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should there not be a number of members of staff made aware it is switched off?

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even if the humidifier wasn't turned back on, one of the nurses should have noticed the mucus in his breathing tube during their checks

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If unsure ask someone else

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document that you have asked, raised a concern also. 

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document that you have asked, raised a concern also. 

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if not taken seriously, raise concern to the university

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question the instruction and ask for the reason why

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question the instruction and ask for the reason why

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question why something hasn't been done. 

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question why something hasn't been done. 

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Check the medical notes or sister/,charge nurse

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report to the ward manager

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question it

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nursing notes

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staffing issue. lack of staff - missed due to this. 

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staffing issue. lack of staff - missed due to this. 

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If a nurse has been told to turn something off, they should get a second opinion from senior staff if they are unsure.

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If a nurse has been told to turn something off, they should get a second opinion from senior staff if they are unsure.

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The handover nurse at that time should have explained why it was switched for that moment. It could be that she did switch it off to do something and later forgot to switch it back on. The next nurse should have done a vivid observation for all the equipment as well.

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must have been a senior member of staff but the nurse that did it should have questioned why they are asked to do it

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"But for" test .... but for the actions of the nurses .... patient would be alive

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"But for" test .... but for the actions of the nurses .... patient would be alive

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If there was a reason and the nurse who did it can prove that other health professionals would have done the same she might be able to avoid a negligence accusation

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if there was a reason for it being turned off the nurse should have communicated this with all other caregivers

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perhaps the ward and the trust could be held accountable 

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perhaps the ward and the trust could be held accountable 

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Bolam Test- other nurses didn't notice or was it switched off for a specific reason? 19 hours is long.

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lack of care, neglect and neglagents on all staff involved in his care that did not notice

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a number of the nurses. They didn't act/ check it.

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a number of the nurses. They didn't act/ check it.

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Vacarious libility

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if there was reason for it being off, it should have been documented

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if there was reason for it being off, it should have been documented

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Negligence

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whole team ignored this not just one person. 

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whole team ignored this not just one person. 

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Negligence - what's happening in the handover ?

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Negligence - what's happening in the handover ?

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Breach of duty of care (nurses), negligent (nurse in charge)

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Breach of duty of care (nurses), negligent (nurse in charge)

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why wasn't it checked

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gross negligence

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surely all the nurses involved in his care would be liable for not noticing

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No one checked it in 19 hours?

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Should consult with notes/doctor before turning off humidified oxygen

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both the indiviual who turned it off and the team for not realising

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both the indiviual who turned it off and the team for not realising

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Safeguarding. The nursing team have been negligent. Why wasn’t this checked??

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the nurse who switched off humidifier is negligence

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the nurse who switched off humidifier is negligence

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Liability

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negiligience

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Duty of care

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Vicarious Liability

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breach of duty of care

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Negligence

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negligence