NEW BEDFORD, MA — Two city paramedics have been suspended from their jobs without pay for, in part, their actions during a December 2008 emergency call.
A state investigative report found the paramedics, Rosemary Nunes and Ivan Brody, violated state protocols during that call by failing to perform cardiopulmonary resuscitation on a baby in cardiac arrest and then inaccurately recording the details of that call.
Nunes has been suspended by the city for 45 calendar days, while Brody’s suspension is 70 days.
Both suspensions are retroactive to June 2, when the two paramedics were initially suspended pending the outcome of the city’s disciplinary proceedings.
“We still maintain that they did absolutely nothing wrong,” said Anthony Savastano, a lawyer for the two paramedics.
“Despite the fact we’re not pleased with the suspension, we’re not going to be appealing this because my clients just want to put this behind them.”
In addition to the disciplinary action taken by the city, the state Department of Public Health will revoke Nunes and Brody’s paramedic certifications for 30 days. The paramedics initially appealed the temporary suspension but have withdrawn their appeals, said Savastano.
Richard Rock Jr., the father of the baby who died in December, said he was not completely satisfied with the sanctions announced by the city.
“I just think that something more needs to be done,” he said.
According to Mayor Scott W. Lang, Brody received a longer suspension because of his role in recording the details of the December call. The state found that Brody inaccurately documented the call by, in part, failing to include details about the cessation of CPR, according to the investigative report.
Ray Pelletier, a city paramedic who is on a four-month suspension for not completing a patient refusal report, questioned why he received a suspension that was almost double and triple the length of the suspensions received by Brody and Nunes respectively.
“When I met with the state, the state did not suspend my license to practice,” said Pelletier, who said the state would be issuing him a letter of clinical deficiency.
Additionally, Pelletier and his partner received the exact same suspension from the city for the mistake, which was his fault more than his partner’s, he said.
Lang said he signed off on both the incident involving Pelletier and the December incident.
“I think that the discipline in each of those are very consistent,” he said.
Lang also announced Friday that he has asked the state to reopen the investigation into the December incident and to examine the actions taken by the two paramedics, as well as by then-Emergency Medical Services supervisor Tom Pimental, who also responded to the December call.
“I don’t think all the facts, circumstances, have been looked at by the state,” Lang said Friday.
In a statement, Lang said he wants a “full examination and explanation of each individual’s conduct … in relation to all required protocols for emergency medical services, patient care … including the sanctity of the human body.”
Savastano said his clients have “no problem” with a reopening of the state investigation.
A thorough investigation would reveal “the unnecessary invasive techniques that (Pimental) required, or forced, (the paramedics) to use on a dead infant,” said Savastano.
Pimental, who was laid off by the city in February, also said he did not have an issue with an additional state investigation.
“I’ve got absolutely nothing to hide on my end,” he said Friday. “I stand by my written report, and I stand by everything I’ve said all along.”
In an e-mailed statement, the state Department of Public Health’s director of media relations, Jennifer Manley, wrote that the state was “confident in the findings of our investigation in this case, but DPH will always pursue any new information regarding quality of care issues.”
Lang also asked the state to investigate whether city EMS management personnel breached state reporting requirements in connection with the December incident.
The mayor has maintained that the city reported the incident to its contact at the state Office of Emergency Medical Services within days of its occurrence; the state has said the city never submitted a formal written report as required.
The Standard-Times has requested under the state’s public records law copies of any notifications the city did file with the state about the December incident; the city had not responded to the request by Friday.
Finally, Lang asked the state DPH to consider adopting a series of procedures for future investigations, including taking all statements under oath, notifying the family or individual patient of the ongoing investigation, and providing a preliminary report to all involved parties for comment.
“We have received Mayor Lang’s letter and will respond to him after reviewing it,” wrote Manley.
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