On January 06, 2017 a
Exhibit,Appendix
was filed
involving a dispute between
Wanda Collado
As Parent And Natural Guardian Of A.P. An Infant,
and
The New York And Presbyterian Hospital,
for Torts - Medical, Dental, or Podiatrist Malpractice
in the District Court of New York County.
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FILED: NEW YORK COUNTY CLERK 04/15/2022 12:30 PM INDEX NO. 805008/2017
NYSCEF DOC. NO. 72 RECEIVED NYSCEF: 04/15/2022
EXHIBIT 11
FILED: NEW YORK COUNTY CLERK 04/15/2022 12:30 PM INDEX NO. 805008/2017
11NYSCEF DOC. NO. 72 RECEIVED NYSCEF: 04/15/2022
55
. Visit: 000057852 749 Gender: Female Current Location:
Age: 38y (07-Jan-1978) B06S-607-01
" Patient education Procedural steps reviewed with patient/tamily: patient
stated they understood risks and benefits of procedure
" Patient response Patient tolerated procedure welf ; no issues reported
Electronic Signatures:
Sierra, Lisa (Licensed Practical Nurse) (Signed 23-May-2014 04 06)
Authored: Allergies. Time Out and Procedure Note, Complete if Nurse performed
procedure
Last Updated: 23-May·2014 04:06 by Sierra, Lisa (Licensed Practical Nurse)
L&D Intra-operative Note [Charted Location: B10-1032] [Authored: 23-May-2014 -
04:06]
for Visit: 0D0057852 749, Complete, Revised, Signed in Full, General
Surgical Procedure:
" Surgical Procedure to be performed: Cesarean section
" Operative case status: Emergent
" Signed consent on chart: Yes
" Signed Transfusion consent on the Yes
chart:
" Time Patient in Operating Room: 03:29
" Operating Room: 2
" Patient's identification Bracelet Yes
matches consent form:
" Pre-Procedure Time Out Required Completed
Form:
" Fetal Heart Rate upon admission to 115
operating room:
" Anesthesia Type: Spinal
" Patient Position: L tilt
" Sequential Compression Device: Yes
" Forced Air Warming Device: No
" Foley Catheter Size 16 Fr
Names:
Surgeon/Obstetrician Name: Dr. Perera Time In: Time Out:.
SurgicaF Assistant Name: Ojalvo Time In: Time Out:.
Anesthesiologist Name #1: Gerber Time in: Time Out:.
Scrub Person Name: Sandra Obagyae Time In: Time Out:.
Circulating Nurse Name: Sierra Time In: Time Out:.
Pediatrician Personnel Name #1 : Hatch Time In: Time Out:.
Requested by B
Document Filed Date
April 15, 2022
Case Filing Date
January 06, 2017
Category
Torts - Medical, Dental, or Podiatrist Malpractice
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FILED: NEW YORK COUNTY CLERK 04/15/2022 12:30 PM INDEX NO. 805008/2017 NYSCEF DOC. NO. 72 RECEIVED NYSCEF: 04/15/2022 EXHIBIT 11 FILED: NEW YORK COUNTY CLERK 04/15/2022 12:30 PM INDEX NO. 805008/2017 11NYSCEF DOC. NO. 72 RECEIVED NYSCEF: 04/15/2022 55 . Visit: 000057852 749 Gender: Female Current Location: Age: 38y (07-Jan-1978) B06S-607-01 " Patient education Procedural steps reviewed with patient/tamily: patient stated they understood risks and benefits of procedure " Patient response Patient tolerated procedure welf ; no issues reported Electronic Signatures: Sierra, Lisa (Licensed Practical Nurse) (Signed 23-May-2014 04 06) Authored: Allergies. Time Out and Procedure Note, Complete if Nurse performed procedure Last Updated: 23-May·2014 04:06 by Sierra, Lisa (Licensed Practical Nurse) L&D Intra-operative Note [Charted Location: B10-1032] [Authored: 23-May-2014 - 04:06] for Visit: 0D0057852 749, Complete, Revised, Signed in Full, General Surgical Procedure: " Surgical Procedure to be performed: Cesarean section " Operative case status: Emergent " Signed consent on chart: Yes " Signed Transfusion consent on the Yes chart: " Time Patient in Operating Room: 03:29 " Operating Room: 2 " Patient's identification Bracelet Yes matches consent form: " Pre-Procedure Time Out Required Completed Form: " Fetal Heart Rate upon admission to 115 operating room: " Anesthesia Type: Spinal " Patient Position: L tilt " Sequential Compression Device: Yes " Forced Air Warming Device: No " Foley Catheter Size 16 Fr Names: Surgeon/Obstetrician Name: Dr. Perera Time In: Time Out:. SurgicaF Assistant Name: Ojalvo Time In: Time Out:. Anesthesiologist Name #1: Gerber Time in: Time Out:. Scrub Person Name: Sandra Obagyae Time In: Time Out:. Circulating Nurse Name: Sierra Time In: Time Out:. Pediatrician Personnel Name #1 : Hatch Time In: Time Out:. Requested by B