Reporting party (RP) stated that she visits her friends at the facility almost every other day. Her friends are a married couple who reside in room #215 (RP did not provide their names). RP stated that the facility is short staff and that often times, the residents have to wait a long time for assistance. RP stated that yesterday (05/20/18), there was just one caregiver on the floor. RP stated that there are usually 2 caregivers per floor. The wife ambulates with a walker and the husband is wheelchair bound. RP stated that it took over twenty minutes for staff to take her back to her room from the dinning hall. Staff finally took her to the restroom, but the husband remained downstairs and waited even longer. RP stated that somehow, he was
As the EAI team was discussing Molly’s case, one of the ED Residents made a few telephone calls. Molly’s PCP reported that during her last visit about 2 weeks ago, Mollie was alert and able to respond to questions appropriately. He confirmed that Mollie’s daughter and son in law have experienced psychiatric problems, adding that the son in law has expressed anger regarding Mollie’s living arrangements. The home health care agency was contacted. The RN and aide both report they have never met the son in law and have had very limited contact with Mollie’s daughter. When contacted by telephone, the daughter provided no explanation for Mollie’s extensive bruises noted on admission to the hospital. The daughter stated that Mollie did not fall, but in fact lowered herself to the floor in an effort to draw
In 1968, Lenoir Dining Hall at UNC Chapel Hill served food to nearly 2,000 students and faculty a day. The lunch ladies managing the cafeteria worked through long hours, short wages and demeaning work conditions. Though state workers, the food workers were neither represented by a union nor were their grievances acknowledged by their oppressive supervisors. Food service was tough enough for food workers at the university because students and faculty did not typically regard the non-faculty employees with much respect or recognition. This lack of respect or recognition was amplified by high racial tensions of the Civil Rights era and the reality that most non-faculty employees were African Americans serving a predominantly white student population.
On 3/15/17 Nurse Larisa Adler from New York Health East Maximus to conduct an assessment on Anthony Rizzotti. Nurse Adler came to the staff office to explain that Mr. Rizzotti apartment is unbearable to live in. SUS Staff explain to Nurse Adler that this is independent housing, however we provide trash bags and plan assisting with cleaning but when the day comes he changes his mind. Mr. Rizzotti had a schedule heavy duty cleaning provided by JASA but due to the snow storm that cleaning was not conducted. Wellness Coach Ms. Cain called JASA APS Social Worker
On 09-27-2016 at approximately 1310 hours, I, Security Offcier James Argyro A-10280, was dispatched to the security medical station for a employee medical. Upon arrival I made contact with Lisa Bowen A-5954, who stated that she tripped over a bucket behind the bar and landed on her left knee. Bowen stated that she did not report it because it did not hurt and she was able to get right back up. F&B Supervisor Allison Williams A-2318 stated that when she heard about the fall she made Bowen report it to security. Bowen stated that she was not in any pain at this time and did not wish to speak to Emergency Medical services. Bowen was released to her supervisor and given a medical packet. Security Shift supervisor Neil Grant A 3079 was notified.
MHP met with the member today. The member report that he walk from Oasis to TWC and was tried and wanted some money to buy him something to eat and drink. MHP told the member she did not have any money to give him. The member states that he needed a referral for clothing. MHP wrote a referral for clothing for the member. The member states that he need a ride back to Oasis shelter but did not want to arrive to the shelter until 5:30 or 6:00 pm. He want to hang out with his friend. MHP told the member that he need to see the doctor to get his injection. The member states he does not want to get his injection today and ask if MHP can pick him up from the shelter in the morning to come and see the doctor for his injection? MHP told the
R: The member started the application with her name and date of birth. The member did the same thing with her Medicaid application. She fills out her name and date of birth and expects the MHS ro complete the rest of the application. MHS informed the member that she would assist with the application, but MHS will not do it for help. The member aptitude changes, the member is now upset the MHS will not complete the application. The member went to the restroom and got lost. The member said she forgot which room I was in. The member said “You could have been done by now.” The MHS
There was inappropriate staffing in the Emergency Room which was a factor in the event. There was one registered nurse (RN) and one licensed practical nurse (LPN) on duty at the time of the incident. Additional staff was available and not called in. The Emergency Nurses Association holds the position there should be two registered nurses whose responsibility is to prov...
A restaurant’s success is often dependent on its location. Restaurant’s that are located near other restaurants can enough synergistic benefits due to their location (Parsa, Self, Njite, & King, 2005). However, choosing the wrong location can also spell certain doom for the establishment. In general, restauranteurs must ensure that they are making enough profit to justify the demands put forth by their landlord and the local government. For this reason, the restaurant’s deed or rental agreement is one of the most important document in determining a restaurant’s fate. This paper seeks to examine the issues associated with leasing restaurant property; in particular Harlequin and Brine, an upscale casual restaurant.
The wait is over. At precisely 12:30 p.m. on September 4, 2015 Father Leahy ceremoniously cut the ribbon to announce the opening of Stayer Hall located at 2150 Commonwealth Avenue. Construction began for this building in summer 14, replacing More Hall. The Mayor of Boston Marty Walsh was even in attendance for the event which shows the excitement surrounding the opening of this grand new residence hall. To give an idea of the size of this new residence hall, it is reported to be about 1.5 times the size of Stokes Hall! This building is a major addition to the Boston College campus, the new RD for the residence hall was quoted as saying “With the opening of this new building, BC has increased its on-campus capacity by 250 beds. This is a significant step towards ensuring all students have the option of living on campus throughout their entire education.” This is a great step in
doesn’t appear to have any mobility, hearing, or vision impairments or assistive devices. L.M.’s ears and eyes symmetric, nose and throat are midline no deformities or deviations noted. Missing many teeth. Makes funny faces at random times at different staff members. She is allergic to penicillin. Heart, lung, and bowel sounds assessed by nurse stated they were “within normal limits” (Mountain Health and Wellness, 2015). Resident appears unkempt, hair is greasy, clothing stained, and fingernails dirty, toenails yellow, discolored, and thick. Skin is dry with small bruises on arms bilaterally. L.M. has a small scratch on left shin, where L.M. states she has been “shanked” during the evening. Musculoskeletal appears within normal limits in both upper and lower extremities no deficits noted. Appetite seems appropriate, her weight is 140 pounds, height is 55 inches with a normal BMI of 23.3, and abdomen is round, symmetric, and non-tender (Mountain Health and Wellness, 2015). L.M. states she hasn’t had a bowel movement in days and is constipated. She voids without
This story shows what happens when there is a break down in multiple areas of health care, including communication, the nursing process, and patient advocacy. As a new nurse, this case is important to hear and to learn from. It teaches us that patient centered care means listening to the patient or the family when they say something is wrong because they know themselves and/or the patient better than the staff. Even if the cause is not obvious, there is a need to follow through with your instincts or gut feeling when something doesn't seem right. A personal example that I recently had to learn from was when a resident was not as active as she had been. I was told in shift report that she had a weight gain. I wanted to send her to the hospital, but a more experienced nursing supervisor told me it was unnecessary and that the doctor would be in the following day to see her. She was seen the following day and there were no new orders for her. I ignored the feeling that something was not right with her because the doctor had cleared her. With in a week, she was sent out to the hospital and diagnosed with a CVA and CHF and returned to us with a new status as a DNR and put on hospice. From this I learned that it does not matter how much experience others may have, I need to trust in myself and my judgment. Since this event, I made the decision to send out one of my residents
Mary (name has been changed for confidentiality) is a combative and aggressive resident. Due to Mary’s violent behavior, she receives careless and inadequate care from the nursing assistants in our memory care unit. When I first worked with Mary, she was being held by her arms and legs. This was necessary to successfully clean her up because she hits and grabs anyone who tries to assist her. Despite being pressured to hurry, I was careful to make sure I communicated everything that I was doing to her. I saw that her expression spoke fierceness, but her eyes spoke sorrow. Her actions were the result of her severe dementia, and it was important to me that I treated her as a human being. While she was defined as a two person assist, I discovered
Dinner Bell Hotel is a Michigan resort, with large meals, farm animals, petting zoo, lake for swimming and much more. As suggested by the name, the hotel holds the tradition of ringing the bell to announce mealtime. July through early November is the busiest time for the hotel as all summer and fall guest enjoy the atmosphere of an old-fashioned resort with a comfortable environment. The weather gets too cold by early November for most outdoor activities thus in order to attract customers, the hotel has also built an indoor pool and developed long theme weekends like classic movies.
Combat dining inns is a great way to build morale within a core. Although they can get very messy it is also a lot of fun. A combat dining inn is an event that is made to bring a unit together. During this event you will overcome obstacles as a team. The way it is set up is that when you get to the location of the combat dining inn you will be wearing your mess dress or bdu. After everybody has signed in you will be split up into teams. Each team will have one flight sergeant and one flight commander. When those two people are chosen at that moment you will then proceed outside. Once outside you will get into formation and march to where the obstacles course will be held. At this moment you will get in formation with your flight and then begin the obstacle courses.
The college experience has given me great examples of approach elements and environments as well as avoidance elements and environments. Transforming the negatives into neutrals or positives seems like it would be simple but would have a cost. Marketing these changes to prospective students and their parents would have challenges as well, not everyone understands forward thinking. I will say this, my grade was better in the class that had an approach environment and elements.