I have been a patient of the OBGYN side of Lone Star Circle of Care for years but just recently my primary care doctor stopped taking my insurance. So I made a new patient appointment with the Ben White location in Austin, Texas with Dr. Rivera for the 17th of February. I checked in on the 17th and sat down to wait. Thirty minutes went by and I asked the front desk if they knew how far behind Dr. Rivera was. The front desk did not seem interested in this question but did ask a person that came from the back how far behind Dr. Rivera would be. I didn’t get an answer but the front desk at that time did write in on the “Doctor running late” board that she was running thirty minutes behind. I sat down and waited, after another 12 minutes I asked for an …show more content…
At that time I advised the doctor’s assistant that I also needed to speak with the doctor about insomnia since I had missed my new patient appointment on the 17th of February. The doctor came in asked questions (as normal) I showed her my prescription that I needed a refill on and she advised she would need a drug blood or urine test before prescribing controlled substances. I had given specimen already and advised her I gave urine just before coming to the room. The test was clean besides the insomnia meds I take, of course, in which I had shown her the prescription for. She advised she will send the prescription to the pharmacy HEB in Lockhart Texas. That evening I checked with the pharmacy and they advised they have NOT received it. I contacted Lone Star Circle of Care to send a message to the doctor. The following day March 1st the prescription had still not made it to the pharmacy and when I called Lone Star Circle of Care they advised the doctor received my message around noon that the pharmacy hadn’t received it the day before. I figured I should give her until closing to send the prescription, so later that evening the prescription still was not at the
The two of the six rights of medication administration that were violated where the right medication, the right dosage, and the right client. The nurse failed to read the medication order three times before administering the medication, failed to scan for the right count of the medication, and as well failed to match the patient ID with the scanned
Mary recently brought her child to the Express Clinic at their Big Market Basket Food Store. This convenience clinic is staffed by a nurse practitioner from 8:00 A.M. until the store closes at 9:00 P.M., 7 days a week. The nurse practitioner did an exam and prescribed a prescription for an inner ear infection. Mary had it filled in the pharmacy and returned home. Shortly afterwards, she started to have second thoughts, “Should I have just waited and brought my daughter to the pediatrician?” she wondered? Two days later she got a newsletter from the Express Clinic. On the cover page she saw a story headline that said “In a recent survey, 97% of the mothers we surveyed were extremely satisfied with the care they received for their children at Express Clinic.” What strategy was being implemented by Express Clinic? What was the organization trying to counter?
To research the organisation or agency in which you have been placed, examining its role, function and service to community.
I cared for a 76-year-old end-staged chronic obstructive pulmonary disorder patient who was admitted for respiratory distress. The doctor requested that my nurse and I get the family together for a family meeting. During the meeting, the doctor communicated to the patient and his family members that the patient will be palliative and no longer be in the ICU. The family members were concerned about the transfer of care to the medicine unit, what to expect from palliative care and other options for care. This scenario did not go well because the patient and family would have benefited from a palliative nurse with expertise, respiratory therapist to discuss other options, pharmacist about medication change if needed, social worker to help guide the family through end of life care for their father. In addition, there was no collaboration with interprofessionals prior to the family
What ethical principles were impacted? What was the ethical duty of care to Lewis? How was it breached?
On 02/10/16, Mr. Newsome submitted to a random drug screen. The test was returned positive for Ethyl Glucuronide (ETG). On 02/17/16, Mr. Newsome reported for case management with Crest Aftercare and Probation. Mr. Newsome admitted to drinking 3 beers on 02/08/16. Mr. Newsome was placed on contract with Crest Aftercare. On 06/29/16, Mr. Newsome submitted to a random drug screen. The test was returned positive for Amphetamines. Mr. Newsome did not have any known medication prescribed to him by his primary care physician at the time of the drug screen.
A two car accident Friday in downtown Heartland sent three people to the hospital with moderate injuries.
Case most recent UDS she tested positive for Marijuana, Benzo and Oxycodones. Ms. Case reports recently having surgery and having to go to multiple hospital for pain medications. She expressed multiple times she is not med seeking, however has show many med seeking behaviors. This is evidence by documentation of her frequent hospital visits and prescribe pain medications, continuous asking this clinician to make sure she gets pain medication to go home with when she has been informed this clinician dos not prescribe medications, and conflicting stories about being prescribe medications. Ms. Case also reports she smokes marijuana daily and buys 3.5 grams every 2
Patient has a history of abusing other substances and was very med seeking for benzos and opiates in the ED ("I don't want yall to give me nothing if it ain't IV Ativan and Morphine"). He reports drinking a 1 gallon of wine daily. He denies other drug use and this was confirmed by his most recent drug screen which was negative for substances with a BAC of .42. Upon arrival patient was put on detox protocol with Ativan scheduled every 6 hours. Upon assessment this morning patient denies any withdrawal symptoms. After TACT confronted him about malingering and patient admitting this, TACT then began to discuss discharge options. When TACT asked Mr. Farley about withdrawal symptoms he only expressed
This essay will critically analyse Care Programme Approach (CPA) assessment and care plan in an OSCE I undertook. By utilising the CPA and sources of current literature, I hope to demonstrate my knowledge and understanding in relation to this skill as well as identifying areas with scope for learning.
One must evaluate all parties involved. It can be argued that do to the lack of documentation or communication of the physician this was an act of negligence. A jury can decide that lack of documentation is sufficient evidence in finding a physician guilty of negligence (Pozgar, 2009). When we look at the role of the defendant which was the pharmacist not the physician his duty goes above just filling prescriptions, the duty of a pharmacist is to monitor the patient’s medication. In order for him to have achieved this properly he should have made sure he contacted the physician for further information even if the physician failed to communicate with him. Because of his actions the plaintiff is holding the pharmacist accountable for his treatment and that is not where all of the blame should be consumed. The argument that can be made for the pharmacist is that the pharmacist acted within his scope of practice and left everything to the physician. This situation can easily be construed as, if the physician needed further medications or if there were any adverse reaction then he would have contacted the pharmacist. Once again the prosecutor may argue that the pharmacist had a duty to follow up on any treatment that he provided to a patient. These arguments would be the most persuasive. These are the key elements in determining the case being argued. For example the pharmacist not following up with the patient’s physician may be
Tonight we were dispatched to take a pt from Mission to Saint Joes. The pt was to be taken to 708 Saint Joes. We arrived at the room and moved the pt to the bed. After getting the pt in bed a nurse came by and was in a panic telling me that "I don't believe this pt is supposed to come here". I followed him to the nursing station where he left me with the secretary. While I was there she was talking on the phone and asked the person she was speaking with " what room do you have for (pt's last name)", she then said "ok" and hung up. She then told me that that was the house nurse (who she was on the phone with) and they informed her that the pt is to be taken to 624. I told her to hold on and spoke with my partner asking what I should do. He told
The patient may need assistance caring for himself following discharge from the hospital. The daughter lives too far to assist her father on a daily basis. The case worker needs to determine how much the daughter is willing to assist her father during the transition. The daughter may be willing to become her father’s caregiver during the initial recovery period. She would also be a good support system by providing medication reminders, encouraging medication compliance, dietary restriction compliance and promoting positive health behaviors.
After this incident I spoke to my team leader and we both agreed I needed to report this situation to higher management. I documented the occurrence under the Incident Report file and filled out an online incident report for the doctor due to his unacceptable behavior, unsafe practices and professional misconduct. Within one week, our department’s management contacted me, the team leader, and the resident doctor that was involved. They spoke to all of us about how to avoid scenarios like this in the future, they recommended that we look at each other’s role on the health care team as equal not above or below one another, and that we share power and control in our patient’s plan of care. They also reiterated that if any order or intervention is unclear that it is better to seek clarification rather than have any errors occur. At the end of this whole experience, we evaluated the scenario as a group and planned to work together as a
In one particular circumstance, on the second and final day of my placement, a patient entered the pharmacy to collect their prescription items. As the patient came in, the pharmacist told me that I would be responsible for giving the