She teetered on a coma's dark edge, her blood-sugar level plummeting. Nurses also failed to recognize that a sepsis infection raged in Baker, pumping deadly toxins into her blood. Finally, a nurse tried to call Baker's doctor but failed to reach anyone. She never called another doctor, investigators found, or 911, as required. If no immediate response occurred, call an ambulance, the doctor said.
Records remain unclear about whether the shot was administered.
She swallowed just four ounces in 20 minutes. Forty-five minutes later, Baker arrived at Doctors Medical Center San Pablo. He recently won a six-figure sealed settlement for the brother of a man who in February 2000 crawled out an unlocked window and fell from the roof of Manorcare in Walnut Creek during a bout of night dementia. As the legally blind man, Evan Bernard, wandered, a CNA saw him but didn't react. When nurses found Bernard outside, sitting in a mud puddle, they wrongly assumed he walked there from the second floor.