Charge Nurse Observation

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 Friday, September 30, 2016 at approximately 0536 hours, a Black Male Stab Wounds Victim walked into the Emergency Department lobby with a severe Stab wounds laceration to the lower leg and a human bite wound. Security staff was contacted by E.D. triage Nurse Tony Rusiano and escorted the patient to ED room#42. Security conferred with E.D. Charge Nurse, Johnathan Bacal and an E.D. Lock down was initiated at 0538 hours. All Security Officers responded and dispatched over front and back E.D. entrances. Orange County Sheriff's Office was contacted at 0539 hours at which time Security Manager Richard King was informed via text messages along with House Nurse Administrator Sabrina Presley. The patient, Alex James Jones (DOB: 02/03/92 - FIN#86247662) had one severe Knife Wound to the left lower leg and one

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

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.

Once he and Mr. Montes arrived at City Yards, Claimant Gomez claimed he reported his right shoulder injury to Supervisor Roy Chavez and informed him that he was “going to call the nurse for precautionary measures.” Mr. Montes claimed he completed an incident report on the DOI: 10/22/2015 but never received authorization from Mr. Chavez to be seen at a medical clinic. The claimant stated the co. The nurse instructed him to ice his right shoulder and to take molten, without referring him for medical

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 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

On Friday 09/16/2016 at 2300 hours, Security Officer Michelle Gallegos was badging visitors in the E.D. Lobby when the sister of a patient in E.D. # 32 lunged over the counter, knocking down a computer screen and a cup of water, then striking Officer Gallegos in her left arm. Security Officer (SO) Omar Alonso, was inside the E.D. Security Office, and responded immediately verbally instructing the visitor that police were going to be notified and that she needed to leave property immediately, and he also called Dispatch for immediate assistance. The female visitor was with 5 other females and her mother so they all followed Officer Alonso, outside of the E.D. Lobby. They were screaming and hollering that they were being treated disrespectfully by the badging officer who would not let them go back and visit her sister. Security Officers Ariel Weiland, Demetrio Flores, and Supervisor Steven Evans all responded by 2303 hours and helped to keep all 6 visitors outside while SO Alonso, conducted an investigation into the visitor’s allegations that they were being unfairly treated and were given erroneous information. He spoke to the nurse that Officer Gallegos spoke to when she needed information on the patient and permission for visitors to be given a pass to visit. Nurse Kurt Carr stated to him that the patient, Desarae

Monroe was escorted off the unit by Security Supervisor Steven Evans and Officer James Johnson to Security Office while Security Officer Carlos Ayuso was instructed to stay in the unit and gathered witness’s statements. Security Supervisor Evans called the Police at 2044 hours and reported the threat and Orange County Sheriff’s Deputies, Kristine Helms and Jeff Payne arrived on the scene at 2100 hours to investigate. Deputy Payne met with Mr. Monroe at the Security Office while Deputy Helms was accompanied by Security Supervisor to the 4th floor and spoke with Charge Nurse Trofibio about the threats. Upon, further investigation, OCS Deputies took Mr. Monty Monroe into custody on assault charges against a Medical Employee. Consequently, he was also being trespass from Hospital property. Sheriff Deputy K. Helms filled out the Trespass Warning and provided case number 15-114720, witness statements were taken and will be included with this report. Security Supervisor Evans notified Administrative Nursing Supervisor Mary Cisco and Charge Nurse Darren Trofibio of the end result and informed the Charge Nurse that Security staff would be glad to escort him anytime requested. At 2145 hours OCS Deputies left scene, all cleared and Security did not have to go hands on, no injuries incurred during this incident. Nothing

S/O EMT Perez was requested by Gate One to assist with an Ambulance escort to CT-403 on the early morning of 8/7/2015. When arriving at gate at Gate One S/O EMT Perez realized that the ambulance crew was already enroot To CT-403. S/O EMT Perez managed to catch up with the Four Butler Private Ambulance Crew Members at the door of CT-403 (due to his stature Mr. Haskey required the Bariatric unit). The resident returning, a Mr. Robert Haskey was reportedly discharged from Holy Cross that night. S/O EMT Perez unsecured the door to let the Butler Associates into the apartment to place the resident in his bed. While Butler was in the process of unloading Mr. Haskey S/O EMT Perez announced his presence and proceeded into the room where Mrs. Mary Haskey

One of my career objectives is to become a charge nurse around 2019, after three years of experience as a floor nurse, to become a leader that brings new change and policy for better patient care. I intend to look for available charge nurse openings within my place of work at Enloe Medical Center. Becoming a charge nurse will bring more responsibilities to my position as an RN. I have done my research, and have been inquiring regarding the roles and responsibilities of a charge nurse in order to better prepare myself for the position. I believe my leadership qualities would fulfill the requirements to supervise the nurse floor all while keeping the balance between administrative tasks and clinical duties.

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 8/11/15 S/O EMT Perez responded to a 911 escort for CL-322. S/O EMT Perez escorted Engine and Ambulance crew 841 up to the apartment. While 911 was assessing the resident a Mr. William V. Johnson S/O EMT Perez talked to S/O EMT Anti and inquired of the situation. S/O EMT Anti stated that the resident was complaining of chest pain and high blood pressure. The 911 crew after assessing then suggested to the resident that it would be in his best interest to be transported to the hospital and seek a higher level of care. The resident agreed. The aide then proceeded to call the residents son Donald Johnson to inform him of the transport. S/O EMT Perez talked to Donald also and stated to the Son that his father was being transported to the hospital

During my clinical time last Saturday, my nurse preceptor became extremely busy due to three discharges and two admissions to the observation unit. The charge nurse left is office and went to all the nurses and asked them if they needed help with discharges because he was there to help them by doing all the discharges. One nurse told me this charge nurse will help when others will not.