HS 406: A Case Study

The plaintiff in Ard v. East Jefferson General Hospital, stated on 20 May, she had rang the nurses station to inform the nursing staff that her husband was experiencing symptoms of nausea, pain, and shortness of breathe. After ringing the call button for several times her spouse received his medication. Mrs. Ard noticed that her husband continued to have difficulty breathing and ringing from side to side, the patient spouse rang the nursing station for approximately an hour and twenty-five minutes until the defendant (Ms. Florscheim) enter the room and initiated a code blue, which Mr. Ard didn’t recover. The expert witness testified that the defendant failed to provide the standard of care concerning the decease and should have read the physician’s progress notes stating patient is high risk upon assessment and observation. The defendant testified she checked on the patient but no documentation was noted. The defendant expert witness disagrees with breech of duty, which upon cross-examination the expert witness agrees with the breech of duty. The district judge, upon judgment, the defendant failed to provide the standard of care (Pozgar, 2012, p. 215-216) and award the plaintiff for damages from $50,000 to $150,000 (Pozgar, 2012, p. 242).

M was taking a look at his leg that was injured but seemed to be healing. All was thought to be well until one office visit the doctor went across the hall to check on another patient who seemed to have an infected leg. The doctor left the door open where confidentiality here was obviously not being taking into consideration for the patient he was seeing as well as others who were able to hear them. Since the door was open, his parents noticed that he did not change his gloves while entering that other room and came back to check on their son with no gloves on. Dr. M was concerned about Jacobs leg and told him to come back the following week while treating it with antibiotics. The following week he comes back only to see that he has developed osteomyelitis. This was the same infection that the other patient developed while under the care of his supervision. Jacobs delay in his recover cost him the opportunity to play football and a college scholarship. Jacobs’s parents then resorted to suing Dr. M because of his negligence and lack of medical

University Hospital is a well known hospital with a level 1 trauma treatment center for the tri-county area of a northwestern state, the hospital enjoys the fact they are known for their promising reputation among healthcare professionals and the public they serve. Jan Adams is an OR supervisor that has been working there for ten years, as a professional she makes surgeons follow protocol as required and enjoys working with trauma patients. One Friday night, which is the busiest day of the week for the trauma department; the unit was notified that a helicopter was on its way with a 42 year old man who had been in a car accident. Shortly after the patient arrived to the trauma center, the resident and other medical staff noted that he was in very bad physical conditions, needed immediate surgery or otherwise he was going to die. The issue was that the on call surgeon had to be present during the surgery and had not yet arrived, but regardless of the matter and protocol they proceeded with medically treating the patient immediately. The concern is that in doing so they violated medical procedures and put the patients safety at risk, this lead to a long list of ethical issues for example, patient well-being, impaired healthcare professional, adherence to professional codes of ethical conduct, adherence to the organization’s mission statement, ethical standards, and values statements, management’s role and responsibility, failure

On March 39, 2017, at 1224hrs, VA police received a Duress Alarm for 1E127. Investigation revealed that the Veteran was upset over not being able to receive her Ulfima Five Tens Unit. The MSA Clerk informed her that she would have to attend a class on how to properly us the Tens Unit. The Veteran demanded she give her the Tens Unit, because she had use it in the past. When the MSA Clerk refused and told her she would schedule her an appointment, the Veteran got angry and called the Clerk a witch and walked off. VA Police made contact with the Veteran at Primary Care Desk B lobby. Where the veteran gave an omission and stated she had an appointment and because the clerk was not at her desk she missed it. VA Police did however confirm that

On 11/07/17, I D/O B. Bailey #D1200 was assigned to the Medical Clinic as a floor officer. At approximately 0230 hours. Inmate Bowman, Torry BKN #1720190 refused medical treatment. As a result, he was given a refusal to sign so he could be returned to his floor. Inmate Bowman was given a pen so that he could sign the refusal. However, Inmate Bowman did not return the pen. Inmate Bowman was given several verbal commands to return the pen; however, he failed to comply. Lt. Steele was notified. Consequently, 8 male inmates in 3LB 23 were searched also a strip search was conducted. No pen was recovered.

|Diagnostic Test (x-ray, blood work) |$35.00 copay or 20% of coinsurance if copay |Office visit copay or 20% of coinsurance |Office visit copay or 20% of coinsurance |

On 10/4/2015 S/O EMT Perez was dispatched to MG-T15. S/O EMT Perez knocked and announced his presence at the door and was greeted by the resident, a Mrs. Maxine Montgomery. Mrs. Maxine Montgomery stated that she needed some help re ajusting her sling and was unable to do it herself. S/O EMT Perez adjusted her sling and asked if Mrs. Maxine Montgomery needed any asistance with anything else and or needed any aditional care. Mrs Maxine Montgomery stated that she was fine and needed no adititional care and escorted S/O EMT Perez out. S/O EMT Perez cleared the scene without further incident.

Two experienced nurses had been working at the Winkler county hospital for more than 20 years. In 2009, Ann Mitchell and Vicki Galle became whistleblower in the small town of west Texas. The nurses field an anonymous report to Texas Medical Board regarding to retaliation in the hospital. In the letter, the nurse stated the unsafe practices of Dr. Rolando Arafiles. The nurses were concern about the improper treatment to patient provided by Dr. Arafiles. Since. Dr. Arafiles tried to misuse his connections in order to save himself. Upon receiving the notice from the Texas Medical Board, Dr. Arafiles contacted his good friend and patient-Winkler county sheriff. Dr. Arafiles filed a complaint of harassment by the nurses to the sheriff. The sheriff started investigating the complaint and obtained the copy of the TMB report that clearly identifies that Mitchell and Galle had filed a complaint. Then, the sheriff obtained a search of warrant and seized each nurse’s work computer and found the copy of TMB letter. The nurses were charged with the third degree felony for misuse of official information to cause damage to the physician. However, the TMB disputed with District and County Attorney over the charges asserting that there was no misuse of official information in the state-governing agency. The complaint process allows anyone to report a physician for any unsafe, improper or poor practice including nurses. Since TMB is a government agency there was no violation of Health

The case arises from the alleged negligence of Dr. George Paltrow the Chief of Surgery of Bright Road Health System. On November 28, 2012, Mrs. Smith, after undergoing surgery was placed in the post-surgery care unit along with four other patients. The plaintiff claims Dr. Paltrow and numerous hospital residents came in and performed routine examinations on all four of patients inside the care unit without changing gloves or washing their hands. This statement is corroborated by the account of Jennifer Brainard one of the nurses on duty during the incident. Ms. Brainard further cites that Dr. Paltrow and other residents performed a dressing change and examination on the patient that was diagnosed with staph infection first before moving on

Haskey was very upset by this, she was under the impression that Mr. Haskey was going to Arbor Ridge for rehabilitation. Mr. Haskey retorted by saying “Arbor ridge was full so they are putting me here”. Mr. Haskey was very adamant of this and insisted in being put in his own bed. Mrs. Haskey was very distressed by this and stated “I can’t take care of you, I’m not a nurse and I don’t know how to help you and if you fall I cannot possibly lift you up”. While on the way out S/O EMT Perez was very unsure about the situation at hand and stated to Mrs. Haskey that he would immediately report this to his supervisor. After S/O EMT Perez cleared he talked to his supervisor S/S EMT Salamy about the situation and eventually found out after following up with the Arbor Ridge Nursing staff that Mr. Haskey had a room ready for him and that the staff were waiting for his arrival. After receiving this news S/O EMT Perez, S/O EMT Ayesu and S/S Salamy reported back up to CT-403 and S/S Salamy explained the situation to Mrs. Haskey and apologized for the mis-communication error that had happened at some point during the return process. S/O EMT Ayesu and S/S EMT Salamy escorted Mr. Haskey to his room at Oak Grove 3205 and with the help of S/O EMT Perez and the nursing staff placed MR. Haskey in his

The arguments in this case focus around what Mr. Hyer to believe an unlawful order that not only put himself in danger but that of a patient, the issues were

On 11/29/2016, client report she was asleep in the “I Dorm “ and she forgets she had her charged plugged in . Client continues to relate that in between sleep she heard Shift Supervisor Joyce coming in into the Dorm for routine check. She also states she heard Shift Supervisor Joyce Napoleon state “if she finds any charger plugged in the wall, she will confiscate it”. Client continues to relate she jumped up her bed when she saw Joyce closed to the bathroom; and client states she went to retrieve her charger when Shift Supervisor Ms. Napoleon bumped and jammed the client against the wall. Client continues to states she injure her left arm where she had the dialysis shunt in place. Client continue to reported she was having pain, but she felt there was no need to go to emergency or to file a Police Report.

On 10/10/17 the case coordinator, Rodriguez Addy, contacted to the aide, Limonta Natania, and she stated that on 10/09/17 she was accompanied Mrs. Divers to MD office for appointment, they were living the office at about 1pm. At the pedestrian crossing, the crossing guard indicated for them it was safe to cross the street. About half way across, they were struck by a car with elderly woman driving, the aide stated

During the home health observation day, there were several opportunities to observe a variety of patients with varying levels of functioning ability, different illnesses, and different needs and levels of interaction with the nurse. The first patient seen was a seventy-three year old Caucasian female with an ulcer on her right heel. Several weeks prior, she had scratched her left leg and she also had several small wounds on her left leg. The orders were to clean and redress the ulcer. She has a history of end stage renal disease, pneumonia, weakness, diabetes, dialysis, and right hip fracture. Upon entering the home, the patient was found to be sitting in a wheel chair in the living room watching television with her husband close by her side. She greeted the nurse with a smile and began to update her on her current condition. Her heel was “hurting” and she rated her pain an 8 on a scale of 1 to 10. She also had some “swelling” that she could not “get to go away; because, she could not get up and walk. They need to fix my foot so that I can get up and get around.” She told the nurse that she had been to see the doctor “yesterday” and the doctor had given her a written order that she wanted her to see. The order was written for an evaluation for a soft pressure shoe fitting. The nurse read the order to

On October 1st, 2016 at approximately 2350 FHEO Security staff was dispatched for a (51D) Disorderly Patient in ED, room #41. Security Supervisor Steven Evans (407), Security Officer Brandon Rodriguez (719), and SO Omar Alonso (420) responded to the call. Upon arrival, Security staff made contact with ED Nurse Alyssa Lorraine, she informed Security that patient, Robert Hastings (FIN #86254310) who was discharged, had thrown his mobile phone at the Nurse and was being verbally aggressive towards the medical staff. Security Officer Brandon Rodriguez along with Officer Omar Alonso went in the room and instructed Mr. Robert Hastings to leave the room. He was escorted off the premises and directed to the ED lobby while being uncooperative. No