Case Study On Quisaris Prensa

emergency department at 2:30 a.m., where she appeared to be moderately ill and dyspneic. The

1. A 23-month-old infant with a heart condition presented to the ED. The physician examined the infant and , after reviewing the patient's history of a heart condition, ordered a transport to a specialty cardiac hospital. This specialty hospital is 150 miles away from the current hospital. The physician accompanies the patient in the ambulance to monitor blood pressure and pulse oximetry and to review portable ECG tracings. It takes 1 hour and 44 minutes to transport the patient to the cardiac hospital

Unit 646 was dispatched to 5th Avenue Inn and Suites to a 4-year-old male who had a seizure witnessed by his parents approximately 10 minutes prior to the team’s arrival. Upon arrival to the scene, the family and child were outside and were all taken into the ambulance. The child was alert and oriented. The father stated, “We came here for his seizures and we have an appointment tomorrow at Mayo.” In addition, the parents stated that he vomited in their hotel room before the seizure and is taking Tegretol, and was currently acting as his normal self.

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

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

In this case Robert and Ray are emergency medical technician paramedics (EMT-P). They have completed an 18-hour shift. They are back on duty after only having a three-hour break. Robert and Ray are supposed to check a divert status board but have forgotten to check it. The divert status board has several hospitals on Emergency Department divert status.

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

Approximate 1414 Soc received a call from Deb Pyle (Nurse) about a Young female feeling Cold, Dizzy, Pale & Heart rate increased. Nurse Pyle requested Paramedics on site. 1416 Paramedics was called by security officer Satinder Singh. 1420 Supervisor Marques Diaz sent MERT E-mail to the MERT TEAM about the Medical Assistance. 1423 Paramedics arrived on site to treat the young female. 1425 Fire Department arrived on site to attend to the female. 1438 Paramedics took the female (Kristina Milkovic) to Santa Clara Kaiser to be check for increased heart rate, dizziness, feeling cold, pale, shakiness.

On 10/21/2015 SO EMT Perez was dispatched to HS-318 regaurding a general assistance call. SO EMT Perez knocked and announced his presnece at the door and was verbally greeted in by the resident, a Mrs. Netha Hopson. Mrs. Netha Hopson stated that she needed help retrieving her purse because her motorized chair was caught on it and she could not get it untangled on her own. SO EMT Perez managed to untangle the purse and retrieve it for Mrs. Netha Hopson. After insuring that Mrs. Netha Hopson needed nothing else SO EMT Perez cleared the scene without further incident.

2:10pm- IRTC called and spoke with Detective Dulanto and provided her with an update regarding this investigation. Detective Dulanto stated that Dr. Kayhill is working out of the facility close to Montefiore Hospital and it would be best for the child to go there for an x-ray. Dr. Kayhill will only be available for a few hours before she leave the facility.

On Monday January 4, 2016 approximately 11:40pm Stephen came downstairs looking for EMS for his mother who was having an epileptic seizure. C. Horton went over the 900 side to see what was going on. C. Horton saw Ms. Sophie lying down on the bed. EMS Gonzalez #4333 unit 39 victor arrived on seen at 11:35pm on the 900 side. Aisha was notified about the incident and also approved that Stephen can stay with his siblings overnight. Ms. Sophie was taken to Brookdale

Upon my arrival, I noticed a black male lying in the street unconscious. I then checked the victim’s vital signs to make sure he was still breathing. I then proceeded to dispatch for EMS to come to my location.

On 8/25/2015 S/O EMT Perez was dispatched to PV-509 regarding severe leg pain. S/O EMT Perez knocked and announced his presence at the door and was verbally invited in by the resident a Mrs. Margaret Folkins. Mrs. Folkins stated that she had been in severe leg pain the entire day and she was having difficulty resting. Mrs. Folkins also stated that she was at the hospital for it the day prior because of it but the cause of the pain couldn’t be diagnosed. S/O EMT Perez asked Mrs. Folkins if she had fallen recently and if that was the reason for her visit to the hospital prior. Mrs. Folkins stated that she fall’s all the time but that wasn’t the reason for her visit to the hospital yesterday. The reason for Mrs. Folkins visit to the hospital yesterday

The new operating policy observed by the EMS is fairer than the previous rule in this regard. The previous rule of allocation for Emergency Medical Services gave priority on a first-come first-serve basis for the calls that were demoted to “routine” versus the calls which were not. This meant that no matter the severity of the situation of the patient, whoever was first in line would take priority. This is in contradiction with the “worst-off, sickest first” rule.

“Hospitals are not only required to care for emergency patients, but they also are required to do so in a timely fashion” (Pozgar, 2010, p. 272). “Hospitals are expected to notify specialty on-call physicians when their particular skills are required in the emergency department. An on-call physician who fails to respond to a request to attend a patient can be liable for injuries suffered by the patient because of his or her failure to respond” (Pozgar, 2010, p. 271). Under the doctrine of Respondeat Superior, hospitals are also liable for the actions of physicians working or on-call in their emergency department.