Patient Control Scenarios

Jack, the patient presented through Accident and Emergency to Ward D3, an acute medical ward specialising in respiratory medicine. He was admitted due to an exacerbation of dyspnoea, which was more significant over the last twenty-four hours. The writer met Jack on admission to the ward.

As noted, on February 29, 2016, the patient was nonetheless admitted to the UCR hospitalist. This was a senior member of the UCR hospitalist team who knew or should have known all of the policies and procedures for admission, and should never have admitted the patient as an attending to the hospital. In so doing, he was directly and deliberately interfering with the doctor patient relationship.

On my first day on the ward it was decided that I should shadow one of the staff nurses to acustomise myself with the ward. During this induction we had to assist an elderly gentleman with sever diarrhoea the gentleman in question was quit large and almost completely immobile. On inspection of the

What do you think you will do when you encounter a patient care situation in which decisions are made that go against your values and beliefs?

After his lunch break, Tom didn’t have long to wait before the paramedics burst in through the swinging double-doors of the ambulance bay wheeling in a young man on a gurney. Edward, a veteran EMT, recited the vital signs to Tom and Dr. Greene as they helped push the gurney into the trauma room,

I then escorted Inmate Staggs to the Durango Medical Clinic. While on the way to medical I asked Inmate Staggs what time he fell in shower? He told me around the time the evening meal was served. I asked Inmate Staggs if the reason he is going to medical was due to a crime committed against him while in MCSO custody? Inmate Staggs said "No." After that I dropped him off at medical. I then went to review the Gentec Security Desk System with Sgt. Salazar B0654.

When I grabbed his arm to restrain him he actively resisted by trying to pull his arm away. I kept control of his wrist and moved forward and placed him on the table closest to me to apply the restraints. I ordered him to stop resisting and to follow orders. He continued to resist and Officer Bowser B2582 stepped in to assist. (S1) Inmate Dennis was placed in restraints and we began to escort him to the level 1 holding tanks. (S1) Inmate Dennis tried turning on us, threatened to kill us, tried to

I announced my presence as a police officer and immediately grabbed Garcia pulling him off of Beaton. Garcia resisted my grasp and I placed him in handcuffs. I checked for the proper degree of tightness and double-locked the handcuffs.

This response will describe my answers to the question: “If you are a doctor, what will you say to a patient who refuses vaccines like the patient Ofri encounters? Will there be any difference in what you say depending on whether the patient is an adult, or an adult refusing for their child?”. In Ofri’s article, she described her encounter with an adult patient who refused to receive an annual flu shot. She narrated the conversation between her and her patient and included her attempt to correct misconceptions the patient had concerning vaccinations while also respecting the patient’s view and ending with the claim that the most she could ask for is for the patient to walk away and think about the vaccine.

I, Cpl. Lessane, along with Deputy Ayer, responded to Hampton Regional Medical Center, to assist Deputy Smalls, with a runaway mental patient. Upon arrival, Deputy Smalls stated a mental patient, Travis Johnson, ran away from the Emergency Room with a set of black handcuffs on one of his arms. Deputy Smalls stated he wasn’t sure of Travis exact location at the time. Deputies along with assistance from the Varnville Police Department and the Hampton Police Department patrolled the area in an attempt to make contact with the patient. No contact was made at that time.

On Thursday 11/17/2016 around 2300 hours, I, Security Steven Evans was informed by Dispatch to make contact with 5 East Unit Charge Nurse Tonya Smith in regards of Code (34) Customer Service Assist. I arrived at 2302 hours and met with Charge Tonya Smith who explained to me that the Correction Officers for the prisoner in room # 504 had given her hard time few Months ago on the patient, Angel SantiagoGonzalez (Fin# 86424089) last visit. Nurse Smith further stated that she had a personal problems with one of the Officer and that she was informed by Lake Correctional Institution that this Officer would not be working at all on 5 East. She described the Officer as a Black female about 6 feet tall with braided hair. I walked over to the room and

On Saturday, October 15, 2016, at approximately 4:09PM, I, Officer Larry Thomas, was dispatched to the 6th floor of (PRI) Pyhcaric Research Institue, in reference to a panic alarm.

During the actual incident, the congregants assisted this fallen man quite well and performed satisfactory first aid until the paramedics arrived. One congregant who was first aid and CPR certified took charge of the situation and helped them fallen man back on his seat, but this congregant did not recognize that the problem did not pertain to the heart, but more to do with the lungs. Therefore, when this congregant helped the fallen man up to his seat it actually caused more chest spasms and the congregant had to help the man down to the floor until the paramedics came. The paramedics knew what they were doing, so they gave the man oxygen immediately and then carried him out on the gurney. Pastor followed the paramedics to the hospital and visited this man a few times.

Chronic health conditions, higher mortality rates, and mismanagement of preventative care are attributed to the frequent usage patient. This high usage patient group was identified as having multiple visits over a predefined time frame. Identifying the frequent usage patient however, proved difficult because each facility in the study group possessed its own definition. The panel did however agree on two traits of the frequent patient. They are most likely a member of a lower socioeconomic group and accessed emergency services for preventative or interventional care. Because the high usage patient has limited access to preventative care their mortality rates are higher, versus the control group, over a year. The study concluded that even though

Essentially the challenges I faced were one of theme and focus. Looking over the rough draft I understand I have a unique opportunity to slant the data left or right depending on how I approached the information. Patient’s that utilize emergency services, on multiple occasions, are among a tiny majority of the overall population. However each, “High Usage Patient,” requires more resources because they are sicker. With this information I had to seek my theme, “over-utilization of resources,” and find my focus, “High Usage Patients,” and show that they were not the root cause of Emergency Rooms around the nation being overcrowded. Fundamentally, I chose to remain center and tell the truth, as it was reported, in the research documents I cited.