On Sunday 11/22/15 at 0739 hrs, Resident Miguel Herrera informed Security Monitor Rasheen Davis that he found resident SHAFER unresponsive and not breathing in room 3-2B (417) of the Adappt Group Home. was not breathing and was unresponsive At 0740hours, Security Monitor Davis contacted Specialist Maurice Butler and informed him of the incident. At 0741hours, Specialist Butler, Bausbaugh, Madera, and Security Monitor Pollard went up to SHAFER'S room and found him unresponsive and not breathing. At 0742hours, Security Monitor Davis called 911 for assitance. At 0745hours, Specialist Bausbaugh notified Operations Manager Christopher Lynn of the incident. At 0746hours, Specialist Madera notified Facility Director Michael Critchosin. At
At 1907 hours Orange County Sheriff's Deputy R. Graham arrived at the ED Security’s office and escorted by Officer Omar Alonso to CDU where they spoke to Nurse Lori who stated
During a review of the master file the following documents were located: Case Assignment Sheet, Uniform Complaint Report, Dr Smith’s summary and records, Mercy Hospital Records, and MRR done by Dr Voss on May 04, 2015.
On Thursday 12/24/2015 at approximately 2307 hours. Security Officer Omar Alonso (420) was contacted by E.D. Charge Nurse Sharey Selover about an uncooperative intoxicated male patient, Jose D. Gonzalez (DOB: 03/30/1977; FIN# 85006354), come in through the EMS Offload area. Officers Alonso and Ayuso reported to the call and observed an intoxicated male being wheeled into the Special Care Unit (SCU) E.D. room # 39. According to his assigned Nurse Sara Lopez, the patient had been involved in a physical altercation and had been kicked hard in the groin area. Patient did not behave badly or disruptive once he saw that Security were present and his Nurse was able to get his vitals, blood work, and urine without having any issues. Security staff
I spoke with Versie Crossland the cook at operation on 11/16/15. Ms. Crossland stated she was in charge the day of the incident while D'Andrea Franklin and Brittany Shavers were on bus route. Versie stated she believed Nelda Shaver the director was at her other operation in Queen City that day. Versie stated she was cleaning the kitchen up and preparing snack for the after school children when BreAnn Henderson came in the kitchen and asked for an ice pack. Versie stated she asked BreAnn what happened, BreAnn replied that Daniel had fell and hurt his forehead. BreAnn also told Versie to call his mom. Versie said she was walking to the office to get the phone when she saw D'Andrea Franklin pull up so she went out and told her what had happened.
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
3) Surgeon: Was directly involved in the events leading up to the sentinel event. The surgeon was responsible for all activities taking place in the surgical suite and directly related to the surgery of the pediatric patient. The surgery was completed safely and successfully; however, the surgeon had relevant information in the patient chart at his office yet did not share this information with the hospital. He also did not supply an appropriate or accurate H&P that would have included custodial status for the pediatric patient to the hospital. The surgeon is greatly concerned in the events that lead to the sentinel event and wants to ensure that his patients will be cared for and safe at Nightingale Community Hospital.
We then look at the errors of hazards that occurred in the Mr. B scenario. Though we can say understaffing may have contributed to Mr. B’s demise, we cannot blame understaffing. This scenario is regrettably connected to inattentive nursing practice. It is clear that respiratory therapist was in the building and
Cook, who was also involved stated after Officer R. Dunans briefed Sgt. Kizer-Hudson of the incident, he also advised Sgt. Kizer-Hudson, him and Mitchell tumbled to the floor. Officer Cook informed me he didn’t think it was a use of force because Sgt. Kizer-Hudson told them they were good. Officer A. Cook informed me Technician Love notated the incident in the logbook. Technician W. Love, who was assigned as the housing control operator stated, Sgt. Kizer was advised of the incident he documented the conversation they had with Sgt. Kizer-Hudson in the logbook. Once I viewed the logbook Sgt. Kizer-Hudson initialed acknowledging she was advised of the incident. All three officer and Technician Love was instructed to write
On 11/16/15 I spoke with Nelda Shaver the owner/director at the operation. Ms. Shavers stated she was in Queen City at an operation she is opening there. Ms. shavers stated Versie Crossland was in charge while Brittany Shavers was on bus route that day. Nelda stated Brittany called her around 3:00 and told her Daniel had fell and cut his forehead. Nelda stated she then returned to the operation, but by the time she arrived Daniel had already been picked up.
There is no honor among thieves. However, as quoted in NBC4’s coverage, to William J. Evans’ family, “He was not no thief, no criminal, no thug. He was a good person with a 2-year-old little girl.”
Per RN taking care of the patient, at 0500 on 5/22/2017, the patient got up, sat at the edge of the
As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.
Mr Bryan, a senior nurse, had alerted the care home’s management and the CQC on several occasions, but his concerns failed to be followed up.
University Hospital is a well known hospital with a level 1 trauma treatment center for the tri-county area of a northwestern state, the hospital enjoys the fact they are known for their promising reputation among healthcare professionals and the public they serve. Jan Adams is an OR supervisor that has been working there for ten years, as a professional she makes surgeons follow protocol as required and enjoys working with trauma patients. One Friday night, which is the busiest day of the week for the trauma department; the unit was notified that a helicopter was on its way with a 42 year old man who had been in a car accident. Shortly after the patient arrived to the trauma center, the resident and other medical staff noted that he was in very bad physical conditions, needed immediate surgery or otherwise he was going to die. The issue was that the on call surgeon had to be present during the surgery and had not yet arrived, but regardless of the matter and protocol they proceeded with medically treating the patient immediately. The concern is that in doing so they violated medical procedures and put the patients safety at risk, this lead to a long list of ethical issues for example, patient well-being, impaired healthcare professional, adherence to professional codes of ethical conduct, adherence to the organization’s mission statement, ethical standards, and values statements, management’s role and responsibility, failure
3D15A Officer’s Perez #4305 and Sutton #2446 and 3D11A Officer’s Perez #4305 and Holdbrook #708 responded to provide assistance.