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Policy and Regulation in Practice

Legal Case Study: “Wrong Site Surgery”

A 60-year-elderly lady was set to go through a surgery called lumpectomy around her left bosom at a clinical office. The activity went off effortlessly. When the lady got up, she understood that her administrator had completed a mastectomy on the contrary bosom instead of a lumpectomy to her left side. The lady sued the clinical office and the specialist, claiming heedlessness, mental torment, and misuse.

Legal Issues

This particular instance’s legal concerns are intricate and multifaceted. The woman alleged that the healthcare facility and the medical professional failed to employ adequate diligence, skill, and prudence during the procedure to have surgery, which is a major legal issue. Negligence is a legal term that pertains to a person’s or a company’s failure to use adequate diligence, skill, and precaution when performing work or rendering a service. In this instance, the woman claimed that the healthcare facility and surgeon neglected to apply the appropriate medical treatment, skill, and prudence throughout the surgical process, causing the patient’s injury. The lady contended that the experience caused her serious close-to-home trouble, a legitimate worry. “Close-to-home trouble” is the mental aggravation that an individual endures because of someone else’s direction. In this example, the lady guaranteed that the experience caused her significant mental injury, which hurt her mental prosperity and well-being.

A further legal concern, in this case, is the battery, as the woman claims that the hospital and surgeon purposefully performed surgical treatment on the wrong bodily portion. The purposeful and unauthorized contact with another individual without their consent is called “battery.” In this instance, the woman claimed that the surgical treatment was battery since it was a deliberate and unauthorized contact with her internal organs against her permission. Overall, the legal problems raised in this case emphasize the significance of adhering to established regulations and norms in the healthcare profession (Gorski et al., 2021). Neglecting to do so can have serious ramifications for patients, staff, and hospitals. Medical personnel must use adequate diligence, skill, and caution when conducting their duties and following the rules, legislation, and industry norms to safeguard individuals from harm. Laws,

Regulations and Industry Standards

The Joint Commission (TJC) has enabled ways and standards to carry out surgical procedures to avoid wrong-site surgeries (Rohrmeier et al., 2022). The TJC necessitates a preparatory confirmation procedure to confirm the patient’s identification, surgery site, and treatment. Before the surgical procedure, the TJC requires a time-out process that verifies the person undergoing surgery’s belongings, the area of surgery, and the procedure (Rohrmeier et al., 2022). Recognizing Leda Evans et al. (2016), the American Nurses Association (ANA) has recommended nurses’ roles in avoiding wrong-site surgeries. The American Nurses Association suggests using the preceding confirmation process and the time-out strategy. Nurses should notify the surgical team of any differences or faults in the procedure. In addition, the hospital has guidelines and processes implemented to prevent wrong-site surgery. The preoperative validation process, the break during the procedure, and the surgeon’s obligation to mark the surgery site are among the rules and procedures.

Influence on Nursing Practice

This case’s legislation, statutes, and industry standards substantially impact nursing. Nurses are expected to participate in the preliminary confirmation process, the time-out technique, and the surgical site marking. Nurses must also report any differences or faults in the process of surgery. Gorski et al. (2021) assert that failure to follow these regulations, legislation, and industry requirements can seriously impact the nurse, the individual receiving care, and the institution.

Risk Mitigation Techniques

The medical facility might have utilized a few gamble moderation procedures to keep some unacceptable site medical procedures from happening. The medical clinic might have executed a careful agenda incorporating the preoperative check process, the breaking technique, and the stamping of the careful site. The emergency clinic might have likewise expected the specialist to sign the careful site, which would have given an extra layer of check. The clinic might have likewise given extra instruction and preparation to the careful group, including the medical caretakers, on the significance of the preoperative check process, the broken system, and the stamping of the careful site. According to Gorski et al. (2021), the emergency clinic should have additionally directed customary reviews to guarantee consistency with the approaches and methods, guidelines, regulations, and industry principles.

Actions the Nurse Could Have Taken

The attendant might have made a few moves to work on the result and increment consistency with the guidelines, regulations, or principles pertinent to the circumstance. The medical caretaker might have participated in the preoperative check and break strategy. The attendant might have conveyed any disparities or mistakes in the surgery to the careful group. The attendant might have likewise upheld the patient’s security by affirming the careful site and system with the careful group before the medical procedure.


The legitimate issues in the situation highlight the significance of medical care experts sticking to laid-out conventions and norms to safeguard patients from hurt. Carelessness, close-to-home trouble, and battery are serious lawful issues that can emerge when medical services experts neglect to practice sensible consideration, expertise, and mindfulness while playing out their obligations. To relieve these dangers, clinics and medical services associations should focus on preparing and schooling to guarantee that their staff knows the guidelines, regulations, and industry norms to safeguard patients (Gorski et al., 2021). Furthermore, emergency clinics can execute risk in the executive’s systems to keep occurrences from happening, for example, by making agendas and conventions for surgeries and guaranteeing that all staff individuals follow them.

Recognizing Gorski et al. (2021), medical caretakers can likewise assume a significant part in keeping legitimate issues from emerging by guaranteeing that they are completely mindful of the guidelines, regulations, and industry principles set up and by supporting their patients’ freedoms and security. By focusing on persistent security and following laid-out conventions, medical attendants can assist with keeping occurrences from happening, decrease the gamble of legitimate issues emerging, and at last, work on the nature of care given to patients. Generally, the medical services industry is vigorously managed, and it is fundamental for attendants and medical services experts to comprehend the legitimate issues and guidelines present in their neighborhood, guaranteeing that they are keeping industry guidelines and giving the ideal consideration to their patients.


Gorski, L. A., Hadaway, L., Hagle, M. E., Broadhurst, D., Clare, S., Kleidon, T., … & Alexander, M. (2021). Infusion therapy standards of practice. Journal of Infusion Nursing44(1S), S1-S224.

Leda Evans, B. S. N., Edtrina Moss, M. S. N., Ann, O., Seifert, P. C., & Terry Siek, M. S. N. (2016). Registered nurses as professionals, advocates, innovators, and collaborative leaders: executive summary. Online Journal of Issues in Nursing21(3), 1.

Rohrmeier, C., Abudan Al-Masry, N., Keerl, R., Bohr, C., & Mueller, S. (2022). A standardized marking procedure for ENT operations to prevent wrong-site surgery: development, establishment, and subsequent evaluation among patients and medical personnel. European Archives of Oto-Rhino-Laryngology279(11), 5423-5431.


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