Personal Narrative: Anaphylaxis

Is this clearly a case when the call should be passed on to one of the registered nurses or the medical social worker?

Every one of us has relied on a medical professional at least a few times in our lives. When we get seriously ill, or suffer a serious injury, we put our health in the hands of doctors, nurses, and pharmacists, fully expecting to be treated with a certain degree of professionalism and safety. Unfortunately, sometimes the expected care is not given, or not given to the extent which the ailment requires. In these situations, we can feel blindsided, confused, even taken advantage of.

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

Undoubtedly, the American Red Cross has done many wonders over the course of its existence. Whether it is providing relief from disasters, aiding the less fortunate nationally and internationally or saving lives with their blood program, the Red Cross has always been there to help the world become a safer place to live in. Most recently, this organization has had a strong impact in the recovery of “Superstorm” Sandy and Hurricane Isaac, providing food and water, multiple shelters for people that have lost their homes and even counseling during such a devastating time (“Top 20 Accomplishments”).

Darren Huffman minimizing my injury I got upset and embarrassed and began to leave the room and walk away and attempt to exit the triage room. The doctor Darren Huffman then began to follow me and belittle me in front of nurses and nearby patients. Dr. Darren Huffman then began shouting private H.I.P.P.A. protected information from my medical record and using that against me, he was saying all this in front of many nurses and nearby patients I have the things he said written down but I’m afraid to say anything because of my job, plus to see first-hand that federal laws are taken as a joke with Mercy Hospital and certain employees that work there. There are security cameras in the location, but they told me it doesn’t have audio. But even if you watch the tape you could see that it appears to be a setup, to belittle me and ridicule me because of something that was in my medical file covered under the H.I.P.A.A.

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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.

The most common duty of care in most cases is the "standard of care". In which, it requires EMTs to provide the quality of care that a similarly skilled and knowledgeable EMT would provide. If the patient of an EMT worker has decided to sue an EMT or paramedic for medical malpractice, applicable laws vary by states. For example, a lawsuit in Philadelphia, which occurred on October 1, 2012, due to the death of Joanne Rodriguez.

We arrived at Clearview at 2231 Hrs. and took the patient to room 14. I went back outside and began to put our unit back together when Supervisor Carlock approached me and in a very agitated voice said: “WHY DID YOU PULL OFF?” Surprised, I said “What are you talking about?” He said loudly, “I TOLD YOU TO STOP AND YOU DIDN’T!” I replied, “Jeff was telling me not to stop because we had a pulse back.” He said “I DON’T CARE WHAT JEFF SAID, I’M YOUR SUPERVISOR AND I TOLD YOU TO STOP!” I said “Dennis, I think you’re talking to the wrong person, you need to be talking to Jeff, I was doing what he told me to do.” He replied “WHO’S YOUR SUPERVISOR, WHO’S YOUR SUPERVISOR, I AM, NOT JEFF, YOU DO WHAT I SAY!” I said ”yes, you are the supervisor, but at that moment I was doing what the Paramedic in charge of patient care was telling me to do, and what I felt was best for the Pt., since we had a 41 Y/O patient who had a pulse.” He said “I DON’T CARE, YOU DO WHAT I SAY!

The patient went as far to admit that she currently is having a hard time breathing, but has an appointment with her gynecologist on Monday. This writer advised the patient that if she has difficulties breathing she will need to go to the ER immediately and be medically assessed by Nursing. The patient started crying about she does not want to be medically assessed as she needs to return her boyfriend vehicle so that he can work. This writer informed the patient about the seriousness of her health comes first. This writer called Nursing Chrystal, but no response. Then this writer and the patient went to the Nursing Director office to be medically assessed. According to the Nursing Director, she advised the patient to go to the ER first and will not be dosed today unless she provides proof of documentations of her visit. Again, the patient fussed and then says, " I am fine, it's not serious," however, the patient was advised to follow medical

The Mercy Flights Explorer Post is the career education part of Boy Scouts of America. I have been part of the post for 2 years and was elected as ambulance operation making me responsible for maintaining and restocking the ambulance that Mercy Flights donated to the post. Within my 2 years I have done eight twelve hour shift ride alongs on the ambulance assisting the paramedic and EMT with patients as we transport them to the hospital ranging from sprained ankles to heart attacks. A big part of what the post does is attend community events where we provide first aid to

“Hospitals are not only required to care for emergency patients, but they also are required to do so in a timely fashion” (Pozgar, 2010, p. 272). “Hospitals are expected to notify specialty on-call physicians when their particular skills are required in the emergency department. An on-call physician who fails to respond to a request to attend a patient can be liable for injuries suffered by the patient because of his or her failure to respond” (Pozgar, 2010, p. 271). Under the doctrine of Respondeat Superior, hospitals are also liable for the actions of physicians working or on-call in their emergency department.

The patient is an 89-year-old gentleman who is brought to the ED via fire department and with complaints of altered mental status. The patient's primary caregiver is his wife at home. This morning when the wife called for the patient he did not respond so she called the police. The police found the patient in bed, awakened him and he was alert and oriented therefore Adult Protective Services was called to evaluate the situation. APS arrived later in the morning, and found the patient babbling and not making any sense so they then called and sent the patient to the emergency room. The patient has a history of congestive failure, hypertension and he also has a colostomy. There is no clinical documentation as to why he has a colostomy.

Stationed at Hunter Army Airfield, GA., The medevac was task to assist with disaster recovery when South Carolina was affected by catastrophic, life-threatening flooding. The Commanders, from the company level all the way up to Brigade, using operational sustainment, and knowing what the organization was capable of, were able to organize crews and make the decision to go. This required crews that were trained and proficient at the tasks such as hoist and over-water operations. The equipment necessary to do rescue operations, from the medical equipment up to having aircrafts available. This also meant sustainment in the form of organizational support from DART teams and operations personnel, all ready and providing help in the rear. We were able to accomplish what was asked of us because of training and leadership support at all levels. Sustainment relies on every individual within the organization to do their part, and leadership to be able to recognize deficiencies and have a plan to address this. All in an effort to become fully functional in their warfighting skills and mission

When I woke up, I was surprised to find a weird, padded board with red and green stripes on it, wrapped up onto my arm so it would stay. I was told that they could not get my elbow back in and I was transferred to a different hospital. I didn’t enjoy the presence of the people in the second ambulance with me nearly as much as I liked the first two people because, they weren 't nearly as good at comedy. Although, second ambulance made me feel a bit safer because I had already experienced what riding in an ambulance was like. I was familiar with the white interior and the medical equipment with bright red crosses on the cover hanging on the walls. I had already known the pain in my arm as the vehicle bumped into the