Case Study Of Donna Cowell's Case

If testing results support the suspicions of impairment, then management is mandated to report the incident to the North Carolina Board of Nursing (NCBON, 2011). With increased medication errors, Beverly failed to provide a safe and effective nursing care to the patient, therefore violating the laws of the Nurse Practice Act (NCBON, 2009).

The reporting party (RP) stated that 92 year old resident Delora Lovelock DOB: 1/15/24 was residing in the facility from 5/15/2015 to 6/4/2015. Prior to admission the facility was informed that the resident had a broken femur and could not bear weight. The resident required two caregivers to transfer. Initially the facility assessed the resident and accepted her into the facility. Subsequently the resident was not provided the care necessary. The resident was transferred by one caregiver that resulted in the resident's trip to the emergency room where she was diagnosed with contusions to her ribs. The RP stated that prior to admission that the caregivers were trained in transferring resident however the caregiver had no idea how to transfer a resident from bed to

Beneficence compounded by nurse-physician communication created ethical problems in this case. Mainly, Joanna’s assessment of Mrs. Kelly being ignored by the resident physician and the nursing supervisor. Joanna worked within the scope and standards of practice, she assessed, evaluated, and monitored her patient’s condition. She then reported her findings to the resident twice, and also sought nursing support from her shift supervisor. After Joanna’s first call to the resident, and her continued concern she needed to advocate in a proactive manner. Continuing her assessment of Mrs. Kelly to include palpation and auscultation could have offered additional clinical information enabling her to articulate the problem to the resident and nursing supervisor.

According to former employee Stephone Else, medication aide, alleges she heard Ms. Lyles tell Phillip Yovonnie, LVN to “Take her to China” with Amara Anele, RN, and Lilian Foster, Medication aide present at 6:20-6:30am. Per the investigation, the date was identified as 1/23/18 and resident was Shirley Depino. According to the nurse Amara, she did not give any medications

CCIB received SOC 341 reporting that during a meeting with the resident, James Brown (DOB: 09/18/84), social worker from Solano Adult Day Healthcare Center, the resident stated that staff Marco has hit him on multiple occasions. The resident kept repeating that he did not want to return to the facility. RP consulted with resident's previous social worker who affirmed that the resident has a history of making allegations that are not true due. Resident also has a history of Schizophrenia/Delusions. Facility staff stated that the resident has a history of making allegations whenever he is assigned a new social

During interview Ms. Stoker was alert, aware of surroundings, and answered all questions appropriately and independently. During the visit Ms. Stoker dry heaved into a garbage bucket, and visited the restroom once. The worker was at the residence for about 2 hours. Initially Ms. Stoker was shaking uncontrollable to the point of shaking the entire bed. At the end of the visit the shaking had stopped and Ms. Stoker was smiling and interaction with worker while talking about DELETEbeing a wife and mother. During visit Ms. Stoker received a call from Alacare Home Health. She informed them she was out of her pain medicine but did not inform them she was out of all medicine. Alacare called the pharmacy and was informed she did

Trey Cavalier was assigned to M&N control for the night. That morning (which was May 14, 2016 because he was working nights) about 30 minutes to an hour (he could not give exact times because log books were being picked up for the investigation) before 4:00 a.m. Dy. Cavalier was notified by Dy. W. Benson that Brian Ducre (who was a new move that was escorted to M&N on a wheel chair) was acting strange and that medical needed to see him. Dy. Cavalier called the medical department and spoke with Nurse Minor and advised him of the situation. Shortly after Nurse Minor came off of N01 and said that inmate Ducre had mental problems and wasn’t taking his medicine, that there was nothing the Nurse could do for Ducre and that he would ultimately be okay. Nurse Minor then left

In the complaint, it is alleged that Dr. Rehman breached the relevant standard of care by discontinuing the pharmaceutical Glucovance, and by ordering insufficient monitoring of Ms. Green’s glucose levels; and that Millennium Health and Rehabilitation “failed to property monitor the deceased, ignor[ed] panic values on her labs, [and] misinterpreted the order discontinuing the Glucovance without order of [Dr.] Rehman.”

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.

CCIB received a SOC 341 via email from Maria Doreen Ainsleigh (medical SW) regarding Terrylee Young (DOB 2/18/1948). RP reported that Terrylee stated that some of the nurses treat her and other residents bad (did not state how). RP reported that Terrylee stated that the staff (names unknown) yells and scream at her and other residents (LPA contacted the SW and Terrylee neither parties could tell me what staff says). RP reported that Terrylee also stated that the Administrator Joe Johnson curses at her and the other residents when they are having problems in the facility. RP reported that Terrylee said that Joe told her on occasion “tough shit” when she has told him about problems. On LPA contact phone call on 3/17/2017, with Terrylee about

Renisha Gilmore is a 10th grader at Manassas High School and her favorite after school activity is going to the John Dustin Buckman Club. At the Buckman Club, Renisha is able to complete her school work, receive help if needed, and participate in a variety of activities. Along with these activities, Renisha also enjoys having internet access at the club.

The reporting party (RP) stated her brother, resident Luis Gallegos DOB: 8/26/70 was transferred to the facility from a skilled nursing facility (Premier Care). According to the RP the resident was admitted to Premier Care on July 13, 2016. The RP stated prior to her brother's stay in Premier he was able to make his own decisions and therefore didn't require a POA or a conservator. Consequently, Premier transferred her brother without notifying his authorized representative, his sisters. When the RP and her sister attempted to visit the resident they were refused. A caregiver named Jessie informed the RP that she had no authority to remove the resident. The RP stated her sister Chelsea visited the resident was not allowed to visit in private.

On the night of 5-26-17 at approximately 2145 security recieved a call from Casper Police Department dispatch asking for the ambulance bay door to be opened as Police were responding to a disturbance in the Emergency Department. Previous to this call security knew nothing of a disturbance. Security Officer Ubbes escorted Casper Police Officer who walked through the front entrance. Upon arrival Ubbes was informed by one of the ER nurses that the patient from bed 11 was extremely intoxicated, he was leaving his room wandering the ER without any clothes on and entering other patient rooms. Casper Police arrested the individual without further incident and left at approximately

On 08/27/15 Mrs. Pruitt contacted DHS to request someone pick Jakyah up. Jakyah has been diagnosed with severe behavior issues and she’s been prescribed medication for D.I.D. Between 08/26/15-08/27/15 Jakyah had noticeable changes in her behavior; Jakyah began showing out and ran out into the road. Jakyah had homicidal ideation and threatened to cut others. Ms. Brown picked the child up from the Pruitt home and Jakyah was taken to the county office. While at the office Jakyah’s bags were checked and medication bottles were found in the child’s possession filled with her prescription. One bottle had 14 pills init and a second bottle had 28 pills in it. Before leaving the home, a worker asked Mrs. Pruitt if Jakyah had her medications that day

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