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Show TheSalt Lake Tribune NATION Friday, December4, 1998 All iycum Refused Blood Transfusion, More Nursing Care Will Reduce Post-Surgery Problems Is Drunken Driver to Blame for Death? | ak laeee en eee Se TRESS, POMONA, Calif. — A Jeho- vah's Witness who wasseriously injured when she was hit bya car | | | | refused blood transfusion and died, anda now thealleged drunken driveris on trial on charges of murder. ‘The jury will consider whether Keith Cook was responsible for the death of Jadine Russell or whether her religious beliefs “No blood!” Russell told emer- gency workers and doctors at least10 times,relatives She was so adamant that shesaid. roused herself and tried to pull out an intravenousline, they said. Defense attorney Charles Ungersaid he will fight for aconviction on a lesser charge of driy- ing undertheinfluence. wereto blame. The jury can absolve Cook of murder or manslaughter only if it “The key issue here is choice and responsibility,” Unger told the jury transfusion was the sole cause of her death, prosecutor Larry Larson said Wednesdayin his open- scheduled to testify that Russell acknowledged the risk she was taking by saying, “If it’s my time finds that the failure to obtain a An emergency-room doctor was ing statement. to go, it’s mytimeto go.” issue,” said Laurie Levenson, associate dean at Loyola Law School. “Did the defendant kill her, or did she kill herself?” Russell was standing onthe side of the road nearher broken-down car with her daughter and twolaw officers on March 7 when Cook chanic, had gotten drunk at a party, argued with another guest, then left despite friends’ attempts to take away his keys, the prosecutor said. Cook’s blood alcohol level was twice the legal limit, and he was on probation for a 1996 drunken-driving conviction. “This is a fascinating causation i allegedly plowed into thevehicle, pushing it into the group. THE ASSOCIATED PRESS WASHINGTON — More nursing care means fewer complications after surgery, ac- of hours worked by registered nurses (RNs) at 4 hospital with the health of patients there, focusing on complications that are particular cordingto a study that providesa rare statisti- _ly sensitive to nursing care cal look at the emotional debate over how many nurseshourofnursing a hospital needs. An extra attention per sur- Hospitals’ efforts to reduce costs by replacing RNs with less-skilled werkers “‘have stimulated extensive debatebutlittle evaluation,” gical patient each day cut the risk the patient note the authors who workedfor a research would get a urinary-tract infection by nearly armof the Health and HumanServices De- 10 percent and the risk of pneumonia by 8 Registered nurses have complained loudly The chancesof developing other lung-relat-__ ed problems andbloodclots also dropped with = EE deaths, but the authors wanted to focus on Nurses are responsible for urinary-catheter care, for instance, and sloppy or hurried work when hospitals have replaced their positions can dencethat the number of RNs working at hos_pitals has dropped nationally. Nurses represent about a quarter of a typi cations by getting patients out of bed and walking after surgery and monitoring them closely with lesser-skilled workers, but thereis noevi eXtra nursing, although not as dramatically. The research, being published today in the nursing journal /mage, compared the number staffing levels by 17 percent to add one extra hour of careper surgical patient. Earlier research had foundaclear relationship between nurse staffing levels and patient complications directly relatedto nursing care. partment Percent, according to the government study. cal hospital’s work force and are the single largest labor cost \ hospital typically would have to increase its nurse = — leadto ur nary tract infections. In addition, nursescan help prevent compli- : SPECIAL FACTORY —— Cook, a 32-year-old auto mePURCHASE = COME REJOICE IN i @ LONG LASTING FULL FOLIAGE ZACHARY'S Cuchented GARDEN PLEASE JOIN US FOR A HOBIDAY OPEN HOUSE SKU#3062937 ~ Friday, December tith 6 ConvenientStore Locations To Serve You! SYRACUSE 1693 W. 2700'S.774-2800 OREM 40£. 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