GMU The Big City Primary Care Md Group Satellite Facility Discussion 2. The Big City Primary Care Md. Group, located in Big City, is considering opening a

GMU The Big City Primary Care Md Group Satellite Facility Discussion 2. The Big City Primary Care Md. Group, located in Big City, is considering opening a satellite office in Little Town (a population of 8000, most of whom work at the factory) about 150 miles from Big City’s group office. In doing so, the group wants to open the facility with two Physician assistants a Graduate Nurse practitioner, two nurses and a medical assistant. The Big City Primary Care Group comes to your law firm and seeks guidance on what issues they will face regarding licensure, liability, supervision and any medical boards or other boards concerns. Address each concern.

3. Big City Hospital has opened a satellite birthing facility in Little Town, a small town about 150 miles from Big City hospital. The birthing center has two nurses, two nurses midwifes and one Ob/Gyn, Md. The hospital has advertised to the residents of Little Town that the new facility is nothing more than an extension of Big City hospital as there will be constant communication for all medical concerns, including the 24-hour availability of helicopter transport. On December 20, Rosa enters the facility to give birth to her daughter. On duty are Nurse Jane, Nurse Midwife Alice and Dr. Shell. Over the last several months both Nurse Jane and Nurse Midwife Alice have been very concerned about Dr. Shell. They both have worked with him for 5 years and noticed recently his hands were shaking and he had an alcohol smell on his breath all the time. As Nurse Jane and Midwife Alice readied Rosa for delivery the baby breached and they knew the delivery would require a “C” section and called for Dr. Shell. Dr. Shell arrived and both the Nurse and Midwife smelled alcohol on his breath. During the incision to perform the “C” section Dr. Shell was shaking and the scalpel hit an Artery on Rosa and cut the baby. Nurse midwife yelled, I knew one day his drinking would result in a major issue. Bleeding could not be controlled. When the artery was first cut, Nurse Jane knew Dr. Shell was in trouble and called Big City hospital for the helicopter to transport. (if they had done that both could have been saved by timely transfusions). Both the on duty pilots and backup pilots could not be located and no helicopter was dispatched. As a result, neither Dr. Shell, the Nurse midwife or the Nurse could stop the bleeding and both Rosa and the baby died. The family of Rosa comes to your law firm and wants to know if they have any action for the death of both against:

Nurse Jane

Nurse Midwife

Dr. Shell

Big City Hospital

Furthermore, should Dr. Shell be concerned about any criminal action that might be taken by Little Town’s District Attorney?