Case study 4 Lauren by Nikki B https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4 ND4002 en-us 2021-10-12 10:46:56 UTC 2021-10-12 13:19:39 UTC hello@padlet.com DOLS for bed rails https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810656592 2021-10-12 13:11:35 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810656592 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810656619 why was the sides not up on the bed to keep her safe?]]> 2021-10-12 13:11:35 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810656619 Duty of candour? https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810656748 2021-10-12 13:11:38 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810656748 Negligence, breach of duty of care https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810657406 2021-10-12 13:11:49 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810657406 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810657503 bed rails

]]> 2021-10-12 13:11:51 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810657503 negligence, Risk assessment https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658026 2021-10-12 13:11:59 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658026 negligence https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658203 2021-10-12 13:12:02 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658203 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658444 Safeguarding! Negligence! Duty of care! ]]> 2021-10-12 13:12:06 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658444 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658449 neglect again ]]> 2021-10-12 13:12:06 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658449 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658715 Surely you'd have to question why she fell so many times? did she have comorbidities causing her to fall? but the hospital have to admit negligence in preventing her falling so many times

]]> 2021-10-12 13:12:10 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810658715 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810659743 risk assessment for bed rails, hi-low bed, crash mats etc]]> 2021-10-12 13:12:28 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810659743 risk assessment https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810659811 2021-10-12 13:12:30 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810659811 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810659971 negligent (multiple falls) 

]]> 2021-10-12 13:12:32 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810659971 Again, neglect... The nurse should be responsible for this surely.. https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660044 2021-10-12 13:12:33 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660044 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660105 negligence

]]> 2021-10-12 13:12:34 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660105 what was the reasons for her fall outs s4008236 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660195 2021-10-12 13:12:36 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660195 risk assessment! https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660460 2021-10-12 13:12:42 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660460 Bed protection should be put in place https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660589 2021-10-12 13:12:44 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660589 Having a discussion with Lauren about the importance of not trying getting out of bed without assistance https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660602 2021-10-12 13:12:44 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660602 Should have been risk assessed https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660631 2021-10-12 13:12:45 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660631 negligence, DoLs for bed rails https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660736 2021-10-12 13:12:47 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660736 risk assessments reassess https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660870 2021-10-12 13:12:49 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660870 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660883 risk assessment 

]]> 2021-10-12 13:12:50 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810660883 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661031 risk assesment ]]> 2021-10-12 13:12:52 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661031 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661306 Shouldn’t of happened multiple occasions, should be on high low etc ]]> 2021-10-12 13:12:56 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661306 nurses should have considered high/low bed https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661383 2021-10-12 13:12:57 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661383 Should have a sensor bed which can go low to the floor https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661540 2021-10-12 13:13:00 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810661540 assess capacity https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662051 2021-10-12 13:13:03 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662051 mental capacity act https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662557 2021-10-12 13:13:13 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662557 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662713 Should she have be risk assessed as being at risk of falls ]]> 2021-10-12 13:13:16 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662713 subjective about her decision to get out of bed s4008236 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662836 2021-10-12 13:13:18 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810662836 confusion https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663058 2021-10-12 13:13:22 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663058 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663073 she may have memory loss from the recent traumas ]]> 2021-10-12 13:13:22 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663073 There should be a risk assessment on the first fall so minimizes the risk to avoid additional damage. https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663450 2021-10-12 13:13:29 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663450 Bed rails assessment on admission https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663516 2021-10-12 13:13:30 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663516 all staff responsibility- after the first fall she should have been risk assessed and potentially put onto a hi-lo bed to prevent further falls https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663723 2021-10-12 13:13:34 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663723 dols https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663764 2021-10-12 13:13:35 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663764 the bed might be too small https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663965 2021-10-12 13:13:38 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810663965 suitable mobility aid? https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810664466 2021-10-12 13:13:46 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810664466 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810664871 Post op confusion?]]> 2021-10-12 13:13:54 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810664871 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665464 she may be delirious ]]> 2021-10-12 13:14:03 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665464 negligence, mental health act, breach of duty of care, bed rails, risk assessment, high low bed https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665676 2021-10-12 13:14:06 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665676 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665848 Safe guarding in place and reassessment of Lauren’s care plan.]]> 2021-10-12 13:14:08 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665848 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665943 She should have been assessed.  Safety measures put in place - bed rails etc

]]> 2021-10-12 13:14:10 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665943 Bed rails up, buzzer in reach of patient so if needed help she can call to use the bathroom https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665976 2021-10-12 13:14:10 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810665976 Does Lauren have access to a call bell? Does she have capacity and is she able to call for help when needed? https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810666374 2021-10-12 13:14:17 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810666374 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810666749 she may not have been on the correct antibiotics ]]> 2021-10-12 13:14:23 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810666749 why did she fall - dizzy, ill, frail? https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810666926 2021-10-12 13:14:27 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810666926 Home assessment to make safe or provide aids or care https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810667751 2021-10-12 13:14:41 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810667751 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810668294 was she trying to be independent leading to her falls. she should have been told about the need for support when being mobile due to her operation ]]> 2021-10-12 13:14:50 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810668294 future planning and prevention https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810669049 2021-10-12 13:15:02 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810669049 delirium from operation maybe uti https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810669059 2021-10-12 13:15:03 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810669059 Negligence/breach of duty of care/ https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810670324 2021-10-12 13:15:26 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810670324 Falls assessment https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810671353 2021-10-12 13:15:43 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810671353 If she was assessed and saw that she had the risk of falling, then the reason why she was getting out of bed should be investigated. https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810672880 2021-10-12 13:16:09 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810672880 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810673662 1:1 supervision to theoretically 'catch her before she falls']]> 2021-10-12 13:16:22 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810673662 make sure her call bell is in reach https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810674018 2021-10-12 13:16:27 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810674018 investigate why falling from bed so regularly - dementia? https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810678897 2021-10-12 13:17:54 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810678897 correct interventions in place bed rails, 1 to 1, reassess mobility, https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810679564 2021-10-12 13:18:06 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810679564 https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810685126 is the infection control training up to date? could there be a physical reason why there is an infection; MRSA transferred from another patient etc]]> 2021-10-12 13:19:39 UTC https://padlet.com/nikkibuck1/orm1rn62f0yp3rz4/wish/1810685126