Archive for April, 2013

PGA Village Verano, review

April 22, 2013

It is time for me to retire after 52 years as a forensic nurse. I served 25 years at one large law firm and received a silver pin. Shortly after this, a forensic consulting firm recruited me. I have worked for this consulting firm for 25 years. They honored with a silver pen. It is correct that the first firm gave me a stick pin and the second firm gave me a writing pen.

I plan to retire at the PGA Village Verano. This is a resort style community located in Florida. This is idea for me since I am an avid golfer. There is a clubhouse and PGA Golf Club. The Verano is a gated community. The security is something my husband insists should be in place with any community we are moving to. He said security is needed for senior citizens like us.

There are well-planned activities and events at the Verano. The one thing I like the best is that Verano is a privileged membership to the PGA. This membership is optional. However, I will make sure that my membership stays active as long as can enjoy the game of golf. I can hardly wait for my retirement to start.

Boating Accident at the Beach

April 22, 2013

A Fort Lauderdale Personal Injury Lawyer handled one of the saddest cases I have seen as a forensic nurse. On one hot Memorial Day weekend, a family went to the beach. There were hundreds of families at the beach. There were also boaters in the water. One particular boater was swaying port and starboard as it traveled at a high rate of speed. Then the boat unexpectedly veered into the swimmers area. Families were screaming and yelling as this boat headed toward them. A few yards before hitting a group of families, the boat miraculously veered back into the open waters of the boating area. The wake created by the boat tossed the human bodies like rag dolls.

After the violent tossing and screaming had ended, everyone appeared to be safe. However, there was a ten-year-old girl who was not breathing. Lifeguards were giving her CPR. She spent ten days in the Pediatric Intensive Care Unit. Her brain suffered some damage due to a lack of blood flow and oxygen.

It was discovered that during the violent tossing by the boat’s wake that the life jacket was snapped off the girl. Despite the father holding tight to his daughter, the power of the wake snatched the girl from his arms.

Bad Employment Experience

April 18, 2013

One of my colleagues had some trouble on her job and obtained help from a law group. She was a star employee since she started working. This not the same company where I work. She won numerous awards and was promoted several times. Her goal was to become a supervisor within her department. The requirements for the supervisor position were posted for all employees to view. The current supervisor was preparing to retire within a year. This gave my friend ample time to prepare. She took some advance forensic nursing courses. Having completed them within six months, she was ready. Most of the workers close to her felt she was the idea person for the job. Even her supervisor thought so. My friend applied. After three months of waiting, she found out she was not accepted for the position.

A few days later the supervisor was announced in the company’s newsletter. To her shock, the new supervisor was a person that she and her coworkers knew well. The new supervisor was someone who did not meet the qualifications of the job. She had not obtained the forensic nursing courses needed. She was frequently late for work. She was disciplined several times prior to the open job announcement. All of these were items stated in the job announcement as negative factors. Needless to say, my friend hired an employment lawyer.

Tax Day

April 17, 2013

Tax Day was two days ago. This year was better for me than last year. I had to pay only $200 in taxes. The recession is one reason I had a lower tax bill.

My grandmother’s tax preparation was a nightmare. My grandfather passed away in 2012. Therefore, we as a family had to hire a tax lawyer to determine his last will and testament, estate and gift planning, probate, living will declaration and durable power of attorney, business succession planning, and dynasty trust/planning for multiple generations. I am not sure what each of the preceding terms mean. Our tax lawyer in Sacramento made it an easy process for us.

One of my friends did not fair well on April 15th. She has been involved in bankruptcy and tax litigation for the past few months. She had a terrible break up of her consulting forensic nursing business partnership.

My aunt did exceedingly well on April 15th. She plans on establishing a living trust, living will declaration and durable power of attorney, wealth preservation plan, forensic nursing business succession plan, retirement benefit plan, more with a life insurance plan, trust for health and education expenses, dynasty trust/plan for multiple generations, private foundation and other charitable giving techniques, and lifetime gifting plan. I do not know what this all means, but the same Sacramento tax attorney lawyer is assisting her.

Surgical placement of mesh to repair pelvic organ prolapse poses risks

April 12, 2013

The U.S. Food and Drug Administration (FDA) issued a news release on July 13, 2011. The release ( declared “Surgical placement of mesh to repair pelvic organ prolapse poses risks.” The agency said other options may expose women to less risk than the transvaginal procedure.

Pelvic Organ Prolapse (POP) is when the tissues that support the bowels, bladder, and womb become stretched or weak leading to organs sinking. The organs that may sink are the bowels, bladder, and womb. These organs can bulge into the birth canal. When this occurs, a woman can have discomfort, decreased sexual, urination, and bowel movement ability.

Surgery to repair a POP sometimes includes a mesh (cloth-like material). Some of the frequent complications from this mesh are poking through the birth canal, bleeding, infection, pain during sex, and accidental cutting of body parts during surgery.

A transvaginal mesh lawsuit lawyer (click on their link) can help with obtaining financial compensation. A pelvic mesh legal team is available to clients in all 50 states. They are experienced in trial litigations (lawsuits). They provide representation in state and federal courts. They handle medical and product liability cases nationwide. This legal team is home to the most experienced and proven birth canal mesh attorneys with a wealth of experience conducting class action lawsuits.

Forensic Nursing

April 12, 2013

Forensic nursing should be included in the BSN programs today. A friend of mine and I were discussing why it should be included in the programs. There are many different fields of nursing. If for some reason you are not happy with one you may try another field. The reasons to include forensic nursing are because one never knows what they may encounter. An OR or ER nurse is guaranteed to see forms of child abuse, sexual abuse, gunshot wounds, and many more serious conditions that forensic nursing would improve the patients care. The nurse would be able to respond and understand the situation better, which may be a matter of life or death. TUESDAY, MAY 06, 2008 Assessment Course As a 1970 graduate of a diploma program, this assessment course seemed far more defined. My assessments were taught in chapters in my medsurg, peds and maternity nursing texts. Forensic nursing was never mentioned. I love doing and teaching assessments because I love a good challenge and every patient is one. My skills became more fine tuned after my forensics nursing class over 10 yrs ago. I love stories by Patrica Cornwell, Tess Geristen and some by Kathy Reichs although I find her writing less sophisticated and more predictable than the others. “Bones” a TV drama based on her works and experiences is far more interesting to me. If Forensic Nursing is not a required course in BSN programs today, in my opinion it should be. It would fine tune basic assessment, observation and interviewing skills which all benefit the care of the patient.

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Bankruptcy after an Accident, review

April 10, 2013

I knew a client who experienced much pain after a vehicle accident. There was physical, emotional, and financial pain. The client was a family of a man, wife, boy, and girl. Their older vehicle was totaled, and they did not carry collision and comprehensive insurance. The other driver had no insurance and experienced a total vehicle loss. All five persons went to the emergency room. The medical bill was in thousands of dollars for both parties.

When my client family was discharged, they were not able to go back to work or school. They are in the lower middle-income bracket with no savings and no medical insurance. Now, they have no family transportation. This placed them in a situation where they could not be gainfully employed.

Eventually, the hospital and doctors proceeded with collection efforts for the unpaid bills. They begin to fall behind on their rent, utilities, legal and other bills.

They sought a bankruptcy lawyer in the Puyallup area of Washington State. They looked for a Chapter 13 bankruptcy lawyer in Tacoma, WA. The attorney they chose sat down with them and explained the options.

Now, the financial pain is less for this family. This helps lessen the emotional pain. In turn, the physical pain is more bearable.

Informed Consent Post

April 10, 2013

Specifically in Psychiatry informed consent is a major concern for patient safety and care. Before each patient is given a psychotropic medication, the doctor must first explain what medication the patient will be taking for their specific disorder and what symptom they are targeting. For example the doctors must explain to the patient all psychotropic medications that the patient will be taking; Risperdal for psychosis and delusional thought content, Ativan for anxiety or agitation. The patient is also informed of side effects, and that they may or may not get better from the medication. Both patients and doctor sign the consent form which then becomes part of the medical record. Before a nurse can give a psychotropic medication, the consent form must be signed. When emergent medications are needed secondary to patient agitation, direct threats, bodily harm to self or others then the consent is waived for the safety of both staff and patients. However, IM medications are only given for emergent medication needs and the safety of the unit. Patients do have the right to refuse any and all medications in the psychiatric unit including medical medications and procedures. When patients refuse to sign the Psychotropic Medication Consent Form or agrees to take the medication but may refuse to sign the form, then a witness must also sign the form along with the doctor’s signature. If the patient refuses any or all of their psychotropic medications as is their right, a Riese hearing can be applied for by the doctor to force a patient to take medications against their will. This is a court hearing with the doctor, judge, patient and patient advocate (attorney for patient). Each side states why the patient should or should not be forced to take medication against their will. If the finding is that the patient will benefit from the medications more than be hurt from the medications, then the psychotropic medication can be given against the patients will usually with IM medication. Patients are always offered PO medications first, however, if they refuse then the medication will be given IM against their will. As is the law in California, all medications that could possibly be given to the patient must appear on the Riese form. Patients have the right to refuse medication if they are voluntary or involuntary (placed on a legal hold for observation). The only time patients do not have a legal right to refuse psychotropic medications is if they have lost their Riese or if they are on a Permanent Conservatorship and that person’s Conservator then has the right on behalf of the patient to make psychiatric decisions for the patient. I believe that California law covers informed consent and the right for least restrictive treatment and environment for psychiatric patients.

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Wrongful Death, review

April 8, 2013

In our forensic nursing work, we are frequently asked for the name of an attorney who handles wrongful death cases. One law firm that we recommend is Shea, Coffey, & Hartmann; Attorneys At Law. This firm is located in Cincinnati, Ohio. If you believe you have lost a loved one due to the negligent actions or misconduct of someone, due to a faulty product, or due to a preventable accident, contact Shea, Coffey, & Hartmann for experienced professional and legal advice. They will provide you with compassion during your difficulty time. Also they will treat you with the dignity you deserve and provide you with quality representation.

In addition to the above Shea, Coffey, & Hartmann handles cases involving personal injury, medical malpractice, and product liability. Their geographical area of service is southeast Ohio. Examples of personal injury cases include severe burns, neck injury, head trauma, disfigurement/scarring, sight loss, hearing loss, amputation, internal injuries, dog bites, and injuries from defective products. Examples of medical malpractice include misdiagnosis, surgical errors, emergency room errors, birth injuries, prescription errors, failure to consult, failure to communicate, delayed diagnosis, X-ray and diagnostic imaging misreading and misdiagnosis. One big area of personal injury addressed is catastrophic personal injury.


April 5, 2013

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