Case Study Mable Werane

The Hill v. Ohio County involves a wrongful death case in which the hospital refused to admit Juanita Monroe. She thought she was in labor. As a result, she delivered her child at home without medical attention and died shortly after giving birth. The plaintiff was Lorene Hill, administer of Monroe’s estate, against Ohio Country Hospital. The question arises whether there was a breach of duty by the hospital in accordance to the institution’s admission policy. The staff nurse followed all protocols defined by the hospital. When Monroe arrived at the hospital there was no apparent emergency. Moreover, the nurse went above and beyond to provide for her, she gave Monroe information where to get OB services and even offered an ambulance

I think Julie's behavior is unprofessional and unethical due to the fact being medical assistant only and not a doctor. For that reason any medical staff including Julie face ethical issues in a medical office on the daily basis. There are some guidelines Julie should follow while working with any patients:

On 7/20/2015 S/O EMT Perez was dispatched to MG-601 regarding a fall. S/O EMT Perez knocked and announced his presence at the door, when there was no answer S/O EMT Perez annonced his presnece again and began to search the apartment. S/O EMT Perez found the resident, a Mrs. Doris Cotts on her bathroom floor by her toilet. Mrs.Cotts stated that she had slipped from her motorized scooter and fell onto the floor. Mrs.Cotts stated had no injuries but wished to be lifted up back on her motorized scooter. S/O EMT Perez performed a pelvic exam which presented with no pain or grimace on Mrs.Cotts. S/O EMT Perez knew that he couldnt safely lift Mrs.Cotts by himself so he called S/O EMT Tucker for assistance. S/O EMT Perez and S/O EMT Tucker safely lifted

CCIB Intake received a call from Co-Complainant Adrienne Williams (323) 802-5315 who disclosed that the son of resident Eleanor Lanzarotta in room 204 punched resident David Lester in the face. Notably David is described as having dementia with aggressive and combative tendencies. Today, April 24, 2017, David entered Eleanor 's room and struck her which resulted in her son striking him back. The complainant was not aware if David sustained an injury from the encounter due to it being the end of the shift. The complainant reported David is not appropriately placed in the facility and poses a significant risk to the other residents in care. According to the RP David strike other residents daily, sometimes several times a day. Therefore, the staff

The reporting party (RP) stated there were a list of issues and concerns regarding the level 4 home. A resident named Tammy Sanchez was observed by Regional Center counselor staff member Constance Sifton standing on a street corner on Mooney Blvd., in front of MOR Furniture store unsupervised. The counselor from the Regional Center pulled over and spoke with the resident. The resident disclosed that she had been on the street for an extended period which was indicated by the resident being drenched in sweat and appearing dehydrated and shaking. The resident was initially with a staff person named Isabelle and her boyfriend. The resident disclosed that the caregiver and her boyfriend went inside a building and she was instructed to remain in the boyfriend 's truck.

Lucy Anne Belle was a 31 year old nurse, she’s a tall, thin, and wears glasses, she’s also a widowed and a mother, her husband died in a tragic car accident. Lucy lives in Washington D.C. Her ambitions was to be a doctor and have a better life for her daughter. Lucy weakness was seeing her loved one dies, and strengths is her daughter and her job. It has been 2 years since Lucy lost her husband.

CCIB received an Incident Report from the LTCO Maged Mansour (213) 351-6433 regarding resident Maria Alcantara. The SOC 341 states that Maria disclosed to facility staff and her Day Program staff that residential facility staff member Gloria G hit her in her back. Once notified by of incident the facility staff notified the administrator Kendal Woods (323) 208-0133. According to the RP the incident is under investigation. The suspected abuser would be suspended pending

It is important when working in a health and social care environment that service providers are able to recognise or identify people who are at risk of suffering from abuse or neglect. Some abusers are aware the care worker’s role. This role is to make sure that they are able to report concerns and will make user that they don’t abuse or neglect a service user in front of others. In addition to this, it is important that a service provider is able to spot of there has been any changes in behaviour in a certain service user who they are giving help to. However, for a service provider to be able to spot changes in a service users personality they will need to get to know and understand them, they

Giarmo to Randolph Hospital. Dr. Giarmo was called and asked what information she could share with TACT about patient. Dr. Giarmo reports that she had completed an assessment earlier during the day and left nursing staff her contacted information for for hospital staff to ask questions. Dr. Giarmo expressed Dr. Giarmo reports that the patient has experience the loss of her mother a year ago, the patient sister is name Donna and brother is David. After this information was given, Dr. Giarmo ask for my credentials, which were given, then reports that she did not agree with TACT assessing patient at this time, she refuses to share anymore information due to the fact she sign a release to Randolph Hospital and not TACT, and that TACT should not assess the patient because her condition is due to a medical problems. After TACT conversation with Dr. Giarmo, supervisor, clinical back-up and were called in regards to Dr. Giarmo concerns. TACT attempted to call the emergency contact of the patient soon after, however no response or voicemail

As you are aware Barry Staley residing at McLees, ICF CCNS-Services for people with Developmental Disability 112-16, 200 Street, St. Albans, NY 11412, has been transferred to Silver Crest Nursing Home, a Long Term Rehabilitation Nursing Facility. As of 10/24/14 Barry is now residing at the Silver Crest Nursing Long Term Facility located at 144-45 87th Avenue Jamaica, New York 11435. Prior to this move Barry was admitted from (name Hospital) from (date) to (date) receiving treatment for (condition). During hospital stay a discharge meeting was held. Subsequently he was moved to a nursing home. It is the recommendation of program planning team that Barry will benefit from stabilization and nursing care services available at Silver Crest Nursing

R/s Anna Peagler has cerebral palsy and recently had surgeries on her mouth. R/s this morning, Anna and her mother, Sandra had a verbal altercation. R/s Sandra sprayed water on Anna and wet Anna’s clothes. R/s Sandra put her hand over Anna’s mouth and Anna wasn’t able to breathe. R/s Anna had to scratch Sandra’s hand to get her mother from off of her. R/s Sandra told Anna she was going to call DSS and said Anna couldn’t come back home. R/s Anna recently moved back with her mother due to having multiple surgeries on her mouth. R/s Anna is afraid she doesn’t have anywhere to go this evening. R/s Anna also reported that one her mother mushed her in the head.

CCIB LPA Perryman-French received a call from Mildren. her husband Julian lives in this facility. He is non-ambulatory and requires assistance to utilize the bathroom. Mildred stated that when staff call in, the director does not replace them or cover behind them, the result is that her husband cannot get the assistance he needs to use the bathroom. This has increased his accidents. Mildred also stated that due to the low staff (at times) her husband has had a wet bed left all day so when it is night time, she has had to change the bed or he will have to get in a urine soaked/smelling bed. She has changed it twice. She also notes that staff have left her husband naked after bathing, alone in the room, as they have had to rush off somewhere

The Pa was to be able answered many of the SC questions about his services. The Pa reported that he is satisfied with his services and his nieces as the DCW. The Pa was smiling and appeared to be in a cheerful mood throughout the interview. SC inquired about Pa’s use of medical emergency service and medical changes. Pa reported no falls (despite poor circulation and swollen legs per DCW) ER visit, hospitalizations, and change in health status or medications. The DCW showed SC Pa’s legs and stated that Pa is unable to go to his EADC because he’s unable to stand due to the swelling. Pa legs looks like someone that has a dx of cellulitis (Pa has not been dx with cellulitis nor is he being treated for it: his legs just look very similar to that of...). SC asked when was the last time Pa got a check-up and the DCW reported that it’s been a while. SC asked what a while is and she reported that since they moved to current location. Which is over 7 months ago. The DCW reported that Pa’s community Nurse Ira visits monthly and have been treating Pa’s legs. The SC urged Pa’s DCW to schedule an appt for Pa to be seen by his PCP Dr. Doghramji visiting

Mrs. A was a 83 year old lady who lived alone with once daily package of care which is privately funded. Mrs. A has family who lived nearby and knew of her hospital admission. The handover also revealed that Mrs. A is continent and the orthopaedic team was not aware of her admission.