Nursing Care In Crisis - page 2

by DoGoodThenGo 3,457 Views | 18 Comments

An inquest earlier this year heard that a 22-year-old man recovering from a hip operation in a London hospital was so dehydrated he had dialled 999 and begged the police for a drink. He died shortly afterwards. The case caused... Read More


  1. 4
    Of course, in the us, the patients would likely not have gotten surgery because they were uninsured. Pick your poison.
    Not_A_Hat_Person, elkpark, koi310, and 1 other like this.
  2. 2
    Quote from Esme12
    Is this the face of governemnt run healthcare?
    I bet you could find plenty of comparable stories about our privately run health care system. And, btw, the general health, life expectancy, infant mortality rate and other indicators of the citizens of the United Kingdom compare *very* favorably to those of the USA.
    Altra and VICEDRN like this.
  3. 0
    Josie King Foundation | What Happened

    The same almost EXACT thing happened in America....In one of the best hospitals in the world, John Hopkins.
    It can happen anywhere, private or government run! Wealthy, or poor.
    It is just another example that we as nurses should keep our eyes and ears open to our patients and what they say that they need. Good assessments and basic care!
    Deaths like this should not happen, anywhere!
  4. 0
    Quote from Esme12
    Is this the face of governemnt run healthcare?
    Happens in our current system here in the US. Look up the now-defunct King-Drew Hospital (Los Angeles).
  5. 0
    I think that is part of the problem with DI...it is not easy to catch (thus the "insipid" name).

    I wonder how many nurses are conversationally familiar with the condition? Having not ever worked med/surg, I have no idea if you run across this with any frequency.

    We saw it quite a bit in PICU.
  6. 0
    Quote from koi310
    Happens in our current system here in the US. Look up the now-defunct King-Drew Hospital (Los Angeles).
    Agreed...there are many defunct hospitals across the US.
  7. 0
    Quick "Google" search shows at least one other adverse outcome (infant/child pt died) from the same hospital subsequent to the young man in the OP that can and was blamed in part on a failure of staff to read notes.

    What is emerging is a picture of very disjointed care at times it seems. Staff blame it on mandatory cuts in hours but for whatever reason when a shift comes to an end people are "gone". Incoming staff for whatever reason either does not read notes/history or is given any sort of meaningful report. Even when staff is not going off shift it does seem like often no one is asking questions nor bothering to find out the answers.
  8. 0
    Quote from kandamom
    Josie King Foundation | What Happened

    The same almost EXACT thing happened in America....In one of the best hospitals in the world, John Hopkins.
    It can happen anywhere, private or government run! Wealthy, or poor.
    It is just another example that we as nurses should keep our eyes and ears open to our patients and what they say that they need. Good assessments and basic care!
    Deaths like this should not happen, anywhere!
    Huge difference between the UK and US which probably factors into things somewhere is the legal system.

    Here in the States if staff and or facility "mess up" they can and often are sued six ways from Sunday for millions if not hundreds of millions, and usually they will get it.

    OTHO the UK malpratice/wrongful death and similar suits are most always heard by judges only and not juries. Fines and penalties when awarded are balanced to bring proper compenstation to the pt and or their family but not the lottery sized awards that could bankrupt a facility or staff.
  9. 0
    Quote from NickiLaughs
    I'm trying to get the hospital the benefit of the doubt, but between the missed meds, and not one nurse or physician following up on his hypernatremia....I'm sorry but at least several of the staff sound like they shouldn't be in healthcare.
    Much like on this side of the pond there is a huge debate going on in the UK about the state of nurse education and nursing care provided. Many patients/consumers of NHS services along with retired nurses feel today's RNs are too "highly educated" (BSN has long been required for entry) and lack the clinical skills of old built up from the former mainly hospital based system.

    One frequent complaint is that the "modren" nurses often consider themselves "too posh to wash", that is a perception if not fact these RNs do not or will not involve themselves in direct patient care of the "nursing assistant" skill set. This can include everything from bathing, toileting, feeding, and so forth.

    A few years ago there were the comments from a member of the British nobility who was checked into his local NHS hospital that the staff nurses were "slatterns" and "*****" (or similar offensive terms) that made local and worldwide media.

    Again like the United States parts of the UK has suffered from a nursing shortage and the response was to import nurses from India, Africa, and other Commonwealth/former Empire nations along with those from the most famous supplier of English speaking nurses, the Phillipines. This has come as a culture shock to many Britions who make the same complaints you hear from American patients: "they don't speak English...", and so forth.
    Last edit by DoGoodThenGo on Oct 12, '12 : Reason: content


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