Dr No is on to the case of a young man, Kane Gorny, who suffered from the uncommon condition “diabetes insipidus” and died in a surgical ward after dialing 999 to call the police because he could not get staff to understand he needed more fluid. The police arrived but were sent home and the patient sedated rather than treated appropriately.
Simple basic nursing observations were not done.
Here’s another case :
This girl was seriously ill with septicaemia as a result of a severe, acute kidney infection.
Once more, simple basic nursing observations were not done.
“But he added that the case “classically exemplified” a failure in the NHS where taking the pulse and temperature of a patient had become a “Cinderella task”.
“A very similar picture frequently emerges of observations that are not done or their importance goes unrecognised,” he said.
“Nurses have to tick boxes on a whole host of things and the priority given to observations has fallen by the wayside and are carried out by care assistants and auxiliaries and not registered nurses.”
It appears also that directions were not followed regarding the prescription of antibiotics.
“The inquest also heard that an on-duty doctor had recommended twice that Laura be given antibiotics – but these were never prescribed to the stricken trainee beautician. However, it was decided that these antibiotics would not have saved her life.”
The Witch doctor begs to differ with the above statement.
Unless the patient suffers from an extremely rare bacterial infection that is resistant to all antibiotics, then it is a fact that the right antibiotic or combination of antibiotics given in a timely manner, in the right dose, and by the right method not only saves lives but it is likely that a previously healthy patient will return to a completely normal life.
However, this is not all just about basic nursing observations not being done and prescribed antibiotics not being given.
A proper consultant delivered service would have ensured that this teenager was optimally treated, and assuming she was not already moribund on arrival at the hospital, (unlikely because she and her mother had been texting each other) she would probably have survived.
Sometime The Witch Doctor might explain how a consultant delivered service works because nobody seems to know or care any more.
a red apple ……………………
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