Thank you! I’m theatres, we have to sell our soul to get a 6 or know the right people… obviously
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I think the prosecution will have dissected all similar precedents and learnt from previous mistakes to make a water tight case.
Oh gosh, I’m sorry that happened to your son!
Children’s doses are all weight based, whereas most adult drugs are generic doses. So everything has to be calculated properly and then checked for accuracy. There are some trusts that allow single checking for certain drugs, or some trusts that have the Nurse in Charge do all the control drugs (use of experience etc), or sometimes checking is done in the medication room against the drug chart and then distributed from the trolley by the Nurse with the trust it won’t be tampered with. Sadly everywhere is different, but I’ve always been taught peadiatric drugs should be double checked.
Sadly anything could have happened. Too much morphine, your son reacting differently to the correct dose than expected, doses too close together, or yes just human factors - I’m not afraid to say I’ve made drug errors (nothing life threatening) when tired or busy or in an emergency, even with a second Nurse checking. Whatever happened, I imagine teaching and changes came from your sons situation, whatever the cause was. I know that doesn’t help but definitely my experience of such scenarios. X
I also think meddling with drugs would be difficult due to frequent drug stock checks, drugs being locked away, cameras (sadly not in every trust), computerised systems, staff always being around. Lots of reasons. But I guess if you really want to do something awful, you’d find a way sadly.
Also it has taken so long to get this case into court, I assume to ensure their case is as watertight as possible. I am very keen to hear her defense.
There's always one who shouts 'guilty as sin'...without fail!
Would love to hear what makes them think that, it would make a more interesting discussion!
I am not a medical professional, but a carer of someone who attends hospital frequently. The morphine IV is usually prepared in the medicine room and checked by 2 staff. 1 nurse comes out to the bed to administer this.
I was alluding to the most convincing defence purported on the thread so far which is that those in the NHS are often scapegoated. Your post was the most recent one of that ilk so I quoted it - not accusing you of mentioning something you didn’t mean.
The thread is already hard to keep up with, I’d love it if we all didn't create extra reading picking apart each other’s words! No offence meant to anyone
Should still be 2 nurses to do a bedside check with the patient.
honestly, i pride myself in my facebook / instagram skills!To be fair I’m incredibly nosy and will have a glance on Fb/insta/LinkedIn people I’ve met or friends of friends I hear about. I’d hate to be judged by my Facebook search
Yes I agree, very true! And if it’s a colleague you work with often and trust, why would you have reason to be suspicious…
Maybe! I think someone above answered that she was a 5 (so lowest band), but people can be 5’s for their whole career if they never apply to a 6 etc. I’ve met top band 5’s with over 20 years service who I wouldn’t deem as competent in washing a patient’s hair, so length of service doesn’t always mean seniority sadly. 🫢
Someone mentioned this Twitter account earlier, BBC correspondent. This is info I didn’t see in Sky news or the Leader
Paperwork should have been signed by two nurses but only Lucy. (An example maybe of how hospital failings compromised safeguarding) and also paperwork for other children, not just baby B.
Paperwork should have been signed by two nurses but only Lucy. (An example maybe of how hospital failings compromised safeguarding) and also paperwork for other children, not just baby B.
Thanks, Luckily it was noticed quickly and emergency buzzer was pulled which is why I was shocked it all went unnoticed it is true. I would think if it was just an accident it would be something you learn of and don’t make the mistake again. Do you think there is the possibility that she simply was just incompetent at her job?Oh gosh, I’m sorry that happened to your son!
Children’s doses are all weight based, whereas most adult drugs are generic doses. So everything has to be calculated properly and then checked for accuracy. There are some trusts that allow single checking for certain drugs, or some trusts that have the Nurse in Charge do all the control drugs (use of experience etc), or sometimes checking is done in the medication room against the drug chart and then distributed from the trolley by the Nurse with the trust it won’t be tampered with. Sadly everywhere is different, but I’ve always been taught peadiatric drugs should be double checked.
Sadly anything could have happened. Too much morphine, your son reacting differently to the correct dose than expected, doses too close together, or yes just human factors - I’m not afraid to say I’ve made drug errors (nothing life threatening) when tired or busy or in an emergency, even with a second Nurse checking. Whatever happened, I imagine teaching and changes came from your sons situation, whatever the cause was. I know that doesn’t help but definitely my experience of such scenarios. X
I also think meddling with drugs would be difficult due to frequent drug stock checks, drugs being locked away, cameras (sadly not in every trust), computerised systems, staff always being around. Lots of reasons. But I guess if you really want to do something awful, you’d find a way sadly.
That’s also true. Most specialities have a “course” that you can do after a certain length of time. Ie I did my post grad ICU course 3 years after starting in ICU. Some trusts would then make me a band 6 upon completion of this, whereas my Trust don’t have this policy and you stay as a 5. So yeah maybe if she has done her course and her Trust is decent, she could be a 6.
a few years ago there was a case of a Filipino nurse accused of murdering patients? The case collapsed?
This is only day one, for a 6 month trial surely there has to be a lot of circumstantial evidence such as the police getting a warrant to dig her garden up and spend years to send this to court. It must also be out of work life aswell.
definitely always one for us. I am actually quite shocked everyone doesn’t follow the same rule book. I’d have thought that would make life a bit easier for everyone but maybe not?
If I saw things like “in a relationship” and photos of a boyfriend on a profile and the person had so far lied about it then yes I would confront them about what I had found. If he’s being hidden from us then we don’t know enough about him to be around children already considered to be vulnerable. We do the same with any information given to us, it’s professional curiosity.
Just to echo I used to work in a pharmacy until recently, baby and small child doses of serious medication like that were always checked, checked and checked again. Of course all medication is BUT they were always super cautious around those meds for kids, the script dosage was checked and calculated by more than one person before dispensing too because it’s a very fine line between them being ok and over medicated. we didn’t have many of those scripts come in and it was a family business so they could afford to be extra, extra cautious.
I would have imagined a hospital setting would be more clued up with the calculations of dosage but still vigilant about checking.
Thai may be a stupid question but why do they expect the trial to take so long ? They have been working on it behind the scenes for years
The number of victims - each case needs to be presented on its own merits. It's 7 murder trials and 10 attempted murder trials all at once.
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