Case Study: FHEO Security Officers

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.

On 08/20/2017 at 1002 hours FTO Wheeler #4361 and I responded to St. Luke’s Hospital emergency room entrance, on 3555 Cesar Chavez St., regarding a women in a hospital gown trying to break the caller’s vehicle window with a brick. Officer Wheeler and I were in full police uniform driving a marked patrol unit when we responded.

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

He was brought in by his friend Gavriel Martinez. At 2338 hours Orange County Sheriff's Deputies Kenneth Jorgensen (Badge# 8180) and Deputy Michael Fairley (Badge# 6210) arrived and interviewed the GSW patient, both deputies were already on site for an unrelated event. Security Manager Richard King was informed by text of the incident at 2340 hours as well as Nursing Supervisor Debra Reilly. At 2350 hours OCSO Deputy Kristine Helms (Badge# 5021) arrived and requested to speak to the patient’s friends who was waiting in the E.D. lobby. At 0010 hours Deputy Michael Fairley contacted SO Alonso and advised that it was OK to open the Emergency Department. The lockdown was lifted and Security Manager and Nurse Supervisor were informed of the incident. The patient, Lopez was airlifted to Orlando Regional Medical Center (ORMC) at 0030 hours at which time OCOS Deputy Kristine Helms informed me that the Gang Unit task force has been called for further investigation. All cleared, OCOSO report number 16-43967. Nothing further at this

On Wednesday 09/21/2016 at approximately 2056 hours, Security Officers Lourdes Garay and Supervisor Steven Evans were dispatched to ICU room #4112 for a (53B) Disorderly Baker Act Patient in Medical Unit. Upon arrival, Officers saw Nurse Cassandre Jermaine and Charge Nurse Cristina Sisneski attempting to calm down an irate Baker Act patient. The patient Adam Bargar (DOB: 02/05/77, FIN #86198457) was upset about not being able to make a phone call, he then ripped his IV out and attempting to leave the unit. I explained to him what a Baker Act patient is allowed to do and what limitations are obligatory. He was also explained to him that he was not allowed to leave his room until medically clear by his Physician. Security staff was asked to stand

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 January 19, 2016 at approximately 1415, I was called to the special housing unit to perform an immediate use of force medical debriefing. Upon arrival to the special housing unit Captain Roan McCollough and Lieutenant Scott William were present in the SHU and informed me that Officer Enrique Velez had been bitten by an inmate. I questioned why the staff member wasn’t sent to medical for immediate evaluation, due to this being a potential blood-borne pathogen exposure and received no response from either individual. I then took Officer Velez back to the medical room in SHU for a clinical interview to determine the course of treatment that was required for his exposure which was not classified as a blood borne exposure based on clinical guidelines.

On September 14th a child showed up with her mother for an outpatient procedure. The minor was checked in at registration and then proceeded back to prepare for surgery with the pre-op nurse. At this time the mother further explained that she would be leaving the facility but gave contact information to get a hold of her once the procedure was complete. This information was placed on a note pad and note in the patients file. Once pre-op was complete the child was taken back to the OR were she was cared for by the OR nurse. After the procedure was complete the recovery nurse ensured the patient started to wake and then handed off to the discharge nurse. After waiting for the mother to return for about a half hour the patient started to become upset. Looking in the waiting area and not being able to locate the mother the, once the discharge nurse got a call from security that the father had shown up the nurse gave discharge instructions to the father and allowed the father to take the child.

On Sunday January 10, 2016 at around 2316 hours, Security Officer Omar Alonso was contacted by E.D. Patient Registration employee, Ariel Ulanoff in regards of a male sitting at the left corner of the E.D. lobby who was making her feel unsafe because he was hitting himself in the head and face and also cursing. The Officer went to investigate and approached the male and asked if something was wrong and if he needed to get some medical attention. The male, whose name he later stated was Miguel Sanabria, said that he was just resting and that he did not need any help. The male appeared to be under the influence of some type of narcotic because he was sweating profusely and very fidgety but he was not aggressive or disrespectful towards staff or Security.

Issue: While performing her Charge Nurse duties, noted patient crying in the hallway and stating he wanted to go home and see his family; she noted he was confused and very tearful. Action: After calming the patient down using therapeutic communication, she guided the patient back into his room, turned the bed alarm on, notified his nurse, and requested a Patient Safety Aide for this patient from the Off Tour Coordinator for his safety. Outcome: When reassessing the patient, he seemed to be more cheerful and calm with a Patient Safety Aide at the bedside to reorient him and to prevent his feelings of loneliness.

At 3 am while the aide had her sleep brake, the patient’s husband called her to help him patient back to because the patient fell out of the bed during her sleep. As per aide, there were no visible injuries and the patient and her husband refused to call 911. Patient‘s PCP notified and patient’s children as well. RN visits scheduled for post fall

It was reported that on 10/10/16, by resident Darcia Getty (age 53, DOB 07/08/63) and resident's sister Donna Cowell that the facility has not provided the resident with her medication. Per ED physician note dated 10/10/16: "Woman" at the the board and care would not give the resident her medication until she ate her oatmeal. It was also mentioned that the resident has wondering thoughts and hysterical at times. EMS reports chaos at the scene, the resident was throwing things and screaming. LPA contacted RP to verify the name of the resident and original reporting party, as the name on the narritive did not match (Ms. Reed was a misprint).

On July 8,2015 worker visited Cordova NH, for the purpose of monitoring Ms. Wonda Marchbanks current situation. When worker arrived Ms. Marchbanks was sitting in a chair watching TV. She was appropriately dressed with good personal hygiene. Ms. Marchbanks has gained weight since last visit. During today's visit Ms. Marchbanks was not her normal upbeat self. She stated Talisa had only visited her twice since she moved to Cordova NH and she liked the other nursing home (Shadescrest) better. However, she is not interested in moving back to Shadescrest. Other complaint included not sleeping well on the bed provided by the NH. Worker asked if she would like a mattress pad but Ms. Marchbanks declined stating 'I won't help because she (roommate) will

I encountered an interesting incident this week. One of my patients was a 77-year-old patient male who was very confused and somewhat combative. His admitting diagnosis was UTI, but he was awaiting clearance so that he could be relocated to a nursing home. The issue arose when myself and my preceptor were notified that because he needed to be transferred to a nursing home, he was not allowed to be in restraints, have a sitter or be medicated within 24 hours of being discharged, otherwise the nursing home wouldn’t accept him. These stipulations were baffling to me because after laying eyes on the patient, I witnessed his instability and the potential for a fall if he were to be left unattended. The day nurse was very frustrated with the doctor’s lack of concern for the patient, as was myself.

Background: Two staff are seen carrying the old woman and throwing her onto her bed. (YouTube) A nursing home along Braddell Road has been suspended from admitting new patients with effect from 12 April after a patient was reported to have been mistreated. The incident at Nightingale Nursing Home came to light after a video of a patient being mistreated was sent to local broadcaster Mediacorp. The footage was shot by a hidden camera on a patient's bedside. In the video, an elderly woman patient is seen sitting stark naked beside a bed with the room ceiling fans on. She is then picked up by two hospital staff and thrown onto a bed, before a staff is shown slapping her on her mouth when she wailed in pain. Reports say the patient has been a resident there for four years and is suffering from stroke. The Ministry of Health (MOH) said it has suspended the nursing home from admitting new patients from 12 April until further notice. The nursing home has also disciplined the staff involved and put in place additional measures such as ward rounds by senior staff, regular meetings with patients and their family members, and management check on staff conduct and patients In a statement to Yahoo! Singapore, a MOH spokesperson said, investigations into the video recording show "significant lapses in the care standards" to the patient in question. "This should not have happened. There should have been tighter supervision of staff rendering care to vulnerable patients. Patient's dignity