Patient Standby In Nursing

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

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

MICU 15A was dispatched to 30 West Ave, @ Genesis Healthcare, Wayne Center in the Wayne Business District in Radnor Township, for an ALS Emergency, Assault Victim. The weather conditions were cloudy, cool and dry. MICU 15A responded with care per protocol to the stated location with EMT Straub driving. On arrival, the EMS Crew proceeded to the nurse's station, and the individuals there did not know anything about an incident, there was a female standing in one of the hallways who advised that there was a person sitting over where she was. The EMS crew proceeded to that area and found a 43-year old female who was a registered nurse and was conscious and alert x4 and was sitting on a chair, the EMS crew asked her what was happening, "she replied that she was in a patient room and stated that the patient had an IV in her arm and became disturbed and picked up a pocketbook and then assaulted her by the swing it and striking her in the right frontal region of the head", the nurse then exited the room and went and sat down in the hallway, where the EMS crew found her.

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 8/25/2015 S/O EMT Perez was dispatched to PV-509 regarding severe leg pain. S/O EMT Perez knocked and announced his presence at the door and was verbally invited in by the resident a Mrs. Margaret Folkins. Mrs. Folkins stated that she had been in severe leg pain the entire day and she was having difficulty resting. Mrs. Folkins also stated that she was at the hospital for it the day prior because of it but the cause of the pain couldn’t be diagnosed. S/O EMT Perez asked Mrs. Folkins if she had fallen recently and if that was the reason for her visit to the hospital prior. Mrs. Folkins stated that she fall’s all the time but that wasn’t the reason for her visit to the hospital yesterday. The reason for Mrs. Folkins visit to the hospital yesterday

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

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

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

On 2/27/16 at approximately 1734 ICS was activated in Roosevelt for offender OID 248891 who was c/o a chest pain. Upon arrival on the scene offender was sitting on the chair in no acute distress. Offender was assessed an was treated per protocol. Offender was brought to the clinic for further evaluation. Assessement was completed in the clinic and on call was updated with the finding and gave new orders. offender was treated per the new orders and was sent back to her Unit in a stable condition. offender was also informed to notify staff if symptoms

On Thursday 12/08/2016 at approximately 0242 hours, East Security was dispatched to 4 West Unit, room #4137 in response to a (53B) Disorderly Baker Act Patient in Medical Unit. Upon arrival, Security was informed by A.N.M. Abbgil Bell that Baker Act Patient, Lora Elizabeth Partain (DOB: 02/13/83 - Fin# 86556339) was screaming, cursing at medical staff and had requested a certain type of medication. Security Officers walked over to the room and explained to the patient that she was to refrain from verbally harassed medical staff and that she had to follow protocol. We advised her that to comply with nursing staff. The patient stated that she had requested the medication because she was on withdraw. Charge Nurse Bell advised the patient that

There was a stabbing out of the city limits of Watsonville, red on red. The victim was taken to Natividad Trauma Center. Natividad administration blocked our entry into the ER. There is a HIPPA rule that states the hospital can deny access to a victim due to a privacy rule. They will ask, the victim if they want to speak with law enforcement the victim has the right to say no. suggestion to our patrol staff is to

On November 15, 2016 at approximately 1449 hours, Security Officer John Diaz and I, Steven Evans were in the E.D. Security Office when we were approached by a discharged patient, Nancy Cruz, who stated that she had been a patient in E.D. room #21 and got discharged at 1030 hours and after discharged, she then realized, she lost her wallet while being transfer from the wheel chair to the bed. Officer Diaz then gave her a lost and found statement to fill out and he also went ahead and called Nurse Sarhien Ahmed who stated that she did not found nothing in the room after patient got discharged. Nothing further at this

The patient was a law enforcement officer with a prior history of ED. The officer presented for an esophagogastroduodenoscopy (EGD). Sedation was the anesthetic technique used for this procedure, which consisted of administration of midazolam, a benzodiazepine, and propofol, a GABA-mimetic. Upon emergence, the patient became increasingly agitated and hyperaroused. He managed to escape from the procedure room, and bolted down a hallway. While in the hallway, the patient began vandalizing hospital property. Thereafter, he ran out of the hospital into oncoming traffic. Only after seeing his wife, was he able to be re-oriented (Shoum, 2014). Such a recount solidifies the degree of detriment ED may present to the patient and hospital

The hospitals always want to try their best to save money. The healthcare facilities try their best to observe patients who are at risk for falls, personal harm, and the ones that are confused or agitated. At our hospital for years they had been using patient sitters or have certified nurse’s aide (CNA) sit with them. There were times depending on the patient sitter’s condition the patient sitters would be sitting in the room or have a chair pulled just outside the patient's room. The patient sitter’s main responsibility was to notify staff when the patient was getting out of bed or trying to pull lines. Getting a certified nurse’s aide or patient sitter that was costing hospital money, basically they were paying someone to watch a patient.