Received a report on 10/7/15 stating Ms. McGinnis was not given medication properly and scoring a 0 on MMSE. Son, Michael McGinnis reported he gave her dose of Methadone because she was hurting. Ms. McGinnis admitted to WBMC on 10/6 with chest pain and hypertension. While on medical unit, she was confused, pulling the cardiac monitor off, yelling, screaming, cursing the nurses, disrobing, and refused meds. On 10/7 she transferred to Senior Care she remained until 10/28 3:30.
It’s most definitely challenging working with mental health inmates and they require a lot of assistance, but if something was going on to cause harm to Ashley then this Officer should of called for back up to enter the cell. Specific intervention that should of taken place was that the Officer should called for back up, instead of using inappropriate behaviour in front of Ashley. That wasn’t the appropriate way to handle the situation especially involving someone who is at harm of either themselves or surrounding
On Thursday 11/19/2015 at 2019 hours, Security Officer Omar Alonso was instructed to relieve Security Officer James Johnson in the Specialty Care Unit who was on a Patient Standby in E.D. (51S) for room # 40. The patient, Wanda Laboy-Capo (DOB: 03/06/1965, FIN# 84862336), had been brought in by EMS from a traffic accident and was acting in an erratic manner. The patient had ripped out her I.V. and attempted to elope from the Unit on several occasions. Security was stationed inside the Specialty Care Unit to keep an eye on Ms. Laboy until her family members arrived at which time she was going to be released to their custody according to her assigned Nurse, Karl Tabora.
The Nightingale Community Hospital is investigating a recent sentinel event involving the potential abduction of a three-year-old child. The Joint Commission (2017) considers a sentinel event as the risk of or the occurrence of an unexpected patient safety event which involves death, a serious physical or psychological injury. Moreover, an event is also considered sentinel if it involves the abduction of any person receiving care, treatment, or services. On the morning of September 14, a three-year-old child was admitted to same day surgery for a surgical procedure.
The organisation must be aware of all of the recent changes in order for the health care provisions to provide the best quality of care. The organisations employ managers who have the duty to ensure that all of the policies are adhered too, staffs are trained on a regular basis and that the improvement of care should be monitored after the training is provided. Health and social care provisions must have polices in place to deal with all forms of bullying or harassment. In accordance with the law if this occurs within the provision it can be dealt with by legislation, as laws are enforced to prevent bullying/harassment from happening. However, the health and social care establishment should still be able to effectively deal with cases like these.
The hospital employee failed to keep protected health information secure and violated the patient’s privacy. Unauthorized information concerning the patients’ medical condition and treatment plan were released to an unauthorized contact phone number and person. Applying administrative safeguards to protect the organization's health information covers security objectives, such as confidentiality, which was breached in this particular case. The patient’s privacy rights and HIPAA law were violated because the health care organization provided an unauthorized disclosure and ignored the patient’s specific communication request. The patient had specifically provided an alternative contact number at her work, and the hospital failed to accommodate
On 2/05/17, I was getting medication for another patient when Kofi Obeng, came up to me with the new admission vital signs. He stated, he could not find the new admission that came in because it was not in the system. So I asked him to tell the nursing clerk to assist him to accept the client in the system. When he went to ask her. She responded to him that anyone can do it and she is not doing it.
The state checked to see if these incidents are due to the lack of first aid training (Langford). In this case, the person in charge of the facility didn’t realize that my cousin was slowly going into a coma until it was too
I agree, carefully searching for issues and questioning the MD would have prevented this issue. Obtaining the patient 's neurological status and checking the drug levels would 've prevented this problem. This is an indictment on the whole team, not just the nurse. I believe that each profession working on this team should 've noticed the issue. Also the phrase "I 'm ok with not making a big deal out of this" sounded nefarious and unethical.
An example of boundary violation is when the nurse discloses personal information such as I am really upset with my ex-husband because he will not help pay for my kids to go on a school trip. The trip is really expensive and I do not have the money to pay for the trip, it’s just killing me that my kids will have to miss this trip. The patient offers to pay for the trip and the nurse accepts the money and states let’s just keep this between
There are different types of violence that an individual may encounter at some point in their lives due to conflicting values, experiences and knowledge. In a clinical health care setting, newly registered nurses may encounter horizontal violence, while nursing students may experience vertical violence. The term horizontal is used to illustrate violence between two individuals who are either of the same or unequal status, while the term vertical is used specifically to nursing students (Thomas & Burk, 2009). In my opinion, many nursing students, such as myself, we are unaware of these terms because they are not frequently addressed. However, it is certain that it happened, and it will continue to occur if there is no appropriate action is taken to prevent this violence.
When looking at the function of professional nursing, the attitude, experiences, as well as factors such as demographics, social class, education, and values, can determine how the nurse will view violence in the workplace. These factors that have contributed to the development of the professional nurse can also determine how the nurse views and even reacts to workplace violence and aggression towards them. The qualities of the professional nurse and their background can determine how the human behavior from the patient is viewed and can lead to de-escalation or escalation of violent situations. The behavior of the patient can include cooperation, calmness, anxiety, aggression, or anger. Behaviors of aggression, anger, frustration, and acts of intimidation when patients are experiencing an illness can exacerbate stressful situations which can turn violent.
This type of disclosure is an organizational violation, but could also lead to legal ramifications as well. Incidental disclosure of protected health information is not considered to be a “violation of the HIPAA medical privacy regulation provided the covered entity has applied reasonable safeguards” (Hatton, 2003) to help prevent them. This error also has the potential to cause distrust in the patient that the nurse is transporting, causing them to lose faith in the company. The nurse stopped Sue in the hallway (a public space), while transporting another patient, to tell Sue that there was an issue. The nurse made no attempt to keep the issue private and rattled of the details in front of the escorted patient, even though the situation was not an emergency or life threatening.
Harris warned me of what kind of problems that was going on at the patient’s home before we arrived. The APS (Adult Protective Services) was called on the last patient due to the conditions the patient was living in. Harris only had three days to make a visit to the patient to actually see what is going on. Then, after the APS goes out to evaluate the situation, Harris had to go back to the patient and see what kind of help she can offer to the patient and the family.
A study conducted in Turkey in 2013 portrayed the reasons of violence against healthcare workers. Causative factors are intricately intertwined and complex in the way they contribute to emerging violence, but can be broadly attributed to the gap between healthcare providers and patients. Attention should be brought to healthcare providers that there is a lack of communication between them and the patients, and so they should provide accurate, clear, and concise information about the patient's condition, and the approximate waiting period. It is also necessary to corroborate the high stress level that patients are in, which may be overlooked by healthcare providers at times, hence provoking the patient and their family. We must also endorse the judicial system gaps and lack of security measures that are lacking in several hospitals all around the world.
