Fheo Incident Summary

At change of shift, a nurse who is working days in a nursing home is told by the night nurse, “Mr. Jones is always tied in a vest restraint at night, just to make sure he doesn’t get out of bed and fall, but he’s really upset. He just doesn’t understand it’s for his own good.” The nurse quickly reviews Mr. Jones’s record. He is noted to be a competent, compliant adult, without a psychiatric history or evidence of mental disorientation. He takes no medications that would alter his mentation. When the nurse enters the room, Mr. Jones is weeping. He states, “I feel like a criminal being tied up. I’ve urinated in my bed because no one answered my call light. I’m so

Trey Cavalier was assigned to M&N control for the night. That morning (which was May 14, 2016 because he was working nights) about 30 minutes to an hour (he could not give exact times because log books were being picked up for the investigation) before 4:00 a.m. Dy. Cavalier was notified by Dy. W. Benson that Brian Ducre (who was a new move that was escorted to M&N on a wheel chair) was acting strange and that medical needed to see him. Dy. Cavalier called the medical department and spoke with Nurse Minor and advised him of the situation. Shortly after Nurse Minor came off of N01 and said that inmate Ducre had mental problems and wasn’t taking his medicine, that there was nothing the Nurse could do for Ducre and that he would ultimately be okay. Nurse Minor then left

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 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

I asked Mrs. Arrick, what happened. Mrs. Arrick advised me that Mrs. Leann Mercer came into her office and stated that she was about to pass out. Mrs. Mercer started jerking and not responsive. Mrs. Arrick immediately called code blue.

During the argument David was racially abused by the patient. After the incident David was moved to another ward whilst the other patient remained on the ward. That night, whilst David was on the other ward, he lashed out and hit a nurse. Following this he was restrained by five nurses and a struggle developed. The correct procedures for restraining a patient were not followed; subsequently, David collapsed and died (NSCSHA, 2003).

On Friday, October 28, 2016, at approximately 4:07PM, I, Officer Larry Thomas responded to the New Patient Tower room (H420), in reference to a female causing a disturbance.

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 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

On Saturday, December 26, 2015 at 2029 hours. FHEO Security Officers were dispatched to the East tower, room #409 bed 2 for a Disorderly Patient (53D) who was combative with nursing staff. All Security staff responded and on arrival we were met by Administrative Nursing Supervisor Mary Cisco and Charge Nurse Darren Trofibio outside of room 409. The Charge Nurse, Daren explained to us that patient’s boyfriend who was later identified as Monty Monroe was very aggressive and threatened him with bodily fluid and to punch him. Instantly, Security radioed dispatch and request to upgrade the call to a Work Place Violence and Threats/Intimidation against Employee (42T). According to the Charge Nurse, on multiple occasions nursing staff went inside

On August 26, 2015 around 2335 hours, Security Supervisor Steven Evans, Security Officer Allan Topher, and I was dispatched to room 5104 in response to a non-Baker Act patient, Lillie M. Smith (FIN:84487321) who was arguing with medical staff. Upon arrival, we made contact with Nurse Julia, who stated that Mrs. Smith did not want to leave her room. She further stated that Mrs. Smith was going to be transported to room 510 bed #2. Security staff went inside the room and observed a very confused 86 years old patient who stated that she pays rent in the hospital and that the hospital is her house. Nurse Julia tried to convince her nicely to sit on the wheel chair in order to be transported to room 510. After several attempts from Nurse Julia,

On Wednesday 01/04/2017 at about 2227 hours, FHEO Security Officers were dispatched to the Children's Emergency Department (CEC) room #5 for a Signal (42T) Threats/Intimidation Against Employee. Security Supervisor Steven Evans along with Officers Corey Ritchie, and Omar Alonso, responded at 2229 hours and met with Doctor Yaron Ivan and Assistant Nurse Manager Kimberly Brooks. They both stated to us that the father of the Baker Act patient in CEC#5, Kiana Hughes (DOB: 07/04/2002-FIN #86674239), whose name is Finas Hughes, was creating an issue of safety concerning the transport of the patient from here to her assigned Psychiatric Facility. The father felt that because he was a Homeland Security Federal Marshal, that it was his right to be able

On December 23, 2016 at approximately 2127 hours Florida Hospital East Security Officers were dispatched to the E.D. D-POD in reference to a 34 - CUSTOMER SERVICE ASSIST. Security Supervisor Steven Evans and Officer Miguel Pagan responded and upon arrival, we met with RN Jim Mickel. Jim stated he had $575.86 belonging to patient Elizabeth Sullivan and wanted the money secured in a safer location. Money was counted by Jim and Pagan and witnessed by Evans. The Money was placed in a plastic green container and sealed with Elizabeth's hospital labels. Money was brought to the Security Office and secured in the safe. Breakdown of the money secured is as

On Monday May 30, 2016 at approximately 0031 FHEO Security was dispatched to ED room #27 for a (51S) Patient Standby in ED. Security Supervisor Steven Evans (407), Brandon Rodriguez (418), and Christopher Paz (408) responded. Upon arrival to ED room 27 Charge Nurse Sherry Selover informed security that patient, Jessica Daniel (FIN: #85701913) was attempting to stand and it was not medically safe to do so. The Charge Nurse Selover explained to the patient for her safety she needed to remain on her bed until the medical staff deemed it safe for her to stand and walk. The patient agreed to corporate without further incident. No hands on and no injuries incurred during this service call. Nothing further to report.