Nursing Care In Crisis - page 2
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... Read More
Oct 11, '12 by koi310Quote from Esme12Happens in our current system here in the US. Look up the now-defunct King-Drew Hospital (Los Angeles).Is this the face of governemnt run healthcare?
Oct 11, '12 by tewdlesI 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.
Oct 12, '12 by Esme12, ASN, BSN, RN Senior ModeratorQuote from koi310Agreed...there are many defunct hospitals across the US.Happens in our current system here in the US. Look up the now-defunct King-Drew Hospital (Los Angeles).
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.
Quote from kandamomHuge difference between the UK and US which probably factors into things somewhere is the legal system.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!
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.
Quote from NickiLaughsMuch 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.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.
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