Maud Patrick

In the circumstances it is my statutory duty to report t0 you Mental Capacity There was no apparent consideration t0 the issue of whether or not the deceased had mental capacity from admission to A & E and transfer to AMU.
2. Ensurng all investigationslassessments are completed before a patient leaves A&Eand ensuring an appropriate handover It is appreciated that it will not be possible for all investigations and tests to be performed before a patient leaves the A & E department but if that is the case then the receiving ward should be infored and there should be a clear documented audit trail s0 that it is clear what is outstanding: Trnsfer and hand over of a patient to AMU_fromA & E There was no clear hand over process and review when the deceased arrived on the AMU. It would seem sensible that a Senior Nurse/Sister be informed and can then ensure appropriate care is given. Ensurng investigations are progressedas approprate_There was no progression of necessary basic assessmentsltests which remained outstanding_ For example, a chest 5_ Ensurng that all neurological andor general observations are approprately undertaken_accurately recorded and calculated but also escalated as necessary_It is a fundamental part of basic medical and nursing care that a patient who requires neurological or general observations has them completed in a timely manner; accurately recorded and calculated and then appropriately escalated. This was simply not done and simple systems or protocols could be introduced to ensure that this is completed. It would seem that the primary responsibility for this should be shared between the Nurse in charge of the individual patient and the nurse in charge of the AMU: 6_ Staffng levels competence and seniorty: The levels and competence of staff ( whether agency or Trust employees ) needed to deliver safe and appropriate care and with sufficient senior Nursing staff in leadership roles requires assessment and implementation: