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Ahmed v. Department of Social and Health Services8/18/2000 take the patient's vital signs but was unable to do so because the patient was very agitated. At 3:30 a.m., Sailsbery called Ahmed because she felt that the patient should go to the hospital. Sailsbery testified that Ahmed first instructed her to send the patient to the hospital. But then Ahmed changed his mind and told her to take the patient's vital signs every 15 to 30 minutes and to apply ice and pressure to the bleeding site. Because of the patient's agitated movements, Sailsbery was again unable to take the vital signs. She called Ahmed and expressed her concerns about the patient. Ahmed yelled at her and then told her to send the patient to the hospital. Sailsbery felt Ahmed was insulting and treated her unprofessionally. Ahmed testified that during the first call, Nurse Sailsbery did not tell him that the patient was bleeding.
C. Incident with Nurse Richardson (Sudafed Prescription)
A patient with a sinus problem was scheduled for surgery. At a meeting to discuss the patient, Nurse Richardson asked Ahmed to prescribe Sudafed. Richardson requested a seven-day supply because the patient was scheduled for surgery in a week. The patient, who had a history of self-abusive behavior related to his sinus problem, had been successfully treated with Sudafed in the past. Ahmed denied Nurse Richardson's request. Other staff members discussed the patient's situation and enlisted Larry Soto, a friend of Ahmed's, to persuade Ahmed to prescribe the Sudafed. Although the staff recognized that this was a 'backhanded way' of getting the prescription, they felt it was the best approach given their difficulties working with Ahmed. Soto talked to Ahmed, who then prescribed the Sudafed as originally requested by Nurse Richardson.
Ahmed said he was reluctant to prescribe Sudafed until he had reviewed the patient's sleep chart and because Sudafed might cause increased seizure activity. Ahmed did not discuss his concerns about sleep patterns with Tim Gullick, who was responsible for maintaining the sleep chart and was present at the meeting. And, a clinical pharmacist testified that it was unreasonable to believe Sudafed, at the dosage requested, would cause seizures, particularly where the patient had successfully taken the medication in the past.
D. Incidents with Pamela Reasoner (Telephone Conversations)
Pamela Reasoner is a medical records technician responsible for coordinating trips for patients to off-site medical facilities. Her complaints about Ahmed arose from three telephone conversations about patient scheduling. During each conversation, Ahmed became frustrated and angry and yelled at her. Reasoner said that she had worked with Ahmed on other occasions when he was not frustrated and he spoke in a normal tone of voice.
The first conversation occurred because Reasoner needed information to schedule an ultrasound. She called the consultant scheduled to perform the examination. The consultant had questions that Reasoner could not answer so she referred the consultant to Ahmed. Ahmed became angry with Reasoner for contacting the consultant without talking to him first.
The second conversation was about scheduling a patient for an eye examination because of a possible detached retina. At Dr. Souza's request, Reasoner scheduled an appointment with a specialist in two to three days. When Reasoner told Ahmed, he became upset and yelled at her. He compared the situation to a heart attack and told her the patient needed to be seen immediately. Marcie Kaap-Connors, Ahmed's regular nurse, overheard the conversation and confirmed that Ahmed was frustrated and raised his voice during the conversation.
The third conversation dealt wi
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