Nurse's mix-up may have led to veteran's death at Ann Arbor VA, investigators say

Report: Nurse told team man had 'do not attempt to resuscitate' status

By Shawn Ley - Reporter, Derick Hutchinson

ANN ARBOR, Mich. - A sick veteran who went to the Ann Arbor Veterans Affairs for open-heart surgery suffered a heart attack and stopped breathing after the operation.

A Veterans Affairs investigation found that several times in the veteran's room, a nurse mistakenly told the team that the man had a "do not attempt to resuscitate" status.

The investigation found that, "Since all team members were under the mistaken belief that the patient's code status was DNAR, no CPR was initiated per protocol. The patient was pronounced dead at 1:35 p.m."

The staff reviewed the veteran's status and found that the nurse had made a deadly mistake, according to investigators.

Investigators found that the veteran was the only person on his floor who wasn't on a heart monitor. Patients are supposed to be placed on a heart monitor after open-heart surgery.

You can watch Shawn Ley's full story in the video posted above.

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