Assignment 2: A Case Study Of Charge Nurse Tonya Smith

The charge nurse can continue to search for an available CNA that could possibly float to the unit. There are several hospitals that do cross training with the CNA’s just in case they are asked to float to another department. The charge nurse can help several ways by helping Brandi with the CAN tasks until help comes, she could care for a patient of Brandi’s, ask if one of the CNA’s could stay an extra hour or so to help with the tasks that need to be completed by 8am. Also, look over any morning tasks that could potentially be moved to a later time. She can possibly redo the assignments on the unit to even out the work load between the nurses until help arrives. We are all a team working together to provide the best care possible, so team

The aim of this study is to provide a detailed account of the nursing care for a patient who is experiencing a breakdown in health. One aspect of their care will be discussed in relation to the nursing process. The model used to provide an individualised programme of care will be discussed and critically analysed.

I then escorted Inmate Staggs to the Durango Medical Clinic. While on the way to medical I asked Inmate Staggs what time he fell in shower? He told me around the time the evening meal was served. I asked Inmate Staggs if the reason he is going to medical was due to a crime committed against him while in MCSO custody? Inmate Staggs said "No." After that I dropped him off at medical. I then went to review the Gentec Security Desk System with Sgt. Salazar B0654.

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 Saturday 10/26/2016 at approximately 2328 hours, Security Officers Christopher Paz, Ariel Weiland, Omar Alonso along with Supervisor Steven Evans were dispatched to the EMS Off load Ramp for an incoming (51S) Patient Standby In E.D. Upon arrival at 2328 hours Security met with E.D. Charge Nurse Johnathan Bacal who stated that there was a combative male patient being transported by the Orange County Fire Department. At 2330 hours, the patient, Alan Castillo (DOB: 08/03/84; Fin #86501337) was brought by Orange County EMS (Engine #83) with an escort from Orange County Sheriff's Deputy. He had been combative on the way in and kept stating that he wanted to leave. He was rapidly taken to the Special Care Unit, E.D. room #38 but once inside the

While enroute I learned Trooper Dingman was out a 30 Marie Ave investigating. I arrived and found Trooper Dingman speaking with a male & female inside of apt. #1. Trooper Dingman briefed me there was an altercation between Linda Showalter, Jessica Goose, Eli Raisch, & Valerie Hartmann. Trooper Dingman stated there was a call for service about 46 hrs. ago where Valerie reported a family member of Jessica’s was inside Valerie’s cleaning when she was accused of stealing pain medication. Valerie & Linda then confronted Jessica & Eli about it, and an argument ensured.

On December 11, 2016 at approximately 1330 hours, Detention Officer Harden reported duty and was assigned to work 1200 Baker Street Jail, 3rd Floor, A-Pod Control Center. At approximately 1420 hours, Detention Officer Harden advised she was not feeling well. At approximately 1430 Hours, Detention Officer Harden had her blood pressure checked in the 1200 Jail Clinic and was advised it was elevated. At approximately 1440 hours I called for Houston Fire Department. At approximately 1445 hours Houston Fire Department Medic 17 arrived at 1200 Baker Street Jail. Detention Officer Harden declined transport at approximately 1500 hours. At approximately 1505 hours, Sergeant Chad King took Detention Officer Harden to her husband’s work location Lieutenant

Hello, I am Angeline S. Bernard, licensed practical nurse, with Aetna’s utilization management department for long-term care. I am a 20 year veteran in the health care industry, primarily in the field of nursing, interested in pursuing a management role. With 15 years spent in the acute hospital environment, as a nurse, I have also practiced in other settings. School nursing, occupational nursing, quality management, and utilization management, are all additional areas of practice.

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

Leadership by the team leader, who has responsibility for the team, is critical for team

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 Saturday, December 26, 2015 at 2029 hours. FHEO Security Officers were dispatched to the East tower, room #409 bed 2 for a Disorderly Patient (53D) who was combative with nursing staff. All Security staff responded and on arrival we were met by Administrative Nursing Supervisor Mary Cisco and Charge Nurse Darren Trofibio outside of room 409. The Charge Nurse, Daren explained to us that patient’s boyfriend who was later identified as Monty Monroe was very aggressive and threatened him with bodily fluid and to punch him. Instantly, Security radioed dispatch and request to upgrade the call to a Work Place Violence and Threats/Intimidation against Employee (42T). According to the Charge Nurse, on multiple occasions nursing staff went inside

On August 26, 2015 around 2335 hours, Security Supervisor Steven Evans, Security Officer Allan Topher, and I was dispatched to room 5104 in response to a non-Baker Act patient, Lillie M. Smith (FIN:84487321) who was arguing with medical staff. Upon arrival, we made contact with Nurse Julia, who stated that Mrs. Smith did not want to leave her room. She further stated that Mrs. Smith was going to be transported to room 510 bed #2. Security staff went inside the room and observed a very confused 86 years old patient who stated that she pays rent in the hospital and that the hospital is her house. Nurse Julia tried to convince her nicely to sit on the wheel chair in order to be transported to room 510. After several attempts from Nurse Julia,

I currently work third shift at a facility in which I am the charge nurse. I delegate tasks to staff members every night. When I was chosen to be the team leader, I personally believed it would be no different than what I do at work. I could not have been more mistaken. I did not realize how uncomfortable I would feel delegating tasks to other people that have the same educational experience that I currently have. I cannot begin to image how difficult it is going to be when I am in charge of people that have more clinical experience than I have such as having to be the actual charge nurse on the floor with other RN’s. Also not only being responsible for the CNA’s actions, but other nurses as well. I really enjoyed the opportunity to be team

Charge Registered Nurse, Telemetry Unit April 2006-Present • Train and orient employees on ethics and care delivery • Manage codes, perform and deliver complex bedside care • Oversee and evaluate employees performance • Develop and implement policy based on evidenced based research • Collaborate with different clinical disciplines to ensure quality patient care outcome Holy Cross Laurel Regional Hospital Silver Spring, Maryland Registered Nurse, Intensive Care Unit January 2001-August 2006 • Deliver advanced life support to patients in critical condition • Carry out life-saving medical procedures with physicians • Ensure adherence to quality assurance • Communicate with patient, families,