Department File Number : | M201886746 |
Claim Number : | SM269942 |
Date Submitted : | 10/15/2018 |
Insurer Information | |||||
Insurer Name | Coverage Type | ||||
EVANSTON INSURANCE COMPANY | Primary | ||||
Insurer FEIN | Professional License Number | ||||
36-2950161 | |||||
Insurer Contact Information | |||||
Type | First Name | MI | Last Name | ||
Individual | CRYSTAL | L | ALSTON-BAYTON | ||
Street Address | |||||
4600 COX ROAD | |||||
City | State | Zip | |||
GLEN ALLEN | VA | 23060 | |||
Phone | Ext | Fax | E-Mail Address | ||
(804) 864 - 3731 | (855) 662 - 7535 | CALSTONBAYTON@MARKELCORP.COM |
Insured Information | |||||
Type | First Name | MI | Last Name | ||
Individual | SHARON | K | CLEMENTS | ||
Insurer Type | Street Address of Practice | ||||
Licensed | 4050 N 48TH AVE | ||||
City | State | Zip Code | County | ||
HOLLYWOOD | FL | 33021 | Broward | ||
Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
sm896735 | $1,000,000 | $3,000,000 | |||
Profession or Business | Other Profession or Business | ||||
Registered Nurse | |||||
License Number | Specialty Code & Classification | Certification Number | |||
ARNP2638962 | Internal Medicine - No Surgery |
Injured Person Information | |||||
First Name | MI | Last Name | Date of Birth | ||
Street Address | Gender | County where Injury Occurred | |||
M | Broward | ||||
City | State | Zip Code | |||
Location where injury occured | Other location where injury occured | ||||
Physician's Office | |||||
Name of Institution | Code | ||||
Location of Institutional Injury | Other Location of Institutional Injury | ||||
Special Procedure Room | |||||
Date of Occurrence | Date Reported to Insurer | ||||
3/16/2012 | 2/25/2014 |
Diagnostic Information | |||||
Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
LEG WOUNDS, INFECTION DIABETES TYPE II | |||||
Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
PT PRESCRIBED BACTRIM FOR INFECTED WOUNDS ON LEGS BY NURSE PRACTITIONER SHARON CLEMENTS | |||||
Diagnostic Code : | |||||
Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
DESPITE WELL DOCUMENTED ALLERGY TO SULFAR, PT WAS PRESCRIBED BACTRIM WHICH CONTAINS SULFER | |||||
Principal Injury Giving Rise To The Claim | |||||
Florida suit (Broward County) filed by surviving spouse of deceased male Claimant age 67, who was given prescription for Bactrim on March 16, 2012, which contains sulfur despite patient¿s allergy, by Insured's nurse practitioner Sharon Clements, leading to renal failure and death on June 13, 2012. The insured¿s records demonstrate a longstanding and well-documented history of decedent¿s allergy to sulfur yet Nurse Clements prescribed it to treat infected leg wounds. | |||||
Severity Of Injury | |||||
Permanent: Death. |
Legal Information | |||||
Date of Suit | Circuit Court Case Number | ||||
7/15/2014 | 14005073CACE | ||||
County Suit Filed in | Date of Final Disposition | ||||
Broward | 12/4/2017 | ||||
Other Defendants Involved in this Claim | |||||
WALGREEN CO | |||||
Stage of Legal System at which Settlement was Reached or Award Made | |||||
More than 90 days, after suit filed and prior to or during the course of mandatory settlement conference. | |||||
Final Method of Claim Disposition | |||||
Settled by parties | |||||
Court Decision | Other | ||||
No Court Proceedings. | |||||
Arbitration | |||||
Claim not subject to Arbitration. | |||||
Date of Payment | |||||
12/5/2017 |
Financial Information | |||||||||||||||||||||
Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
Indemnity Paid by Insurer on behalf of Insured | $350,000 | ||||||||||||||||||||
Loss Adjust Expense Paid to Defense Counsel | $112,503 | ||||||||||||||||||||
All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
Injured Person's Total Non-Economic Loss | $0 | ||||||||||||||||||||
Deductible | $5,000 | ||||||||||||||||||||
Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
NONE TAKEN |
Updates | |
No updates found. |
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Does Dr. SHARON K CLEMENTS, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. SHARON K CLEMENTS, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).