
This recent case has created quite a lot of discussion on both social media and on the comments section of the article.
some key aspects
1) the nurse voiced via RCN that she was retiring, had no intension of nursing again and was disengaging from the process. Surely there could have been an agreed outcome for all to both protect the public but allow her to retire gracefully.
2) The patient did not suddenly collapse but deteriorated over a number of days
3) Nursing skills do not always fit into an algorithim or assessment tool, sometimes a judgement call is required.
4) Previous unblemished long career should have accounted for some trust in her clinical judgement.
5) what were the families views - how were they supported?
6) Patient had multiple medical issues and coroner stated unlikely to have survived if CPR had been performed.
7) DNAR would have been put in place but awaiting son to translate for mother
8) Very high cost when registrant is never going to nurse again - average 3 day hearing costs £15,000 plus expenses for panels and approx. £300 per day reimbursement for travel and accommodation for witnesses
9) Could this in long run cause more harm than good as nurses will be scared to use their own judgement and attempt CPR when inappropriate to do so?
10) Where is the accountability of the nursing home manager in failure to ensure accurate documentation of DNAR status