Source · Prevention of Future Deaths
Adam Bojelian
Ref: 2020-0116
Date: 5 Feb 2020
Coroner: Kevin McLoughlin
Area: West Yorkshire (East)
0 responses identified · 1 indexed addressee
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AI-generated concerns summaryConcerns included the lack of Trust-maintained training records for individual nurses and the absence of a formal written care plan for a child with complex medical needs during a 15-month hospital stay.
Date
5 Feb 2020
56-day deadline
17 Aug 2020 est.
estimated from the Judiciary.uk publication date
Responses identified
0 of 1
Coroner's concerns
Concerns included the lack of Trust-maintained training records for individual nurses and the absence of a formal written care plan for a child with complex medical needs during a 15-month hospital stay.
View full coroner's concerns
_ (1) Training Records for Nurses_ The evidence revealed that in 2015, the Trust did not hold records of the training received by individual nurses_ Instead, it was left to each individual nurse to maintain their own training records_
The concern arising from this is that; without accurate records, a Trust cannot be sure a particular nurse has the required skills and competence to out a particular task Instances of this revealed at the Inquest was whether nurses on ward 40 at LGI had received training in relation t0 Bair Huggers or BiPAP ventilation equipment used in the care of critically ill children.
(2) Formal Written Care Plans The evidence taken at the inquest revealed that despite the complex medical needs of this child, no formal written care plan was created for the period he was in hospital, from September 2013 to January 2015 (15 months) It was assumed all the clinicians involved would glean sufficient information from a review of his notes_ The absence of a plan meant that aspects of his treatment were not exposed as being controversial (and disputed by his parents): An example of this related to hydrocortisone therapy_ In complex cases, a comprehensive care plan would provide both parents and clinicians with a basis upon which t0 obtain a second opinion from an independent source in the event of a dispute, as occurred repeatedly in this case_
The concern arising from this is that; without accurate records, a Trust cannot be sure a particular nurse has the required skills and competence to out a particular task Instances of this revealed at the Inquest was whether nurses on ward 40 at LGI had received training in relation t0 Bair Huggers or BiPAP ventilation equipment used in the care of critically ill children.
(2) Formal Written Care Plans The evidence taken at the inquest revealed that despite the complex medical needs of this child, no formal written care plan was created for the period he was in hospital, from September 2013 to January 2015 (15 months) It was assumed all the clinicians involved would glean sufficient information from a review of his notes_ The absence of a plan meant that aspects of his treatment were not exposed as being controversial (and disputed by his parents): An example of this related to hydrocortisone therapy_ In complex cases, a comprehensive care plan would provide both parents and clinicians with a basis upon which t0 obtain a second opinion from an independent source in the event of a dispute, as occurred repeatedly in this case_
Report sections
Investigation and inquest
On 27th March 2015 an investigation was commenced into the death of Adam Alexander Bojelian, aged 15,The investigation concluded at the end of the Inquest on 3r February 2020.The conclusion of the Inquest was natural causes_ The medical cause of death was: 1a Multiorgan failure Multiagent infection: Enterococcus faecium , Serratia marcescens and Candida sp Quadriplegic cerebral palsy
Circumstances of the death
Adam Alexander Bojelian suffered a severe birth injury and was profoundly disabled due to quadriplegic cerebral palsy, epilepsy; chronic lung disease and other conditions_ He was admitted into hospital in September 2013 and remained in hospital for some 17 months until taken t0 a hospice on the eve of his death on 24/03/15. His parents were concerned at the quality of his care in the hospital and pressed for him to be admitted to a paediatric intensive care unit (PICU): The treating doctors did not consider this was_ required until 25/02/15,when he was transferred to PICU_
Action should be taken
In my opinion action should be taken to prevent future deaths and believe your organisation has the power to take such action
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Report details
- Reference
- 2020-0116
- Date of report
- 5 February 2020
- Coroner
- Kevin McLoughlin
- Coroner area
- West Yorkshire (East)
Responses identified
Responses identified
0 of 1
1 response not yet linked
Organisations named in PFD reports are normally expected to respond within 56 days. Deadline: 17 Aug 2020 (estimated from the Judiciary.uk publication date).
Sent to
- Leeds Teaching Hospitals NHS Trust