Source · SPSO (Scottish Public Services Ombudsman)

Lothian NHS Board

SPSO (Scottish Public Services Ombudsman) Not Upheld Reference 201508595 Sector Health Category nurses / nursing care Decided 01 January 2017

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Full decision

Summary

Mr C complained about the care and treatment provided to his wife (Mrs A) when she was admitted to the Western General Hospital for radiotherapy to treat a spinal condition. Mr C said that nursing staff failed to provide reasonable care in relation to the taking of blood samples, pressure ulcers and use of a pressure-relieving mattress, and said that the failings caused Mrs A pain and distress.

We took independent advice from a nursing adviser. We found that the standard of nursing care in relation to blood sampling and pressure ulcer care was reasonable, but that there were shortcomings in relation to record-keeping and the explanation about the mattress and we made recommendations in relation to this. However, on balance we were satisfied that the standard of nursing care and treatment on the whole was reasonable and we did not uphold Mrs C's complaint.

Recommendations

We recommended that the board: take steps to ensure the record-keeping shortcomings are addressed including that they are raised with relevant staff; and inform this office of the safeguards in place to ensure that mattresses requiring inflation do not deflate inadvertently.

Related reading

View Decision Report 201508595 as a PDF (12.51 KB) Updated: March 13, 2018

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