Special Care: A Case Study

On Wednesday 09/21/2016 at approximately 2056 hours, Security Officers Lourdes Garay and Supervisor Steven Evans were dispatched to ICU room #4112 for a (53B) Disorderly Baker Act Patient in Medical Unit. Upon arrival, Officers saw Nurse Cassandre Jermaine and Charge Nurse Cristina Sisneski attempting to calm down an irate Baker Act patient. The patient Adam Bargar (DOB: 02/05/77, FIN #86198457) was upset about not being able to make a phone call, he then ripped his IV out and attempting to leave the unit. I explained to him what a Baker Act patient is allowed to do and what limitations are obligatory. He was also explained to him that he was not allowed to leave his room until medically clear by his Physician. Security staff was asked to stand

Reporting party (RP) called CCIB to cross report that resident Gerald Gilliland (DOB: 4/22/41) reported that while he resided at this facility, unknown male staff locked him in a room against his will. It is unclear what room the resident was locked in because resident was unable to convey any details about the room. Resident then stated that it was all of the nursing staff who locked him in the room. Resident was hospitalized at Kaiser South Sacramento on 9/18/16 through 9/22/16 and is currently residing at Eskaton Greenhaven. RP stated that it is unclear if the resident has Alzheimer's or not. RP stated that the original reporting party is Sacramento Sheriff's Department (Report#16-286176) and RP will forward the SOC 341 to CCIB.

On Monday, March 7, 2016 at approximately 0139 hours, FHEO Security Officers were dispatched to room #5109 for a (53D) Disorderly Patient in Medical Unit who was acting in a belligerent manner and attempting to leave his room to go home. I, Steven Evans Shift Supervisor of Security at Florida Hospital East Orlando (FHEO) arrived at 0140 hours along with Officer Thomas Mejia and met with Charge Nurse Michelle Viena and Patient’s Nurse Lisa Guo who were trying to calm down the patient, Ramon Jr. Bermudez (DOB: 05/24/1961; FIN# 85321318), who had been attempting to get out of bed and wanting to leave. Charge Nurse Veina stated that the patient was confused and was not medically clear to leave his bed. Security immediately took control of the situation

On Saturday 12/10/2016 at approximately 2028 hours, East Security staff was dispatched to the Special Care Unit room #40 in reference to a (51S) Patient Standby in ED. Security Officers Omar Alonso and I, Steven Evans responded to the scene. Upon arrival, we made contact with E.D. Nurse Jacquelyn Vaninguen who stated, she needed Security to stand by while she performed an EKG on the patient, Debra Lynn Bolger (DOB: 06/28/58 – Fin #86564069). Nurse Vaninguen entered the room and awoke the Baker Act Patient while Security stood by outside the room. Once EKG completed, upon leaving the patient became irate and attempted to leave her room at which time, I had to physically redirect the patient back to her bed. Nurse Vaninguen stated, she needed

On 10/15/2015 at approximately 1959 hours Florida Hospital Security Operation Command (SOC) radioed FH East Orlando Security for a 51D-Disordely Patient Ed in room # 37. I, Steven Evans arrived at 2000 hours and met with ER Nurse Juana Morales, who informed that patient by the name of Scott Thomas Brady (MRN: 484896/Fin: 84708322) who just been discharged, was agitated and upset with medical staff. Mr. Brady was yelling over medication prescription but by the time Security staff got there, patient was already gone. Officer Omar Alonso responded and dispatch was called to inform about the situation. Security staff did not make contact with patient, there were no hands on and no one was injured during this call. Nothing further to

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

Based on what we have learned thus far with regard to ethics, regulations, and federal mandates, what are the challenges faced by healthcare executives and direct care providers such as physicians, nurses, pharmacists, and healthcare organizations in general.

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

Because of the child’s pent up anger he started a fight and his behavor became out of control. The staff felt the need to call the police in order to protect the child from himself and the other children at the Shelter. The child was “Baker Act” a means of providing an individual with emergency services and temporary detention for a mental health evaluation and treatment if required. The important thing is that the child is safe and is receiving

Through the line of special needs cases, the Supreme Court has created an exception to the broad principle that a search requires a warrant. Special needs arise when there is a compelling government interest that allows for the warrantless search of ordinary citizens. These searches involve groups who maintain substantial expectations of privacy: the public at large, or classes of law-abiding citizens. The government interest must go beyond normal law enforcement. For example, inspections to ensure residents are in compliance with ordinance codes are exempted. In Martinez-Fuerte, the Court extended the special needs exception to include warrantless searches of cars within one hundred miles of the United States-Mexico border because of the government’s

“CARE USA’s program expenses in 2013 totaled more than $514 million” ("CARE FAQs") after providing necessary supplies to globally provide for their cause. To obtain this quantity of funding and commodities, the organization is helped funded from governmental agencies, “…the European Union and the United Nations.” ("CARE FAQs.") However, the organization is additionally funded by proceeds that are donated to them yearly from “…thousands of individuals, U.S corporations, foundations, and other organizations...” ("CARE FAQs.") Ultimately, these great commodities help promote the potential the organization has into achieving their mission of providing permanent relief to suffering communities.

When arrive to room patient was agitated, refusing services from Sitter Jorge Reyes. Patient stated that days ago Reyes refused to give him a white blanket. Reyes explained that was only white and blue blankets available at that time on the floor, that unfortunately on the last couple of days we had limited resources on regard to linen. Patient stated that he was the patient and Reyes was the server and he had to provide whatever he wanted, Reyes answered that he will provide him with whatever he needed, that he had to understand that this was a community hospital, that the linen department works limited hours and was not like a hotel where he was able to request

On Friday December 26, 2015 at approximately 0133 hours, FHEO Security Officers were dispatched to the Emergency Department (E.D.) for a Patient Standby (51S) room #26 same patient which we had a previous call earlier in regards of Found Contraband. Security Officers Carlos, Omar, Johnson and Security Supervisor Evans responded to the call. On arrival we were informed that patient, Taina Diaz-Rios (DOB: 01/20/1975; FIN# 85007874) was attempting to leave while awaiting for her husband to arrive and pick her up. The patient’ nurse Melisa Martinez advised us that the patient was anxious and wanting to leave, although she was not a Baker Act, she was not free to leave on her own. Security staff was asked to standby next to patient room until she

Great post. I agree that supportive care is recommended for viral infection treatment which include; good hand hygiene, increase fluid intake and rest, and close observation (Burns, Dunn, Brady, Starr, Blosser, & Garzon, 2017,). Although it is challenging to convince patients that antibiotics are not needed for viral infections, advanced nurse practitioners should reinforce its importance. My preceptors will reassure the patient, encourage rest, increase fluid intake, and return if condition worsens. I know you have come across such patients. How do you handle such situation?

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