On this date worker spoke with Misty Jenkins at Healthsprings and learned Mr. Bagwell had transportation to dialysis but no pick up. Worker called Mr. Bagwell’s ex-wife and learned she was no able to help with transportation. On this date worker spoke with Devita Dialysis and Fresenius Medical Center for the purpose of linking Mr. Bagwell with a dialysis appointment that would work with Class Trans transportation to and from dialysis. Neither place had an opening that would work with Class Trans schedule. He was placed on a waiting list at Devita. Worker called Class Trans to see if they could adjust the route to fit with dialysis. Class Trans stated they could take him to dialysis but could not pick him up. The bus does not go by his apartment
Imagine spending a quarter of one’s life in prison for a crime one didn’t commit. This is what happened to Michael Morton back on February 17, 1987, when he was sentenced to life in prison for the murder of his wife even though there wasn’t real evidence linking him to the murder. There was no scientific evidence, no eyewitness, no murder weapon, or a believable motive. He was their only suspect, and the only thing they had on him that made him look guilty was the statement of the medical examiner Dr. Roberto Bayardo who placed Christine Morton’s time of death at 1:15 AM that morning before Michael left for work. The medical testimony had convinced the jurors that the wife had died while Michael was still in the house. Christine died of eight
There is indeed a crisis to a certain extent in the use of forensic science in the prosecution of individuals in criminal cases; this is because some judges and juries over value the objectivity of forensics, without evaluating the timeline and crime scene as a whole. This was particularly evident in the 1995 case of Mallard. In this case Andrew Mallard was convicted for the 1994 murder of Mrs Laurence, a jewellery shop owner in Perth. Mallard is now considered innocent of the murder; however this innocence was only obtained through two appeals. In the second appeal of Mallards, forensic evidence was put forward, but it is alleged that it had not been properly disclosed to the legal team of Mr Mallard when the trial commenced. Thus one of the
On the morning of May 7th, 2000 the murder of Mary Ann Stephens occurred. She was a tourist to Jacksonville, Florida along with her husband. The two were staying at the Ramada Inn Hotel and had just came from breakfast when they were approached by a young black man who held them at gunpoint, took Mrs. Stephens' purse then proceeded to shoot her between the eyes. When the police first arrived, the elderly woman's body was several inches away from the path on which her and her husband were walking along to get back to their room. Her body was strewn across the grass, covered in blood with the bullet and it's wound being clearly visible to the naked eye. This case became controversial and it is believed that there was racial
2. A new graduate nurse is working in the pediatric intensive care unit. She has been employed a total of 5 months, 3 of which were spent in orientation. Her patient, a child with a cardiac defect and pneumonia, has a very unstable condition and has needed an increasing amount
The building of the new facility is not expected to affect revenue, direct cost and patient volume. The Dialysis Center will provide the same services for its patients, but with different location of the facility. There is no reason for the personnel of the facility to be penalized financially, since the decision for the relocation of the building was taken due to recent growth in volume of the Outpatient Clinic.
Ms. Cetiner has been an RN in the hemodialysis unit for the past 6 years. She provides excellent care to our Veterans, and consistently functions in a professional manner with staff, patients and families. She was part of a unit I CARE award presented by Dr. Mayo-Smith for quality and commitment to our Veterans. She demonstrates competency in the utilization of the nursing process as evidenced by the accurate assessment, plan, implementation, and evaluation of patient care in her daily practice. She developed a unit diabetic foot
1. In 1825, Philadelphians began debating whether to build a multi-million dollar canal through the Allegheny Mountains to connect the city to the markets in the Ohio River Valley. Who was Matthew Carey, and why did he push so hard for the canal?
Scenario 2: Gary M. was arrested by the FBI when he showed up at a local mall to meet a "14 year old girl" for a date, which he arranged over the Internet. He didn't know that the "14 year old girl" was a 35-year old male FBI agent. Category of crime, crimes of public morality referring to cybercrime, charges Iowa code 705.1 solicitiation of a minor felony up to 5 years imprisonment and fines (Reuters, 2017).
Patients who use peritoneal dialysis change their own cleansing solutions at home, usually about six times per day. This procedure can be done manually when active or automatically by machine when sleeping. However, the patient’s overall condition, as well as the positioning of the catheter, must be monitored regularly by nurses and technicians at the Dialysis Center (Gapenski, pg. 27-28). The Outpatient Clinic currently takes up 80 percent of the space it shares with the Dialysis Center. The recent growth in volume has created a need of 25 percent more space for the Clinic. Its large size compared to the Dialysis Center and its patients frequent use of other departments in the hospital are justifications as to why it was decided to move the Dialysis Center to another building. Big Bend Medical Center currently doesn’t have adequate space to house the Dialysis Center, so it was also decided to build a new 20,000-square-foot building. This expansion and move were went to benefit both departments and help increase patient volume. The goal of increased patient volume is expected, but the directors and other department heads did not agree with the new allocation of indirect costs. In the past, facilities costs were aggregated, so all departments were charged cost based on the average embedded cost regardless of actual age of the space occupied. Since many department heads considered this
Christopher was engaged in conversation with CM. CM asked Christopher about his training with Project Clean (Wells Life Network) on 03/05/2018. Christopher replied "that it was OK. I go there Monday- Friday from 10 am to 3 pm, but I have to leave the house at 8 am". CM applauded Christopher for using time management by leaving the house 2 hours before his start time, by ensuring he gets to work for 10am. CM asked Christopher how he gets to Project Clean, since he has to leave 2 hours ahead of his start time. Christopher replied, “I take the bus. I use a MetroCard. I gave the paperwork (SSI award letter) to get a free MetroCard”. CM commended Christopher for providing the documentation (SSI award letter) in a timely manner to ensure
At 9:00 Pm, I called the AVP1 office to check on the staffing levels for the 3rd shift, 2200-0600. At this time, S/S Kania stated that she did not get anyone to cover the open post and she assume that I knew about the open post. She also stated that she did not notify A/S Davidson about the open post. Upon being learn about the open post, I coached S/S Kania on the proper escalation when an open post occurs. In conclusion, avp1 ran open from 1800-2200, 4 hours. Reminder, Per Loss Prevention’s request the number of officer in the parking lot remains at 4 officer and 1 supervisor which causes a variance of 146 hours. In conclusion, AVP1 ran 4 hours open for parking lot detail and 8 for peak
On 3/13/16 SO EMT Perez was notified that an engine had come on campus. SO EMT Cunningham responded along with SO EMT Perez and caught up with the engine by lakeside commons. The driver of the engine stated that he was responding for a lift assist to 3144/3146 apt 220 but that he wasn’t sure which one he was going too. SO EMT Cunningham and SO EMT Perez decided to respond to FR-220 first being that they were the engine came from gate 2 and they were closest to that building. SO EMT Perez and SO EMT Cunningham knocked and announce their presence at FR-220’s door and were both verbally invited in. The resident a Mrs. Helen Neff stated that she could not get out of her chair because it was stuck and needed help getting out of it. SO EMT Perez
D. Writer and Staff CB met with Jermain for the purpose of educating him on transportation options for UCC at his apartment for 15 minutes. Writer utilized open ended questions to gain feedback on Jermaine’s readiness. Jermaine reported needing assistance researching transportation. Writer assisted Jermaine in exploring bus schedules. Writer and Staff accompanied Jermain to UCC to obtain transportation information from UCC's information desk. Writer assisted Jermain in locating the bus stop and identifying bus route schedules.
Countless of different patients come to seek healthcare and advice for a variety of reasons including certain signs and symptoms they feel that their health is threatened by. It is a crucial skill that health practitioners have a working knowledge of different pathologies patients can present with to direct the patient appropriately towards the correct diagnosis and thus, prescribe the most effective treatment in return. Mr Smith is a 63-year-old male suffering from hypertension and diabetes for the last 20 years. He irregularly monitors blood pressure and blood glucose levels as well as inconsistently uses Minidiab and Tritace for treatment. He presents with shortness of breath worsening over the past five weeks as well as other multiple symptomologies. Throughout this case study, we will examine the pathophysiology of Mr Smith’s health concerns, clarify and interpret the physical examination outcomes and laboratory tests. Through the exams, we will then propose a number of possible and justified diagnoses and after that lead to further diagnostic tests suggested as a result of these interpretations.
As a dialysis nurse I am tasked with providing pre and post treatment assessments for each patient and through these assessments I identify if there are any patient problems that must be managed. These problems can include access issues, such as clotting or infection, fluid related problems and many others. If a patient is short of breath or complains of chest pain prior to