Acting SSL C: A Case Study

On Thursday 11/12/2015 at 1905 hours, during shift briefing, Officers Jason Peterman and William Miller pass down information concerning what was believed to have been an elopement from CDU by a male Baker Act patient. He was reported missing by Registered Nurse Ophie to Doctor Gomez at approximately 1530 hours. Doctor Gomez who was concerned for the patient’s safety and wellbeing then contacted Primerose Vernet from the Florida Hospital Risk Management Department assigned to our facility and she in turn contacted the Orange County Sheriff's Office and reported the issue.

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.

Trey Cavalier was assigned to M&N control for the night. That morning (which was May 14, 2016 because he was working nights) about 30 minutes to an hour (he could not give exact times because log books were being picked up for the investigation) before 4:00 a.m. Dy. Cavalier was notified by Dy. W. Benson that Brian Ducre (who was a new move that was escorted to M&N on a wheel chair) was acting strange and that medical needed to see him. Dy. Cavalier called the medical department and spoke with Nurse Minor and advised him of the situation. Shortly after Nurse Minor came off of N01 and said that inmate Ducre had mental problems and wasn’t taking his medicine, that there was nothing the Nurse could do for Ducre and that he would ultimately be okay. Nurse Minor then left

On May 15, 2016 at approximately 2335 hours Security Officers Steven Evans and Omar Alonso were in the E.D. Security Office when we heard someone yell for help inside of the E.D. entrance doors in regards of a “Gunshot Wound” patient. Out of the Office, we observed a Hispanic male hoping towards the PFS counter with blood on his left abdominal area. Security Supvr. Evans grabbed a wheelchair and wheeled him to one of the E.D. triage room, while his friend, Joseph Park (witness) register him with PFS. Security team in coordination with E.D. Charge Nurse Robbie Phillips placed the Emergency Department in a lockdown, Security Officers responded and kept watch over both E.D. entrances. The patient, Daniel Lopez (DOB: 10/16/1997, FIN #85640879) was transferred to E.D. #35, he had 4 “GSW”, 2 on the right and left buttock, 1 on the right

Upon arrival to Western State Hospital, deputy J was asked to pat search the inmate Kelly due to unavailable female staff at the facility. I informed the intake officer Robert that inmate Kelly has a history of mental health issues; she has assaulted a few police officers. Inmate has stated she wants to go to a spaceship. During transport inmate Kelly sustained a head injury. She was taken to a local hospital and evaluated by medical staff. A copy of the hospital evaluation/discharge document was given to the intake officer.

On 11/07/17, I D/O B. Bailey #D1200 was assigned to the Medical Clinic as a floor officer. At approximately 0230 hours. Inmate Bowman, Torry BKN #1720190 refused medical treatment. As a result, he was given a refusal to sign so he could be returned to his floor. Inmate Bowman was given a pen so that he could sign the refusal. However, Inmate Bowman did not return the pen. Inmate Bowman was given several verbal commands to return the pen; however, he failed to comply. Lt. Steele was notified. Consequently, 8 male inmates in 3LB 23 were searched also a strip search was conducted. No pen was recovered.

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

On 1/22/2015 SO EMT Perez was dispatched to FC-117 via phone call from a resident regaurding a fall . SO EMT Perez kocked and announced his presence at the apartment door. SO EMT Perez was the verbally greeted into the apartment. SO EMT Perez the unsecured the apartment door and proceeded to search the apartment. SO EMT Perez eventually found the resident, a Mr.David Furman on his bedroom floor by his bedside. Mr. David Furman slid out of his bed and was unable to get up on his own strength. SO EMT Perez asked Mr. Furman if he was in any pain, which he denied. Mr. Furman also did not present with any pain while SO EMT Perez preformed the pelvic exam. SO EMT Perez then helped Mr. Furman to his feet and witnessed him standing on his own strength

MICU 15A was dispatched to 30 West Ave, @ Genesis Healthcare, Wayne Center in the Wayne Business District in Radnor Township, for an ALS Emergency, Assault Victim. The weather conditions were cloudy, cool and dry. MICU 15A responded with care per protocol to the stated location with EMT Straub driving. On arrival, the EMS Crew proceeded to the nurse's station, and the individuals there did not know anything about an incident, there was a female standing in one of the hallways who advised that there was a person sitting over where she was. The EMS crew proceeded to that area and found a 43-year old female who was a registered nurse and was conscious and alert x4 and was sitting on a chair, the EMS crew asked her what was happening, "she replied that she was in a patient room and stated that the patient had an IV in her arm and became disturbed and picked up a pocketbook and then assaulted her by the swing it and striking her in the right frontal region of the head", the nurse then exited the room and went and sat down in the hallway, where the EMS crew found her.

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 Friday 12/16/2016 at about 0135 hours, Security Staff was dispatched to the Special Care Unit, ED. room #37 for a code (51D) Disorderly Patient in E.D. Security Officers Miguel Pagan, Corey Rithchie, Omar Alonso, and Supervisor Steven Evans arrived at 0136 hours and met with Patient Care Tech Cathy Negron who was standing just outside of the patient's room. We observed, the patient, Krystal FernandezRivera (DOB: 09/15/65 - FIN #86594670) in her bed inside the room talking to her Nurse, Cindy Rodriguez, who was attempting to get the patient to change into a blue scrub Hospital gown. Nurse Rodriguez walked outside the room and informed us that the patient had been Baker Acted by ER Doctors and she refused to hand over her belongings and changed

On the above date and time I (Officer Joan Herrera#5) and Lieutenant Wesley Kimbler #17 received a call to go to 5 East. At this time no code violet was called until I stated over the radio that maybe a code violet should be called. The code violet was called at 0254; this was 2 to 3 minutes after dispatch radioed us. We got on to 5 East at 0300 the code violet was canceled. I and lieutenant Kimbler went to room 516 to see what was going on when we got to the room the patient Walter Wogan had been trying to get out of bed and bent a the nurse (Carrie Taylor) finger back, At this time lieutenant Kimbler had me go speak with Nurse Taylor to get further information about what had happened.

On Friday July 24, 2015 at approximately 1257 hours, Site Security was dispatched via the Paladin Operations Centre to attend 5 East for a patient standby. Security Officers G. GILL and D. SHARMA responded to the request. Security was on scene at approximately 1259 hours. Upon arrival, security found an elderly female patient sitting in the hallway with clinical staff standing by. Clinical staff informed site security that the patient (C.K.) was refusing to go back to her room.

On June 22nd, 2017 at about 4:00pm I, Security Officer Travis Czerna, was walking past the Cactus Petes main bank when I was approached by an auditor and told there was a medical emergency outside the main entrance. Upon exiting the main entrance I found 3 people, Elizabeth Silvain, Tony Silvain and an unknown male guest assisting Elizabeth Silvain to her feet. I observed a large puddle of blood on the concrete near Mrs. Silvain and immediately called out that I had a medical emergency and where I was and requested a medical bag be brought to the scene. I put on my gloves and asked Mrs. Silvain what had happened. Silvain was able to explain after her husband Tony Silvain brought her a towel from their vehicle that she was throwing something

Now a day, SSl 3.0 is considered to be outmoded and insecure protocol therefore, for more