The Medical Handoff Error That Went Wrong | The Tragic Case of Jennifer Nibarger

Petal Palmer January 26, 2025
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Petal Palmer

@petalpalmer

About

Welcome! I tell stories of true medical cases, crime and mysteries of history. My name is Petal Palmer, I’m a pre-med student and cancer patient and I hope to raise awareness for the various stories of patients and healthcare workers that shaped the world today. If you enjoy true storytelling, you've come to the right place. Join me as I share real stories and discuss the ethics of medical mysteries, true crime, malpractice, rare diagnoses and hospital horror from around the world.

Video Description

After a terrible boating accident, 47 year old Jennifer Nibarger was was left in the hospital with life-threatening injuries. But after 7 weeks and 3 different healthcare facilities, it was finally looking like she would be able to go home. However, it was soon after they did one more routine exam, when her discharge plans were put on hold. Jennifer's condition began to get worse. Soon after, there'd be a major communication error during the medical handoffs of Jennifer. And after a misdiagnosis and multiple transfers between different hospital units, her care team(s) would continue missing the signs that something was wrong, effectively giving her treatment that only exacerbated her already worsening condition. I’m Petal Palmer and I bring you stories of medical cases and mysteries from around the world. If you enjoy learning about true stories involving medical mysteries, malpractice and true crime cases of history, subscribe to my channel for more stories like this. Patreon: https://www.patreon.com/PetalPalmer SOCIALS: Instagram - https://www.instagram.com/petalpalmer/ TikTok - https://www.tiktok.com/@petalpalmer_ SOURCES: Article: https://psmf.org/story/jennifer-nibarger/ https://www.denver7.com/news/national/patient-safety-movement-aims-to-reduce-preventable-deaths https://www.findagrave.com/memorial/120819738/jennifer-nibarger https://doi.org/10.1097/pq9.0000000000000323 https://www.ncbi.nlm.nih.gov/books/NBK493176/ https://www.hopkinsmedicine.org/health/treatment-tests-and-therapies/barium-swallow https://doi.org/10.1007/s11894-010-0108-1 https://psnet.ahrq.gov/primer/handoffs https://www.ncbi.nlm.nih.gov/books/NBK441857/ https://www.ncbi.nlm.nih.gov/books/NBK535376/ https://splegalnurse.com/medical-legal-nurse-consultant/ https://www.capnoacademy.com/2018/10/03/5-things-to-know-about-capnography-and-respiratory-distress/ https://www.lakeridgehealth.on.ca/en/ourservices/resources/ETCO2%20reading.pdf https://picnet.ca/surveillance/healthcare-associated-infections/#:~:text=HAIs%20can%20occur%20in%20any,nursing%20homes%20and%20rehabilitation%20centres. https://en.wikipedia.org/wiki/Henderson,_Nevada https://www.alltrails.com/us/nevada/henderson https://en.wikipedia.org/wiki/Lake_Mead https://en.wikipedia.org/wiki/Hoover_Dam https://www.wikilectures.eu/w/Endotracheal_intubation https://www.gloshospitals.nhs.uk/your-visit/patient-information-leaflets/tracheostomy/ https://picnet.ca/surveillance/healthcare-associated-infections/ https://www.healthline.com/health/tracheoesophageal-fistula#symptoms https://hospitalmedicaldirector.com/the-problem-with-the-problem-list-when-electronic-medical-records-go-rogue/ PSMF Video: https://www.youtube.com/watch?v=ssWSoN00yxI https://youtu.be/qMsPXSMTpFI?si=ceidCBXmp2RUiaGw TIMESTAMPS: 00:00 - Introduction 05:10 - Lake Mead / Hoover Dam 08:05 - Boating accident 09:48 - Hospital 12:54 - Long-Term Care Facility 15:18 - Barium Swallow test 17:00 - TEF 20:14 - Misdiagnosis 24:56 - Cardiac arrest 27:14 - Medical handoff errors 29:53 - Communication failures 31:08 - I-PASS 33:47 - SBAR 34:48 - The Problem List 38:41 - Aftermath Disclaimer: I’m not a medical professional and nothing in this video is meant to be taken as medical advice. If you’re experiencing any health issues, speak with your physician. #truecrime #medicalmalpractice #medicalerror

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