News Video | Policy | GPs | Hospitals | Medical | Mental Health | Welfare | Search

 

Monitoring of a patient on a personal breathing machine

Monday 22 July 2019


Health and Disability Commissioner Anthony Hill today released a report finding Hutt Valley DHB in breach of the Code of Health and Disability Services Consumers’ Rights (the Code) for failures relating to the care provided to a man admitted to hospital with a personal breathing device.

The man, who had motor neurone disease, was admitted to hospital overnight because of respiratory difficulties. He had a device to assist with his breathing that he brought into hospital with him. Repeat observations were taken but at 4am a nurse found the man unresponsive, with his ventilation mask removed, and he could not be revived.

Mr Hill found the man received inadequate monitoring and medical review by the DHB. While repeat observations were taken and early warning scores (EWS) calculated, these should have triggered more frequent monitoring. EWS are a tool to help staff recognise and appropriately respond to an acutely ill patient who is at risk of deteriorating.

Mr Hill criticised the DHB for inconsistencies between its EWS policy and EWS chart, as this created a lack of clarity about how the scores should be calculated and what actions should be taken as a result. Mr Hill was also critical that the DHB did not have a policy for monitoring personal breathing devices.

"It is the responsibility of Hutt Valley DHB to have in place adequate systems to ensure that an acceptable standard of care is provided to consumers. This includes having appropriate policies, having working documents that accurately reflect those policies, and ensuring that the policies are complied with," Mr Hill said.

Mr Hill recommended that the DHB apologise to the man’s wife for its breach of the Code. He also recommended that the DHB amend its EWS policy and EWS chart to ensure they were consistent and clear, and develop a policy for the management of patients who are using a personal breathing device.

The full report for case 16HDC00823 is available on the HDC website.

ENDS


© Scoop Media

 
 
 
Culture Headlines | Health Headlines | Education Headlines

 

Westpac Exiting Cake Tin: Stadium Announces Naming Rights Agreement With Sky

Wellington Regional Stadium Trust (WRST) and Sky Network Television Ltd (Sky) have announced a new partnership that will see Sky secure the naming rights of the Stadium from 1 January 2020. More>>

ASB Classic: Serena Williams Confirmed For 2020

One of the biggest names in sport has confirmed she will be returning to the ASB Classic in 2020. Twenty-three time Grand Slam singles champion Serena Williams will return to Auckland’s ASB Tennis Arena to challenge for the ASB Classic title. More>>

Netball: Taurua To Coach Silver Ferns Through Two More Campaigns

Netball New Zealand has confirmed Taurua will guide the Silver Ferns as they take on the Australian Diamonds in October’s Cadbury Netball Series (Constellation Cup), along with the Northern Quad Series in late January. More>>

ALSO:

Bigger But Less Novel Than The Parrot: Giant Fossil Penguin Find

The discovery of Crossvallia waiparensis, a monster penguin from the Paleocene Epoch (between 66 and 56 million years ago), adds to the list of gigantic, but extinct, New Zealand fauna. These include the world’s largest parrot, a giant eagle, giant burrowing bat, the moa and other giant penguins. More>>

 
 
 
 
 

LATEST HEADLINES

  • CULTURE
  • HEALTH
  • EDUCATION
 
 
  • Wellington
  • Christchurch
  • Auckland