May 21, 2012
Weather

A Few Clouds

50°
Feels Like: 46 °
More Weather
Conditions at Madison, Dane County Regional-Truax Field, WI
Save Email Print Bookmark and Share
A A

UPDATE: Man Who Contracted Hepatitis C Sues Dean Health

UPDATED Thursday, February 23, 2012 --- 6:30 a.m.

MADISON, Wis. (AP) -- A man who says he contracted hepatitis C from a nurse educator is suing Dean Health System in Dane County Circuit Court.

Keith Steffen's lawsuit comes after Dean Health officials announced that the diabetes nurse educator may have exposed nearly 2,400 patients to hepatitis C by mistakenly reusing insulin demonstration pens and finger stick devices.

The lawsuit filed by the 55-year-old Monona man says he contracted the disease as a direct result of the mistake. Dean officials say the nurse no longer works for the health care provider.

The State Journal (http://bit.ly/yvbaFZ ) says the state Board of Nursing is expected to consider disciplining the nurse at a meeting Thursday.

------

Information from: Wisconsin State Journal, http://www.madison.com/wsj

Copyright 2012. The Associated Press.

____________________________________________________

UPDATED: Monday, August 29, 2011 --- 2:15 p.m.
REPORTER: Chris Woodard

According to officials at Dean Clinic this would not be isolated to a specific clinic. It involves one former employee who was a diabetic nurse educator. This former employee saw diabetic patients from throughout the Dean Clinic System. Dean CEO Craig Samitt says they will not release the name of the former employee.

The investigation began when a fellow employee raised concerns.

This former employee was inappropriately using insulin demonstration pens and a finger stick devices.

Chief Medical Officer Mark Kaufman says this former employee was changing needles but reusing the rest of the device.

Kaufman adds, "When the needle enters a patients finger it's possible a small amount of blood may travel up back through the needle, flash back into the sterile saline and stay there. Even if the needle is then switched for another patient there is a theoretical possibility that the blood in the sterile saline, microscopic as it is, could cross contaminate and go into the second patient."

Furthermore Kaufman says, "The insulin demonstration pen is intended not to be used on a person. It's intended to be a demonstration device used on an inanimate object such as a pillow or an orange to demonstrate insulin."

The finger stick devices are also only supposed to be used on one person.

Kaufman says, "That blood would have to be splashed up at the point of entry of the lancet and somehow get on the base of the instrument. Lancets are then changed but if there is residual blood still there at the base of the holder it's theoretically possible that could cross contaminate and transmit a virus."

The Clinic is now reaching out to all 2,345 patients that had visits with the former diabetic nurse educator.

Letters have been sent out and they're beginning phone calls today.

Samitt says, "We're hoping that the risk level is very low given the circumstances we've identified in the investigation but we want to be precautionary and want to test everyone."

Samitt adds, "Communicating freely and transparently about this incident is critical to us. If there is a patient that may have been effected we want to make sure they're tested and do whatever it takes to take good care of them."

Following is a statement from John Murray, Executive Assistant at the Department of Safety & Professional Services:

The Department of Safety & Professional Services (DSPS) received information today from the Dean Clinic in Madison regarding a series of incidents alleging unsafe practices by one of their former employees. We will be reviewing the information. There will be no further comment at this time as it is a pending matter.

____________________________________________________

UPDATED Monday, August 29, 2011 --- 1:15 p.m.
Posted Monday, August 29, 2011 --- Noon

From the Associated Press: A Madison-based clinic says a former employee may have exposed hundreds of patients to blood-borne diseases such as HIV.

Dean Clinic issued a statement Monday saying the former worker inappropriately used insulin demonstration pens and finger stick devices while training patients between 2006 and this year. The clinic says it is contacting 2,345 patients by phone and letter and will take responsibility for testing them to see if they've been exposed to any diseases.

The clinic says it has notified state and local health officials. A spokeswoman for the clinic didn't immediately return a message.

From NBC15's Chris Woodard: The employee worked at several Dean Clinic facilities, so there isn't one specific Clinic that is dealing with this issue.

Here is the statement from Dean Clinic:

Madison, WI - Dean Clinic has notified state and local health officials that we are investigating the inappropriate use of insulin demonstration pens and finger stick devices during patient training.

An internal review found that a former Dean Clinic employee was inappropriately using these devices during some patient visits between 2006 and 2011.

Therefore, there is the potential that patients were exposed to bloodborne diseases (Hepatitis B, Hepatitis C and HIV).

Patient safety and compassionate care are foremost priorities for Dean Clinic, which is why we take this incident very seriously and will be collaborating with state and local health officials every step of the way.

As a result of our investigation, we are contacting 2,345 patients to determine whether they may have been exposed. These patients will be receiving phone calls and letters from us. We have a team ready to answer patients’ questions. We will also take responsibility for needed testing, we will coordinate follow-up care and support patients’ needs.

“Dean Clinic is committed to supporting our patients. There is nothing more important to us than the health, well-being and safety of the people we serve,” said President and CEO of Dean Clinic Craig Samitt, M.D. “Our goal is to ensure that those who may have been affected by the inappropriate use are promptly informed, tested and supported.”

We have conducted an investigation and have identified this as an isolated incident. As a commitment to our patients, we are re-educating patient care staff on the proper use of these types of devices, enhancing our auditing and monitoring procedures related to these devices and improving our process for routinely observing the clinical practices of our staff.

We will provide updates as additional information becomes available.


Comments (17)

By posting this comment I have read and agree to the Terms of Use and Privacy Policy:
You must agree to the Terms of Service to continue.

Read Comments

Comments are posted from viewers like you and do not always reflect the views of this station.
  • by anonymous 2 Location: madison on Feb 23, 2012 at 02:16 PM
    I had to contact the CEO at Dean (found name in brochure) to even get someone to contact me in the first place about the testing. got the first test, never got a call on results. never got contacted for a second test yet (feb 2012). I am even more scared now that someone has gotten something. it sure does not seem that they are serious about putting people's minds to rest. I used to think they were the ones who did not put profit above people. what a disapointment.
    • reply
      by D on Feb 24, 2012 at 07:21 PM in reply to anonymous 2
      you are exactly right, they say they work with people who cant afford their doctor bill and try to pay what they can, what do they do they send you to collections abd try to sue you even that you do make attempts to pay what you can and they cash it.. money hungry dinosaur who does care more about profit than their patients health and well being
  • by anonymous on Sep 5, 2011 at 09:45 AM
    diabetic educators teach one on one, which explains why this went on so long. I am sure this there was no intent to harm, we are all human. I applaud Dean for admitting this to the public and their patients that are affected. I pray no one is found to have contracted any of the potential viruses.
    • reply
      by Anonymous on Feb 24, 2012 at 02:30 PM in reply to anonymous
      No intent to harm? Really? Do you work in the medical profession? As a nurse I can tell you it is pounded into our heads from day one, when you are done with that needle, dispose of it in the proper manner. Sharps box immediatly. This really NEVER should have happened. And as for, we are all human, that is not an excuse for this kind of behavior. You really should hold those in the medical profession to some kind of higher standard than that.
  • by loser Location: madison on Sep 3, 2011 at 07:21 PM
    Dean Clinic should be ashamed of themselves! I have worked their over 20 years and something like this makes me so mad! Time to get rid of some of the management and get some real people in there that know what their doing! The people they have answering the phones for this mistake are NOT NURSES!
  • by mason on Sep 3, 2011 at 09:09 AM
    Welcome to Wisconsin!
  • by Nameless Location: Here and Now on Aug 31, 2011 at 09:21 AM
    What I don't understand, is how some of you can focus on the business/lawsuit matters of this. The real story is the people, such as myself, that may have been infected. I had the blood-draw test and now have to wait anxiously for the results. Guess that's not a story, but real feelings.
  • by Anonymous on Aug 30, 2011 at 04:33 PM
    Couple of weeks back one of the nurse brought insulin pen to demonstate the insulin intake. Obiviously i rejected because i am familar with the insulin intake. But i din't notice any orange or pillow for demonstation. So be vigilent with others as well.....
  • by June Location: Mad-City on Aug 29, 2011 at 03:18 PM
    Quoted from the Dean Care released statement: "We have conducted an investigation and have identified this as an isolated incident." A possible 2345 patients affected doesn not an isolated incident make. This incorrect practice by an employee went on for 5 years? Inexcusable
  • by Anonymous on Aug 29, 2011 at 02:44 PM
    Can we say LAWSUIT?!?!
  • by Dee Location: Madison on Aug 29, 2011 at 02:05 PM
    How in the world does someone get away with inappropriate use of blood draw equipment for 5 years without anyone noticing?????? I feel this is a terrible breach of patient confidence in the Dean, St. Mary's system. It goes to show; however, that we must all be vigilent in our own heath care. Ask questions, take nurse, doctor and educator's time and do whatever it takes until you are satisfied that your concerns are being addressed. NO question or the asking of what are you doing and why is inapprpriate.
    • reply
      by Suzy on Aug 31, 2011 at 09:46 PM in reply to Dee
      You should read the report a bit better, it doesn't say anything about blood draw equipment. Get your facts straight before judging.
  • by Maria Location: Baxter on Aug 29, 2011 at 12:20 PM
    I can't understand how something like this can happen. Even in a group home environment, Blood Born Pathogens aka Standard Procedures, is a yearly renewable course. It's the first thing required in WI healthcare.
  • Page:

NBC15 Special Sections

Watch your local weather 24/7.
Looking for something you saw on NBC 15? Find it here.
Experience our area's best restaurants at a Half-Off price.
Experience our area's best golf courses at a Half-Off price.
Find out how to make your perfect home.
Click here to see our program guide.
Find answers to your health questions.
Advice and services to make the most of life in Madison.
Get advice from the experts at SVA Plumb Financial.