Staff Observation

While at Trinity the supervisor gonna call the Activities that were witness today activities that were witness today consistent off the strategies to take me off then off short fast and I have reload a patient karenconsistent off the strategies to take me off then off short fast and I have reload a patients the morning started off within a report give in for all members of securitythe morning started off within a report give in for all this thing is and nurses. Aaron this meeting the unit supervisor very gave with some encouragement to the staff. During this meeting she also informed the nursing staff the clients that were at risk such as the ones with that are prone to bad all sirs the ones are high risk at Falls the ones on isolation precautions. At this meeting was also a clinical nurse educator. On a normal daily basis she is responsible for doing quality rounds and making

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.

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

Shydae was talking to staff about an incident that happened early today with Jessica. Shydae became agitated with Jessica when she began to bang her head on the wall. Staff attempted to redirect Shydae several times. Shydae went into her bedroom and grab a weighted vest and removed a weight from it and throw the weight at Jessica . Staff encourages Jessica to go to her room but she refused and return to the milieu. Shydae became aggressive towards Jessica ; staff intervenes quickly to avoid any physical altercations. Shydae became combative and aggressive towards staff. Staff called for additional staff for support. Shydae was placed into a standing to seated restrain (6:40 pm to 7:05 pm). Shydae was able to return to baseline ,nursing was

On Friday 12/16/2016 at about 0135 hours, Security Staff was dispatched to the Special Care Unit, ED. room #37 for a code (51D) Disorderly Patient in E.D. Security Officers Miguel Pagan, Corey Rithchie, Omar Alonso, and Supervisor Steven Evans arrived at 0136 hours and met with Patient Care Tech Cathy Negron who was standing just outside of the patient's room. We observed, the patient, Krystal FernandezRivera (DOB: 09/15/65 - FIN #86594670) in her bed inside the room talking to her Nurse, Cindy Rodriguez, who was attempting to get the patient to change into a blue scrub Hospital gown. Nurse Rodriguez walked outside the room and informed us that the patient had been Baker Acted by ER Doctors and she refused to hand over her belongings and changed

At approximately 0910 hours, on 07-Aug-15, the writer and S/O A.Sayeedi responded to a dispatch from POC to attend ATU 2. Upon arrival the officers met with the clinical staff, who informed the officers that the one of the patient has been really agitated and has not been co-operating with the clinical staff since morning. The officers were told that the clinical staff will get verbally engaged with the patient and will inform her that she will be going to Seclusion room in ATU1. The clinical staff also mentioned that the patient will not be co-operative to walk to Seclusion room, so the officers have to physically escort her there.

Client was observed coloring only one sheet and started moving around the office. Client switched chairs several times. He sat on the chair with wheels and started swirling it around for a period of time. He then sit backward with his knees on the seat while hold the back of the chair with his two hands and started rocking the chair back and forth for a period of time. He rocked the chair to the point that the chair's two wheels came off the floor. He moved the chair closer to the clinician's desk and picked up a pen and started throwing the pen on the table. He picked up the pen and threw it on the table about 6 times. Clinician eventually came to the client and asked him to sit on a chair without wheels. Client then crawled under his chair.

On Friday 06/10/2016 at approximately 2007 hours, Security Officers Omar Alonso (420) and Michael Chin (223) along with Supervisor Steven Evans (407), were dispatched for a (53D) Disorderly Patient in Medical Unit, room #2139. Security staff arrived at 2008 hours and made contact with RN Andres Flores, who stated the patient, Janet Riggs (DOB: 8/21/1965) had gotten out of bed and attempted to leave. Mrs. Riggs is an Altered Mental Status (AMS) patient and had been very combative with medical staff and family members. She had attempted early in the day to injure herself and bite medical staff. Security conferred with nursing staff and it was decided that the patient would be placed in 4 points restraints to stop her from harming herself and

During my ICE rotation at Clements University Hospital, I saw a variety of patients. The first patient I worked with was a 68-year-old male diagnosed with diverticulitis. The patient had surgery to reduce the inflammation and pouches formed, but the problem persisted. The patient received two more abdominal surgeries following the first one, which helped significantly. Although the physical therapist did not mention any precautions, the patient was very slow to sit up and move. The patient had a hard time speaking, but understood the physical therapist when he spoke to him. The patient was very slow with his movements and required maximum assistance.

On Tuesday 11/15/2016 at approximately 1613 hours the East Orlando Officers William Miller, Carl Duncan, John Diaz and Steven Evans responded to a dispatched call for a 53B (Disorderly Baker Act Patient in Medical Unit) for room 2135. Upon arrival, we met with Nurse Carmen De Corral who informed us that the patient, Dawn Castillo (Fin #86379547) who is AMS patient had been banging her hands on the rail of the stretcher bed and cut her right little/pinky finger in the process. Security walked into the room along with Nurse Administration Supervisor Helen Mckinney-Icardi to investigate and patient Castillo stated at first someone else walked into the room and cut her little finger and then changed her statement by stating that her sitter cut

I was informed by the day support staff that ABC’s stomach was very upset today. She had an accident after she got back from her outing with the staff. Both of her briefs were messed up and . Basically, she had diarrhea and she could not eat her lunch. I’ve related the information to the staff at the house to keep their eyes on her. Moreover, she seemed fine when I dropped her home, but she stated that she was just a little bit tired because she went to see PT

At 6:40am during my routine med pass on Al, I was notified via walk by Romona another staff who was on shift on LG at the time of the incident. I was told to come to LG as it regard a resident. Upon arriving to Theresa Russo's room i was informed by Romona that she made several attempts to get Mrs. Russo up and dress but she refused due to the pain she was experiencing in both arms. I question Mrs. Russo myself to get a more in depth understanding to how she was feeling and her replies was the same as Romona mentioned. Mrs. Russo did mentioned she has a history of arthritis, with that information given i then went to check her mars to see if there is any Tylenol or other medication in that nature that is normally dispense at the beginning of

How the scenario is perceived as a ladder of effects and for every action it was a reaction. The issue truly lies in the lack of staff provided by the hospital. Usually hospitals have per diem staffing plus the float pool staffing in case any department is short in staff. Not only that but there are also companies and agencies that send there nurses and staffs as per hospital request. In addition the hospital should provide orientations and trainings for new staffs more often. What truly it seem here is that the hospital is try to be within budget or to safe more money by risking patients safety. When Susan was told to "deal with it” maybe a different approached would have been more effecting. On of the possibilities would have be to consider

Upon arrival, I was greeted by the manager, Miriam Mardonze. I informed her that the evaluations are due at the end of week six. We spoke briefly in regards to the participants’ performance. She stated that all was well and they were doing a great. At the time of my visit, there was no participants schedule to work. The works site was kept well ventilated, clean and organized. I was able to observe accessible emergency exits and fire extinguishers. Overall, this work site remains in compliance with DYCD rules and regulations.

Rebecca became agitated after a discussion with a nurse regarding her issues surrounding her ankle. Rebecca walked to her bedroom and began to bang head on the wall. Staff attempted intervene using caring gestures and hurled help to support Rebecca and preventing her from injuring her head. Rebecca became combative towards staff and was placed