On Thursday December 31, 2015 at approximately 1949 hours, FHEO Security Officers were dispatched to room #503 Beds 1 and 2 for two Disorderly Male Baker Act Patients who were acting up and causing problems for their assigned Psych Sitter, including one patient from Bed 1 who kept trying to leave the room. Security Officers Omar Alonso, Carlos Ayuso, and James Johnson arrived and met with Nurse Celia Baggya and Psych Sitter Andell Philip while Security Supervisor Steven Evans arrived later and met with Charge Nurse Charlene McGee. Nurse Baggya and Sitter Philip both stated that the patient in Bed #1, Benjamin Atsu (DOB: 01/23/1991; FIN# 85028628) became aggressive towards medical staff and was also trying to provoke the patient in Bed#2 who was Armando Montalvo (DOB: 08/15/1986; FIN #85028608). Security staff stood by the room and observed both patients until Nurse Baggya came back with some sedative medications to be administered to both patients in an effort to keep them calm and cooperative.…
On Saturday, February 6, 2016 at approximately 0016 hours, FHEO Security Officers responded to a call in regards of a Disorderly Patient (53D) who refused to come out the restroom at the MRI area. Security Officers Brandon Rodriguez, Omar Alonso, and Steven Evans arrived to find a combative patient inside the restroom and refused to come out. MRI Tech, Noreen Dailey stated that the patient had been in the restroom for about 20 minutes, at which time when Noreen finally open the door, found the patient trying to pull up the sink off and acting in a strange manner like cleaning herself over and over again. The patient, Leticia L. Kneeland (DOB: 11/26/53; FIN #85170540) was confused, she began screaming as Tech Dailey attempted to persuade her…
Lynn had a unrestful night and into the morning of 7/15/15. The morning medication was adminstered at 7:00 pm. Although Lynn had been given her morning medication and had eaten breakfast, she began requesting and demanding her 1:00 pm medication. At approximately 8:00 am, Lynn’s behavior escalated and she began to attack the support staff, DSP Clark and DSP Seay. Lynn pinched, scratched, chased, and threatened harm to both DSP’s. Lynn would demand medication and then have moments of sobbing cries, in which she would beg for an overnight stay at a hospital. A phone call was placed to Mobile Crisis at approximately 8:30 am. While on the call, case manager Angela Mullins completed an assessment of the behavior being exhibted by Lynn. CM A Mullins…
We saw his shorts, T-shirt, socks, underwear, baseball cap, and rubber Croc shoes get placed inside a plastic belongings bag before we left the room. Somehow between that time, his transfer to ICU, and then finally to 2 West room # 2105, his shorts, underwear, T-shirt, and socks were misplaced. When SO Alonso, made contact with the patient he had his shoes and cap being held by the nursing staff at 2 West. No personal belongings sheet was filled out for this patient while he was in the Emergency Department or in Intensive Care therefore there is no paper trail for the belongings he claims are missing. RN Chantia Nelson filled out a Personal Belongings checklist for this patient on 9/23/16 at 0015 hours. Officer Alonso, also checked the E.D., Lost & Found, and ICU Unit for the missing belongings but was unsuccessful. Nothing further to report and a copy of Mr. Bargar’s Witness Statement will be included with this…
OTH: Delayed Entry-On January 31, 2017, this Agent conferred with FSI Farr in regard to the Subject's complaint. It was explained that the Subject complained that he does not belong in the Domestic Violence Unit, because he does not know the victim or his address. He further informed the victim was his nurse (Kevin Damery) during his hospitalization at the Holy Cross Hospital. The Subject reported his boyfriend attacked him while he was visiting him at the hospital and a fight broke out between them. The Subject states he mistakenly hit the nurse (Damery) due him attempting to intervene in the fight. FSI Farr advised that this case will remain in the FAST…
Respiratory Therapy is on staff, not present, but available if needed. When Mr. B arrived he made the third patient in a six bed Emergency Department. Additional back-up staff was available if needed. Policy for nurse to patient ratio for the facility is unknown however one on one care should have been addressed with the potential for respiratory depression with Mr. B. Additional staff were available to care for the incoming patients but were not utilized. With the issue of one on one care for conscious sedation if the only concern was respiratory related the in-house respiratory therapist could have been paged to monitor Mr. B while Nurse J was caring for other patients. Knowing Mr. B’s medication history of oxycodone use for chronic pain and the added medication for sedation would most definitely qualify him for one on one care until discharge criteria were met due to the potential for respiratory depression. With the added stressors of an additional critical patient arriving for care and multiple patients with need to be seen in the Emergency Department lobby the back up staff should have been…
The theme of Module Five is that every patient has a right to receive emergency care and every patient has a right to informed consent. The emergency medical treatment and active labor act (EMTALA) requires hospital that receive Medicare payments to provide care to patients regardless of citizenship, ability to pay, or legal status. Hospitals with EDs that serve Medicare patients must abide by EMTALA, which is a statute that requires stabilization of any patient that presents to the emergency department. An emergency situation as we identified at class is either when the patient is dying, when a woman giving birth, or something about unnatural disability. It's easy for patients to feel powerless in these types of situations, as they present with an illness. That’s why hospital administrators and providers have the duty to give patients every angle of their medical situation. Patients must have all the information about their diagnosis and treatment…
Your prior experience with psychiatric patients is clearly advantageous in your nursing practice and this skill translates to any patient or family member who is escalating, regardless of the setting (Hallett & Dickens, 2015). Furthermore, in the labor and delivery setting there are numerous situations in which patients or their families may become agitated and require therapeutic communication to assist them in allaying their fears or anger. In addition, your ability to not only remain fully engaged with your patient, and assure that all of her medical needs were met was extremely skillful (McGonigle & Mastrian, 2015). In emergency situations, making the effort to calmly assure the patient and family may…
The undercover footage showed staff repeatedly assaulting and harshly restraining patients under chairs. Staff gave patients cold punishment showers, left one outside in near zero temperatures, and poured mouthwash into another's eyes. Staff repeatedly taunted and teased residents despite already being reported.…
This article was about a case implicates the Georgia Regional Hospital, Atlanta. In January of 2009, a patient, Na Young, this patient has a history of psychotic episodes. This patient was released form the psychiatric hospital. On a Friday evening in January at the Regional Hospital in Atlanta, Na Yong, refused to sign the release paper. The patient go valance with the nurse and told her that she will now longer take the antipsychotic medication. The patient family pleaded the doctors and nurses to reconsider discharging her from the hospital. The patient prior to been admitted into the hospital had physically abused her mother on several occasion. Na Yong told physician and nurses that if she were discharge from the hospital she would kill her mother, which was the target of her schizophrenia-fueled rage. The hospital staff still…
There are many issues with confidentiality in the ED but this student believes that the overcrowding and “the growth in the subspecialty of Hallway Medicine” (Freeman, 2003, p. 1) is an enormous problem facing emergency department’s (ED’s). Hallway medicine happens when an ED has full rooms and the hallway gets employed as a waiting or staging area for the overflow patients. Emergency room visits by patients are not just for emergencies anymore. The ED is becoming more like an urgent care setting. As more patients cannot pay for the medical care, they need a higher utilization of the ED is happening because the ED cannot refuse to treat a patient. This is causing an influx of patient volume. Because most ED’s have not had the opportunity to rebuild or redesign the patient rooms to single person rooms the use of curtains separating patient’s is still widely used. Some precautions have been instituted by widening the space between beds and using portable dividers there is still an issue with maintaining patient’s confidentiality.…
Patient rights take precedence over employees and management rights to privacy and health are in jeopardy as a result in labor disputes. (GCU,2011). Nurses must ensure that regardless of labor dispute that the patient are treated with dignity and respect. The hospital must also protect patients’ medical records when hiring temporary nurses. Patients have a right to keep records confidentially. If a strike arose, the patients are left in the hands of temporary nurses which can compromise the privacy of medical records. Equally, the safety of patient increase because the temporary nurse lack of consistency of care. They may not have a full history on the individual which can lead to pertinent information being missed.…
When asked by Dr K. to look in the chart to determine if anyone was responsible for Mr. E’s medical decision making, the nurse failed to inform Dr K that the patient had an Advance Directive (AD) that…
I was on my third day of residential care placement; the staff had just started to take turns for their morning tea break so I took the time to catch up on my case study patient’s medical history in the nurses’ station. Within a few minutes the Manager of the rest home ran in to gather the blood pressure machine and bandages. She informed another student nurse and myself to “take these to Max’s (pseudonym) room NOW, while I call an ambulance”.…
Clarke, S. (2003). Patient safety series, part 2 of 2: Balancing staffing and safety. Nursing…