08-21-2004, 02:58 PM
wtf..? does she know how to dial 911? How in the world did what she do not violate nursing standards?!..and who cares how long she's worked as a nurse.. she's clearly senile, and doesn't have the common sense a layperson has.

This makes me sick to my stomach..

Cipherous
08-21-2004, 03:16 PM
wtf..? does she know how to dial 911? How in the world did what she do not violate nursing standards?!..and who cares how long she's worked as a nurse.. she's clearly senile, and doesn't have the common sense a layperson has.

This makes me sick to my stomach..

seriously

push 3 buttons and utter like ten words and even ask the paramedics to come pick up the girl in the nursing room.

unless, theres some rule that states that the nurse can't send the child to the ER room (for whatever bureucratic reason), she could've made some attempt to contact the mother or somebody.

Banana
08-23-2004, 08:49 AM
The mistake most of you fall under is that you assume that the majority of humanity is somehow capable of doing the simplest of tasks.

Cipherous
08-26-2004, 11:49 PM
The mistake most of you fall under is that you assume that the majority of humanity is somehow capable of doing the simplest of tasks.

i don't think its a question of capablity, I think its a question of willingness or lack of.

truMp
08-27-2004, 12:09 AM
that's just ridiculous. dumbass alert? I don't know how much common sense you must lack to not be able to comprehend that the child is clearly in need of medical attention, especially since she has a disorder such as cerebral palsy. I'm really scared of the general population and how much common sense a lot of people lack out there; I just can't understand how they can be so ignoarant.

applehead
08-27-2004, 06:28 AM
what a tragic situtation.
i hope the foster parents take legal action.

Cipherous
08-27-2004, 09:45 AM
that's just ridiculous. dumbass alert? I don't know how much common sense you must lack to not be able to comprehend that the child is clearly in need of medical attention, especially since she has a disorder such as cerebral palsy. I'm really scared of the general population and how much common sense a lot of people lack out there; I just can't understand how they can be so ignoarant.

I am thinking the issue is that she didn't want to call the ER, two possible explanations

1) Either she was really really lazy, didn't want to fill out the paper work, call the foster mother, or didn't want the school to foot the bill. Basically, just apathetic to the poor girl

2) Or, Shes just really stupid

I am thinking its the former, nobody is that stupid.

rice cracker
08-27-2004, 10:35 AM
I know that school nurses can't do much, my school nurse couldn't even give us aspirin, but this one didn't even at least call the family. She should be sued for negligence.

Mr.Lum
08-27-2004, 01:06 PM
She should be fired and be barred from working with children or health services. How incompitent can you be?

deez nuts
08-27-2004, 03:08 PM
She should be fired and be barred from working with children or health services. How incompitent can you be?


seriously. it's really incompitent of her. it's not even a matter of being compitent. it's just common sense.

gotta wonder how compitent these school nurses really are.

applehead
08-27-2004, 04:12 PM
seriously. it's really incompitent of her. it's not even a matter of being compitent. it's just common sense.

gotta wonder how compitent these school nurses really are.
hahahahahahaha


I know that school nurses can't do much, my school nurse couldn't even give us aspirin, but this one didn't even at least call the family. She should be sued for negligence.

oh yeah. that's right.
school nurses aren't supposed to
give medicine.
i remember i had bad cramps and
she couldn't give me advil
so i had to suffer for an hour
in excruciating pain while my dad
came to pick me up.
my nurse friend makes fun of school nurses.

Cipherous
08-27-2004, 04:30 PM
I can understand not giving medicine because its against school rules. Some people are allergic (in some case, to an extreme) to asprin and what not. But this is a matter of doing your job as a school nurse, which is inform the parent of the child's condition. Especially, if the child needs to go to the emergency room.

truMp
08-27-2004, 05:18 PM
Nurses have the ability to call the child to the emergency room; it's not against policy. Which is why this nurse was extremely incompitent, she's probably feeling really guilty right now.

applehead
08-27-2004, 05:39 PM
incompetent.