This case involves a dialysis patient who developed a scab at the site of his port. Upon arriving at dialysis, the scab was recognized and acknowledged by the patient and treating staff members. The patient requested not to use adhesive tape on the site of the port scab to avoid further irritation. In spite of this request, however, the staff still used a tape on the patient.
The following day, the patient’s scab fell off and the patient nearly bled to death. He required an extended hospital stay and two surgical procedures as a result. It was alleged that the dialysis nursing staff failed to adequately monitor and protect the patient’s access port, causing him further complications.