Lessons Learned from Arrested Utah Nurse

The Washington Post (and later, many other media outlets) recently called our attention to an incident in Utah wherein a courageous nurse stood up to a detective who was about to violate a patient’s rights.

The detective with the Salt Lake City Police Department insisted that the hospital draw a blood sample on a patient who was injured when a suspect being chased by police struck his truck. The nurse correctly explained that absent the patient’s consent, a warrant, or the patient being under arrest, it would be improper for the hospital to comply with the officer’s demand.

Tellingly, during the exchange, one of the officers asked, “so why don’t we just write a search warrant?” The detective replied that they “don’t have PC,” meaning that they lack the probable cause necessary to obtain a warrant. In other words, the officers knew that they didn’t have authority to get the blood they were seeking. It appears that they expected to bully their way into getting what they wanted.

The University of Utah Hospital staff, including the nurse, Alex Wubbels, appear to have acted admirably, as well as calmly. The nurse was polite and patient, repeatedly explaining to the officers that they needed to produce a warrant or patient consent. The U.S. Supreme Court ruled last year that the Fourth Amendment prohibits police from taking blood without a warrant. The officers ultimately threatened to arrest the nurse, and then proceeded to do just that, handcuffing her and taking her to a squad car.

One line in the video is easy to miss. The officer says, “I’ve never gone this far.” While we can’t know exactly what the officer means, I strongly suspect that he wasn’t used to someone standing up for the rights of a patient.

Ms. Wubbels deserves tremendous credit. What she did took courage. There was tremendous pressure on her to relent to the officers’ demands. If you watch the entire video, you will see that the officers kept the pressure up for a long time after they cuffed her. The officers eventually calmed down, but persisted, arguing that if they were acting improperly, the justice system would sort the problems out later.

That sort of “act first, ask questions later” approach may sound convincing, but the harm to the patient would already have been done. Later in the video the officer states that “your policy right now is contravening what I need,” also noting that “your policy is interfering with my law.” Those two statements are very different. The first one isn’t relevant. Officers aren’t entitled to get whatever they need, only what the law allows. The second statement, if true, would be more significant. Hospital policy can’t take precedence over the law. However, here, the policy was drafted with the law in mind, and it was the officer, not the hospital, who was disregarding it.

There are several lessons we can learn from the episode. First, it is important to train staff and provide clear policies about interactions with police before a problem arises. The hospital’s conduct in this case was flawless. They were prepared for the situation and responded exactly as I would recommend. The problem here was caused by the officers.

It is unreasonable to expect the care team to know the law as well as this team did. The staff should know, however, to review policy and then, when necessary, to call for advice. That is exactly what happened here. Blindly adhering to policy can be problematic. Undoubtedly, some hospitals have policies that are inconsistent with the law. Moreover, even the best policy won’t consider every possible factual scenario. The nurse here escalated the request, involving hospital management in the situation. Note that this situation wasn’t life or death, and there was time to sort things out. In a case like that, a call to the hospital’s office of general counsel is also wise.

Second, again, the nurse remained remarkably calm. When interacting with representatives of the government, keeping your emotions in check and focusing on rational argument is essential. The nurse’s colleagues also stayed calm. In most situations, that would have allowed a rational resolution. Unfortunately, here the officers didn’t appear to act reasonably.

The third lesson relates to documentation. Fortunately, this entire episode was captured on an officer’s body camera. But there is something that the nurse’s colleagues could have done to help ensure that the situation was documented accurately: film it. Unfortunately, there have been a number of instances whereby officers have insisted that filming police “interferes” with them. That is ostensibly untrue. Just as silently watching an action doesn’t prevent it, recording it is not interference. Citizens can record the police. The American Civil Liberties Union (ACLU) has an app called Mobile Justice that allows users in 17 states and the District of Columbia to record interactions with the police. When you finish the recording, the app automatically uploads the video so that if the police mistakenly assert that you aren’t allowed to film, and seize the phone, the video is preserved. The app is available in iTunes and Android.

It takes courage to tell someone with a badge and a gun that they are wrong. To preserve our rights in a democracy, however, that courage is necessary. Alex Wubbels did us all a favor in demonstrating exactly how to respond to overly aggressive officers.

If you would like a laminated card explaining your rights and responsibilities as you interact with government agents, please email me at dglaser@fredlaw.com.

Excerpts of the video can be seen online here. The entire 19-minute body camera clip can be seen here.

Print Friendly, PDF & Email
Facebook
Twitter
LinkedIn

David M. Glaser, Esq.

David M. Glaser is a shareholder in Fredrikson & Byron's Health Law Group. David assists clinics, hospitals, and other health care entities negotiate the maze of healthcare regulations, providing advice about risk management, reimbursement, and business planning issues. He has considerable experience in healthcare regulation and litigation, including compliance, criminal and civil fraud investigations, and reimbursement disputes. David's goal is to explain the government's enforcement position, and to analyze whether this position is supported by the law or represents government overreaching. David is a member of the RACmonitor editorial board and is a popular guest on Monitor Mondays.

Related Stories

Remain Compliant – and Take the Money

Remain Compliant – and Take the Money

Our first topic today is local coverage determinations (LCDs) and variation. I have written in the past about national and local coverage determinations, and I

Read More

Leave a Reply

Please log in to your account to comment on this article.

Featured Webcasts

Leveraging the CERT: A New Coding and Billing Risk Assessment Plan

Leveraging the CERT: A New Coding and Billing Risk Assessment Plan

Frank Cohen shows you how to leverage the Comprehensive Error Rate Testing Program (CERT) to create your own internal coding and billing risk assessment plan, including granular identification of risk areas and prioritizing audit tasks and functions resulting in decreased claim submission errors, reduced risk of audit-related damages, and a smoother, more efficient reimbursement process from Medicare.

April 9, 2024
2024 Observation Services Billing: How to Get It Right

2024 Observation Services Billing: How to Get It Right

Dr. Ronald Hirsch presents an essential “A to Z” review of Observation, including proper use for Medicare, Medicare Advantage, and commercial payers. He addresses the correct use of Observation in medical patients and surgical patients, and how to deal with the billing of unnecessary Observation services, professional fee billing, and more.

March 21, 2024
Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets

Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets

Explore the top-10 federal audit targets for 2024 in our webcast, “Top-10 Compliance Risk Areas for Hospitals & Physicians in 2024: Get Ahead of Federal Audit Targets,” featuring Certified Compliance Officer Michael G. Calahan, PA, MBA. Gain insights and best practices to proactively address risks, enhance compliance, and ensure financial well-being for your healthcare facility or practice. Join us for a comprehensive guide to successfully navigating the federal audit landscape.

February 22, 2024
Mastering Healthcare Refunds: Navigating Compliance with Confidence

Mastering Healthcare Refunds: Navigating Compliance with Confidence

Join healthcare attorney David Glaser, as he debunks refund myths, clarifies compliance essentials, and empowers healthcare professionals to safeguard facility finances. Uncover the secrets behind when to refund and why it matters. Don’t miss this crucial insight into strategic refund management.

February 29, 2024
2024 SDoH Update: Navigating Coding and Screening Assessment

2024 SDoH Update: Navigating Coding and Screening Assessment

Dive deep into the world of Social Determinants of Health (SDoH) coding with our comprehensive webcast. Explore the latest OPPS codes for 2024, understand SDoH assessments, and discover effective strategies for integrating coding seamlessly into healthcare practices. Gain invaluable insights and practical knowledge to navigate the complexities of SDoH coding confidently. Join us to unlock the potential of coding in promoting holistic patient care.

May 22, 2024
2024 ICD-10-CM/PCS Coding Clinic Update Webcast Series

2024 ICD-10-CM/PCS Coding Clinic Update Webcast Series

HIM coding expert, Kay Piper, RHIA, CDIP, CCS, reviews the guidance and updates coders and CDIs on important information in each of the AHA’s 2024 ICD-10-CM/PCS Quarterly Coding Clinics in easy-to-access on-demand webcasts, available shortly after each official publication.

April 15, 2024

Trending News

Happy National Doctor’s Day! Learn how to get a complimentary webcast on ‘Decoding Social Admissions’ as a token of our heartfelt appreciation! Click here to learn more →

Happy World Health Day! Our exclusive webcast, ‘2024 SDoH Update: Navigating Coding and Screening Assessment,’  is just $99 for a limited time! Use code WorldHealth24 at checkout.

SPRING INTO SAVINGS! Get 21% OFF during our exclusive two-day sale starting 3/21/2024. Use SPRING24 at checkout to claim this offer. Click here to learn more →