Dorene Klei

4                          DORENE KLEI,
       5           CALLED AS A WITNESS, BEING FIRST DULY SWORN,
       6              WAS EXAMINED AND TESTIFIED AS FOLLOWS:
       7                       DIRECT EXAMINATION
       8    BY MS. BARLOW:
       9    Q.  GET THIS PULLED OVER.  GOOD AFTERNOON.
      10    A.  HI.
      11    Q.  WOULD YOU PLEASE STATE YOUR NAME AND SPELL IT FOR THE
      12    RECORD?
      13    A.  DORENE, D-O-R-E-N-E, KLEI, K-L-E-I.
      14    Q.  IS IT KLEI?
      15    A.  KLEI.
      16    Q.  I'M SORRY.  I'VE BEEN PRONOUNCING IT KLEY ALL THIS TIME.
      17    I APOLOGIZE FOR THAT.  DORENE, WHAT IS YOUR OCCUPATION?
      18    A.  I'M A REGISTERED NURSE.
      19    Q.  AS A REGISTERED NURSE, WHAT MEDICAL -- OR EXCUSE ME,
      20    EDUCATIONAL BACKGROUND DO YOU HAVE?
      21    A.  I HAVE AN ASSOCIATION DEGREE IN NURSING.
      22    Q.  FROM WHERE?
      23    A.  SALT LAKE COMMUNITY, DAVIS.
      24    Q.  HOW LONG HAVE YOU BEEN AN R.N.?
      25    A.  SINCE '94.


                                                                       1387



       1    Q.  1994?  WHERE DO YOU WORK NOW?
       2    A.  MCKAY-DEE HOSPITAL.
       3    Q.  AND WHAT ARE YOUR DUTIES NOW?
       4    A.  I'M A CASE MANAGER ON CALL.
       5    Q.  BETWEEN 1994 WHEN YOU BECAME AN R.N. AND THE PRESENT,
       6    WHAT HAS BEEN YOUR EXPERIENCE IN NURSING?
       7    A.  I WORKED IN A NURSING HOME WAS MY FIRST NURSING
       8    EXPERIENCE FOR APPROXIMATELY ONE YEAR.  AND THEN WENT TO
       9    DAVIS WITH THE GEROPSYCH UNIT, AND I WAS WORKING THERE WHILE
      10    I WAS STILL AT THE NURSING HOME.
      11    Q.  SO YOU WERE --
      12    A.  UH-HUH.  I WAS PART TIME --
      13    Q.  -- WORKING --
      14    A.  -- AT DAVIS.
      15    Q.  -- PART TIME AT DAVIS.  THANK YOU.
      16             THE COURT:  EXCUSE ME.  THE -- CAN YOU SPEAK UP A
      17    LITTLE BIT?  IT'S HARD -- WE HAVE -- ARE YOU GONNA BE
      18    USING --
      19             MS. BARLOW:  I WILL.
      20             THE COURT:  OKAY.  THEN IF YOU COULD KIND OF JUST
      21    PROJECT YOUR VOICE.  IT'S HARD.  WE HAVE THIS PROJECTOR
      22    THAT'S MAKING SOME SOUNDS, SO IF YOU COULD SPEAK LOUDER AND
      23    KIND OF POINT TOWARD THE JURY, IT WOULD HELP.  THANK YOU.
      24    Q.  (BY MS. BARLOW)  HOW LONG WERE YOU AT DAVIS NORTH?
      25    A.  I BELIEVE IT WAS NINE MONTHS.


                                                                       1388



       1    Q.  WAS THAT AT THE GEROPSYCH UNIT?
       2    A.  YES.
       3    Q.  SINCE THAT TIME, WHERE YOU HAVE YOU BEEN WORKING?
       4    A.  AT MCKAY-DEE.
       5    Q.  AS CASE MANAGER THE FULL TIME?
       6    A.  NO.  I WENT THERE TO THE MEDICAL SURGICAL FLOOR.  AND I
       7    DID HAVE A ONE-YEAR STINT AT A DOCTOR'S OFFICE AND BACK AT
       8    MCKAY WHERE I'VE BEEN A CASE MANAGER FOR THE PAST TWO YEARS.
       9    Q.  DO YOU RECALL WHEN YOU STARTED AT THE GEROPSYCH UNIT?
      10    AT DAVIS NORTH?
      11    A.  THE DATES?
      12    Q.  MONTHS AT LEAST, MONTH AND YEAR?
      13    A.  I BELIEVE IT WAS FALL OF '95.
      14    Q.  AND WHEN DID YOU LEAVE?
      15    A.  JUNE OF '96.
      16    Q.  AND DO YOU RECALL WHY YOU LEFT THE UNIT?
      17    A.  I HAD AN OFFER AT MCKAY THAT I DIDN'T WANNA TURN DOWN.
      18    Q.  AND HAD YOU EVER WORKED IN A PSYCH UNIT BEFORE?
      19    A.  NO.
      20    Q.  HAVE YOU EVER WORKED IN ONE SINCE?
      21    A.  NO.
      22    Q.  HAVE YOU EVER BEEN TRAINED TO DO HOSPICE CARE?
      23    A.  NO.
      24    Q.  DID YOU RECEIVE ANY TRAINING OR EDUCATION REGARDING
      25    GEROPSYCHIATRIC MEDICATIONS?


                                                                       1389



       1    A.  NO.
       2    Q.  DID YOU -- WHILE YOU WERE AT DAVIS NORTH, DID YOU HAVE
       3    ANY IN-SERVICE TRAINING FOR WHERE YOU WERE WORKING?
       4    A.  I FOLLOWED A NURSE FOR I BELIEVE IT WAS TWO WEEKS.
       5    Q.  OKAY.  KIND OF LEARN ON THE JOB, AS IT WERE?
       6    A.  YEAH.
       7    Q.  WHEN YOU WERE AT THE GEROPSYCH UNIT, WHO WAS THE MEDICAL
       8    DIRECTOR?
       9    A.  I CAN'T RECALL HIS NAME.  HE WAS VERY TALL.
      10    Q.  OKAY.  WELBY JENSEN?  JUST A VERY TALL DOCTOR.  DID HE
      11    EVENTUALLY LEAVE THE UNIT?
      12    A.  NOT THAT I'M AWARE OF.
      13    Q.  DID THE DEFENDANT, ROBERT WEITZEL, EVER BECOME THE
      14    MEDICAL DIRECTOR?  No.
      15    A.  I DON'T BELIEVE HE WAS WHILE I WAS THERE.
      16    Q.  WHAT SHIFTS DID YOU WORK AT DAVIS NORTH?
      17    A.  3:00 TO 11:00.
      18    Q.  SO THAT WOULD BE CONSIDERED WHAT, THE EVENING --
      19    A.  EVENING SHIFT.
      20    Q.  -- EVENING SHIFT?  OKAY.  HOW MANY DAYS A WEEK WOULD YOU
      21    WORK PART TIME?
      22    A.  I BELIEVE IT WAS TWO.
      23    Q.  YOU RECALL -- I'D LIKE TO CALL YOUR ATTENTION TO
      24    DECEMBER AND JANUARY, DECEMBER '95 TO JANUARY '96.  DO YOU
      25    EVER RECALL SEEING A PATIENT NAMED ENNIS ALLDREDGE?


                                                                       1390



       1    A.  NO RECOLLECTION.  
       2    Q.  IF YOU CHARTED HIM AT ALL, YOU DON'T HAVE ANY
       3    RECOLLECTION OTHER THAN WHAT'S IN THE CHARTS, IS THAT
       4    CORRECT?
       5    A.  CORRECT.
       6    Q.  IN FRONT OF YOU IS A BINDER THAT HAS ENNIS ALLDREDGE'S
       7    NAME ON IT.  IF WOULD YOU TURN TO THAT, AND IF YOU WOULD
       8    OPEN IT TO PAGE 65, MED NUMBER 00065.  DID YOU MAKE ANY
       9    NOTATIONS ON 65, 66, AND 67?
      10    A.  ON -- IS THAT A -- IS THIS A DATE, FIVE SIXTY-SIX?
      11    Q.  I'M SORRY, ON PAGE NUMBER 65.
      12    A.  YES.
      13    Q.  ARE ANY OF THOSE NOTATIONS YOUR OWN?
      14    A.  YES.
      15    Q.  WHAT ABOUT ON 66, ARE THOSE YOUR OWN?
      16    A.  YES.
      17    Q.  AND 67?
      18    A.  YES.
      19    Q.  DOES LOOKING AT THAT GIVE YOU ANY RECOLLECTION OF HAVING
      20    WORKED WITH MR. ALLDREDGE DURING THIS TIME PERIOD, I GUESS
      21    IT WOULD BE THE 11TH OF JANUARY?
      22    A.  NO.
      23    Q.  OKAY.  I THINK THE LAST PAGE NUMBER -- LET'S SEE, WHAT
      24    DO I NEED TO TURN ON HERE, JOHN?  ON, OFF?
      25             MR. MAY:  ON.


                                                                       1391



       1             MS. BARLOW:  OKAY.  THANK YOU VERY MUCH.  BE THERE
       2    SHORTLY.  OKAY.  HERE WE GO.
       3    Q.  WHAT'S THE DATE OF THAT ENTRY?
       4    A.  WHAT PAGE ARE YOU ON?
       5    Q.  I'M SORRY, I'M ON PAGE 67.
       6    A.  11 -- 1/11/96.
       7    Q.  AND THEN APPEARS AT 2220, YOU WROTE THAT PATIENT WAS
       8    AWAKE AND AGITATED, IS THAT CORRECT?
       9    A.  YES.
      10    Q.  AND THEN 2230, REMAINS AGITATED, AND THEN YOU GAVE AN
      11    INJECTION, IS THAT CORRECT?
      12    A.  YES.
      13    Q.  DID YOU -- DO YOU KNOW WHAT ATIVAN IS USED FOR?
      14    A.  TO CALM PATIENTS. 
      15    Q.  WAS THIS A P.R.N. OR AS NEEDED ORDER OR WAS THIS A NOW 
      16    ORDER?						       
      17    A.  I WOULD NEED TO LOOK AT OTHER RECORDS TO BE ABLE TO
      18    ANSWER THAT.
      19    Q.  DID IT HAVE ANY EFFECT THEN, THE SHOT THAT YOU GAVE?
      20    A.  ON THE CHART AT 2300, IT CALMED HIM DOWN, NO LONGER
      21    AGITATED.
      22    Q.  SO IT DID, IT WAS EFFECTIVE?
      23    A.  IT WAS EFFECTIVE, IT WOULD APPEAR.
      24    Q.  NOW, THE NEXT PATIENT THAT ALPHABETICALLY IS ELLEN
      25    ANDERSON.  DID YOU HAVE ANYTHING -- WERE YOU ON SHIFT AT ALL


                                                                       1392



       1    WHEN ELLEN ANDERSON WAS ON THE UNIT?
       2    A.  I DON'T RECALL.
       3    Q.  AND IF THERE ARE NO -- IF YOUR INITIALS DON'T APPEAR
       4    ANYWHERE IN THE RECORD, WHAT WOULD THAT SIGNIFY?
       5    A.  THAT I WASN'T ON DUTY.
       6    Q.  OKAY.  LET'S LOOK AT MARY CRANE.  TURN TO MED RECORD
       7    306, PAGE 306, IT'S UNDER THE NURSING NOTES.  DID YOU MAKE
       8    ANY NOTATIONS ON THAT PAGE?
       9    A.  YES, I DID.
      10    Q.  WHAT DATE WAS THAT?
      11    A.  12/28/95.
      12    Q.  AND WHICH PART OF THAT IS YOUR NOTATION?
      13    A.  1800 AND 2000 NOTES.
      14    Q.  AND THEN THOSE ARE YOUR -- THAT'S YOUR NAME?
      15    A.  YES.
      16    Q.  OKAY.  WHAT DID YOU -- WHAT DID YOU PROVIDE FOR MARY
      17    CRANE?
      18    A.  LOOKS LIKE I GAVE HER TYLENOL FOR A HEADACHE. 
      19    Q.  AND WAS IT EFFECTIVE?                         
      20    A.  IT LOOKS LIKE IT WAS HELPFUL.  HEADACHE BETTER.
      21    Q.  DO YOU RECALL MARY CRANE BY NAME OR BY -- DO YOU RECALL
      22    WORKING WITH HER AT ALL?
      23    A.  I DON'T.
      24    Q.  ARE YOU FAMILIAR WITH THE FACT THAT MARY CRANE HAD A
      25    DURAGESIC PATCH ORDERED FOR HER?


                                                                       1393



       1    A.  NOT WITHOUT GOING THROUGH THE RECORDS, NOT OFF THE TOP
       2    OF MY HEAD.
       3    Q.  IT IS ASKING YOU A LOT TO REMEMBER, ALL THESE PEOPLE
       4    FIVE YEARS AGO.  IF YOU WOULD TURN TO PAGE 282, WHICH IS IN
       5    THE MEDS SECTION.  ABOUT A THIRD OF THE WAY DOWN, TO THE
       6    LEFT YOU HAVE A DATE AND AT THE TOP SAYS, ORDER DATE.  WHAT
       7    DOES THAT MEAN?
       8    A.  THAT'S THE DATE THE DOCTOR ORDERED.
       9    Q.  AND THEN IT HAS A STOP DATE NEXT TO IT.  WHAT DOES THAT
      10    MEAN?
      11    A.  THAT'S -- IF I RECALL CORRECTLY, WE HAD TO HAVE A
      12    RENEWAL OF THE ORDERS AT THAT TIME.
      13    Q.  SO THE START DATE WAS THE 28TH?
      14    A.  UH-HUH.
      15    Q.  AND THE STOP DATE WAS THE 31ST.  THEN IT SAYS, DURAGESIC
      16    PATCH, 25 MILLIGRAMS.  CHANGE EVERY THREE DAYS IN THE
      17    EVENING BEGINNING 12/28.  OVER HERE IS A CIRCLE WITH NOTHING
      18    IN IT.  DO YOU KNOW WHAT THAT MEANS?
      19    A.  THE SQUARE?
      20    Q.  A SQUARE, EXCUSE ME?
      21    A.  THAT MEANS THAT'S WHEN IT SHOULD HAVE BEEN GIVEN, BUT
      22    THERE'S NO INITIALS, SO IT LOOKS LIKE THAT DOSE --
      23    Q.  I'M SORRY, I CAN'T HEAR YOU VERY WELL.
      24    A.  IT LOOKS LIKE -- THE SQUARE INDICATES THAT'S THE DATE
      25    AND TIME THAT SHOULD HAVE BEEN GIVEN, BUT WITH NO INITIALS,


                                                                       1394



       1    IT WOULD LOOK LIKE IT WASN'T GIVEN.
       2    Q.  SO THAT PATCH WAS NOT PUT ON?
       3    A.  THAT'S WHAT IT LOOKS LIKE.
       4    Q.  AND THEN UNDERNEATH IT SAYS DURAGESIC PATCH, 50
       5    MICROGRAMS, NOT MILLIGRAMS, BUT MICROGRAMS, AND IT LOOKS
       6    LIKE THERE'S SOME SCRATCHES OUT HERE.  CAN YOU TELL WHAT
       7    THOSE ARE SAYING?
       8    A.  THE TIMES LOOK LIKE THEY'RE LINED OUT.  AND IT LOOKS
       9    LIKE IT WAS CHANGED FROM 2000 TO 1900.  THE OTHER WRITING
      10    UNDER MY INITIALS IS NOT MY WRITING.
      11    Q.  IS THAT YOUR INITIAL THEN?
      12    A.  IN THE BOX, YES.
      13    Q.  IN THE BOX.  DOES THAT INDICATE YOU PUT THAT PATCH ON?
      14    A.  YES.
      15    Q.  AND UNDERNEATH IT SAYS, FELL OFF?
      16    A.  AND THAT'S NOT MY WRITING.
      17    Q.  OKAY.  BUT IT DOES SAY, FELL OFF 0800?
      18    A.  I CAN'T --
      19    Q.  OKAY.  YOU CAN'T TELL IF THAT --
      20    A.  IT'S NOT THAT LEGIBLE TO ME.
      21    Q.  OKAY.  THANK YOU.  BUT YOU DID PUT THAT DURAGESIC PATCH
      22    ON?
      23    A.  THAT'S WHAT IT WOULD LOOK LIKE FROM THE INITIALS.
      24    Q.  DO YOU KNOW -- ARE YOU FAMILIAR WITH WHAT DURAGESIC IS?
      25    A.  IT'S A PAIN MEDICATION.


                                                                       1395



       1    Q.  IS IT -- DOES IT COMPARE -- WELL, WHAT KIND OF PAIN
       2    MEDICATION?
       3    A.  NARCOTIC.
       4    Q.  A NARCOTIC?  WHAT ABOUT MORPHINE?
       5    A.  NARCOTIC PAIN MEDICATION.
       6    Q.  IF WOULD YOU TURN BACK TO PAGE NUMBER 322, DID YOU MAKE
       7    THAT NOTE?
       8    A.  YES.
       9    Q.  WHAT DATE WAS THAT?
      10    A.  1/4/96.
      11    Q.  AND IT LOOKS LIKE 2010, WHICH WAS WHAT, 8:10 IN THE
      12    EVENING?
      13    A.  UH-HUH.
      14    Q.  YOU WRITE, COUGHING PROFUSELY, AUDIBLE WET LUNG SOUNDS.
      15    DO YOU RECALL WHAT YOU WERE HEARING AT THAT TIME?
      16    A.  WET LUNGS SOUNDS.
      17    Q.  OKAY.  DO YOU KNOW WHAT WET LUNG SOUNDS ARE CAUSED BY?
      18    A.  WELL, WHEN A PATIENT ASPIRATES, THEY HAVE WET LUNG
      19    SOUNDS.  CONGESTIVE HEART FAILURE, WHEN THEY -- WATER BACK
      20    UP INTO THE LUNGS CAN CAUSE WET LUNG SOUNDS.
      21    Q.  LET'S -- ASPIRATION IS A TERM THAT WE'VE HEARD QUITE A
      22    BIT HERE AND I'M NOT SURE THAT WE HAVE TOTALLY EXPLAINED IT
      23    TO THE JURY.  WHAT IS AN ASPIRATION?
      24    A.  SUCKING SOMETHING DOWN INTO THE WINDPIPE THAT DOESN'T
      25    BELONG THERE, DOWN INTO THE LUNGS.


                                                                       1396



       1    Q.  SO --
       2    A.  SECRETIONS --
       3    Q.  -- WHEN WE SWALLOW DOWN THE WRONG PIPE, THAT'S WHAT
       4    YOU'RE TALKING ABOUT?
       5    A.  YEAH.
       6    Q.  DOES THAT HAPPEN WITH ELDERLY PEOPLE?
       7    A.  YES.  CAN HAPPEN WITH ANYBODY.
       8    Q.  CAN HAPPEN WITH ANYONE, THAT'S TRUE.  AND THEN YOU SAY
       9    CONGESTIVE HEART FAILURE ALSO CAN CAUSE THAT, IS THAT
      10    CORRECT?
      11    A.  UH-HUH.
      12    Q.  AND BASED ON YOUR NURSING KNOWLEDGE, WHAT IS CONGESTIVE
      13    HEART FAILURE?
      14    A.  IT'S WHEN THE HEART IS NOT PUMPING VERY STRONGLY, THE
      15    FLUIDS IN THE BLOODSTREAM BACK UP INTO THE LUNGS.
      16    Q.  AND THEN WE'VE LEARNED THAT THIS SYMBOL MEANS NO OR NONE
      17    OR ZERO.
      18    A.  RIGHT.
      19    Q.  AND CYANOSIS NOTED.  WHAT'S THAT?
      20    A.  CYANOSIS IS A BLUISH DISCOLORATION THAT PEOPLE WILL
      21    EXHIBIT WHEN THEY DON'T HAVE ENOUGH OXYGEN.
      22    Q.  THEN YOU WRITE DOWN AT 2015, PATIENT COUGHING UP THICK
      23    MUCOUS BROWN FROM FOOD OR APPLESAUCE, AND THEN YOU HAVE A
      24    QUESTION MARK.  WHY WOULD YOU WRITE THAT?
      25    A.  BECAUSE I WOULD REALLY HAVE NO WAY OF KNOWING WHAT SHE


                                                                       1397



       1    WAS BRINGING UP.  IT WAS A GUESS.
       2    Q.  THEN AFTER SHE COUGHED, SHE WAS LESS DISTRESSED?
       3    A.  RIGHT.
       4    Q.  AFTER THAT SHE RESTED QUIETLY, IT APPEARS, AND THEN YOU
       5    LISTEN AND DECREASED LUNG SOUNDS.  MAYBE LITTLE EDUCATION
       6    AGAIN.  SAYS SCATTERED -- THAT LOOKS LIKE RALES?
       7    A.  UH-HUH.
       8    Q.  WHAT IS RALES?
       9    A.  IT'S AN ABNORMAL LUNG SOUND.  HARD TO DESCRIBE.  WHEN
      10    YOU HAVE FLUID IN YOUR LUNGS, KIND OF RATTLING.
      11    Q.  NOW, DOWN AT THE BOTTOM AT 2205, YOU SAY THE PATIENT'S
      12    BEEN SOMEWHAT QUIET AND SOMEWHAT GLASSY EXPRESSION OR STARE.
      13    OCCASIONALLY YELLS OUT, HELP ME.  AND THEN YOU GO ON TO THE
      14    NEXT PAGE.  WHEN ASKED WHAT SHE NEEDS, DOES NOT ANSWER.
      15    WERE YOU ABLE TO GET FROM HER WHAT -- WHAT HER CONCERN OR
      16    HER PROBLEM WAS AT THAT TIME?
      17    A.  NOT FROM THOSE NOTES RIGHT THERE, IT DOESN'T LOOK LIKE
      18    IT.
      19    Q.  NOW, IF YOU'LL TURN TO PAGE 327, AND THAT APPEARS TO BE
      20    THE 6TH OF JANUARY.  2200, YOU WROTE, PATIENT HAS MOANED,
      21    OH, HELP ME, MUCH OF THE SHIFT.
      22         WERE YOU ABLE TO TELL WHAT HER PROBLEM WAS, WHAT SHE
      23    NEEDED HELP WITH?
      24    A.  IT SAYS, WHEN I ASKED HER, SHE DOES NOT VERBALIZE HER
      25    NEEDS.


                                                                       1398



       1    Q.  SHE HAS TAKEN HER MEDS, HER MEDICATIONS AS ORDERED.  HAS
       2    NOT STRUCK OUT AT STAFF.  HOWEVER, GRABS HOLD OF WHOMEVER IS
       3    NEAR.  AND THEN YOU'VE GOT ADMINISTERED MEDS AS ORDERED.
       4    PATIENT DOES NOT VERBALIZE NEEDS.  MOANS -- MOANED MOST OF
       5    SHIFT.  P.R.N. PAIN MED GIVEN.  
       6         DO YOU RECALL WHAT PAIN MED THAT WAS?
       7    A.  NOT WITHOUT LOOKING AT THE MEDICATION SHEET.
       8    Q.  MAYBE I CAN GET THAT.  MAYBE BEING THE OPERATIVE WORD.
       9         PROBABLY NOT GOING TO BE ABLE TO FIND IT, SO I'LL GO
      10    ONTO SOMETHING ELSE HERE.  DO YOU REMEMBER JUDITH LARSEN?
      11    A.  NO.
      12    Q.  A PATIENT ON THE UNIT?  IF YOU WOULD TURN TO MED NUMBER
      13    577.
      14    A.  ARE WE IN A NEW BOOK?
      15    Q.  YES, I'M SORRY, WE ARE IN THE JUDITH LARSEN BINDER.  IT
      16    APPEARS TO BE THE 30TH OF DECEMBER.  WOULD YOU READ THAT
      17    FIRST?  IT LOOKS LIKE IT IS 1650.
      18    A.  YEAH.
      19    Q.  SO IT WOULD BE 4:50 IN THE AFTERNOON?
      20    A.  UH-HUH.
      21    Q.  WOULD YOU READ THAT FIRST ENTRY THAT YOU HAVE THERE?
      22    A.  LUNG SOUNDS DECREASED IN BASES BILATERALLY.
      23    Q.  AND THEN THE NEXT ONE?
      24    A.  PATIENT'S RESPIRATIONS IRREGULAR, CHEYNE-STOKING.  OPENS
      25    EYES TO NAME.  RESTING QUIETLY.


                                                                       1399



       1    Q.  WHAT'S CHEYNE-STOKING?  AND I GETS THAT'S C-H-E-Y-N-E?
       2    A.  UH-HUH.
       3    Q.  WHAT IS CHEYNE-STOKES?
       4    A.  IT'S AN ABNORMAL BREATHING PATTERN WHERE THEY'LL HAVE
       5    PERIODS OF APNEA OR NO BREATHING, AND THEN THEY'LL BREATHE
       6    AGAIN.  AND IT SORT OF CRESCENDOS AND --
       7    Q.  SO IT'S -- OKAY.  I THINK THAT -- BUT OTHER THAN THAT,
       8    SHE'D BEEN RESTING QUIETLY THAT WHOLE SHIFT, LOOKS LIKE, IS
       9    THAT CORRECT?
      10    A.  YES.
      11    Q.  DO YOU KNOW, BASED ON YOUR NURSING BACKGROUND, WHAT
      12    CAUSES CHEYNE-STOKES RESPIRATIONS?
      13    A.  MY ONLY EXPERIENCE WITH IT IS END-OF-LIFE BREATHING
      14    PATTERN.
      15    Q.  TURN BACK TO 497.  THIS IS WHAT'S BEEN REFERRED TO AS A
      16    MARS.  ARE YOU FAMILIAR WITH THAT TERM?
      17    A.  YES.
      18    Q.  MEDICAL ADMINISTRATION RECORD?  IT APPEARS HERE THAT WE
      19    HAVE MORPHINE, 5 MILLIGRAMS I.M., EVERY FOUR HOURS AROUND
      20    THE CLOCK.  THAT WAS ORDERED FOR THE -- WELL, IT'S ORDERED
      21    ON THE 30TH, AND THEN THIS FIRST COLUMN IS THE 30TH.  WAS
      22    THAT ORDER GIVEN?
      23    A.  AT WHICH TIME?
      24    Q.  THE 1430 AND THE 1830?
      25    A.  IT WOULDN'T APPEAR TO BE.  IT'S NOT SIGNED UP AS BEING


                                                                       1400



       1    GIVEN.
       2    Q.  AND THEN UNDERNEATH THAT IS ANOTHER ORDER FOR 5
       3    MILLIGRAMS AROUND THE CLOCK AT 2360, ET CETERA.  THEN WE'VE
       4    GOT 1430, 1830, AND 2230.  DID YOU GIVE ANY OF THOSE
       5    DOSAGES?
       6    A.  I DON'T SEE MY INITIALS THERE, SO NO.
       7    Q.  DO YOU REMEMBER LYDIA SMITH?
       8    A.  I DO NOT.
       9    Q.  DID YOU EVER WITHHOLD ANY DOSES OF NARCOTICS FOR ANY OF
      10    THESE PATIENTS THAT YOU KNOW OF?
      11    A.  WITHOUT LOOKING AT THE RECORDS, I COULDN'T -- I
      12    WOULDN'T -- I COULDN'T KNOW.
      13    Q.  DID YOU EVER HAVE OCCASION TO TALK TO DR. WEITZEL
      14    DIRECTLY ABOUT -- OR SUGGESTING ANY CONCERNS ABOUT PATIENT
      15    CARE OR MONITORING?
      16             MR. STIRBA:  YOUR HONOR, I'M GONNA OBJECT.
      17    QUESTION IS --
      18             THE COURT:  RELATING IT TO THESE FIVE?
      19             MR. STIRBA:  YEAH.
      20             MS. BARLOW:  TO THESE FIVE, YES -- WELL, OR TO THIS
      21    TIME PERIOD.
      22             MR. STIRBA:  YOUR HONOR, I'M GONNA OBJECT --
      23             THE COURT:  OKAY.  WELL, THESE FIVE --
      24    Q.  (BY MS. BARLOW)  DO YOU RECALL EVER TALKING TO
      25    DR. WEITZEL ABOUT PATIENT CARE OR MONITORING OF THESE FIVE


                                                                       1401



       1    PATIENTS?
       2    A.  NOT -- I DON'T REMEM -- HAVE ANY SPECIFIC RECOLLECTIONS
       3    OF --
       4    Q.  THAT'S WHAT I'M ASKING.  I RECOGNIZE, YOU KNOW, AND I
       5    DON'T KNOW THAT WE WANT TO GO THROUGH EVER PAGE --
       6    A.  OF SUCH CONVER -- YEAH, I HAVE NO RECOLLECTION OF SUCH
       7    CONVERSATIONS REGARDING ANY OF THESE PATIENTS.
       8             MS. BARLOW:  YOUR HONOR, I'M ASSUMING FROM THAT
       9    LAST RULING THAT I WILL NOT BE ALLOWED TO BRING IN ANYTHING
      10    ABOUT ANY OTHER PATIENTS IN THIS TIME FRAME --
      11             MR. STIRBA:  YOUR HONOR --
      12             MS. BARLOW:  -- IS THAT CORRECT?
      13             THE COURT:  WELL, ASK THE QUESTION.  I MEAN, I --
      14    THERE WAS AN OBJECTION TO A CERTAIN QUESTION AND I RULED ON
      15    THAT, SO ASK YOUR NEXT QUESTION.
      16    Q.  (BY MS. BARLOW)  DID YOU EVER REFUSE TO GIVE ANY
      17    MORPHINE THAT WAS ORDERED BY DR. WEITZEL?
      18             MR. STIRBA:  YOUR HONOR, I'M GONNA OBJECT.
      19             THE COURT:  SUSTAINED.
      20    Q.  (BY MS. BARLOW)  NOW, SOME OF THESE -- SOME OF THESE
      21    SPECIFIC PATIENTS WERE GIVEN 10 MILLIGRAMS OF MORPHINE --
      22             MR. STIRBA:  YOUR HONOR, I'M GONNA OBJECT.  IT'S
      23    LEADING AND SUGGESTIVE.
      24             MS. BARLOW:  IT'S MERELY FOUNDATIONAL, YOUR HONOR.
      25             THE COURT:  WELL, LET'S HEAR THE -- OVERRULED.

             
                                                                       1402



       1    LET'S ASK THE QUESTION.
       2    Q.  (BY MS. BARLOW)  ARE YOU FAMILIAR WITH MORPHINE?
       3    A.  YES, I AM.
       4    Q.  AND THE DOSAGE OF MORPHINE?
       5    A.  YES, I AM.
       6    Q.  YOU WORKED IN A NURSING HOME, IS THAT CORRECT?
       7    A.  YES.
       8    Q.  AT THE NURSING HOME, WAS MORPHINE EVER ADMINISTERED?
       9             MR. STIRBA:  OBJECTION.  RELEVANCY, YOUR HONOR.
      10    THERE'S NO FOUNDATION THAT THIS WITNESS EVEN GAVE AN
      11    INJECTION OF MORPHINE TO ANY OF THESE FIVE PATIENTS.
      12             THE COURT:  SUSTAINED.
      13    Q.  (BY MS. BARLOW)  AS I INDICATED, 10 MILLIGRAMS WAS
      14    GIVEN.  DO YOU HAVE -- BASED ON YOUR NURSING EXPERIENCE, DO
      15    YOU HAVE AN OPINION AS TO THE -- WHETHER THAT'S AN
      16    APPROPRIATE DOSE FOR AN ELDERLY PATIENT?  
      17             MR. STIRBA:  OBJECTION.  FOUNDATION, COMPETENCY,          
      18    INAPPROPRIATE, AND IRRELEVANT HYPOTHETICAL NOT RELATED TO
      19    THESE FIVE PATIENTS.
      20             THE COURT:  SUSTAINED.
      21    Q.  (BY MS. BARLOW)  DID YOU EVER HEAR DR. WEITZEL RESPOND
      22    TO EITHER YOU OR TO ANY OTHER OF THE NURSES DURING THIS
      23    RELEVANT TIME PERIOD TO A QUESTION ABOUT THE AMOUNT OF
      24    MEDICATION THAT WAS BEING GIVEN TO THESE PATIENTS?
      25             MR. STIRBA:  YOUR HONOR -- YOUR HONOR, I'M GONNA


                                                                       1403



       1    OBJECT.
       2             THE COURT:  ARE YOU SAYING TO THESE PATIENTS?
       3             MS. BARLOW:  YES.
       4             THE COURT:  OKAY.
       5             THE WITNESS:  COULD YOU REPEAT THE QUESTION PLEASE?
       6    Q.  (BY MS. BARLOW)  I'M NOT SURE I CAN, BUT I'LL TRY.  DID
       7    YOU EVER HEAR DR. WEITZEL RESPOND TO ANY -- ANYBODY
       8    QUESTIONING THE AMOUNT OF MEDICATIONS BEING GIVEN TO THESE
       9    PATIENTS?
      10    A.  NO.
      11             MS. BARLOW:  WITH THAT, I HAVE NO FURTHER
      12    QUESTIONS, YOUR HONOR.
      13             THE COURT:  MR. STIRBA.
      14             MR. STIRBA:  THANK YOU, YOUR HONOR.
      15             MS. BARLOW:  WELL, JUST A SECOND, YOUR HONOR, MAYBE
      16    I HAVE -- NO, I'M THROUGH, YOUR HONOR.
      17             THE COURT:  OKAY.  MR. STIRBA.
      18             MR. STIRBA:  THANK YOU, YOUR HONOR.
      19                       CROSS-EXAMINATION
      20    BY MR. STIRBA:
      21    Q.  GOOD AFTERNOON, MISS KLEE.
      22    A.  IT'S KLEI.
      23    Q.  KLEI.  IS IT PART OF THE NURSING FUNCTION TO AT TIMES
      24    MAKE AN ASSESSMENT OF THE DEATH AND DYING PROCESS?
      25    A.  COULD YOU CLARIFY THAT QUESTION?


                                                                       1404



       1    Q.  SURE.  IS IT PART OF YOUR NURSING DUTIES AS A NURSE TO
       2    AT TIMES MAKE AN ASSESSMENT OF THE DEATH AND DYING PROCESS
       3    IN A PATIENT?
       4    A.  I'M NOT SURE I UNDERSTAND THE QUESTION.
       5    Q.  OKAY.  ARE YOU FAMILIAR WITH THE CARE PLAN THAT NURSES
       6    RECOGNIZE FOR DEATH AND DYING?
       7    A.  A CARE PLAN SPECIFICALLY FOR DEATH AND DYING?  NO, I'M
       8    NOT --
       9             MS. BARLOW:  YOUR HONOR, OBJECTION.  IT'S NOT
      10    REFERRING TO THESE SPECIFIC PATIENTS.
      11             THE COURT:  OKAY.  SHE SAID SHE DIDN'T KNOW.
      12             MR. STIRBA:  SHE DOESN'T KNOW.
      13    Q.  DO YOU STILL HAVE THE MARY CRANE BINDER IN FRONT OF YOU?
      14    A.  YES, I DO.
      15    Q.  AND IF YOU COULD AGAIN GO TO 322, MED-00322, WHICH IS
      16    THE NOTE YOU TESTIFIED CONCERNING ON 1/4 OF '96.
      17             THE COURT:  FOR THE RECORD, WE SHOULD SAY THAT THIS
      18    WITNESS HAS THE BEST HANDWRITING.
      19             MR. STIRBA:  NO QUESTION ABOUT IT.  SHE SHOULD BE
      20    UP HERE FOR HOURS.
      21    Q.  MISS KLEE, ON THAT ONE, YOU NOTED PATIENT COUGHING
      22    PROFUSELY.  AUDIBLE WET LUNG SOUNDS.  NOTED TRANSFER TO BED.
      23    AND THEN YOU PUT ZERO CYANOSIS NOTED.  IS THAT FACE
      24    REDDENED?
      25    A.  YES.


                                                                       1405



       1    Q.  OKAY.  AND THEN YOU INDICATE, DR. WEITZEL NOTIFIED.
       2    ORDERED TO NOTIFY R.T. FOR -- T.X. IS TREATMENT?
       3    A.  YES.
       4    Q.  AND THEN R.T. NOTIFIED.  SUCTION SET UP AT BEDSIDE IF
       5    NEEDED.  DID I READ THAT CORRECTLY?
       6    A.  WITH THE EXCEPTION, THE AUDIBLE WET LUNG SOUNDS CAME
       7    AFTER TRANSFER TO BED.  YOU LEFT OUT THE AFTER.
       8    Q.  OH, OKAY.  I APPRECIATE THAT.  SO IT'S TRUE, IS IT NOT,
       9    THAT ON THIS OCCASION AFTER YOU ASSESSED WHAT YOU HEARD IN
      10    TERMS OF THE AUDIBLE WET LUNG SIGNS, YOU NOTIFIED DR.
      11    WEITZEL, IS THAT CORRECT?
      12    A.  THAT'S CORRECT.
      13    Q.  AND THEN IN RESPONSE TO A CONVERSATION WITH DR. WEITZEL,
      14    THEN YOU CONTACTED A RESPIRATORY THERAPIST, IS THAT TRUE?
      15    A.  PER HIS ORDERS, THAT'S CORRECT.
      16    Q.  AND THEN THE RESPIRATORY THERAPIST WAS CALLED IN AND
      17    ENGAGED IN THE SUCTIONING THAT YOU DESCRIBE IN YOUR NOTE, IS
      18    THAT CORRECT?
      19    A.  I CAN'T ANSWER TO THAT.  I JUST SAY THAT SUCTION SET UP
      20    AT BEDSIDE IF NEEDED.
      21    Q.  OKAY.  I APPRECIATE THAT.  NOW ALSO ON THIS PAGE, DOWN
      22    TOWARDS THE BOTTOM HERE -- MAKE SURE I GET IT ALL UP
      23    THERE -- THERE'S AN ENTRY UNDER 2200 HOURS, PATIENT TURNED
      24    ONTO LEFT SIDE.  RESTING QUIETLY AND EYES OPEN.
      25    RESPIRATIONS EVEN AND UNLABORED.  DECREASED LUNG SOUND AND


                                                                       1406



       1    BASES --
       2    A.  WITH.
       3    Q.  WITHOUT, IS THAT WHAT THAT IS?
       4    A.  NO, IT'S WITH.
       5    Q.  WITH, I'M SORRY.  WHAT IS THAT WORD?
       6    A.  INSPIRATORY.
       7    Q.  SCATTERED RALES, SLASH, WHEEZES THROUGHOUT.  DAUGHTER
       8    KAREN NOTIFIED OF INCIDENT.  DOES THAT MEAN THAT YOU
       9    NOTIFIED THE DAUGHTER?
      10    A.  IT MEANS THAT KNOWING MY CHARTING, I PROBABLY UPDATED
      11    HER OF THE -- THE COUGHING INCIDENT.
      12    Q.  AND IN THIS -- GIVEN WHAT YOU HAVE READ, CAN YOU TELL
      13    US, WAS THERE A PARTICULAR REASON WHY YOU NOTIFIED KAREN AT
      14    THIS TIME?
      15    A.  IT'S MY STANDARD OF PRACTICE TO UPDATE FAMILY MEMBERS OF
      16    CHANGES OR EVENTS WITH THEIR FAMILY MEMBERS.
      17    Q.  AND YOU THOUGHT THIS -- THIS I GUESS LUNG CONGESTION WAS
      18    A SIGNIFICANT ENOUGH CHANGE THAT YOU THOUGHT IT WAS
      19    APPROPRIATE TO NOTIFY THE FAMILY?
      20    A.  YES.
      21    Q.  NOW, THERE'S ANOTHER ENTRY HERE THAT I WANNA SEE IF IT'S
      22    IN MISS JUDITH LARSEN'S BINDER.  DO YOU HAVE THAT IN FRONT
      23    OF YOU AS WELL?
      24    A.  YES, I DO.
      25    Q.  AND I THINK IT'S GOING TO BE IN THE NURSES' NOTE SECTION


                                                                       1407



       1    AND IT WOULD BE ON THE 30TH OF DECEMBER OF 1995.
       2    A.  DO YOU HAVE A PAGE?
       3    Q.  I CAN'T GIVE YOU A MED NUMBER JUST YET, BUT I'LL TRY.
       4    YEAH IT WOULD BE MED-00577 IS THE ACTUAL PAGE NUMBER.  DO
       5    YOU HAVE THAT?
       6    A.  YES, I DO.
       7    Q.  AND I'LL DISPLAY IT UP HERE AGAIN.  AND WHAT I'M
       8    PARTICULARLY GONNA CALL YOUR ATTENTION TO, MISS KLEE, IS THE
       9    ENTRY AT 2100 HOURS.  AND IN YOUR WRITING, IT'S NOTED,
      10    CALLED SON, GAVE -- I THINK THAT'S STATUS.  IT'S KIND OF CUT
      11    OFF THERE.  DOES THAT LOOK LIKE STATUS?
      12    A.  YES.
      13    Q.  YES.  REPORT ON PATIENT'S CONDITION.  SON, MERLIN,
      14    STRESSED THAT, QUOTE, ONLY WISHED TO KEEP HER COMFORTABLE,
      15    UNQUOTE, AND THEN YOUR SIGNATURE.  DID I READ THAT
      16    CORRECTLY?
      17    A.  YES.
      18    Q.  IS THERE ANY SIGNIFICANCE TO THE FACT THAT YOU HAVE ONLY
      19    WISHED TO KEEP HER COMFORTABLE IN QUOTES?
      20    A.  THAT'S WHAT HE SAID.
      21    Q.  OKAY.  SO YOU'RE ATTEMPTING TO PUT IN YOUR NOTE VERBATIM
      22    WHAT THE CONVERSATION -- A PORTION OF THE CONVERSATION WAS,
      23    IS THAT RIGHT?
      24    A.  THAT'S CORRECT.
      25    Q.  AND CAN YOU TELL US WHY YOU WOULD HAVE CALLED THE SON,


                                                                       1408



       1    MERLIN, ON THIS OCCASION ABOUT THE CONDITION OR THE STATUS
       2    REPORT OF MS. LARSEN?
       3    A.  AGAIN, UPDATING A FAMILY MEMBER.  EARLIER I HAVE CHARTED
       4    THAT SHE WAS CHEYNE-STOKING.  SO AN UPDATE ON HER CONDITION.
       5    Q.  AND I -- IF I HEARD YOU CORRECTLY, AND I MAY NOT HAVE,
       6    BUT I THINK YOU SAID THAT ON DIRECT EXAMINATION THAT
       7    CHEYNE-STOKE -- STOKING OR CHEYNE-STOKE BREATHING, YOU
       8    ASSOCIATE WITH END OF LIFE?
       9    A.  YES.
      10    Q.  AND SO WAS IT IN RESPONSE TO WHAT YOU PERCEIVED TO BE AN
      11    EVENT THAT YOU ASSOCIATE WITH END OF LIFE THAT YOU THEN
      12    NOTIFIED THE SON, MERLIN?
      13    A.  KNOWING THAT MY NURSING STYLE AND MY CHARTING, THIS    
      14    PATIENT WOULD HAVE ALREADY BEEN IN THE COMFORT CARE PHASE. 
      15    THAT'S WHY WHEN SHE'S CHEYNE-STOKING, YOU'LL -- I DIDN'T
      16    CALL THE DOCTOR, KNOWING ME, HE ALREADY IS AWARE OF HER
      17    CONDITION.  BUT I WANT TO AT SOME POINT DURING MY SHIFT GIVE
      18    AN UPDATE OF WHERE THIS PATIENT'S AT TO HIS -- TO THE
      19    PATIENT'S FAMILY MEMBER.
      20    Q.  AND THE COMFORT CARE PHASE, WOULD YOU EXPLAIN THAT, WHAT
      21    YOU MEAN TO THE JURY?
      22    A.  IT MEANS THAT WE'RE NOT -- THE DOCTOR* HAS GIVEN US  (really the family)
      23    INSTRUCTIONS, WE'RE NOT DOING AGGRESSIVE TREATMENTS.  WE'RE
      24    NOT DOING THINGS LIKE, IF THEY HAD AN INFECTION, WE'RE NOT
      25    GONNA GIVE AN ANTIBIOTIC.  WE'RE JUST GOING TO KEEP THE


                                                                       1409



       1    PATIENT COMFORTABLE.
       2    Q.  AND ARE THERE CERTAIN RESPONSIBILITIES THAT YOU HAVE AS
       3    A NURSE DURING THIS PHASE?
       4    A.  KEEPING THE PATIENT COMFORTABLE.
       5    Q.  AND CAN YOU TELL US PLEASE MAYBE WHAT SOME OF THOSE
       6    THINGS WOULD BE IN TERMS OF NURSING CARE?
       7    A.  PAIN MEDICATIONS IF NEEDED AND ORDERED.  TURNING A
       8    PATIENT BECAUSE THEY'RE NOT GOING TO BE ABLE TO TURN
       9    THEIRSELVES AT THIS POINT IN LIFE.  ORAL CARE.  KEEPING THEM
      10    CLEAN AND DRY.  KEEPING THE BED LINENS STRAIGHT SO THEY'RE
      11    NOT LYING ON WRINKLES AND LUMPS.  COMFORT CARE.
      12    Q.  NOW, IN THIS PARTICULAR ENTRY IN THIS NOTE WHERE YOU
      13    QUOTED THE SON, MERLIN, WHO ONLY WISHED TO KEEP HER
      14    COMFORTABLE, DO YOU HAVE -- DO YOU HAVE AN UNDERSTANDING AS
      15    YOU SIT HERE TODAY OF WHAT HE WAS TELLING YOU?
      16    A.  YES.  TO KEEP HER COMFORTABLE.
      17    Q.  AND DO --
      18    A.  NOT WANTING AGGRESSIVE TREATMENTS.
      19    Q.  I SEE.  AND THE NOTE UP HERE, IT SAYS IT 12/30/95.  THAT
      20    WOULD HAVE BEEN THE DATE WHEN THIS CONVERSATION TOOK PLACE
      21    AT 2100 HOURS APPROXIMATELY?
      22    A.  YES.
      23    Q.  YOU WERE SHOWN -- IF I CAN FIND IT.  OKAY.  I'VE FOUND
      24    IT.  IT'S IN WHAT'S MISS LARSEN'S BINDER, AND IT WAS THAT
      25    MEDICATION ADMINISTRATION SHEET WHICH WAS AT 497.  IT'S THE


                                                                       1410



       1    SAME ONE THAT COUNSEL SHOWED YOU ON DIRECT.  AND WHAT I
       2    REALLY WANNA FOCUS YOU IN ON AND ASK YOU ABOUT IS, FOR
       3    EXAMPLE, IF YOU LOOK AT THE ENTRIES ON 12/30 -- AND THERE
       4    ARE VARIOUS MEDICATIONS.  FOR EXAMPLE, IT LOOKS LIKE
       5    BETAGAN, SYNTHROID, ISOSORBIDE, SURFAK, SERZONE, AND
       6    RISPERDAL, FOR THAT DAY 12/30.  AND IT SEEMS LIKE IN MOST
       7    COLUMNS AND AREAS, THERE'S A CIRCLE AROUND THE INITIALS.  DO
       8    YOU SEE THAT?
       9    A.  YES.
      10    Q.  COULD YOU TELL US WHAT THE SIGNIFICANCE IS IF ANY OF THE
      11    CIRCLE?
      12    A.  NOT GIVEN.  IT MEANS NOT GIVEN.
      13    Q.  SO, FOR EXAMPLE, IF THIS WERE CLEAR, IF I LOOK IN 12/30,
      14    AND I LOOK UNDER SYNTHROID WHICH IS THE FIRST ENTRY I
      15    BELIEVE THAT IS ACTUALLY CIRCLED, AT 8:00 O'CLOCK THERE'S A
      16    TIME AND THEN THERE'S A CIRCLED INITIAL, THAT MEDICATION WAS
      17    NOT GIVEN, IS THAT TRUE?
      18    A.  CORRECT.
      19    Q.  AND THEN I NOTICE, TOO, ON THIS DOCUMENT, MISS KLEE,
      20    THERE ARE SOME NUMBERS.  FOR EXAMPLE, IF YOU LOOK AT
      21    ISOSORBIDE, AND IF YOU GO 12/31, AND YOU KIND OF GO DOWN, IT
      22    LOOKS LIKES THERE'S THE NUMBERS 3, 6 IN ONE COLUMN AND THEN
      23    5, 6 IN ANOTHER COLUMN.  CAN YOU TELL US WHAT THOSE
      24    REPRESENT?
      25    A.  WELL, THAT COLUMN SAYS CODE, AND IF YOU LOOK UP THE TOP


                                                                       1411



       1    MIDDLE OF THAT PAGE, IT SAYS NONADMINISTRATION CODES.  AND
       2    THE NUMBER TELLS YOU THE REASON FOR NOT GIVEN.
       3    Q.  I SEE.  SO THERE IS A CODE REFERENCE HERE THAT RELATES
       4    TO THESE NUMBERS IN THE VARIOUS COLUMNS UNDER CODE, AND THEY
       5    REPRESENT ANOTHER REASON AS CODED FOR WHY THE MEDICATION WAS
       6    NOT GIVEN.
       7    A.  CORRECT.
       8    Q.  FOR EXAMPLE, IT'S TRUE, IS IT NOT, THAT ONE OF THE CODES
       9    IS WHERE THE PATIENT JUST REFUSES THE MEDICATION, IS THAT
      10    RIGHT?
      11    A.  YES.
      12    Q.  AND THERE MAY BE OTHER CIRCUMSTANCES SIMILAR TO THAT
      13    WHERE THE MEDICATION JUST IS NOT GIVEN, IS THAT RIGHT?
      14    A.  CORRECT.
      15             MR. STIRBA:  THANK YOU.  THAT'S ALL I HAVE.  THANK
      16    YOU, MA'AM.
      17             THE COURT:  ANY REDIRECT?
      18             MS. BARLOW:  JUST A COUPLE OF MATTERS, YOUR HONOR,
      19    JUST FOLLOWING UP ON THAT.
      20                       REDIRECT EXAMINATION
      21    BY MS. BARLOW:
      22    Q.  IF YOU CAN KEEP YOUR FINGER IN THAT SPACE BECAUSE WE'LL
      23    COME BACK TO IT.
      24    A.  I SHUT IT.
      25    Q.  OH, OKAY.  THEN IF YOU WILL OPEN TO 577 --


                                                                       1412



       1    A.  WHICH PATIENT?
       2    Q.  I'M SORRY, THE ONE WE WERE JUST TALKING ABOUT, JUDITH
       3    LARSEN.  THANK YOU.  ARE YOU THERE?
       4    A.  YES.
       5    Q.  OKAY.  577 YOU WROTE AT 2240, MEDS HELD THIS SHIFT AS DO
       6    NOT FEEL PATIENT ALERT ENOUGH TO SWALLOW.
       7         AND WHAT WOULD THAT MEAN?
       8    A.  PATIENT WAS NOT ALERT ENOUGH TO SWALLOW.
       9    Q.  SO ANY BY MOUTH MEDICATIONS IS WHAT YOU'RE TALKING
      10    ABOUT.
      11    A.  YES.
      12    Q.  OKAY.  IF YOU'LL TURN TO 579, WHICH ACTUALLY IS A
      13    CONTINUATION OF 577, BUT ANOTHER ONE GOT STUCK IN THE
      14    MIDDLE, SAYS, NO SKIN BREAKDOWN NOTED.  OPENS EYES TO NAME.
      15    DOES NOT RESPOND VERBALLY.  CONTINUE TO ADMINISTER I.M.
      16    MORPHINE AS ORDERED.  THEN TURN EVERY TWO HOURS.  ORAL CARE,
      17    AND THAT SORT OF THING.  DO YOU SEE ANYTHING IN THIS RECORD
      18    INDICATING THAT HE WAS IN ANY -- THAT SHE, EXCUSE ME, THAT
      19    JUDITH LARSEN WAS IN ANY PAIN AT THAT TIME?
      20    A.  FROM THE PLAN NOTE?
      21    Q.  FROM -- FROM THESE NOTES HERE.
      22    A.  CAN I HAVE A MINUTE TO READ THEM?
      23         YOU'RE ASKING ME ON 12/30 ON MY SHIFT IF THERE'S
      24    ANYTHING THAT INDICATES THAT SHE WAS IN PAIN --
      25    Q.  IS THERE ANYTHING IN YOUR NOTES THAT INDICATES JUDITH


                                                                       1413



       1    LARSEN WAS EXPERIENCING ANY PAIN AT THAT TIME?
       2    A.  NOT PAIN, BUT I KNOW THAT CHEYNE-STOKING SOMETIMES CAN
       3    BE -- APPEAR TO BE UNCOMFORTABLE FOR A PATIENT.
       4    Q.  BUT YOU DIDN'T NOTE THAT THE PATIENT APPEARED TO BE
       5    UNCOMFORTABLE.
       6    A.  NO, I DIDN'T NOTE THAT.
       7    Q.  THEN LET'S GO BACK TO 497.  AND AGAIN, THIS IS ONE WE'VE
       8    BEEN LOOKING AT.  AND THIS FIRST COLUMN IS 12/30.  YOU SEE
       9    THAT MOST OF THE -- WELL, ALL OF THE BY MOUTH MEDS WERE
      10    HELD -- EXCUSE ME, EXCEPT FOR THIS ONE UP HERE.
      11    A.  THAT'S AN EYE DROP.
      12    Q.  PARDON ME?
      13    A.  THAT TOP ONE IS AN EYE DROP.
      14    Q.  AND AN EYE DROP.  OKAY.  THAT'S WHY IT WAS NOT HELD, I'M
      15    SURE.  WE GET DOWN HERE TO THE INJECTION, AND 1430, 1830,
      16    AND 2230, THAT MORPHINE WAS ADMINISTERED, IS THAT CORRECT?
      17    A.  YES.
      18    Q.  AND WHO TOLD YOU THAT COMFORT CARE WAS APPROPRIATE FOR
      19    JUDITH LARSEN AT THIS TIME?
      20    A.  THAT WOULD HAVE COME FROM THE DOCTOR.
      21    Q.  NOW, YOU INDICATED THAT COMFORT CARE MEANT PAIN
      22    MEDICATIONS AS NEEDED, IS THAT CORRECT?
      23    A.  CORRECT.
      24    Q.  BUT ON THIS, ON 579, YOU SAID CONTINUE TO ADMINISTER
      25    I.M. MORPHINE AS ORDERED.  WAS THAT P.R.N.?


                                                                       1414



       1         MAYBE IT WOULD BE JUST AS EASY IF I PUT THIS -- IF WE
       2    LOOK BACK AT 497, WHICH IS UP HERE IF YOU DON'T WANNA TRY TO
       3    FIND IT AGAIN, THIS MORPHINE SULFATE 5 MILLIGRAMS I.M. EVERY
       4    FOUR HOURS AROUND THE CLOCK.  WAS THAT P.R.N.?
       5    A.  NO.  THAT'S EVERY FOUR HOURS.
       6    Q.  SO YOU GAVE THAT -- YOU GAVE THAT INJECTION.
       7    A.  I DIDN'T.  THOSE AREN'T MY INITIALS.
       8    Q.  OH, EXCUSE ME.  YOU INDICATE THAT THIS INJECTION WAS
       9    GIVEN.
      10    A.  THAT'S THE PLAN THAT YOU'RE READING.  THAT'S OUR PLAN.
      11    THAT DOESN'T -- P. PART OF OUR CHARTING IS NOT WHAT WE'VE
      12    DONE; IT IS WHAT OUR PLAN IS.  AND IF THE DOCTORS ORDERED IT
      13    FOR PAIN, THEN WE WOULD CONTINUE TO FOLLOW HIS ORDER FOR
      14    PAIN.
      15    Q.  OKAY.  THANK YOU.  I THINK THAT -- OH, AND MR. STIRBA
      16    ASKED YOU ABOUT THE NURSING PLAN.
      17    A.  THE CARE PLAN.
      18    Q.  THE CARE PLAN, EXCUSE ME.  BUT -- NO, I THINK I'M
      19    THROUGH, YOUR HONOR.
      20             THE COURT:  OKAY.  ANYTHING FURTHER OF THIS
      21    WITNESS?
      22             MR. STIRBA:  JUST BRIEFLY.
      23                       RECROSS-EXAMINATION
      24    BY MR. STIRBA:
      25    Q.  MISS KLEE, YOU STILL THAT HAVE 12/30/95 NOTE IN FRONT OF


                                                                       1415



       1    YOU?
       2    A.  THE NURSES' NOTE.
       3    Q.  YES.
       4    A.  YES, I DO.
       5    Q.  YOU ALSO GO ON TO SAY, AND I THINK IT'S CLEAR, IS IT
       6    NOT, THAT WHAT YOU ARE CHARTING THERE, IT SAYS P. FOR PLAN,
       7    CONTINUE TO ADMINISTER I.M. MORPHINE AS ORDERED.  YOU WERE
       8    NOT INDICATING THERE THAT YOU IN FACT GAVE MS. LARSEN AT
       9    THIS POINT AN INJECTION FOR MORPHINE, TRUE?
      10    A.  CORRECT.
      11    Q.  AND IN FACT, THE MEDICAL ADMINISTRATION RECORD FOR THE
      12    12/30/95 DATE INDICATES THAT YOU DID NOT IN FACT GIVE HER AN
      13    INJECTION ON THIS DAY, TRUE?
      14    A.  CORRECT.
      15    Q.  SO YOU'RE JUST ESSENTIALLY DEALING PROSPECTIVELY WITH
      16    THE PLAN AND CHARTING IT APPROPRIATELY, CORRECT?
      17    A.  YES.
      18    Q.  THEN YOU INDICATE, PROVIDE FREQUENT ORAL CARE, AND OF
      19    COURSE THAT'S -- THAT'S PART OF COMFORT MEASURE CARE?
      20    A.  YES.
      21    Q.  AND THEN YOU SAY KEEP M.D. FAMILY AWARE OF PATIENT'S
      22    STATUS.
      23         IS THERE A PARTICULAR REASON WHY UNDER THIS
      24    CIRCUMSTANCE YOU WOULD NOTE THAT YOU WERE GOING TO ADVISE
      25    THEM, THE M.D., WHICH I ASSUME WOULD BE DR. WEITZEL, AND THE


                                                                       1416



       1    FAMILY OF COURSE, MS. LARSEN'S FAMILY OF THE STATUS AS YOU
       2    INDICATE?
       3    A.  WELL, THE DOCTOR, IN CASE THE PATIENT NEEDS ANYTHING, IF
       4    WE'RE NOT MEETING THEIR NEEDS, HE COULD GIVE US APPROPRIATE
       5    ORDERS.  THE FAMILY, YOU HAVE A PATIENT THAT IS DYING.  IT
       6    WOULD BE NICE AS YOU'RE GETTING CLOSER TO LET THEM KNOW THAT
       7    THEY MAY WANNA BE THERE WITH THE PATIENT.
       8    Q.  YOU THEN GO ON TO SAY, MONITOR FOR SKIN BREAKDOWN.
       9         COULD YOU TELL US THE SIGNIFICANCE OF THAT PLEASE?
      10    A.  THAT'S ANOTHER -- CAN BE ANOTHER COMFORT CARE MEASURE.
      11    PATIENT'S NOT GONNA BE TURNING THEIRSELVES AT THIS POINT, SO
      12    IT'S OUR RESPONSIBILITY TO LOOK AT THEIR SKIN AND MAKE SURE
      13    THEY DON'T HAVE BREAKDOWN BECAUSE PRESSURE SORES ARE COMMON
      14    WHEN A PATIENT CAN'T CHANGE POSITION BY THEMSELVES.
      15             MR. STIRBA:  OKAY.  THANK YOU, MA'AM.  THAT'S ALL I
      16    HAVE.
      17             THE COURT:  ANYTHING FURTHER?
      18             MS. BARLOW:  NOTHING FURTHER, YOUR HONOR.
      19             THE COURT:  OKAY.  MAY THIS WITNESS BE EXCUSED?
      20             MS. BARLOW:  YES, PLEASE.

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