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12 CA Hospitals Fined for Immediate Jeopardy Violations

Cheryl Clark, for HealthLeaders Media, September 8, 2011

"Medical doctor 1 acknowledged the guide wire should be held at all times during a central line placement (and...) stated he must have been distracted and accidently let go of the guide wire sometime during the process."

Emanuel was fined $75,000. This was Emanuel's second penalty

6. At Kaiser Foundation Hospital & Rehabilitation Center, Vallejo, in Solano County, a patient who underwent cataract surgery received a lens intended for another patient, the state found. "A second surgery was required to remove the wrong lens," state documents said, resulting in "increased risk for complications including infection, a second procedure, prolonged healing of the eye and patient discomfort.


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State documents said that the patient complained about the pain, saying it "felt like sand in his eye."

Kaiser Vallejo was fined $50,000. This was Kaiser's second penalty.

7. At Los Angeles County-University of Southern California Medical Center, Los Angeles, in Los Angeles County, a 48-year-old patient suffering severe burns over 32% of his body developed difficulty breathing and required endotracheal intubation after a certified registered nurse anesthetist placed the patient "under general anesthesia without consultation by the supervising physician," state documents said.

"This resulted in significant change to Patient A's neurological status after surgery" and "severe anoxic brain injury."

State documents said the patient had been assessed an anesthesia score of 4, indicating high risk for anesthesia, which could lead to death.

LA County hospital policy requires that CRNAs have physicians present for induction for all anesthesia, and if the faculty is busy with another case, permission to begin alone is required.

LA County was fined $50,000. This was LAC+USC's fourth penalty.

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