Ulfima Five Tens Unit: Case Study

According to former employee Stephone Else, medication aide, alleges she heard Ms. Lyles tell Phillip Yovonnie, LVN to “Take her to China” with Amara Anele, RN, and Lilian Foster, Medication aide present at 6:20-6:30am. Per the investigation, the date was identified as 1/23/18 and resident was Shirley Depino. According to the nurse Amara, she did not give any medications

On March 23, 2017 at 1402hrs, Doctor from Mental Health notified Police Service of a Health Welfare. At 1410hrs, VA police notified the Austin Police Department (APD) and spoke with a dispatcher – 7974 and requested a Health and welfare at 2407 S. 4th street (Green Doors Halfway House) for a possible suicidal Veteran. APD Dispatcher stated he had officer’s en-route to the above address and provided me the incident #170821057.

S/L Walker was dispatching for evening shift at 08/29/15. S/L Walker receive a call for a welfare check at KC-219. The daughter, Karen, usually talk to her mother at around 2100 hr. But tonight could not reach her. S/L Walker took down the information and send an officer up to the apartment. S/L Walker called the apartment while the Officer was en route. There was no answer by phone. S/L Walker notified the Officer. S/O EMT Funes was the reporting officer. When S/O EMT Funes arrived on the scene, there was no answer by knock. S/O EMT Funes entered via her master key because the door was lock and search the apartment. There was no one home and S/O EMT Funes left a white tag #28798. S/O EMT Funes cleared. S/L Walker called the daughter twice

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 August 26, 2015 around 2335 hours, Security Supervisor Steven Evans, Security Officer Allan Topher, and I was dispatched to room 5104 in response to a non-Baker Act patient, Lillie M. Smith (FIN:84487321) who was arguing with medical staff. Upon arrival, we made contact with Nurse Julia, who stated that Mrs. Smith did not want to leave her room. She further stated that Mrs. Smith was going to be transported to room 510 bed #2. Security staff went inside the room and observed a very confused 86 years old patient who stated that she pays rent in the hospital and that the hospital is her house. Nurse Julia tried to convince her nicely to sit on the wheel chair in order to be transported to room 510. After several attempts from Nurse Julia,

On 12-09-16 at about hours 0748 hours, Officer Petrella and I responded to the above location, regarding a PC 273.5(a)-Domestic Battery investigation. The victim and Suspect Goldbaum are currently living together and have been in a dating relationship for the past two years with a common son. The victim stated, on 12-09-16 at approximately 0740 hours, she was involved in a verbal argument with Goldbaum. While inside of the their bedroom, Goldbaum forcefully pushed the victim onto their bed. Goldbaum then used his right fist and punched the victim twice in her stomach. Goldbaum then placed a cover and pillow over the the victim's face for approximately two minutes. The victim had a hard time breathing with the cover and pillow over her face.

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 Sunday 06/26/2016 around 0132 hours, Security Officer Omar Alonso was approached by Nurse Mercedes Gonzalez from our 5 West Unit. She requested that Officer Alonso escort off property patient, Raymond Ward (DOB: 01/18/1949; FIN#85818260), who was signing out Against Medical Advice (AMA). Officer Alonso provided both the escort and transport in a wheelchair for this patient, to the front lobby and then he made sure he got safely into a Taxi cab. There were no issues or incidents during this escort.

On 3/31/17, Elsie (Michelle) Miller made a falsified documentation on a patient. Elsie wrote bed notes on a patient stating that, the patient was sound alseep during 15 minutes check, while the patient was actually not on CRU 2 at the time. The patient was actually discharge from the unit after been transferred to the hospital for medical treatment.

On Friday November 13, 2015 at about 0004 hrs. FHEO Security Officers were dispatched to room 205 bed #1 at 2 east for an Enforcement Escort Visitor off Property (44V). Security Officers Omar Alonso, Brandon Rodriguez and I, Steven Evans responded. Upon arrival, Registered Nurse Brenda Long informed us that the mother of patient, Rafiq Veerani (MRN: 70898563/ FIN: 84825061) refused to leave the room. The patient’s mother insisted on sleeping over despite nursing staff request to leave made four hours prior. Security Officer Alonso went inside the room, introduced himself and explain to Mr. Veerani’s mother that unfortunately she could not stay over and was asked to leave. Mr. Veerani’s mother was compliant and agreed to leave. She was escorted

On September 16, 2016 at approximately 2220 hours, FHEO Security staff was informed by Security Operations Center (SOC) to make contact with a patient located at the Critical Decision Unit (CDU) in regards of verbal dispute and filing a complaint form. Security Officer Ariel Weiland (419) responded to the call along with Officer Demetrio Flores (653). Upon arrival Security Officers spoke with Charge Nurse Virgina Pardee and Nurse Ericka Rauf, both stated that the patient, Iris Altdoerffer (DOB/FIN: 12/16/1972 - 86187032) informed them that she wasn't sure if she wanted to press charges but she wanted her boyfriend, John Schittino out of the room. Mr. Schittino had been with the patient and was verbally aggressive, throwing patient belongings all over the room and threatening her. Patient’s boyfriend was angry because Ms. Iris would not let him sleep in the bed with her. Security staff went in the room as the boyfriend was leaving and spoke with the patient who informed us that she had been previously abused by the boyfriend and did not feel safe with him in the room. Security staff requested that Mr. Schittino left the Hospital immediately, at first he refused to leave stating he wanted to talk to the patient before leaving. SO Weiland informed him that was not be possible, he got upset and started using profanity towards medical staff, he had a faint order of alcohol.

This writer was in the reception area and heard yelling coming from outside. This writer went outside to investigate, including security guard, Carol who returned from his lunch break and patient care monitor William Leary. This writer saw patient #3799 getting agitated about a verbal exchange with the patient in question about the parking space. Please note, patient #1526 was inside of the clinic and then came outside whereas now, both patient were in each other faces until security and myself intervene. Then patient #3799 girlfriend #2788 got involved aggressively and threaten patient #1526 about getting into a physical altercation with herself and her boyfriend by saying " My boyfriend will kick your ass....Come on, come on. I can take

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

During this reporting, there were multiple communications with physical therapy and the physician office to determine if Mr. Nissan Nissan returned to the physician office and if he was cleared to return to his treatment after his hospitalization. Mr. Nissan’s son never responded to written correspondence and his daughter never replied to my phone messages. Care Matrix reported he was back in therapy. I questioned this as he had not returned to his PCP for clearance since his hospitalization and I requested physical therapy reports as the only documentation report is the evaluation April 2017. The manager reported he was hospitalized for pneumonia and she would reach out to Mr. Nissan regarding returning to his primary care and pain

I also spoke with Julie S. regarding the last med staff meeting and told her the concerns the doctors had regarding the lab’s and I also told her that that the discharge form was supposed to be modified and brought back to med staff in September. I suggested that she speak to Becky Daniels in medical records because her and Sandy were working on it.