Minivan crashes through Mass. coffee shop

COHASSETT – 9-1-1 Call: “9-1-1 What’s your emergency?”

“Somebody crashed their car through the front of our store building.”

Surveillance video inside Marylou’s coffee shop in Cohasset, Massachusetts shows the shocking video as this Toyota Sienna comes flying through the front of the building, crashing into a wall in the back of the shop.

9-1-1 Call: “It literally just came up over the sidewalk and through the whole front of the store.”

As the employees at Marylou’s called 9-1-1 and jumped into action, manager Alyson Robson says she watched it all unfold, but it seemed like she was imagining it.

Robson said, “All the sudden I see this car pull up and I noticed that it didn’t stop so I thought it was just going to hit the curb and then all of the sudden it just came crashing through the building.”

You can see the driver of the minivan, 42-year-old Joan Herrity, dazed and panicked as she gets out of the car and checks on the workers.

Cohasset Fire Captain James Runey said, “She’s lucky, very lucky, if that Pepsi machine wasn’t there maybe we would have found the car in the back of the plaza and that’s a one story drop.”

Herrity was not injured, and when we caught up with her at her Weymouth home, she was still in shock – saying she doesn’t know what happened to make her car drive through the front of Marylou’s.

“I was on my way to work, I pulled in to go get coffee, pulled in from 3A in and the car just accelerated and went in,” Herrity said, “Still very upset, very in shock about the whole thing.”

As crews work quickly to repair the shop, everyone involved is thankful the accident happened just after their morning rush.
Robson said, “Usually we have a lot of men that do carpentry they are always here at 7:15 in the morning, they came ten minutes early today.”

Herrity said, “Thank God no one was hurt, there was no one in the store at the time except the girls behind the counter and I’m so happy they were behind the counter and they were safe.”



Nursing Home Negligence

Falls in Nursing Homes

Litigators who work with cases involving long term care know how significant the issue of falls can be. Falls are the leading cause of injury and death by injury in adults over 65. Approximately half of the 1.6 million nursing home residents in the U.S. fall each year, and a report by the Office of the Inspector General found that about 10% of Medicare skilled nursing residents experience a fall resulting in significant injury; and, more than 1/3 of hospital falls result in injury. In the rehab setting, rates are often higher – for example, fall rates among stroke patients have been shown to be very high. Immobility and falls can lead to poor outcomes.

Fear of falling is defined as a geriatric syndrome. It not only occurs in older adults who have fallen, but in those with impaired mobility and is associated with decreased physical ability and depression. Care of older adults requires that clinicians be aware of the myriad of issues related to falls including knowledge of this syndrome, increased risk and interventions needed to prevent injury related to falls.

Just about every resident in a long term care setting, including assisted living and sub-acute rehab, is at risk for falling. Between medications, functional and medical issues and advancing age, older adults in most settings are prone to falling.

There are well established standards of care related to fall prevention; but, as I continue to review records related to issues like falls, I am amazed at how often these basic standards are not being practiced. The basics of a fall prevention program include assessment and ongoing reassessment of risk, ensuring a safe environment, medication review, providing therapy as needed, individualized interventions, and staff education.

Basic nursing practice includes assessment, planning (Care plan), putting interventions in place and then evaluating outcomes to determine if those interventions are appropriate and effective. Assessment includes completing fall risk assessments on admission and then as needed. Very often, the fall risk assessments completed by nurses in LTC are inaccurate. The tools utilized in long term care typically include these risk factors: history of falling, use of ambulatory aids, gait/balance issues, medications, secondary diagnoses (i.e. diabetes) and mental status. Care planning is the next step in nursing care - it is the standard of care that as the resident’s status changes, assessments and care plans must be updated, and often, are not. For example, with each fall, there should be updates, or if there is a new diagnosis, i.e. stroke, or worsening dementia, updated interventions should be put into place, with ongoing evaluation of effectiveness.

Care planning and interventions very often are generic and not individualized. For example, a toileting schedule that includes only after meals and before bedtime may not be appropriate. If a resident has issues with constipation or incontinence, this may lead to the need for more frequent toileting to prevent falls. The “make certain call bell is within reach” for residents with dementia is an example of a generic intervention. Older adults with dementia may not recognize a call bell or remember to use it. The debate about use of bed and chair alarms go on – they are a part of an individualized care plan, not a solution to preventing falls. Often, I see delays in putting interventions in place, i.e. with the resident who is incontinent NOT being put on a toileting plan immediately. The other common issue I see when reviewing records is the lack of updating care plans as the resident’s status changes – with every fall, with worsening dementia, physical decline, or new medical diagnosis (i.e. Parkinsonism).

Nurses reviewing records need to pay attention to the MDS, risk assessments, care plans and Interdisciplinary notes with attention to where the standard of care is not being met.
... See MoreSee Less

6 days ago  ·  

View on Facebook