Patient Reflection Paper

He was brought in by his friend Gavriel Martinez. At 2338 hours Orange County Sheriff's Deputies Kenneth Jorgensen (Badge# 8180) and Deputy Michael Fairley (Badge# 6210) arrived and interviewed the GSW patient, both deputies were already on site for an unrelated event. Security Manager Richard King was informed by text of the incident at 2340 hours as well as Nursing Supervisor Debra Reilly. At 2350 hours OCSO Deputy Kristine Helms (Badge# 5021) arrived and requested to speak to the patient’s friends who was waiting in the E.D. lobby. At 0010 hours Deputy Michael Fairley contacted SO Alonso and advised that it was OK to open the Emergency Department. The lockdown was lifted and Security Manager and Nurse Supervisor were informed of the incident. The patient, Lopez was airlifted to Orlando Regional Medical Center (ORMC) at 0030 hours at which time OCOS Deputy Kristine Helms informed me that the Gang Unit task force has been called for further investigation. All cleared, OCOSO report number 16-43967. Nothing further at this

We know that he had sustained an at home fall. We learn that he has a history of pain and a prescription for oxycodone for back pain. We know that his vital signs on admission appear stable; he was not showing any signs of respiratory distress. As we look at the staff that was listed that day we do get the sense the hospital may have been short staffed. Staffing report shows there was one MD, one RN and one LPN managing at least 4 patients including- one patient was a child. Evidence based research has proven that the nurse to patient ratio is directly related to the patient outcomes (Stanton, 2004). It is important that we consider the staffing level that this rural ED as we know short staffing can be blamed for not being able to take the full amount of time needed to do a proper health history. A detailed health history is an imperative part of the care process; it is used by the staff to accurately assess any acute changes that may take place in the patient throughout their stay.

According to former employee Stephone Else, medication aide, alleges she heard Ms. Lyles tell Phillip Yovonnie, LVN to “Take her to China” with Amara Anele, RN, and Lilian Foster, Medication aide present at 6:20-6:30am. Per the investigation, the date was identified as 1/23/18 and resident was Shirley Depino. According to the nurse Amara, she did not give any medications

On Thursday 07/21/2016 at approximately 2223 hours, Security Supervisor Steven Evans was contacted by Assistant Nurse Manager Robbie Philips via landline and asked to conduct a (44V) Enforcement Escort Visitor Off Property for the discharged female patient in E.D. #48. The patient, Susan Harris (DOB: 03/22/1952), had been quarrelsome and refusing to leave. SOs Christopher Paz and Ariel Weiland responded to the scene. Upon arrival, we observed the patient laying down on her bed, we approached the discharged patient and spoke with her. Mrs. Harris agreed to leave without further incident. Security staff escorted Mrs. Harris outside of the E.D. lobby at which time she requested to stay in the lobby till 0530 hours. No incident occurred during

On Monday, March 7, 2016 at approximately 0139 hours, FHEO Security Officers were dispatched to room #5109 for a (53D) Disorderly Patient in Medical Unit who was acting in a belligerent manner and attempting to leave his room to go home. I, Steven Evans Shift Supervisor of Security at Florida Hospital East Orlando (FHEO) arrived at 0140 hours along with Officer Thomas Mejia and met with Charge Nurse Michelle Viena and Patient’s Nurse Lisa Guo who were trying to calm down the patient, Ramon Jr. Bermudez (DOB: 05/24/1961; FIN# 85321318), who had been attempting to get out of bed and wanting to leave. Charge Nurse Veina stated that the patient was confused and was not medically clear to leave his bed. Security immediately took control of the situation

On 25-Aug-15, at approximately 1545 hours, the writer and Acting SSL C.Tessarolo responded to a call from POC to attend PHAU, because one of the patients has ran out of the unit. The writer was on his way to PHAU, while he noticed two clinical staffs being physically engaged with the patient by the LAB. The writer rushed to the location and asked the clinical staff if they wanted the officers to take over and escort him back to the unit. The clinical staff had a strong hold of the patient's arms, so they told the officers that they will be fine, but they asked the officers to accompany them, while they are taking him back. The writer and Acting SSL C.Tessarolo along with the clinical staffs escorted the patient back to the unit and secured

REPORTER: The reporter/niece (Deshannon) called with concerns for the victims, Louise and Lorinn. Louise can not walk or dress herself (needs assistance with ADL’s); the reporter said she is very confused. Lorinn is disabled (needs assistance with ADL’s). The reporter said the victims were admitted into the hospital (unknown) when and released on 12/23/2015. Prior to being admitted, the reporter said the doctor said he would see if he could have them placed into a nursing home or facility. The reporter said they were released from the hospital and didn’t go to the nursing home. According to the reporter, the doctor said they were dehydrated. The reporter said they need help; Lorine has a nurse who comes out to the home and gives her bathes,

On September 22, Anaelle Surprise was driving home with two other passengers on Sunrise Highway in the middle of a rainstorm at 2 A.M. Around that time she veered off the road and crashed into a nearby tree. Thankfully she was driving in the outermost lane and did not implicate any other cars in the crash. She was intoxicated at the time of the crash with her blood alcohol content at 0.092, which is .00736 over 0.08 when you are legally unable to drive a vehicle. Paramedics arrived quickly to the scene and brought her and her passengers to Southside hospital. Luckily, the driver and her passengers did not sustain any injuries more serious than a mild concussion, scratches, and bruises. It is reported that the three were

Upon arrival, I had initially provided support in standing by while the Narcotics team went through the house getting everyone out. I then was asked to assist in search the two female subjects that were detained. While searching the females I went back to my vehicle to grab another set of gloves. While I was doing this, I had seen Officer Fredrick #1111 had one of the subjects identified as Keith Gray W/M (DOB: 07/09/1958) on the ground. Officer Fredrick had advised me the subject just fell face forward. With my EMT medical knowledge I looked at the subject and noticed that he was having what appeared to be

A university of phoenix student conducted an interview with Kelli Flack who has an LPN working on her BSN. Kelli works at Family Health Care of Siouxland. Just a brief background on Kelli, she has been an LPN for 7 years. She received her LPN through Morningside College.

Prior to 2000, nurses would routinely monitor a patient’s blood pressure, pulse, respirations and temperature: the four vital signs. After 2000, the Joint Commission on Accreditation of Healthcare Organizations added pain as the fifth vital sign and nurses were required to evaluate a patient’s pain level using a numeric scale of 0 to 10 (Florida Office of the Attorney General, 2012). This led to a flood of opioid based pain relievers hitting the market and an increase in physicians writing prescriptions for these medications. Previously opioids had been used for treatment of cancer related pain, but broadened to include management of chronic non cancer pain (Edlund, et al., 2014). Research by Edlund

This paper is to discuss what research has been found on patient advocacy and the issues that are involved with patient advocacy. There are different services that they provide and issues that arise in the medical field such as billing and payments for this health benefit. Problems that occur with patient advocacy happen with all the different parties involved and have different ways for them to be resolved. There are articles on the effectiveness and impact that for-profit patient advocacy services and how these services are paid for. An advocate can encounter problems with finances and insurances with their patient and have to resolve these issues when the happen. They are involved in many areas of the medical field and can be involved with

I had the pleasure of interviewing one of our dynamic director, Mrs. Beth Rozak, MBA, BSN, RN. As the current director of the Neonatal ICU and Pediatrics at SSM St. Mary’s Hospital Medical Center in Madison, WI, Beth have had serve in many roles in the organization. Employed at St. Mary’s for the past 15 years, she started out as a nursing assistant/monitor watcher on 8 south west (medical floor). After obtaining a Bachelor of Science in Nursing (BSN) from Edgewood College, in Madison, Wisconsin, she then transfer to 4 east (a medical, cardiac unit). Where she worked for a few years before transferring to ambulatory nursing (a staff nurse on the surgery and procedure center unit). After earning her MBA from Warden University, she took on the

A couple of years ago, my mom got a bellybutton pain in her lower-right side of the abdomen. It was an intense pain which moved all around her belly. She decided to ignore the pain, thinking it could be something temporary. Days went through and nothing could relieve the discomfort she felt. My dad decided to take her to a private doctor right away. The doctor had her do some blood tests accompanied by some others. When the results were ready the doctor asked us to take mom immediately to the hospital. He said something related to surgery and I lose control on myself. We had never been as scared of surgery as this day. We knew this kind of surgery was not as risky as others. The problem was hospitals in Honduras. Doctors back then did not care about the patient. Patients in the hospitals would get their wounds infected and they would die. I lacked trust in the abilities of the doctors. Not because they missed the knowledge required in doing this, but their interest in the patient was none. They knew the government was going to pay them either way. Therefore, they mistreated some patients. My mom received a

Today I had a great day at the clinic. For the morning section, I had Omar Lora as my patient. Last time when he came, I collected all my assessment data. Today I updated his medical history, dental history, vitals, and EIOE, then I completed filling out the gingival assessment, the treatment plan, and the SAOP. Finally, I was ready to have my assessment data checked. It went really well, and I learned ways to helped me be more efficient with my time management, for example, I did not know how to have my radiographs up in the other monitor while I was doing my assessments. It was a little time consuming having to open and minimized the window every time I needed to look at the radiographs. Also, I discovered that having a piece of paper out and taking