As the study continues on, it is getting more and more interesting. more and more I am imagining how it was to have been Lia living with such a difficult and unpredictable condition. I thought that the EMT took very good care of Lia during the "big one". They provided advance life support care as they would to any other patient. Focusing on airway, breathing, and circulation. When they noticed that they were having too much difficulty to manage Lia in the ambulance, the driver was asked to speed up and to go to head to MCMC on code 3, which is described in the chapter as the most emergent code. Although the nurses have noticed Lia history as a frequent flyer, they still proceeded to providing the best care that they could to her. Giving her
According to a doctor in the documentary, people are coming to the ICU’s to die. (Lyman et al, 2011) Due to the fact that technology to sustain life is available the decision to end life has become much more complicated yet more people die in hospitals then anywhere else. (Lyman et al, 2011) The story of Marthe the 86 year old dementia patient stood out to me upon viewing the documentary because I recently just had my great grandmother go through the same situation. (Lyman et al, 2011) Marthe entered the ICU and was intubated for two weeks while her family members decided whether to perform a tracheotomy or take her off life support. (Lyman et al, 2011) The family was having a tough time deciding due to the fact that the doctors could sustain Marthe’s life if they requested it. Marthe ended up being taken off the ventilator and to everyone’s surprise was able to breathe but, a day later she could no longer do so and now she has been on life support for a year. (Lyman et al, 2011) Another patient that I took particular interest in was John Moloney a 53 year old multiple myeloma patient who has tried every form of treatment with no success. (Lyman et al, 2011) Despite trying everything he still wanted treatment so he could live and go home with his family but ended up in
Following her passing on Thanksgiving, “Munoz and his wife’s parents told the hospital that Marlise, herself a veteran paramedic, had made it clear to everyone she didn’t want to be kept alive by machines under any circumstances” (Goodwyn).... ... middle of paper ... ... “The Strange Case of Marlise Munoz and John Peter Smith Hospital.”
It is clear that many of Lia's doctors, most notably Neil Ernst and Peggy Philp, were heroic in their efforts to help Lia, and that her parents cared for her deeply, yet this arguably preventable tragedy still occurred. Can you think of anything that might have prevented it?
1. Nine year old Jerry stumbled into a drug store, which is usually open late with very few attendants, gasping for breath. Blood was oozing from a small hole in his chest wall. When paramedics arrived, they said that Jerry had suffered a pneumothorax and atelectasis. Just what do both these terms mean and how do you explain his respiratory distress? How will it be treated?
Calls to outpatient areas such as radiology, rehab, and the hospital lobby are also on the rise, with family members, visitors, and employees being added, besides the inpatients, to the list of eligible Code Rescue calls for the ICU nurse to respond to. With Code Rescues involving a Stroke Alert, the ICU nurse must accompany the patient to the CT Scan area for a STAT CT of the brain, which takes the nurse away from their assigned patients for an even longer period of time based on the status of that patient. When a nurses take their break, another nurse is required to monitor those patients as well as take care of their own patient assignment. The attention given to the other patients is not considered to be extensive, basically “keeping an eye” on them until their nurse returns. This patient assignment could be at a safety risk if their nurse is also the one assigned to respond to Code Rescues at any time during the
Focusing on pursuing a career you like is important because statistics show fifty-two percent of Americans are unhappy going to work every day because they chose a career they didn’t have an interest in. My ideal job is in the medical field because I’ve always had a passion in helping people. I want to specialize in nurse anesthesia because of the important role they have in society. Nurse anesthesia interests me because of the tasks they do, the advanced education path they must take, and the history behind the profession.
“Code Blue”, that the last thing anyone wants to here at the beginning or end of a shift, or for that matter at any time during their shift. With the development of rapids response teams (RRTs), acute care nurses and ancillary departments have a resource available to their disposal when need in uncertain situations. Many times nurses struggle to maintain a patient deteriorating in front of them all the while make a multitude of calls to the physician for orders or concerns. Having a set of “expert” eyes assisting you in these times helps alleviate stress and encourages collaboration amongst staff. (Parker, 2014)
After review of the timeline of the events surrounding Mr. B, there are several causative factors that led to this sentinel event. These are inappropriate staffing, inability to identify trends of deterioration, policy for conscious sedation was not followed, inadequate observation and monitoring, failure to respond to alarms, inadequate home medication evaluation, medication dosing, appropriate medication administration times, and failure to start cardiopulmonary resuscitation in a timely manner.
medicines were the reasons for the seizures, not the cure. The parents became frustrated as did the doctors. So frustrated at the parents refusal to provide their child with medicine, Doctor Ernst called CPA and Lia was removed from her parents’ custody. She showed no improvement in foster homes, and it was obvious that her development was far behind where it should have been. The seizures did not stop, in fact they increased. Luckily, a hospital in Turlock was able to get her to a stable point to where she could go home. This opened up Lia to a variety of unknown ...
Lia Lee existed in a persevering vegetative state for 26 years. She kicked the bucket (died) in Sacramento, California, on August 31, 2012 at the age of 30. At that age she weighed 47 pounds (21 kg) and was 4 feet 7 creeps (1.40 m) tall; numerous kids with serious cerebrum harm have restricted development as they grow. Fadiman said that pneumonia was the prompt reason for death. (Farrar, 2014)
Perhaps the greatest problem faced throughout this tale was that of miscommunication. The Merced Community Medical Center or MCMC for short was the place where Lia was being treated. This hospital was the Merced county's only hospital and unlike most rural county hospital it is state of the art, ."..42,000-square foot wing ... that houses coronary care, intensive care, and transitional care units; 154 medical and surgical beds...."3 This was a teaching hospital made up of interns mostly, but also with some great doctors like Peggy Philp and Neil Ernst. Peggy and Neil are married and have children. They graduated together at the top of their class, and have created quite a practice for themselves. Although MCMC is a great rural hospital, it also has the same problems as most rural hospitals do which is the health care crunch, where most of the money goes to the urban hospitals and then the leftover money is spread among th...
To conclude, with the Lees being Hmong and not wanting to conform to society and abide by the way things works, I feel Lia’s fate was inevitable. The doctors did as much as they could, but in the end, it still wasn’t enough to prevent Lia from going brain dead. Language and communication may have been the one thing that caused Lia to suffer because the doctors couldn’t understand the Hmong and the Hmong couldn’t or refused to understand the doctors.
Nobody is perfect. We all make mistakes. Some of the best lessons in life are learned from making a mistake. But in the healthcare world making mistakes means losing lives. This has started to happen so frequently there has been a term coined – Failure to Rescue or FTR. Failure to rescue is a situation in which a patient was starting to deteriorate and it wasn’t noticed or it wasn’t properly addressed and the patient dies. The idea is that doctors or nurses could’ve had the opportunity to save the life of the patient but because of a variety of reasons, didn’t. This paper discusses the concept of FTR, describes ways to prevent it from happening; especially in relation to strokes or cerebrovascular accidents, and discusses the nursing implications involved in all of these factors.
The cost of Medical equipment plays a significant role in the delivery of health care. The clinical engineering at Victoria Hospital is an important branch of the hospital team management that are working to strategies ways to improve quality of service and lower cost repairs of equipments. The team members from Biomedical and maintenance engineering’s roles are to ensure utilization of quality equipments such as endoscope and minimize length of repair time. All these issues are a major influence in the hospital’s project cost. For example, Victory hospital, which is located in Canada, is in the process of evaluating different options to decrease cost of its endoscope repair. This equipment is use in the endoscopy department for gastroenterological and surgical procedures. In 1993, 2,500 cases where approximately performed and extensive maintenance of the equipment where needed before and after each of those cases. Despite the appropriate care of the scope, repair requirement where still needed. The total cost of repair that year was $60,000 and the repair services where done by an original equipment manufacturers in Ontario.
Firefighter EMTs can have duties that include firefighting, victim rescue and fire prevention education. An EMT's training allows them to respond to medical and trauma emergencies, to care for patients, administer medications and provide treatments to those in need. Firefighter EMTs have the training to extricate victims from wrecked vehicles and treat their injuries while transporting the victims to the emergency room. When not on the scene of an emergency, firefighters work at fire stations, where they sleep, eat, and remain on call during shifts of twenty-four hours. Many work over forty hours per week. The work can be very dangerous.