Case Study Of A Disorderly Patient In A Hospital

1. The nurse is asked to implement a new, complex, and invasive procedure and is concerned that this may violate the state’s nurse practice act. A. What are the logical steps that the nurse should take to clarify the legal scope of nursing practice in this case? Nurse should know

During the argument David was racially abused by the patient. After the incident David was moved to another ward whilst the other patient remained on the ward. That night, whilst David was on the other ward, he lashed out and hit a nurse. Following this he was restrained by five nurses and a struggle developed. The correct procedures for restraining a patient were not followed; subsequently, David collapsed and died (NSCSHA, 2003).

Brian Ducre was arrested by DPS Capitol Detail and booked into EBRPP on May 5, 2016 at 7:58 a.m. on charges of Disturbing the Peace and Obscenity. Ducre was released on May 15, 2016 at 11:52 a.m. after he was pronounced dead. Ducre signed an Intake form on 05/05/2016 acknowledging receipt

MICU 15A was dispatched to 30 West Ave, @ Genesis Healthcare, Wayne Center in the Wayne Business District in Radnor Township, for an ALS Emergency, Assault Victim. The weather conditions were cloudy, cool and dry. MICU 15A responded with care per protocol to the stated location with EMT Straub driving. On arrival, the EMS Crew proceeded to the nurse's station, and the individuals there did not know anything about an incident, there was a female standing in one of the hallways who advised that there was a person sitting over where she was. The EMS crew proceeded to that area and found a 43-year old female who was a registered nurse and was conscious and alert x4 and was sitting on a chair, the EMS crew asked her what was happening, "she replied that she was in a patient room and stated that the patient had an IV in her arm and became disturbed and picked up a pocketbook and then assaulted her by the swing it and striking her in the right frontal region of the head", the nurse then exited the room and went and sat down in the hallway, where the EMS crew found her.

On Thursday 12/24/2015 at approximately 2307 hours. Security Officer Omar Alonso (420) was contacted by E.D. Charge Nurse Sharey Selover about an uncooperative intoxicated male patient, Jose D. Gonzalez (DOB: 03/30/1977; FIN# 85006354), come in through the EMS Offload area. Officers Alonso and Ayuso reported to the call and observed an intoxicated male being wheeled into the Special Care Unit (SCU) E.D. room # 39. According to his assigned Nurse Sara Lopez, the patient had been involved in a physical altercation and had been kicked hard in the groin area. Patient did not behave badly or disruptive once he saw that Security were present and his Nurse was able to get his vitals, blood work, and urine without having any issues. Security staff

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

Reporting party (RP) called CCIB to cross report that resident Gerald Gilliland (DOB: 4/22/41) reported that while he resided at this facility, unknown male staff locked him in a room against his will. It is unclear what room the resident was locked in because resident was unable to convey any details about the room. Resident then stated that it was all of the nursing staff who locked him in the room. Resident was hospitalized at Kaiser South Sacramento on 9/18/16 through 9/22/16 and is currently residing at Eskaton Greenhaven. RP stated that it is unclear if the resident has Alzheimer's or not. RP stated that the original reporting party is Sacramento Sheriff's Department (Report#16-286176) and RP will forward the SOC 341 to CCIB.

Organizational Systems and Quality Leadership Task 1 It is critical to have an understanding of nursing-sensitive indicators in order to provide safe, quality, compassionate and satisfactory patient care. In this scenario, applying restraints to Mr. J, a demented patient with hip fracture seems appropriate. However, it is standard practice that restraints are to be removed as soon as possible, and the patient in restraints may need assistance to change position every two hours. In Mr. J’s scenario, there should have been a bedside commode, and a urinal for him to use at the bedside so he does not have to walk very far to the restroom. As for the CNA, if she was well trained, she would have been able to recognize the marks on his spine

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 06/01/2016 at 8:55 AM I along with Cpl. Pries, R. was escorting the above named inmate from the BHU Interview Room back to his assigned housing, BHU-13. Once we entered Section II of the BHU the inmate attempted to kick and head-butt Cpl. Pries and me. Because of this we had to place the inmate on the ground in order to stop his behavior and to gain control of him. Once the inmate was under control he was taken back to assigned cell. At approx. 9:15 AM the inmate was seen by the SMH nurse, RN Henkleman, P.

On 2/27/16 at approximately 1734 ICS was activated in Roosevelt for offender OID 248891 who was c/o a chest pain. Upon arrival on the scene offender was sitting on the chair in no acute distress. Offender was assessed an was treated per protocol. Offender was brought to the clinic for further evaluation. Assessement was completed in the clinic and on call was updated with the finding and gave new orders. offender was treated per the new orders and was sent back to her Unit in a stable condition. offender was also informed to notify staff if symptoms

On Saturday 12/10/2016 at approximately 2028 hours, East Security staff was dispatched to the Special Care Unit room #40 in reference to a (51S) Patient Standby in ED. Security Officers Omar Alonso and I, Steven Evans responded to the scene. Upon arrival, we made contact with E.D. Nurse Jacquelyn Vaninguen who stated, she needed Security to stand by while she performed an EKG on the patient, Debra Lynn Bolger (DOB: 06/28/58 – Fin #86564069). Nurse Vaninguen entered the room and awoke the Baker Act Patient while Security stood by outside the room. Once EKG completed, upon leaving the patient became irate and attempted to leave her room at which time, I had to physically redirect the patient back to her bed. Nurse Vaninguen stated, she needed

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).

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

I think it's important to observe what the patient is suffering from psychologically than to just immediately treat them with any psychological diagnosis. For instance, if the patient is on a strict, low calorie diet for just a couple of days, then it might be unnecessary to diagnose her / him because the symptoms may be mild. However, if the diet continues for more than two weeks (like the experiment) and the patient begins to be more irritated, depressed, anxious to an extreme, then psychological treatment is crucial.