4. Discuss who should be notified about Mr. O’Brien’s fall and what type of documentation is needed regarding the incident. Mr. O’Brien’s physician, family, and nursing assistants should be notified about the fall. An incident report should be filled out.…
This article was about a case implicates the Georgia Regional Hospital, Atlanta. In January of 2009, a patient, Na Young, this patient has a history of psychotic episodes. This patient was released form the psychiatric hospital. On a Friday evening in January at the Regional Hospital in Atlanta, Na Yong, refused to sign the release paper. The patient go valance with the nurse and told her that she will now longer take the antipsychotic medication. The patient family pleaded the doctors and nurses to reconsider discharging her from the hospital. The patient prior to been admitted into the hospital had physically abused her mother on several occasion. Na Yong told physician and nurses that if she were discharge from the hospital she would kill her mother, which was the target of her schizophrenia-fueled rage. The hospital staff still…
In this scenario the patient is a 72 year old retired rabbi with mild dementia who is admitted to the hospital for a broken right hip due to a fall at home and is receiving pain medication. After a week of being admitted the patients daughter visits her father and finds him restrained. She also notices a red depressed area over her fathers’ lower back when her father is being assisted to the bathroom and was later informed by the dietary worker about her father receiving a pork cutlet on his dinner tray. The daughter was upset with the care being provided and complained to the physician.…
According to my clinical experience and observation, communication between residents and team members is very crucial. Failing to report any negligence is a violation and can harm a patient and the facility. Mecklenburg Health and Rehabilitation Center must provide each resident a notice of rights, rules, services and charges as well as installing better fire alarm system which can be heard through entire facility according to the policies. Success is improving patient satisfaction which requires both organizational and tactical…
Determining responsibility to report under the law is a complex action that requires the analysis of several different sections of relevant law. Not only must the laws regarding mandatory reporting be analyzed, the specific nuances of this case must be examined. Specifically, I will need to address three separate issues. First, it must be determined if a Licensed Professional Clinical Counselor a mandatory reporter. Second, Sherry’s use of marijuana must be examined to determine if it does constitute child abuse or neglect. Finally, Sherry is selling an illegal substance and this may in and of itself require a welfare report.…
RA would not talk with Treva. RA constantly asked Treva to leave. RA’s daughter & family kept talking to the RA about getting services in the home, especially wound care. Family provided information that the RA will have a physician to come to the home to treat the RA’s bedsores, a nurse to monitor the RA’s meds, and an aide for the RA’s personal care. In report #17-067-00223 the RA left AMA from Hidden Lake Nursing Home. The concern was that his blood sugar was extremely elevated, and he left without taking his oxygen. Treva made a home visit to interview the RA. RA would only talk for a few minutes, but he kept telling Treva that he was fine, and he did not need any assistance from DHSS. Treva was able to explain to the RA that the concern was that he would go into a diabetic coma, but the RA ended the conversation by closing the door. Treva left her card at the door along with resources on diabetes. In case #16-322-00051 & #17-083-00085 the RA had delusions that his neighbor was sending him electrical shocks through the wall sockets while he was in…
Scenario 1: On, 10-19-2015, this social worker received a report of alleged medical neglect from the Smith Elementary School nurse. Nurse reported Jason is an 8 year old third grader that has been seen in her office several times with a splinter in his foot. She has made phone contact with the mother and informed her that Jason needs to be seen by a physician on numerous occasions. Jason reported that his mother has not taken him to see a doctor. Jason’s injury is worse at the splinter area. On, 10-19-2015, at 2:00pm this social worker interviewed Jason at Smith Elementary School nurse’s office. Jason was dress in school uniform, blue pants and white shirt. He had his right sneaker on his foot and his left sneaker in his hand. Jason’s…
To investigate this incident, I would begin by collecting the facts of the situation as it happened from both the Physician’s assistant and the patient involved. I would also review company policy and procedure which must be in place as mandated by the Act. I would also question the employee on policy and procedure to assess their understanding procedures in place and to determine if modifications are needed in employee training in this area. Then, an audit should be performed to determine if this is a onetime event or an ongoing concern.…
The scenario made it perfectly clear that the hospital was severely understaffed to accommodate the medical needs of the patients. Malpractice occur when medical professionals act improperly or unethically (Baker, 2006, p.120). This legal issued can be determined when patients died as a result of wrong medications being administered during their visit. “Sometimes the wrong medication is given because the nurse was in a hurry and didn’t double check, the medication was shelved wrong, the doctor prescribed the wrong medication, or the patient was given another patient’s medication” (Pritzker, 2012). Incidents as such, have a higher possibility of taking place when health care staffs are overworked. According to the scenario, the patient units were understaffed, and health care personnel on day shift had to stay until they were relieved from their duties, and this causes fatigue which causes an increased risk of negligence that leads to…
The reporting party (RP) stated she received a message from Noni Levi (858) 382-7870 the sister of resident Molly Bradley DOB: 4/27/64. According to the message this past weekend (exact date unknown) while the resident was visiting her mother (name not provided) her sister Noni observed bruising on both top inner thighs. When Noni contacted the facility she was informed the facility was not aware of the bruises and if the resident has bruises it resulted from her day program. The RP stated the resident has lived in the facility for many, many years and has attended the same day program just as long. The RP stated the resident uses diapers and the toilet. The RP expressed the resident does have behavioral challenges.…
The reporting party (RP) stated on 3/21/17 foster child Marian Mancilla disclosed to her classmate who she sustained a black (which eye not disclosed). According to Marian she injured her eye when she ran into her brother's shoulder. However on the morning of 3/20/17 Marian arrived to school with her foster mother Argelina who disclosed the eye injury occurred at the school on Friday. Subsequently, after the foster mother departed, Marian disclosed she ran into a pole near the bathroom. The RP stated she was present on Friday and Marian did not complain of an injury. Furthermore if Marian had been injured at school she would have made a fuss. The RP is concern due to the inconsistency in Marian's…
The problem statement is that Mr. B was overmedicated , and went into respiratory arrest which lead to brain death and his eventual death. The key people involved in this event were the Emergency Department Doctor, Dr. T., the ER nurse J., and the LPN. A thorough assessment was neglected to have been performed in triage. They failed to ask Mr. B. if he had taken any medications prior to this arrival, and they did not question his reactions to medications, especially to his home pain medication Oxycodone. After the initial administration of the I.V. diazepam with the hydromorphone, the ER doctor should have waited an additional 10 to 15 minutes before administrating another dose since Mr. B. has built up a tolerance to opiod medications from taking Oxycodone for his chronic back pain. The the nurse and the ER doctor both failed to take into consideration the half life and the duration of the drug, which can take up to three hours. When Mr. B's oxygen saturation went down to 92 the nurse failed to monitor his…
4. The care assistant made a verbal report of the incident to yourself as Proprietor.…
SC, Jennifer Stoker contacted provider, Anita Baker via telephone. SC introduced herself and told provider that she was Terry Williams’s SC. SC asked has she spoke to Terry over the weekend. Anita Baker stated yes. She noted Terry called her told that he don’t have his medication and his blood pressure was high. Anita stated that she got his medication from his Aunt Earnestine and give it to Terry nurse. SC asked if she know if the nurse give him or his host home the medication. Anita sated she don’t know if the nurse give them the medication. SC informed Anita, Terry call is old provide and stated that he was hungry and need food. Anita noted Terry tell her he is happy at his new home and they cook was great. Anita then noted Terry never…
The first case of the day was will be referred to as T.O. This female registered nurse employed in Eureka, Missouri works overnight shifts. On August 20, 2014 to August 21, 2014 at approximately 1:15 am the Director of Nursing of the facility T.O works at was contacted by another Licensee’s coworker who reported that T.O was not acting right. T.O was reported of having slurred speech, was confusing coworkers’ names, appeared disoriented and staggered while working. The DON of the facility came in to evaluate the situation at which time found T.O to be impaired and requested that T.O submit a sample for a drug screen. The results of this drug screen returned positive for Benzodiazepines and opiates. T.O provided her prescription information…