Case Scenario 4: PSYCHIATRIC
A 47 year-old male with a diagnosis of schizophrenia was hospitalized with a psychotic episode. He was placed on a new medical regimen. His behavior became increasingly erratic and violent. He was placed in a private room on the psychiatric floor and placed in leather restraints for his safety. He was checked by floor staff every 30 minutes.
Eight hours after being placed in restraints, during a routine check, the patient was found unconscious with vomit in his mouth. Attempts to turn the patient to remove the aspirate were encumbered by the leather restraints. None of the staff responding to the emergency had the keys to unlock the restraints. A crash cart with suction apparatus was brought into the room, but there were no plugs in the room as safety precaution for psychiatric patients that might otherwise injure themselves, nor an extension cord on the cart with which to plug in the apparatus.
The patient experienced a respiratory arrest. The staff began CPR and told a nurse’s aide to call a “Code Blue”. The nurse’s aide thought Code Blue was a tornado warning and began closing doors and draperies in the patient rooms.
The patient did not survive the eventual resuscitation efforts.
Section B. Risk Analysis
Explain the legal ramifications of the event depicted in the scenario. Depending on your chosen scenario and the specific risks, this analysis may include determining whether a sentinel event report needs to be filed. 3 – 4 pages, APA format
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