Transferring a patient: A double-edged sword for both hospitals
- In order to avoid dumping the mismanagement of the patient on the other hospital, both hospitals must record the conditions in which they transferred/ received the patient and the reasons for the same
- Law clearly states the anesthesia should be administered by qualified anesthetists only and not by the surgeon themselves
- Every hospital must be well stocked in terms of emergency kits and facilities to handle expected common complications in surgeries
- The name and dose of the anesthesia drug must be documented and patient consent must clearly state the type of anesthesia
- Postoperative care must be undertaken promptly as any delay in contacting with the appropriate consultant is considered as negligence.
The patient was admitted for right-sided stapedectomy in an ENT surgeon's hospital and was operated on the same day by the ENT surgeon under local anesthesia administered by the ENT surgeon himself. Next day, the patient collapsed coming out of the bathroom and had convulsions after which he was transferred to another hospital where they declared the "patient brought dead."
Findings of the court
The court agreed with the allegation that the patient died in the ENT surgeon's hospital, and was thereafter transferred to another hospital. It also held the ENT surgeon negligent for administering local anesthesia instead of contacting a qualified anesthetist