A nurse did not full a risk analysis or hand over to colleagues following a affected individual’s suicide attempt, which led to the nurse coping with the Nursing and Midwifery Council’s well being to practise panel

The charges

That Nurse A:

1. Having acquired affected individual A from a ward:

a. Failed to complete a risk analysis in respect of affected individual A timeously;

b. Failed to complete a care plan timeously;

c. Did not take ample steps to ensure that totally different staff had been educated a couple of ligature incident that occurred throughout the morning;

d. Failed useful over the ligature incident (described in 1c above) to Colleague A throughout the night time;

2. On one different date:

a. Failed to complete and/or doc observations for Affected individual A:

b. Inaccurately recorded the time of giving treatment and/or altered this, ensuing throughout the time of the entry being unclear.

The background

Affected individual A was transferred to the ward from the suite, which undertakes assessments of victims admitted beneath the Psychological Properly being Act. Affected individual A tried suicide, and was transferred to the ward. Affected individual A died a few days later due to the accidents.

It is alleged that when Affected individual A was transferred, Nurse A did not full a risk analysis or care plan.

Nurse A was given a handover by the suite psychological effectively being practitioner and web site officer, which included particulars of Affected individual A’s suicide attempt. It was alleged Nurse A did not hand over particulars of Affected individual A’s suicide attempt to colleagues. It is extra alleged that Nurse A did not doc observations and documented the unsuitable time that treatment was administered, and notes had been inaccurate and/or unclear.

On the listening to

Nurse A admitted costs 1a, 1b, 2a and 2b. Value 1c was found not proved. Value 1d was found proved.

Nurse A accepted it was their accountability useful over such important data. Nurse A talked about in the event that they’d handed over appropriately, the affected individual might need had further frequent observations or one-to-one care.

Nurse A accepted their accountability to complete Affected individual A’s risk analysis and care plan. Nurse A talked about that it’s vital for observations to be documented alongside one of the best ways, they normally now try this. Nurse A talked about incorrectly recording as soon as they prescribed treatment did not impact emergency staff performing resuscitations.

Nurse A talked about that they had been very remorseful. They talked about they’d mirrored and learnt from this incident.

Nurse A took full accountability for care planning and risk assessing. They work in any other case, guaranteeing they’ve time to complete vital assessments, escalate points and search help the place obligatory. Nurse A opinions victims as they go and communicates with colleagues. Affected individual safety is on the forefront of their apply.

Nurse A’s advisor acknowledged Nurse A had been reliable and admitted their errors. Nurse A undertook reflection and learning about handovers, and this was an isolated incident.

The panel thought Nurse A’s actions fell significantly in want of the necessities of a registered nurse and breached the Code. Nurse A’s failings regarding risk analysis, care planning, documenting observations and handing over essential data had been extreme. The panel determined Nurse A’s actions amounted to extreme misconduct.

Nurse A’s failings related to core areas of nursing apply. The failure to complete a risk analysis and care plan and useful over the suicide attempt was a extreme omission. The panel found Nurse A’s well being to practise was impaired.

Outcomes of the fitness-to-practise panel

The FtP panel can impose 4 utterly totally different sanctions:

Warning: the nurse or midwife is cautioned for his or her behaviour, nevertheless is allowed to practise with out restriction

the nurse or midwife is cautioned for his or her behaviour, nevertheless is allowed to practise with out restriction Circumstances of apply: it should cease a registrant from ending up certain types of work or working in a particular setting, it’d require them to attend occupational effectively being or do retraining. The order can be utilized for as a lot as three years and needs to be reviewed by an FTP panel as soon as extra sooner than expiry

it should cease a registrant from ending up certain types of work or working in a particular setting, it’d require them to attend occupational effectively being or do retraining. The order can be utilized for as a lot as three years and needs to be reviewed by an FTP panel as soon as extra sooner than expiry Suspension: the nurse or midwife is likely to be suspended from apply for a interval of initially not longer than one yr, nevertheless this can be extended after analysis by an FTP panel

the nurse or midwife is likely to be suspended from apply for a interval of initially not longer than one yr, nevertheless this can be extended after analysis by an FTP panel Laying aside: a nurse or midwife is far from the register and by no means allowed to practise throughout the UK. The nurse or midwife ought to apply to be readmitted to the register

Share what you think about is the acceptable movement for the NMC panel to take beneath after which uncover out what they decided: Remaining panel decision and causes