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Hospital-acquired infection case review: central lines, catheters and surgical sites

Some infections happen despite good care, and some follow lapses in the routine steps that prevent them. For central line, urinary catheter and surgical site infections, a nurse reviews how the device was inserted and maintained, whether it stayed in longer than needed, and how quickly early signs of infection were recognized and treated.

Start with a merit screen

A ICU / critical care nurse's read on whether the nursing care raises real concerns

$850–2,400

Estimate · usually 5–7 business days

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What the nurse reviewer examines

  • Insertion: indication, technique and documentation of the insertion bundle
  • Daily maintenance: dressing changes, line access, catheter care
  • Daily review of whether the line or catheter was still needed, and line days
  • Wound and site assessments after surgery
  • Early signs of infection: fever, site changes, labs, and the response to them
  • Isolation and hand hygiene where the records address them
Is this case worth a nurse review?A few quick questions. See what a reviewer will focus on and get a draft brief, no names needed. Start

Records to request

A starting checklist; the reviewer will flag what's missing once they have the chart.

  1. Line and catheter insertion records
  2. Line and catheter maintenance flowsheets
  3. Wound and dressing assessments
  4. Vital signs, lab and culture results with times
  5. Infection prevention reports for the event
  6. Unit policies on central lines and catheters
  7. Antibiotic orders and MAR

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How these cases usually progress

  1. 1 Case merit screeningFrom $850 · 5–7 business days Request →
  2. 2 Medical chronologyFrom $1,000 · 5–10 business days Request →
  3. 3 Standard of care reviewFrom $1,250 · 2–3 weeks Request →
  4. 4 Nurse expert witnessFrom $1,450 · Report in 2–4 weeks; testimony by agreement Request →

Questions attorneys ask

Is every hospital-acquired infection negligence?

No. Many occur despite appropriate care. A review focuses on whether prevention steps were followed and documented, and whether the infection was recognized and treated in time.

Who reviews the infection itself?

A nurse reviews the nursing care; an infectious disease physician often addresses the source of the infection and causation.

Nurses who review these cases

Jesse D. Example profile

ICU RN, 17 years

8 yrs consulting · NC

Medical chronologyRecord summaryStandard of care review +1 more
ICU / Critical care
$95/hr Testifies Plaintiff

Jose B. Example profile

ICU RN, 19 years

8 yrs consulting · FL

Medical chronologyMerit screeningStandard of care review
ICU / Critical careNICUMed-surg
$150/hr Plaintiff & Defense

Marie S. Example profile

Orthopedic RN, 24 years

5 yrs consulting · FL

LNCC Medical chronologyRecord summary
Orthopedics / rehabICU / Critical care
$110/hr Plaintiff & Defense

Joyce S. Example profile

Psychiatric RN, 26 years

4 yrs consulting · GA

LNCC Medical chronologyRecord summary
PsychiatricICU / Critical care
$125/hr Defense

Margaret M. Example profile

ICU RN, 10 years

3 yrs consulting · VA

Medical chronologyMerit screening
ICU / Critical carePediatrics
$95/hr Defense

Elizabeth E. Example profile

ICU RN, 26 years

2 yrs consulting · AZ

Medical chronologyRecord summary
ICU / Critical care
$150/hr Defense
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Deadline in under 10 days? Mark it rush.

Rush ($199) lists your case first and alerts every available consultant at once. Priority ($99) lists it first for a week. Either is refunded if no proposal arrives within 48 hours.

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