Case Study: E. D. Patient, Delia

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

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 10/14/2015 SO EMT Perez was dispatched to HS-406 to apply a bandage. SO EMT Perez knocked and anounced his presence at the door and was verbally invited in by the resident. The resident, a Mrs.Martha Doyle was sitting in her living room chair and was bleeding from the forehead. Mrs. Martha Doyle was washing her face when she attempted to remove a bandage over a previous wound and she wanted it re-bandaged as she stated. SO EMT Perez asked Mrs. Martha Doyle if she wished to go to hospital before he assesed her to which she denied. Mrs.Martha Doyle also denied any care besides the application of a new bandage. After assesing that Mrs. Martha Doyle was A&Ox3 SO EMT Perez applied a head bandage. While Applying the bandage Mrs. Martha Doyle stated

Hi, Karen, I attempted to send the invite again for patient 326270. I checked our email server to see if it was delivered and it shows an immediate block on her side as rejecting this our invitation email. I understand that her coworker is using the same domain but each email setting(s) can be individual. The message we are getting back on our email servers when trying to send her an invite to this email address is:

On 25-Aug-15, at approximately 1545 hours, the writer and Acting SSL C.Tessarolo responded to a call from POC to attend PHAU, because one of the patients has ran out of the unit. The writer was on his way to PHAU, while he noticed two clinical staffs being physically engaged with the patient by the LAB. The writer rushed to the location and asked the clinical staff if they wanted the officers to take over and escort him back to the unit. The clinical staff had a strong hold of the patient's arms, so they told the officers that they will be fine, but they asked the officers to accompany them, while they are taking him back. The writer and Acting SSL C.Tessarolo along with the clinical staffs escorted the patient back to the unit and secured

On 6/30/16 at 8:28 PM, Safety Specialist Zachary Watt notified Shift Supervisor (S/S) Enmanuel Cabrera, that ISS associate Joseph Caporusso found a large bag that contain a white substance in a tote in his work area. S/S Cabrera quickly made his way to ISS work area to take a look at the large bag that was found. Upon arrival S/S Cabrera was met by Safety Specialist Watt, he directed S/S Cabrera to the exact location of the large bag. After examining the large, S/S Cabrera was able to determine that the white substance was not narcotics. At 8:38 PM, Loss Prevention Manager Jeffery Matweecha was notified about the findings. S/S Cabrera was instructed by LPM Matweecha to contacted safety and have them put it in the hazmat area. At about

On 10/15/2015 at approximately 1959 hours Florida Hospital Security Operation Command (SOC) radioed FH East Orlando Security for a 51D-Disordely Patient Ed in room # 37. I, Steven Evans arrived at 2000 hours and met with ER Nurse Juana Morales, who informed that patient by the name of Scott Thomas Brady (MRN: 484896/Fin: 84708322) who just been discharged, was agitated and upset with medical staff. Mr. Brady was yelling over medication prescription but by the time Security staff got there, patient was already gone. Officer Omar Alonso responded and dispatch was called to inform about the situation. Security staff did not make contact with patient, there were no hands on and no one was injured during this call. Nothing further to

On Thursday 03/10/2016 at approximately 1937 hours, Security Officer Omar Alonso reported to room # 503 Bed 1 for a (44P) Enforcement Escort Baker Act Patient Within Facility at 1942 hours. The patient, Rachel Gardner (DOB: 12/12/1985; FIN# 85335948) was uncooperative and not willing to go voluntarily to the Lakeside Psychiatric Facility transport van. She stated that she was missing her clothing, shoes, and purse. Security Officer Alonso met with Charge Nurse Tonya Smith who could not find any information in the patient's chart about personal belongings logged in. Nurse Smith contacted the Emergency Department for assistance while Security officer Alonso called Orange County Sheriff's for assistance with the patient who was also stating that

On November 15, 2016 at approximately 1449 hours, Security Officer John Diaz and I, Steven Evans were in the E.D. Security Office when we were approached by a discharged patient, Nancy Cruz, who stated that she had been a patient in E.D. room #21 and got discharged at 1030 hours and after discharged, she then realized, she lost her wallet while being transfer from the wheel chair to the bed. Officer Diaz then gave her a lost and found statement to fill out and he also went ahead and called Nurse Sarhien Ahmed who stated that she did not found nothing in the room after patient got discharged. Nothing further at this

Gadsden is located in the northeastern corner of Alabama and is the county seat of Etowah County. It is 60 miles

On Saturday, April 16, 2016 at approximately 9:00 a.m. Resident Assistant (RA) Jessica Estrada, Resident Assistant (RA) Christina Mbadie and Resident Assistant (RA) Freddy Cardenas began their monthly room inspections in room 231. RA Jessica began inspecting room 231B when she noticed a Dos XX bottle on the desk and an electric blanket on the bed. At 9:06 a.m. RA Jessica contacted campus police regarding the bottle found. Campus Police Officer Adrian Crispin arrived and began searching the room. Officer Crispin did not discover anything other than the Dos XX Bottle.

On 17-Aug-15, at approximately 00:15 the ILA was advised by a student that Victim 1 was having a seizure. The ILA immediately notified the Wellness Manager who was on Center due to another incident. The Wellness Manager immediately evaluated Victim 1’s condition and determined that Victim 1 was not in seizure but was apparently under the influence of an unknown substance. The Wellness Manager called EMS to transport Victim 1 to the emergency room. EMS arrived on Center at approximately 00:30 to evaluate Victim 1 and could not perform care because Victim 1 was thrashing around uncontrollably and needed to be restrained. EMS called local law enforcement for assistance. GPD officers arrived on Center at approximately 00:45. EMS along with

At today’s visit she is accompanied by her son and husband. She is awake, alert but confused. She follow some simple commands, she is not able to express most of her needs. The husband reports that the patient suffers from depression and she is not on any medication. The son reports that the patient appetite is poor to fair. He state that she started Megace a few weeks ago and her weight is now 86 lb from 82 lbs. The husband states that the patient ambulates with an unsteady gait and often forgets to use her walker. He states that the patient often speak to her decease relative, refused showers. The patient has not had any recent falls. The patient denies pain, shortness of breath and dysphagia. Her PPS is 50%, Fast 7c, able to perform some

Growing up in Red Wing, Minnesota meant I was introduced to other cultures during my childhood. The Prairie Island Indian Community children attended Red Wing schools; therefore, the Tribal Council came to school to educate all students about their culture, through dance, song, and lectures. This helped me understand my Mdewakanton peers. It also taught me that the key to understanding another person’s culture was to listen and observe with an open mind. This approached enabled me to make connections with the migrant Hispanic workers and the socioeconomically disadvantaged that sought medical care at the C.A.R.E. Clinic. By listening to their stories, I discovered commonalties. This process helped me successfully refocus my wellness internship

Please setup the deposition of Dr. Deleon. The deposition is due by 08/15/2017. We have to produce an IME by 07/15/2017. Please schedule a date in between that time line but if possible schedule it for date after 07/15/2017. If we can’t then date whatever date the doctor is available.