Case 83: Emergency Divert Status

Thirty minutes before evening shift change and you receive the call. A new admission is in route to your facility. The patient is reported to be of high acuity, requires intravenous antibiotics, and has a diagnosis of chronic pain. In some health care settings this would be considered a typical new patient admission. However, for rural long-term care facilities there is potential for considerable complications. In a setting where registered nurses are only required to be in the facility eight hours within a twenty-four hour time frame, significant complications can arise during admissions that require certain specialty care specific to the RN. Ineffective discharge

Jane was involved in a single-vehicle accident that resulted in multiple areas of injury from a head trauma, two broken ribs as well as bilateral fractures in her leg’s as well as right arm and wrist fracture. Jane was, transported a hospital that was an hour and half away from her home.

To state a claim for NIED, a plaintiff must show that: (1) he was located near the scene of the accident; (2) he sensorily and contemporaneously observed the accident; and (3) he and the victim are closely related. Sinn v. Burd, 404 A.2d 672, at 685 (Pa. 1979). There can be little dispute that Arnett was near the scene of the accident. However, whether Arnett sensorily and contemporaneously observed the incident and whether Nolan and Arnett are closely related are in question. This memorandum will address all three

This serves as a reminder of the past, everything that happened and the pain the family is now experiencing. It also stalls, and possibly prevents, any positive progress the family had made individually in coming to terms with the accident and getting

A. How can the nurse quickly determine the lawfulness of this transport at 3 o’clock in the morning?

The case study begins for a 911 call for a 40 year old male who was assaulted and thrown from a rooftop and landed in a stairwell below. Upon arrival, the advanced life support crew was greeted by Alaska State Troopers who mentioned that the patient had been moved from the stairwell and placed in the snow for ease of access. EMS personnel immediately began to

They picked her up and ran out of the hospital without looking back while the nurses tried to stop them. It was irresponsible of them to take their daughter with severe burns out of the hospital without having the nurse’s permission. The parents were only thinking of themselves and how this would affect them; they were not thinking of their daughter. These were just the beginnings of the neglect and selfishness of the parents.

1. A physician is called to the intensive care unit to provide care for a patient who received second- and third-degree burns over 50 percent of his body due to a chemical fire. The patient is in respiratory distress and is suffering from severe dehydration. The physician provides support for two hours. Later that day the physician returns and provides an additional hour of critical care support to the patient.

Meanwhile, elsewhere in Habersham County, Tom was feeling slightly nervous as he exited the staff lounge and entered the hustle and bustle of County Hospital’s ER to begin his first shift as an RN. The first few hours of his shift passed slowly as Tom mostly checked vital signs and listened to patients complain about various aches, pains, coughs, and sniffles. He realized that the attending physician, Dr. Greene, who was rather “old school” in general about how he interacted with nursing staff, wanted to start him out slowly. Tom knew, though, that the paramedics could bring in a trauma patient at any time.

Dr. Green and Dr. Carter were nearing the end of the first year of their medical residency in the emergency department of County General Hospital. It had been a long year and a long week. They had been on duty for the last 12 hours and things were not slowing down.

On Tuesday, September 29th my partner and I had the opportunity to interview a 55-year-old patient named Tom at LA County Hospital, admitted nine days prior for injuries he sustained after being struck by a city vehicle. His injuries were quite apparent the moment we sat down with him: his right foot bandaged up, having been crushed by the vehicle’s tires, abrasions and bruising all over his lower limbs and worst of all, a broken pelvis. Yet despite the bad shape he was in, Tom was kind enough share his life story with us and provide the limited knowledge he had about his insurance history.

At 0745hours, Specialist Bausbaugh notified Operations Manager Christopher Lynn of the incident. At 0746hours, Specialist Madera notified Facility Director Michael Critchosin. At

The accident that they are claiming injured from happened when Caitlyn failed to notice the traffic had slowed down. Her Cadillac Escalade, pulling a trailer with an all-terrain vehicle on board, slammed into a Lexus, driven by Kim Howe who had slowed down because a car ahead of her had stopped to make a turn. The impact pushed into oncoming traffic, and Peter’s vehicle slammed into her, killing her on

a. The LPN was engaged in caring for the emergency transport patient along with the RN and was also in the process of discharging the other two patients. 3. Why did the LPN not notify the RN of the alarm and reading? a. With the information provided, it appears that the LPN was distracted as well as did not follow her scope of practice.

When the first responders came to the scene, they examined the mother, who had suffered a superficial cut on her arm, and the daughter, who showed signs of a concussion. An officer approached me and Audrey and asked, “So did you guys see what happened?”