Mr Hamilton Visit

He was brought in by his friend Gavriel Martinez. At 2338 hours Orange County Sheriff's Deputies Kenneth Jorgensen (Badge# 8180) and Deputy Michael Fairley (Badge# 6210) arrived and interviewed the GSW patient, both deputies were already on site for an unrelated event. Security Manager Richard King was informed by text of the incident at 2340 hours as well as Nursing Supervisor Debra Reilly. At 2350 hours OCSO Deputy Kristine Helms (Badge# 5021) arrived and requested to speak to the patient’s friends who was waiting in the E.D. lobby. At 0010 hours Deputy Michael Fairley contacted SO Alonso and advised that it was OK to open the Emergency Department. The lockdown was lifted and Security Manager and Nurse Supervisor were informed of the incident. The patient, Lopez was airlifted to Orlando Regional Medical Center (ORMC) at 0030 hours at which time OCOS Deputy Kristine Helms informed me that the Gang Unit task force has been called for further investigation. All cleared, OCOSO report number 16-43967. Nothing further at this

I, a wealthy merchant of Philadelphia, import and export goods and receive lots of money in which I currently have to keep in a state bank. Keeping my money in a place like that is not safe. If there was a larger bank that I could keep my money without fear, I would chose to keep my money there. Also, a larger bank would have a larger pool of money. This benefits me because the larger pool of money there is, the larger amount of money I can make. If Hamilton argues for this type of bank, I will certainly vote for him because his plan interests and benefits me. However if Jefferson proposes that there will be no safety represented in this style of bank, my vote may change to him.

At 1005 this clinician made contact with the patients CPS caseworker who reports he was scheduled to meet with the son at his daycare. He reports he met with her roommate who made him aware the patient was taken away from the home by ambulance. In addition, the roommate also reported

Mr. Hamilton was interested in this scenario only if the facility was Walker Rehab in Carbon Hill, and if he could leave the facility to walk around the neighborhood whenever he pleases. After a discussion with Ms. Ginger Kilgore, Mr. Hamilton was informed that Walker Rehab does not accept his Medicare Advantage plan, and no facility would be receptive to the idea of Mr. Hamilton walking off premises. Ms. Kilgore stated that Mr. Hamilton can remain in the hospital until Monday, at which point his referral may be accepted by a local nursing home and he can transfer to their facility. Mitchell explained to Mr. Hamilton that if he agrees to this plan, he will remain in an air-conditioned environment and fed three meals a day until at least Monday, thereby avoiding the possibility of being outside in likely the hottest weekend of the year. Mr. Hamilton again refused to stay in the hospital for another day. Ms. Kilgore stated that there was nothing they could do to keep Mr. Hamilton there. He has no behaviors to warrant a psych hold, and he is medically fit for

The patient was placed on HOLD to see the writer to address his non-compliance with treatment. The patient was reminded about his Step 3 of the patient engagement. According to the patient as the writer reviewed the patient case history of his no show for counseling, group attendance, and continuously AWOL, the patient only response was, " I, know." The writer then inquired of the patient efforts to engage in mental health services through ICRC. The patient admits that he haven't done the intake when the deadline was extended for the third time. The writer discussed with the patient about the risk of facing an intent to discharge due to his non-compliance and addressed alternatives such as suboxone and transferring to a clinic in Massachusetts to accommodate the work location. The patient declines the writer's suggestion as he wants to remain with HCRC-Hartford due to the positive treatment and said. " You guys really care....I do not want to be discharge.....I, mean what is the process of the intent of discharge?" The writer explained to the patient about the appeal process as his record will be reviewed by the Practice Manager to determine as to whether or not to forward with the discharge or the discharge to be overturn.

2 x psychiatric doctors their role was to be directly involved in his treatment and care plan management as well as providing therapeutic counselling in the first few weeks after discharge

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

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

Donald Johnson was agitated by this but understood that his father was being transported. After getting off of the phone with Donald Johnson S/O EMT Perez talked to S/O EMT Anti to which he stated that the aide did not tell him about any sort of special blood pressure medication or any special processes that accompanied this patient. S/O EMT Perez was escorting 911 off campus when S/O EMT Anti stated that that Donald Johnson wanted his father to take the medication before leaving the campus. S/O EMT Perez stated to S/O EMT Anti that he just got off the phone with Donald and stated to him that his father was being transported and that he is being brought to the hospital to seek further medical care and that 911 would not delay patient care by waiting for medication. When S/O EMT Perez was escorting 911 of campus S/O EMT Anti stated that the aide was coming down with the medication, S/O EMT Perez again stated that 911 was on their way off campus and reiterated that 911 would not delay patient care. S/O EMT Perez escorted ambulance 841 off campus through gate 2 and cleared shortly there

My week three discussion was on a gifted young man from L.A., by the name of Isaac Hamilton. In 2012 the five star recruit signed a letter of intent to attend UTEP and play basketball for a year, however, the L.A.- native had a sudden change of heart. Since UTEP was eleven hours from Las Angeles, Mr. Hamilton felt that he would probably become homesick, plus his grandmother’s health was declining. Therefore, Isaac asked for a release from his letter on July 2013 and was denied by the school; nevertheless, Isaac broke his agreement and went to UCLA. Isaac Hamilton then filed an appeal; the NCAA denied his appeal and enforced him to sit out a year at UCLA. Consequently, he was able to practice, but could not play in any games according to Todd,

On this date worker received a message from Misty Jenkins, social worker for HealthSprings Insurance. She stated Mr. Duncan was not doing well and someone needed to do a safety check on him. Worker returned Ms. Jenkins call, learned Mr. Duncan went to the ER on Friday 2/12/16, and was diagnosed with a UTI. HIs doctor Dr. Brassfield refused to admit Mr. Duncan to the hospital and sent him back to Laurel Gardens (Mr. Duncan was discharged from the hospital on 2/9/16 and returned three days later with a UTI.) Ms. Jenkins believes Mr. Duncan's discharge to Laurel Gardens was a bad discharge from the hospital. Worker explained to Ms. Jenkins that Dr. Brassfield refused to state Mr. Duncan was mentally or physically unable to care for himself. Therefore,

Bryheem Brown: Got a call from dispatch to take a patient from 610 ER to 3W19. This call was on the board for 1 hour before it was sent out. The ER must of took the patient up for us. When Bryheem went down there to take 610 upstairs, there was a new patient assigned to the room. Bryheem must of not checked the wrist band because he took the patient upstairs. That patient he took upstair wasn't the patient dispatched to him. The ER did report it.

On Monday January 30th, 2017 Sarahnell was not feeling well after completing her shift. Tamika Johnson was here designated carpool driver. Tamika took her to the Emergency Room to make sure everything was ok. She was diagnosed with pneumonia. The hospital that was treating Sarahnell was unable to treat her pneumonia. She was transferred to the University of Kentucky. It was later reported that she coded twice later that night. The following morning, she was heavily sedated and on 100% ventilation. Wednesday February 1st Sarahnell condition slightly improved she was still heavily sedated, but was on 60% ventilation. Sarahnell family flew into Kentucky that Tuesday morning. Jeff Zamor drove to the hospital to check on Sarahnell condition. He

CM met with Thomas, Kevin/ Open Arms Case Manager and Amy/ ESP Staff to conduct Thomas's discharge, case management services and ID Waiver Intake. Thomas appeared tired as his eyes closed and head lowered for some of the Intake. He complained early during the meeting that he didn't want to answer a lot of questions, however with some verbal encouragement he went on with his responses. Thomas talked much about his medication and seemed at times to get his current medications confused with his old medications. Due to a history of overdosing and taking medications that weren't prescribed to him; his roommate makes sure Thomas is taking the correct medications. He has been living at current address for 2 months and Kevin feels the houses is in

Writer called Jackie to inform her that I am in my way to pick her up to get her cane and medication. Jackie told care manager that she is not feeling well so she will not be able to go anymore. Jackie said she is experiencing a lot of headache and she feels a little bit weak. Care manager told her to use the day to relax; maybe she is just tired from her therapy. Care manager told Jackie to call to reschedule when she is ready. Care manager also encourage Jackie to call me when situation gets worse. Jackie understood care