Case Study Of E. D. Patient Sommer

Castillo kept acting in belligerent manner and stating that he was going to leave. I, Steven Evans then spoke to him about the fact that he appeared to be intoxicated and that he could not leave at this time. I reiterated to him that any attempts at leaving would not work and he could possibly end up being restrained by medical staff with Security assistance. The patient did not like what I said to him, so he threatened to leave and then proceeded to step out of his room. Security Officer Alonso and I asked him twice to go back to his bed, at which time he became unreceptive and refusing to go back to his room. Officer Alonso and I had to physically and forcefully direct him back to his bed. Once on the bed, he became physically aggressive and attempted to hit Officer Alonso. We instantly took control of the patient's arms and upper body while Security Officers Paz and Weiland controlled his legs as he kept screaming and fighting with us. Nurse Baptiste proceeded to contact the patient's Doctor Cleveland so that a sedative could be given to him. At 0020 hours Nurse Baptiste walked into the room to administer a sedative to Mr. Castillo. The patient fervently refused and Security had to physically hold the patient down during the

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 the above date, I was on Med 4 with Paramedic Jeff Kennedy. At 2142 Hrs., we were dispatched to a Priority 3 person sick call at 131 Providence Club Dr. in Bold Springs, which is in Med 2’s territory. The patient was a 41 y/o male, with no known cardiac history. Due to the distance from our quarters in Loganville, which according to Google Navigation is a distance of 11.0 miles, I advised central to have fire rescue en route for response time. They dispatched Engine 8 and District 1. We arrived at 2201 Hrs. and Capt. Herb Huff on District 1 advised us that the patient

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

On 7/6/2015 S/O EMT Perez was dispatched to WC-407 regaurding a pendant alarm. S/O EMT Perez knocked and annoounced his presence at the door, when there was no answer S/O EMT Perez proceeded to search the apartment. S/O EMT Perez found the resident, a Mrs. Mary Beiter toppled over her walker by her bedside. Mrs. Mary Beiter was trying to get inter her bed when she lost balance and fell and could not get up under her own strength. Mrs.Beiter did not complain of any hip pain during the pelvic exam but did state that she has a bad knee and hip that makes it rather hard to stand on her own. S/O EMT Perez asked Mrs.Beiter if she wanted to be transported to the hospital before he picked her up which she declined. S/O EMT Perez performed a lift assist

LL was transported by emergency medical services EMS after a gunshot wound to his head, CPR in progress. As per ems received a call around 10 .15 for an unconscious person found lying on the street. on arrival at scene EMS noticed gunshot wound to right side of head, pt. was unconscious and was not breathing. ems started CPR and followed ACLS protocol. They started an IV, gave him a 500cc saline bolus, intubated him on scene with size 7 endotracheal tube with 21 at the lip and was given three rounds of epinephrine

Employee John Lee (Regular FS employee-Forester-PRRD) was taking his work capacity test at the Chadron High school track when at approximately 10:00am started to experience fatigue and then collapsing on his last lap. Cyd Jenssen (Public Affairs Officer-S.O.) an RN nurse, Mike MattMiller (Job Corps Fire CRWB-S.O) and Ben Jech (Engine Crew Lead Member-PRRD) both former EMT’s assisted John at the scene. Ice packs were placed under arm pits and oxygen was administered until the arrival of the ambulance. John was conscience during the entirety of the incident. John was transported by ambulance arriving at the Chadron Community Hospital at 10:20am. Fluids were administered by IV. Was noted from the MD doctor that John had a significant case

In today’s world violence can be expected anywhere at any time. This includes what was considered at one time a low risk area, the medical facility. Today the incidence of violence is increasing. There are two types of violence the first is lateral violence or aggression which is amongst hospital or medical personal. The other is external factors consisting of patients or visitors instituting violence or aggression among themselves or against healthcare workers. This is known as a code grey in my facility and all male staff not currently engaged in patient care are supposed to respond.

On 10/05/2016, I, Jeffrey Lee Albert, was working as a police officer for the Wichita State University Police Department, in Wichita, Sedgwick County, Kansas. At approximately 1614 hours I was dispatched to Grace Wilke to offer a ride for a student Eryn Noelle Miller to Comcair Crisis Center at 635 N Main, Wichita, KS 67203. I arrived at approximately 1627 hours at Grace Wilke and met with Amy Marie Barfield on the thrid floor. Barfield introduced me to Miller and I started my transport at approximately 1644 hours. We arrived at Comcair Crisis Center at approximately 1704 hours. I helped Miller get checked in and waited with her until staff were present. I left Comcair Crisis Center at approximately 1722 hours and returned to service at approximately

On 10/28/15 at approximately 1930 an ICS was activated at Higbee for an offender McDonald OID 200046 who was unresponsive . Upon arrival offfender was lying in bed, but was not responding to command. Officers entered the cell cuffed up offender and assited her to the sitting position. At that point offender started talking to staff. Offender was in no medical stress and denied any health concerns. She stated that she was tired. Vital signs were normal. Offender was advised to let staff know if she has any health concerns.

On 10/09/16 at approximately 1945 ICS was activated in the Visiting Room for offender Mabe OID 251398 for a possible seizure .Upon arrival at the scene offender was found lying of the floor alert, weeping and in no acute ditress. Two visitiors who witnessed the incident reported that the offender was sitting on a chair and her face strated turning red and within afew seconds she fell to the floor and started having convulsions which lasted about three minutes. Offender reported that she had a pseudoseizure and anxiety attack because she is not getting all her mental health medication. Offender was put on wheel chair and brought to the clinic for futher evaluation. Offender was evaluatd in the clinic and was found to be stable. She was sent

Shydae was talking to staff about an incident that happened early today with Jessica. Shydae became agitated with Jessica when she began to bang her head on the wall. Staff attempted to redirect Shydae several times. Shydae went into her bedroom and grab a weighted vest and removed a weight from it and throw the weight at Jessica . Staff encourages Jessica to go to her room but she refused and return to the milieu. Shydae became aggressive towards Jessica ; staff intervenes quickly to avoid any physical altercations. Shydae became combative and aggressive towards staff. Staff called for additional staff for support. Shydae was placed into a standing to seated restrain (6:40 pm to 7:05 pm). Shydae was able to return to baseline ,nursing was

HB 7:33 PM, 8/1/2015: Herman Brown, Adult Security Officer, assisted Joshua Handley, ED TA, with inventorying personal items belonging to Trauma Victim Brick-Doe, patient, Bed #A3, and placing them into Smart Safety Bag #320348Br, all items were already inventoried and accounted for ( bag sealed prior to transport including $467.00 in cash by ED TA Mr. Handley. Officer Brown then transported it to the Emergency Department Admissions safe.

On Saturday 10/17/2015, at 2210 hours, Security Officer Omar Alonso was approached by discharged E.D. patient, Delia Colon (FIN# 84715193) and told that she had left her prescription eye glasses inside room A-5 about 15 minutes prior when she was discharged. The Officer went and checked the room and the Environmental Services employee Mayra Reyes who had done a quick turn-around (cleaning) of the room was spoken to but no one reported seeing the glasses. The Officer then, spoke to the E.D. staff working in the area but no one had any information as to the whereabouts of the eyeglasses. The Officer was informed by the patient that she had left them before going to X-ray and that was the last time she remembers seeing them. Ms. Colon filled out

An older woman in her 60s came in complaining of stomach pain. Donna was the one taking care of her, and when she went in to get vitals, she said I should probably stay in the nurses station because the lady wasn’t very friendly. That was probably a first indicator. I don’t know the specifics of what was wrong with her, but I knew she was really sick and needed treatment. She started getting antsy though, and wanted to leave. She kept trying to pull out her IV so Donna asked one of the nurses to stay in her room and sit with her to make sure she didn’t pull it out. Shortly after there was screaming. The woman was yelling that she refused treatment and demanded she leave. Donna went in for backup while I stayed and watched from a distance. Her daughter had dropped her off and left to go home and take care of her baby, so even if she wanted to leave she couldn’t. The yelling continued until Donna came out and explained the situation to the doctor. He said that they had to section-21 her so she could not leave the hospital, then Donna called a Code 22, which means there is a violent patient and calls all available staff to come help. They called the nursing manager and most of the nurses. They restrained her and were able to put an IV back in her arm. It sounds a bit cruel but without treatment the woman probably would have gotten even worse. All the nurses looked quite stressed out after that, and on top of that the other man was screaming