Bill Text: FL S0028 | 2025 | Regular Session | Introduced
Bill Title: Relief of Darline Angervil and J.R. by the South Broward Hospital District
Spectrum: Partisan Bill (Republican 1-0)
Status: (Introduced) 2024-08-02 - Filed [S0028 Detail]
Download: Florida-2025-S0028-Introduced.html
Florida Senate - 2025 (NP) SB 28 By Senator Martin 33-00147-25 202528__ 1 A bill to be entitled 2 An act for the relief of Darline Angervil and J.R., a 3 minor, by the South Broward Hospital District; 4 providing an appropriation to compensate Darline 5 Angervil, individually and as parent and natural legal 6 guardian of J.R., for injuries and damages sustained 7 as a result of negligence of the South Broward 8 Hospital District; providing a limitation on 9 compensation and the payment of attorney fees; 10 providing an effective date. 11 12 WHEREAS, on the afternoon of January 14, 2014, Darline 13 Angervil, then known as Darline Rocher, was admitted to Memorial 14 Hospital West, operated by the South Broward Hospital District, 15 when she was 30.3 weeks pregnant, with complaints of decreased 16 fetal movement, pregnancy-induced hypertension, and headaches, 17 and 18 WHEREAS, due to Ms. Angervil’s presenting conditions and 19 complaints, Dr. Emil Abdalla, Ms. Angervil’s obstetrician, 20 ordered continuous monitoring of the fetal heart rate and rhythm 21 and entered an order that Ms. Angervil’s vital signs be taken at 22 least every 2 hours, and 23 WHEREAS, Ms. Angervil’s vital sign flowsheets showed 24 elevated blood pressure levels throughout the afternoon and 25 evening hours of January 14, including a systolic blood pressure 26 of 160 mm Hg or higher on at least two occasions at least 4 27 hours apart while resting in bed, indicating preeclampsia with 28 severe features, and 29 WHEREAS, the only way to treat preeclampsia is to deliver 30 the baby, and, therefore, the patient and baby must be monitored 31 regularly until it is safe and prudent to deliver, and 32 WHEREAS, at 2 a.m. on January 15, due to the diagnosis of 33 preeclampsia, magnesium sulfate was ordered for neuro 34 protection, which also secondarily stabilized Ms. Angervil’s 35 blood pressure, and 36 WHEREAS, Ms. Angervil’s medical records for January 15 37 include complaints of headache and the results from a 24-hour 38 urine protein analysis showing 743 mg, both of which are 39 consistent with preeclampsia, and 40 WHEREAS, at 9:34 a.m. on January 16, an order was entered 41 to discontinue the magnesium sulfate, and shortly thereafter Ms. 42 Angervil’s blood pressure began to rise, and 43 WHEREAS, Ms. Angervil continued to complain of headache 44 during the day shift on January 16, including a 4:01 p.m. 45 complaint of a headache that she rated 7 out of 10 on the 46 severity scale, and at 5:30 p.m., Ms. Angervil’s vital sign 47 flowsheets began to show abnormal blood pressure readings, and 48 WHEREAS, at 7 p.m. on January 16, Ms. Melanie Wells, a 49 nurse employed by the South Broward Hospital District in the 50 Labor and Delivery Department at Memorial Hospital West, began 51 her shift and was assigned to Ms. Angervil, who continued to 52 complain of headache, and 53 WHEREAS, at approximately 8:25 p.m. on January 16, as Ms. 54 Angervil continued to complain of headache at shift change, 55 maintained consecutive abnormal blood pressure readings, and had 56 an electronic fetal monitoring strip showing a prolonged 57 deceleration some 9 minutes earlier, Ms. Wells contacted Dr. 58 Abdalla to request an order to remove the continuous electronic 59 fetal monitor, and 60 WHEREAS, at 8:27 p.m., Dr. Abdalla entered the order to 61 remove the continuous electronic fetal monitor, and Ms. Angervil 62 continued to have consecutive abnormal blood pressure readings 63 at 8:29, 9:07, 9:24, and 10:33 p.m.; however, Ms. Wells did not 64 replace the electronic fetal monitor on Ms. Angervil, and 65 WHEREAS, shortly before 2:24 a.m. on January 17, Ms. 66 Angervil contacted her nurse, complaining of headache, chest 67 pain, and difficulty breathing, at which time Ms. Wells 68 initiated oxygen and checked Ms. Angervil’s vital signs, and 69 WHEREAS, at 2:26 a.m., Ms. Angervil’s blood pressure 70 reading was dangerously high, a second blood pressure reading at 71 2:28 a.m. confirmed a hypertensive crisis, and additional 72 consecutive extremely high blood pressure readings were recorded 73 at 2:32, 2:37, and 2:40 a.m., and 74 WHEREAS, at 2:43 a.m., 17 minutes after the initial spike 75 in blood pressure, and with no record of performance of any 76 fetal assessment, Ms. Wells contacted Dr. Abdalla, and at 2:50 77 a.m., Dr. Abdalla ordered the administration of hydralazine to 78 lower Ms. Angervil’s blood pressure, at which time Ms. Wells 79 attempted to find fetal heart tones but was unable to do so, and 80 WHEREAS, due to the difficulty in finding fetal heart 81 tones, at 2:54 a.m., the nurse manager contacted another OB/GYN 82 who was working on the floor to assist in detecting fetal heart 83 tones with an ultrasound machine, and at 2:56 a.m., critically 84 low heart tones were visualized, resulting in the need for an 85 emergency cesarean section, and 86 WHEREAS, at 2:59 a.m., Ms. Wells contacted Dr. Abdalla to 87 address the difficulty in finding fetal heart tones, at which 88 time Dr. Abdalla advised he was on his way to the hospital to 89 perform an emergency cesarean section, and medical records 90 reflect that the cesarean section began at 3:05 a.m., with 91 delivery at 3:17 a.m. by Dr. Abdalla, and 92 WHEREAS, the delivery note completed by Ms. Wells 93 documented delivery at 3:17 a.m. of a 2 pound, 5.2 ounce female, 94 J.R., with an Apgar score of 0-1-3, who at delivery was noted to 95 be flaccid, cyanotic, apneic, and asystolic, essentially 96 lifeless, and 97 WHEREAS, neonatal resuscitation was led by ARNP Donna 98 Durham, a blue alert code was called at 3:19 a.m., and Ms. 99 Durham initiated chest compressions with bag mask ventilation, 100 and 101 WHEREAS, J.R.’s birth record, resuscitation, and subsequent 102 course of NICU treatment are entirely consistent with a hypoxic 103 injury around the time of delivery, and her medical records are 104 replete with discussions of her “birth-related hypoxia,” and 105 WHEREAS, J.R.’s treating physicians provided assessment 106 notes describing the profound nature of J.R.’s catastrophic 107 injuries and constant needs, including mixed quadriparetic 108 cerebral palsy related to hypoxic ischemic encephalopathy, 109 global profound developmental delay, periventricular 110 leukomalacia, constipation, dysphagia, failure to thrive, 111 gastrostomy tube placement, seizure disorder, esophagitis, 112 dystonia and dyskinesias, and impairment of mobility and 113 impairment of communication/cognition, resulting in her need for 114 nursing care 24 hours a day, and 115 WHEREAS, on March 7, 2016, Ms. Angervil, individually and 116 as parent and natural guardian of J.R., a minor, filed a legal 117 action in the Circuit Court for the 17th Judicial Circuit, in 118 and for Broward County, under case number 2016-CA-4209, against 119 the South Broward Hospital District, Dr. Abdalla and his 120 employer, and neonatologist Dr. Vicki Johnson and her ARNP and 121 their employer, alleging, in part, negligence of the district in 122 failing to meet the standard of care for the monitoring, the 123 evaluation of both Ms. Angervil and J.R., and the timely 124 notification of medical specialists regarding the change in Ms. 125 Angervil’s medical condition, and 126 WHEREAS, Ms. Angervil and the South Broward Hospital 127 District agreed to a consent judgment entered into on or about 128 October 19, 2023, for $6.4 million, in which the district agreed 129 to pay Ms. Angervil $300,000 pursuant to the statutory limit 130 imposed under s. 768.28, Florida Statutes, leaving a balance of 131 $6.1 million, and 132 WHEREAS, the South Broward Hospital District has agreed to 133 support this claim bill for the remaining $6.1 million, NOW, 134 THEREFORE, 135 136 Be It Enacted by the Legislature of the State of Florida: 137 138 Section 1. The facts stated in the preamble to this act are 139 found and declared to be true. 140 Section 2. The South Broward Hospital District is 141 authorized and directed to appropriate from funds not otherwise 142 encumbered and to draw a warrant in the sum of $6.1 million 143 payable to Darline Angervil as compensation for injuries and 144 damages sustained. 145 Section 3. The amount paid by the South Broward Hospital 146 District pursuant to s. 768.28, Florida Statutes, and the amount 147 awarded under this act are intended to provide the sole 148 compensation for all present and future claims arising out of 149 the factual situation described in this act which resulted in 150 injuries and damages to Darline Angervil, individually and as 151 parent and natural legal guardian of J.R. The total amount paid 152 for attorney fees relating to this claim may not exceed 25 153 percent of the total amount awarded under this act. 154 Section 4. This act shall take effect upon becoming a law.