Daimarkus is a 27-year-old AA male who presents to CRU 2 from UPC. He is on ACOT for PAD. Patient stated he was in prison for 3 years for attempted armed robbery, he was released on the 04/14/17. He was recently discharged from DVH. According to his Psy eval from UPC, he was stayed on COT whiles at DVH.…
D-Met with the patient upon his arrival. This writer addressed with the patient about TEAM's decision of not reinstating him for treatment due to his non-compliance of his multiple AWOLs and following through with Hartford Dispensary with regards to making his payment to the clinic. According to the patient, he did everything on his end with the Hartford Dispensary, but the clinic wants him to be taper off on his methadone. This writer questioned the patient if he had obtained a letter from his prescriber stipulating that he cannot get off on his benzos script and no response to this question. When the patient was questioned as to whether or not he did indeed paid the Hartford Dispensary, he says, " I did, but if I have to do it again, I will."…
Layla Micheli Monica Malt LVN 121 11/17/2017 What were the Contributing Factors to the problems in this Case? Describe them by category below. Equipment (design, availability and maintenance) The Pyxis machine is designed to calculate patient medications and doses accurately and should have alerted the nurse when the dosage was too high for a pediatric patient.…
We have investigated your concerns regarding this issue. Our office contacted the office of physician Steven Bowley and spoke with Lucas the Office Manager. Lucas pulled your file and advised Steven Bowley did a new patient evaluation and submitted an order for order for lab at Sonora Quest. Lucas advised us there are no notes regarding any verbal issues between you and the provider. Office Manager sincerely apologizes for the provider’s misconduct.…
Mr. Lee has had very busy past several months. He has been not been honest in his reporting to this provider and violated the following treatment rules: -If your offense involved children, you shall not be alone with minor males or females. Whenever you have prolonged social contact with minors, an adult that is approved in advance by your treatment provider and is aware of your offense history and the behavioral rules that you must follow when around children must monitor you. -You shall not consume alcohol or use illicit substances, including prescription medication that is prescribed to another individual. -You shall not engage in any romantic/sexual behavior with any individual without my prior knowledge and approval.…
This writer address with the patient about his UA result dated on 5/15/2017 as there were mutliple reschedule and cancellation from this writer and the patient. This writer address with the patient about the opiate and benzo use. The patient was admit that he haven't relapse on any benzo since his last conversation with this writer and honestly feels that the benzo could potentially have been in the "dope." This writer discuss the seriousness with the patient about his recovery and discuss clinical intervention with the patient. First and foremost, this writer discuss with the patient about his depression but according to the patient, he is not depress anymore.…
Yommala discuss with this writer about an issue pertaining to patient #2977. According to Yommala, the patient was suspended on 5/12/2017; however, the patient was hospitalized for pneumonia. During the patient’s reinstatement process on 5/17/2017-the patient was not medicated as it was an error by Nursing. Yommala expressed her frustration about her patient not being medicated. At this time, the patient have breast cancer but the patient’s medical recommendation for the patient to seek suboxone treatment for the patient to engage in chemotherapy.…
Protection of Human Subjects. After receiving approval from Baptist Hospital and University of Florida IRB committees data collection began. Data was gathered by Tanya Warner, DNP student and employee of Baptist Hospital. Data was kept in Tanya Warner’s office on campus at Baptist Hospital. Computer data and patient’s medical records were password protected.…
D- According to the patient, she is stable at her current dose. She appears to be surprised about her dose. The patient had thought she was receiving 39mgs, not aware about her decrease to 33mgs. The patient then informed this writer that she had completed the dose change request form and spoke with Nursing regarding to the decrease and is pleased that she had actually gotten her request.…
This writer informed the patient that this writer was in fact in receipt of her missed phone detailing about running late to her sessions. The patient reports she cannot stay for a full session because she has to be at work by 9:30am. This writer immediately addressed with the patient about the need for the early dosing card as the patient has been dosing after 7am and the early dosing card will have to eliminated if the patient is not utlizing it. The patient agreed to return the early dosing card and/or change her status based on her work schedule. Furthermore, the patient requested to increase her dose again due to relapsing two days ago, heroin-2 bags by IV.…
D-The patient requested to see this writer and expressed that she was unable to do a walk-in to the Hartford Behavioral Health as the walk ins is scheduled on Tuesdays and Wednesdays. The patient ensures this writer that she will do the walk-in tomorrow and will provide proof that she completed the intake process on Thursday. This writer stressed the concern factors of the patient illicit use of benzos as she tested positive on 06/17/2016, also with opiates. The patient admits to using pain killers from someone who given it to her as she missed her dose on 06/16/2016. This writer informed the patient about the risk factor of missing a dose as she will potentially put herself for a relapse, which evidently happened in this case.…
Bianca was referred for counseling by her son’s insistence due to her visible tremor, slow thinking, slurred speech, and sleep problems. She came to the office with her twenty-eight-year-old son, Angel. The client is currently taking various types prescribed medications which might be life threatening. This assessment was requested to identify possible sources of Bianca’s problems and make recommendations for treatment. Section Two Background Information M.Q is a forty-seven-years-old, middle class, heterosexual, Mexican American female who works as a legal assistant.…
If the patient is diagnosed with COPD there are certain treatments and medicines that might help relieve some of the…
My preceptor IPPE consisted of visits to Sanford Hospital’s cardiology floor where I got to shadow Dr. Kirsten Johnson. My first experience occurred on October 6, 2016 from 0800 – 1100, and the second work period was October 20, 2016 from 1630 – 1930. I enjoyed each visit to the hospital and felt very welcomed by Dr. Johnson. The only hospital setting experience I had was my IPPE II at Avera Queen of Peace in Mitchell, SD.…
• Client will explain actions and precautions to take for cardiac disease Short - Term Expected Outcomes: Client will be free of chest pain, hemodynamic parameters will be within normal limits and…