| Department File Number : | M201677430 |
| Claim Number : | 2014544221 |
| Date Submitted : | 3/2/2016 |
| Insurer Information | |||||
| Insurer Name | Coverage Type | ||||
| OCEANUS INSURANCE COMPANY, A RISK RETENTION GROUP | Primary | ||||
| Insurer FEIN | Professional License Number | ||||
| 20-1066914 | |||||
| Insurer Contact Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | Karen | M | Richards | ||
| Street Address | |||||
| 2980 Wentworth Drive | |||||
| City | State | Zip | |||
| St. Charles | MO | 63301 | |||
| Phone | Ext | Fax | E-Mail Address | ||
| (314) 514 - 2570 | n/a | (314) 514 - 2577 | Karen.Richards@sedgwickcms.com | ||
| Insured Information | |||||
| Type | First Name | MI | Last Name | ||
| Individual | TERESA | L | CARROLL | ||
| Insurer Type | Street Address of Practice | ||||
| Licensed | 4476 101st Ave. | ||||
| City | State | Zip Code | County | ||
| Pinellas Park | FL | 33782 | Pinellas | ||
| Policy Number | Per Claim Policy Limits | Aggregate Policy Limits | |||
| I000939 | $250,000 | $750,000 | |||
| Profession or Business | Other Profession or Business | ||||
| Other | CRNA | ||||
| License Number | Specialty Code & Classification | Certification Number | |||
| ARNP1438982 | |||||
| Injured Person Information | |||||
| First Name | MI | Last Name | Date of Birth | ||
| Street Address | Gender | County where Injury Occurred | |||
| F | Hillsborough | ||||
| City | State | Zip Code | |||
| Location where injury occured | Other location where injury occured | ||||
| Hospital Outpatient Facility | |||||
| Name of Institution | Code | ||||
| TAMPA BAY REGIONAL SURGERY CENTER | 14960483 | ||||
| Location of Institutional Injury | Other Location of Institutional Injury | ||||
| Operating Suite | |||||
| Date of Occurrence | Date Reported to Insurer | ||||
| 11/11/2013 | 11/4/2014 | ||||
| Diagnostic Information | |||||
| Final Diagnosis For Which Treatment Was Sought Including Patient's Actual Condition | |||||
| Pt. present4ed for colonoscopy with possible biopsy/polyectomy. She had a history of Crohn's disease, fatty liver, GERD, hiatal hernia, hyperlipidemia, osteoarthritis and small bowel obstruction. She was a smoker and was obese. | |||||
| Operation, Diagnostic, Or Treatment Procedure Rendered Causing The Injury | |||||
| A code was called , the patient was ambu'd, atropine was administered, chest compressions started and the pt. was intubated. Her status improved and she was transferred to the hospital by ambulance. | |||||
| Diagnostic Code : | |||||
| Misdiagnosis Made, If Any, Of Patient's Actual Condition | |||||
| Before administering anesthesia, Carroll made the supervising anesthesiologist aware that the capnograph was not functioning but was directed to proceed without the use of the capnograph. During the colonoscopy, other monitoring equipment began to act erratically. Carroll monitored the pt. during the procedur ande eventually observed a decrease in her heart rate. | |||||
| Principal Injury Giving Rise To The Claim | |||||
| It was alleged that Carroll had not been properly supervised by the anesthesiologist. | |||||
| Severity Of Injury | |||||
| Temporary: Minor - Infections, misset fracture, fall in hospital. Recovery delayed. | |||||
| Legal Information | |||||
| Date of Suit | Circuit Court Case Number | ||||
| *NR | |||||
| County Suit Filed in | Date of Final Disposition | ||||
| *NR | 9/30/2015 | ||||
| Other Defendants Involved in this Claim | |||||
| Stage of Legal System at which Settlement was Reached or Award Made | |||||
| Within the pre-suit period as set forth in 766.106 (more than 90 days before suit is filed). | |||||
| Final Method of Claim Disposition | |||||
| Settled by parties | |||||
| Court Decision | Other | ||||
| No Court Proceedings. | |||||
| Arbitration | |||||
| Claim not subject to Arbitration. | |||||
| Date of Payment | |||||
| 9/30/2015 | |||||
| Financial Information | |||||||||||||||||||||
| Was there a settlement Resulting in payment to the Plaintiff? | Yes | ||||||||||||||||||||
| Indemnity Paid by Insurer on behalf of Insured | $250,000 | ||||||||||||||||||||
| Loss Adjust Expense Paid to Defense Counsel | $27,361 | ||||||||||||||||||||
| All Other Loss Adjustment Expense Paid | $0 | ||||||||||||||||||||
| Injured Person's Total Non-Economic Loss | $75,000 | ||||||||||||||||||||
| Deductible | $0 | ||||||||||||||||||||
| Injured Person's Total Economic Loss | |||||||||||||||||||||
| |||||||||||||||||||||
| Safety Management Steps Taken by Insured to Make Similar Occurrence Less Likely | |||||||||||||||||||||
| Review procedure with staff so this doesn't happen in the future. | |||||||||||||||||||||
| Updates | |
| No updates found. |
*NR: Prior to 04/28/1999 this field was not required in submitted claims. This page is not displaying certain sensitive information.
Does Dr. TERESA L CARROLL, MD have any medical malpractice cases, lawsuits, or complaints?
Dr. TERESA L CARROLL, MD has at least 1 medical malpractice case(s), lawsuit(s), or complaint(s).