The Cardiac Arrest Call On September 10th, 2017, And Supervisor Carlock 's Charge Of Insubordination

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

There was additional backup staff present (including a respiratory therapist) that could have been called upon for help, yet they never were. The charge nurse or nurse supervisor could have stepped in at this point to provide additional help. A lack of present nursing staff and support can lead to unfavorable patient outcomes, as is the case with Mr. B. Additionally, the staff on duty could have lacked training regarding protocols or their training could have been out of date.

It was a very nerve-wrecking time for everyone and to be a sentry one of their roles is to promote a positive environment for the patient and their family. The doctor was able to take advantage of the husband at a vulnerable time and persuade him to let his wife be resuscitated which shouldn’t had happened if the nurses spoke up and took control of the situation. And since the nurses did not do that they were not being good leaders. They did not lead the way through this tough time/ circumstance, just because the doctor was in the room doesn’t mean should have automatically followed his direction. It’s their job as well to effect change and influence the direction of the situation. The situation was obviously taking wrong turn and one of them should have spoken up and tried to stop the doctor or helped the female doctor convince the male doctor to calm down and obey the patient’s wish to die.None of them were thinking what was best for the patient, they were just concerned about following the doctor’s orders. They also failed to be good collaborators. Nurses are suppose to work cooperatively with their team to achieve a common purpose and it

On May 15, 2016 at approximately 2335 hours Security Officers Steven Evans and Omar Alonso were in the E.D. Security Office when we heard someone yell for help inside of the E.D. entrance doors in regards of a “Gunshot Wound” patient. Out of the Office, we observed a Hispanic male hoping towards the PFS counter with blood on his left abdominal area. Security Supvr. Evans grabbed a wheelchair and wheeled him to one of the E.D. triage room, while his friend, Joseph Park (witness) register him with PFS. Security team in coordination with E.D. Charge Nurse Robbie Phillips placed the Emergency Department in a lockdown, Security Officers responded and kept watch over both E.D. entrances. The patient, Daniel Lopez (DOB: 10/16/1997, FIN #85640879) was transferred to E.D. #35, he had 4 “GSW”, 2 on the right and left buttock, 1 on the right

Upon arrival, I had initially provided support in standing by while the Narcotics team went through the house getting everyone out. I then was asked to assist in search the two female subjects that were detained. While searching the females I went back to my vehicle to grab another set of gloves. While I was doing this, I had seen Officer Fredrick #1111 had one of the subjects identified as Keith Gray W/M (DOB: 07/09/1958) on the ground. Officer Fredrick had advised me the subject just fell face forward. With my EMT medical knowledge I looked at the subject and noticed that he was having what appeared to be

Medic 1 was dispatched by 911 to 1234 Main St for a possible code blue for a 5 year old Male. Fire Dept was on scene as this was the location of a structure fire. Along with Fire Dept the local first responders was on scene. The first responders arrived on scene and requested ALS from dispatch. Medic 1 arrived on scene to find a child lying supine across the street from where the fire was located. There was four to five fire firefighters located around the patient assisting first responders. As Medic 1 arrived on scene was was given a history on the patient from first responders. They noted that the boy was pulled from the house that was on fire by firefighters and started mouth to mouth ventilation's. They said when they arrived on scene they

Approximate 1414 Soc received a call from Deb Pyle (Nurse) about a Young female feeling Cold, Dizzy, Pale & Heart rate increased. Nurse Pyle requested Paramedics on site. 1416 Paramedics was called by security officer Satinder Singh. 1420 Supervisor Marques Diaz sent MERT E-mail to the MERT TEAM about the Medical Assistance. 1423 Paramedics arrived on site to treat the young female. 1425 Fire Department arrived on site to attend to the female. 1438 Paramedics took the female (Kristina Milkovic) to Santa Clara Kaiser to be check for increased heart rate, dizziness, feeling cold, pale, shakiness.

On Thursday 12/24/2015 at approximately 2307 hours. Security Officer Omar Alonso (420) was contacted by E.D. Charge Nurse Sharey Selover about an uncooperative intoxicated male patient, Jose D. Gonzalez (DOB: 03/30/1977; FIN# 85006354), come in through the EMS Offload area. Officers Alonso and Ayuso reported to the call and observed an intoxicated male being wheeled into the Special Care Unit (SCU) E.D. room # 39. According to his assigned Nurse Sara Lopez, the patient had been involved in a physical altercation and had been kicked hard in the groin area. Patient did not behave badly or disruptive once he saw that Security were present and his Nurse was able to get his vitals, blood work, and urine without having any issues. Security staff

During my clinical competency placement, I was working on a surgical ward when a registered nurse on duty asked me to assist Mr. A with his shower. This incident happened on the fifth day of my clinical practice. He was a dementia patient and had undergone right knee total joint replacement. She also informed me that the patient did not like too many people in his room because of his dementia. When I went into his room, his wife was there with him. I talked to the patient about having a shower and getting dressed to look smart and he agreed to have a shower. The patient got out of the bed and walked to the bathroom and sat on the shower chair to have his shower. Then I asked his wife if I needs to stay with him to assist with shower, she said she can help him as she was taking care for him at home since he has been diagnosed with dementia. Therefore, I left the patient with his wife to help with his shower and told her to ring the bell if she needs any help. After some time I left the room, the wife rang the bell. As soon as I entered the room, I heard him shouting at his wife and she started crying and left the hospital. So I had to stay with him. He was very capable of washing himself and I just had to help him wash his back as he requested. After he had washed, I asked him if he was ready to get out of the bath, he started shouting at me.

At approximately 1050, while the officers were waiting for the RCMP arrival, the individual came out of the washroom and walked out of the unit. While walking out of the unit the individual was informed by one of the nurses that the RCMP is on their way, but she looked at her called her a “Cunt”.

Employee John Lee (Regular FS employee-Forester-PRRD) was taking his work capacity test at the Chadron High school track when at approximately 10:00am started to experience fatigue and then collapsing on his last lap. Cyd Jenssen (Public Affairs Officer-S.O.) an RN nurse, Mike MattMiller (Job Corps Fire CRWB-S.O) and Ben Jech (Engine Crew Lead Member-PRRD) both former EMT’s assisted John at the scene. Ice packs were placed under arm pits and oxygen was administered until the arrival of the ambulance. John was conscience during the entirety of the incident. John was transported by ambulance arriving at the Chadron Community Hospital at 10:20am. Fluids were administered by IV. Was noted from the MD doctor that John had a significant case

On 8/11/15 S/O EMT Perez responded to a 911 escort for CL-322. S/O EMT Perez escorted Engine and Ambulance crew 841 up to the apartment. While 911 was assessing the resident a Mr. William V. Johnson S/O EMT Perez talked to S/O EMT Anti and inquired of the situation. S/O EMT Anti stated that the resident was complaining of chest pain and high blood pressure. The 911 crew after assessing then suggested to the resident that it would be in his best interest to be transported to the hospital and seek a higher level of care. The resident agreed. The aide then proceeded to call the residents son Donald Johnson to inform him of the transport. S/O EMT Perez talked to Donald also and stated to the Son that his father was being transported to the hospital

“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.

On 8/1/2015 S/O EMT Perez was dispatched MS-508 regarding general weakness. S/O EMT Perez announced his presence and knocked at the door. When there was no answer at the door S/O EMT Perez enetered announced his presnece and proceeded to search the apartment. S/O EMT Perez found the resident in the bedroom. The resident, a Mrs. Mrs. Marianne Klatt invited S/O EMT Perez in and stated that she had general weakness and wanted her vitals to be checked. S/O EMT Perez performed an assesment which revealed the following; Blood Pressure 140/20, Pulse 68 and Sp02 96%. S/O EMT Perez discussed the results of the assesment with the resident and stated that her vitals appeared to be within normal levels but she could be tranported to the hospital if she

The RT’s had to physically leave the CT room and look for a nurse. After a nurse was brought back to the patient, an RT spoke with a supervisor about the incident.