Corrective Action: Case Study

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.

Frankie Tilmon continues to be out of treatment compliance. Frankie has missed his last four appointments, 7/2/15, 7/9/15, 7/16/15, and 7/30/15. Frankie contacted this provider on 7/6 to apologize for missing his appointment on 7/2 and was reminded of his next appointment on 7/9, which he agreed to attend. On 7/15 Frankie contacted this provider to apologize for missing his treatment appointment on 7/9 and agreed to make his appointment the following day, which he failed to appear for. On 7/16 Frankie contacted this provider to again apologize for missing his appointment and wanted to confirm his next scheduled appointment day/time. I told Frankie that his appointment day and time has not changed; it was on Thursdays at 4pm. Frankie told

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 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.

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

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

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.

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

On 07/13/2016, Lupita called her supervisor, Robert Sowell to let him know that she was not going to be able to return from her lunch break because she received a call that her grandmother was in the hospital. After this, Lupita called –off every day for the next three (3) days.

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.

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

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.

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.

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.

Patient did not show for his appointment on 03-21-17. SPT failed to contact the patient by phone. The patient will be put on the waiting list until further notice.