Corrective Action: Case Study

employer, professional regulatory body, and the law for an unwarranted breach of confidence, it is essential that any disclosure of information is done appropriately within the requirements of the duty owed to the patient” (Griffith, 2015, p.358). The law is very strict and nobody has the right to violate the patient's confidentiality and have access to the medical information without been authorized by the patient. For this action Kevin will need written authorization in order to have access to the records. According to the Code of Ethics for Nurses is the nurse who is charged with helping to preserve the patient’s privacy by only asking the questions that are clinically relevant. “Confidentiality is

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

When the referral is received from a physician outside the healthcare provider’s network, paper medical records relating to the health issue are requested, including office notes and test results. After the patient’s paper medical records are received by the scheduling office, the scheduler manually reviews the records for the diagnosis and reason for the referral to determine how to appropriately schedule the office visit. For example, if the patient recently suffered a stroke, the patient would be scheduled with a stroke specialist rather than a general neurologist.

Once Dy. Cavalier returned to work on Saturday May 14, 2016, he was again assigned to M&N control. Half way through his shift he was advised by Cpl. LaMotte that he needed to contact medical and asked them if they could come and check on Ducre because he was acting strange. Dy. Cavalier contacted medical and spoke with nurse Sterling and she advised him that she was eating and that she would let the others know and someone would come. For the remainder of the night Dy. Benson made extra rounds to check on inmate Ducre. Upon the time that Dy. Cavalier’s shift ended no one from medical had seen Ducre.

Mrs. Dey reported she had been extremely sick with the anti-seizure medications and her primary care advised her to stop the current medication and go into the hospital. She was hospitalized overnight in observation and Dr. Hardy requested she come into his office the following Monday, September 11, 2017. Due to the unexpected appointment, I had a scheduling conflict and my colleague Laurie Wawrzynaik RN, BSN, MA, attended.

On Thursday 07/21/2016 at approximately 2223 hours, Security Supervisor Steven Evans was contacted by Assistant Nurse Manager Robbie Philips via landline and asked to conduct a (44V) Enforcement Escort Visitor Off Property for the discharged female patient in E.D. #48. The patient, Susan Harris (DOB: 03/22/1952), had been quarrelsome and refusing to leave. SOs Christopher Paz and Ariel Weiland responded to the scene. Upon arrival, we observed the patient laying down on her bed, we approached the discharged patient and spoke with her. Mrs. Harris agreed to leave without further incident. Security staff escorted Mrs. Harris outside of the E.D. lobby at which time she requested to stay in the lobby till 0530 hours. No incident occurred during

On 11/17/2017 I received a phone message from Dr. Mendelson’s office as a reminder that Mrs. Raney is scheduled for an appointment on 11/21/17 at 2:50p. I recontacted this office as I had her scheduled for an earlier time. The staff rechecked the physician’s schedule for that day and I was told that she could be seen at 2p. I notified Alimar Transportation of the new time and the nursing facility Cherrywood.

On July 20th, 21st and 22nd, Lupita failed to follow proper call-off procedures. There was not communication on her part in regards to her intentions to come to work until after her supervisor reached out to her. When her supervisor contacted her on July 20th and the 21st, Lupita stated that she would be coming to work on the following day. This did not happen.

This writer and the Program Director met with the patient to share an explanation about dosing time arrangement. According to the Program Director, she provided the patient with an explanation as to why he will have to dose between 9am-11:30am due to patient #394 and her husband medical issues. If the patient returns back to work and needs to dose at an earlier time, the patient must provide proof his work schedule for the dosing time arrangement to be changed again. The patient requested for assistance from the clinic to preschedule his Logisticare transportation of which the Program Director and this writer agreed to assist him with. After the discussion with the Program Director, the patient was not pleased and began to get emotional as he feels victimized again. This writer explained to the patient, the patient reason for the dosing arrangement is due to the allegation and safety reason. However, the patient understood the purpose of the arrangement, but he was more concern about getting the earlier appointment rather than a later time. This reiterate about what the Program Director mentioned about if the need to change the dosing time, the patient needs to provide proof for such request. The patient provided this writer with a copy of his ER visit dated for 02/23/2017 of which the patient did in fact received one pill of Klonopin.

CCIB Intake received a call from Theresa Hoffman (323) 508-6170 who stated resident Bobbie Herndon DOB: 12/6/34 was missing from the facility. According to the caller she last visited with the resident on 8/3/16 and communicates with the resident at least once a month. On 10/31/16 the caller arrived at the facility to visit with the resident. The RP stated her visit was due to concern for the resident and his lack of communication with her. The caller stated she was informed by the facility as of 8/15/16 the resident no longer resided in the facility and that he was transported to a local hospital. Consequently the caller contacted the hospital and was informed the resident had not been admitted over the last two years. The caller stated she

I recently received notification from a resident in the pediatric cardiology unit of allegations that Dr. Delmonico has been exhibiting disruptive behaviors that could potentially affect patient care and the stability of our organization. Also included were allegations of potential medication errors. Also, Dr. Delmonico has been forgetting to attend clinic over the past several months. The resident took his concerns to Dr. Sears, Chief of Cardiology, but to date he has not received any follow-up communications.

On 11/1, Staff contacted Dr. Avram's nurse about ER visit on 10/30. Nurse stated Barbara did not need to see Dr. Avram unless near fainting spells happens again.

This issue was brought to Maxine and Ed when we met earlier this year and asked for a resolution to the issue. We’ve notice when a cardiology patient is seen and a EKG is done by the cardiologist during the visit is creates a duplicate encounter in Epic and Soarian, making it look as if the patient has two appt. when the only have one.

My wife went to an appointment to re-do her PAP due to a lab error at the Robison Clinic on 07/17/2015 at 1245hrs. Due to traffic construction in Fountain she showed up at 1250hrs. The lady at the front desk was helping my wife during check in. LPN Dennis O'Connor came out of the office and told my wife that she was late with a bad attitude. My wife requested to talk to one of the Spanish speaking nurses that helped her during her last visit that work at the clinic because her English is not good. LPN O'Connor replied that there was nobody that works in that clinic that speaks Spanish and again with a bad attitude. I know Evans has a translation phone system available for patients. Why the nurse did not call that system to communicate with my wife to explain to him the reason she showed up late?

Unlike my father, she holds her feelings in and begins to form grudges against people. She is unable to communicate and/or confront other co-workers about problems that have occurred or may arise. While she is in a position of leadership, she should be able to communicate correctly, she lacks the social and professional manners and skills to facilitate a good, meaningful, and calm conversation with others. Rather, she will leave a small indication about a problem than stating the problem and developing plans to fix it. She would rather take charge of the situation entirely than conversing with the person. She is also unwilling to speak her mind and wants others to change without being asked. As my father says, “You can only change yourself, so quit trying to change