Candee's Compliance Report

As I was completing my initial investigation I was returning items (driver’s licenses, registration, and insurance information) to the drivers. I approached Mitchell who was sitting in her vehicle. She appeared slumped over. I knocked on the window several times. There was no reply. I opened Mitchell’s vehicle door. She appeared unconscious. I shook her by the shoulder. She did not respond. I called for Goodwill Ambulance, who had just left with Feeney to return because I had an unresponsive person. I pulled Mitchell out of her vehicle and laid her on the street. I put a blanket that she had in her vehicle under her head. I shook her again, no response. I performed a sternum rub on Mitchell. She moved her head and asked “What’s going on?” I told her she passed out that she was in and accident. I told her to keep her eyes open and waited for Goodwill Ambulance to arrive back on scene. After the Paramedic treated Mitchell he informed me that he was unsure of her injury or what could have cause her

This meeting started late due to a lack of council members and also audience. After, ten minutes a third member arrived and the meeting began, however the council skipped the first half of the agenda and jumped to Communications. Ten minutes after starting Communications, a fourth council member appeared and the meeting started all over to the beginning of the agenda. The meeting started over because the council could not approve the minutes and agenda without meeting its quorum. This kind of sucked the women presenting Communications because she had to repeat herself all over again. Communications consisted the presenter communicating with the board different people that were being appointed to different committees. This committees ranged from Keep Atlanta Beautiful to Water and Sewer Appeals

The nurse was asked what was hurting and "she replied that she was having head pain and a server headache", the next question which was asked what time the incident happened, and "she replied to it that it had happened around 16:30 hours and has been sitting here to see if the pain would go away", the next question which was asked if she wanted to go to the hospital, "she replied that she wants to go", The EMS crew then told the nurse to get up and move over to the stretcher located along the side of her and,"she replied that she did not want to go by a stretcher and, but she would prefer to walk out to the

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

The patient was located on the fifth floor and as I was bringing them down the elevator, there was a family member of a patient in the elevator. Under HIPAA regulations, I cannot allow others to view the patient confidential information that I had in my hand. As we got to our stop I told the patient to follow me through the mechanical doors. I told the patient to wait in cubical 2 and that the nurse will be with then in a few moments. In addition, I will be getting them a warm blanket once I come back. I headed to leave the binder at the receptionist desk in the OR where they had another patient pick-up waiting for me. Before I left, I went to get the patient a warm blanket from the storage area that had temperature control. I gave it to the patient and left. Ronnie saw me and asked me if I did the patient pick-up alone, I said yes and he was surprised. Usually he needed to teach others in order to know what exactly they had to do. The only reason why I knew that I had to do everything that I did was because Ronnie told me everything verbally. He did not have to show me what to

When I arrived on scene I asked if anyone needed an ambulance. Both parties stated they were fine. The female then said she has some pain in her one arm but does not want an ambulance. She asked for my advice whether or not she should go to the hospital to get checked. I said it would be her decision. She then asked if an ambulance could come to the scene to look at her arm. EMS arrived on scene and CREA signed a form acknowledging that she was refusing treatment with them and stated she may go later with her husband to get checked.

She immediately started to worry and stated “What excuse can I give you so you leave me alone?” I responded that we just needed to get ready for the day and we did not even need to call it therapy. Once she sat up she started hyperventilating. My supervisor was in the room at the time and said this was exactly what would happen the last time she stayed in the TCU. After 45 minutes, lots of encouragement, rest breaks and maximum assistance we finally got her dressed and situated in her recliner. While I was documenting the patient was talking to the nurse about how she did not want to have therapy anymore. The nurse responded to the patient and asked her why she was in the TCU if she did not want therapy. In the same week, this patient declined therapy all together and both physical therapy and occupational therapy had to discharge

We arrived at Clearview at 2231 Hrs. and took the patient to room 14. I went back outside and began to put our unit back together when Supervisor Carlock approached me and in a very agitated voice said: “WHY DID YOU PULL OFF?” Surprised, I said “What are you talking about?” He said loudly, “I TOLD YOU TO STOP AND YOU DIDN’T!” I replied, “Jeff was telling me not to stop because we had a pulse back.” He said “I DON’T CARE WHAT JEFF SAID, I’M YOUR SUPERVISOR AND I TOLD YOU TO STOP!” I said “Dennis, I think you’re talking to the wrong person, you need to be talking to Jeff, I was doing what he told me to do.” He replied “WHO’S YOUR SUPERVISOR, WHO’S YOUR SUPERVISOR, I AM, NOT JEFF, YOU DO WHAT I SAY!” I said ”yes, you are the supervisor, but at that moment I was doing what the Paramedic in charge of patient care was telling me to do, and what I felt was best for the Pt., since we had a 41 Y/O patient who had a pulse.” He said “I DON’T CARE, YOU DO WHAT I SAY!

On Friday 09/16/2016 at 2300 hours, Security Officer Michelle Gallegos was badging visitors in the E.D. Lobby when the sister of a patient in E.D. # 32 lunged over the counter, knocking down a computer screen and a cup of water, then striking Officer Gallegos in her left arm. Security Officer (SO) Omar Alonso, was inside the E.D. Security Office, and responded immediately verbally instructing the visitor that police were going to be notified and that she needed to leave property immediately, and he also called Dispatch for immediate assistance. The female visitor was with 5 other females and her mother so they all followed Officer Alonso, outside of the E.D. Lobby. They were screaming and hollering that they were being treated disrespectfully by the badging officer who would not let them go back and visit her sister. Security Officers Ariel Weiland, Demetrio Flores, and Supervisor Steven Evans all responded by 2303 hours and helped to keep all 6 visitors outside while SO Alonso, conducted an investigation into the visitor’s allegations that they were being unfairly treated and were given erroneous information. He spoke to the nurse that Officer Gallegos spoke to when she needed information on the patient and permission for visitors to be given a pass to visit. Nurse Kurt Carr stated to him that the patient, Desarae

Claudia, Angie and myself scheduled a meeting to discuss data and communication logs, setting up lesson plans, provided a file folder system for each student and para scheduling. Angie forgot about this meeting. We met for approximately 20 minutes rather than the 50 minutes scheduled. I requested to see lesson plans and she did not have anything prepared for the day.

CM was out on vacation for the period of 11/25/2016 to 12/12/2016. Client was scheduled to meet with CM on 12/13/2016, to complete Bi-Weekly ILP Review. Client was no show. CM inquire the reason client was no show. Client replies “she wasn’t feeling well and she went to LIJ Emergency Room. On 12/15/2016, CM met with the client to complete Bi-Weekly ILP Review. Client was dressed with proper attire for the weather. She was well-mannered and groomed. In the meeting client appears to be cooperative

This writer escorted the patient to Nursing Coordinator Kesley office as the Nursing Supervisor was not in her office. Upon entering Kesley office, Kesley was having a discussion with another nurse and this writer apologized for the intrusion. This writer addressed to the Nursing Coordinator that the patient is experiencing bedbeg and the patient is aware he will not be dose by the Nursing window, only curbside. It appeared that Nursing Coordinator was being abrasive towards the patient as she explained to the patient as to what is needed before the patient can reenter the clinic. The patient then became agitated and shouted at Kesley and says, " Kiss my Ass, " and then proceeded storm out into the lobby area.

The day started off normally. I got to the station early at 0645 and started to talk to some of the guys working. There were a couple guys I just met that day. Then I started to get all my stuff ready for the day. I put all my gear on the ambulance and started on the daily checks for our rig. The daily checks consist of checking the lights and sirens, fluids, and making sure all our supplies are in the compartments and in the bags. As I started going through the monitor bag with the electrocardiogram (EKG), we get a call to a male in his 40’s unresponsive and not breathing. Everyone jumped into the rigs and we rushed off to the scene code three. We were en route to a residence to the south. When we arrived we looked for the address but it did not

I was working PRN at my local skilled nursing facility. Not having worked for a few weeks this elderly man I was receiving report on was new to me. I was told in report he had slept all night and was doing well. After getting my patients organized for the day I was called into my elderly man room. He was lying in bed having shortness of breath and was very pale in the face. After assessing him I notice blood in his brief. His blood pressure was low, heart rate was rapid and oxygen saturation was low. After speaking with the physician we decided to send him to the emergency. I called 911 and gave them a brief assessment of his condition. When I got off the phone I went back into the room to comfort the wife and daughter. I then explain to them what to expect when they arrive at the hospital. When the emergency responder arrive I gave them report of his condition. I went over his vital signs, current medication list, recent lab work, current diagnosis, and what he was doing prior to his change of condition. After he was transported to the hospital I called and spoke with the nurse in the emergency room that would be taken him. I gave her a detail report of his current health conditions. After a few hours I called to speak with the nurse to check his condition and at that time he was stable and was being admitted to the hospital. After a few days in the hospital he returned to the skilled nursing facility and is still doing well. As a registered nurse I was able to use my scope and standards of practice to recognize there was a change with him and was able to get him assessed quickly and transported to

The HEBCO DESP III Team has thoroughly reviewed the requirements for Weather Information and Display System