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"Patient medication being left on patients table for hours"

About: University Hospital Hairmyres / Medicine for the Older Adult (wards 13 - 16)

(as a relative),

My 70yr old mum was transferred for rehab to ward 15 (care of the elderly) in Hairmyres hospital having been in the diabetes ward perviously. I visited on one afternoon at 3:20pm to find all of my mums morning tablets still in their medicine pot on her table in front of her. My mum is slightly confused at times and didn't know if they were her tablets or not but did say they had been there all day. At home I sort out my mums medicines into a dosette box and as a registered nurse I am aware that these were all her morning meds. I spoke with a nurse who took them off of me and said that she hadn't given out the medicines that morning! I stated that mum needed to be prompted whilst at home to take her meds by carers so this would need to be done.

Saturday I went to visit mum at around the same time and again her meds were sitting in front of her - again I was told it wasn't me who did the meds in the morning! !  The nurse did however make a note to put it in the report that mum needed assistance with her meds and wrote it on the wipe board behind mums bed.

A couple of days later - visited at 3pm to find some meds in a pot in front of mum - asked to speak with a nurse, waited 1. 5hrs and no one came so went back up to be told these would be her afternoon meds. We checked it on her kardex and no it was two of her morning tablets. The nurse checked the report and there in capitals it says "needs assistance with meds".

The questions/points I have are:

when has it become acceptable for a RN to dispense meds and leave them in front of an elderly patient with some level of confusion and expect them to take them?

Surely it is the hospital's responsibility to ensure right medicine at the right time to the right patient and that includes ensuring that they take them not just dispensing them?

if these pots of tablets have been sitting on a patient table since 8. 00-8. 30 in the am and they are still there at 3pm that is 6+ hrs, does that mean my mum has had no staff input in that 6hr? I know she has, as she has insulin injections. Care assistants will have been around but even they haven't thought to ask why medicines are still sitting there.

my mum has been prescribed these medicines for a reason - hypertension, anti depressants, etc so it is imperative that she receives them and yet in just over a 1 week period I know she hasn't had them 3 times.

In a care of the elderly ward there are many patients wandering around in and out of rooms, confused. What if they were to lift the tablets and take them and have a reaction? Where is the safeguard to patient safety?

There are also many visitors, staff, in and out of the bedspaces all day. What if someone else took them?

This is totally unacceptable and a fundamental principal of nursing care and yet it is sadly lacking in this instance where they are supposed to be a specialist care of the elderly ward.

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Responses

Response from Irene Barkby, Executive Director of Nursing, Midwifery & Allied Health Professions, NHS Lanarkshire 8 years ago
We are preparing to make a change
Irene Barkby
Executive Director of Nursing, Midwifery & Allied Health Professions,
NHS Lanarkshire
Submitted on 24/12/2016 at 13:54
Published on Care Opinion at 19:03


picture of Irene Barkby

Dear Snuggles,

Your are correct this is an unacceptable set of circumstances. I have just spoken to the Nurse in Charge of the Ward this afternoon and she will address this with immediate effect with those on duty today and ensure it is address with oncoming shifts.

The Senior Nurse for the Ward and Chief Nurse for the site will work with the Ward to ensure staff understand their responsibilities for appropriate administration of medicines and respond to your post in due course.

Please accept my apologies for the inappropriate actions and verbal response you have received when highlighting this at Ward level.

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Response from Susan Friel, Director of Nursing, Acute Services, NHS Lanarkshire 8 years ago
Susan Friel
Director of Nursing, Acute Services,
NHS Lanarkshire
Submitted on 24/12/2016 at 14:17
Published on Care Opinion at 19:03


picture of Susan Friel

Dear Snuggles

please accept my apologies that this has happened. No wonder you're worried. As Irene said above, we will treat this with all seriousness and work with the team to ensure this improves immediately, and going forward, we will continue to work together to ensure we sustain this improvement.

In the meantime I have spoken to the nurse in charge of the hospital today. If you have any other problems would you please ask for them at any time.

Thanks

Susan

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Response from Jane Wilson, Senior Nurse, Older People Services, NHS Lanarkshire 8 years ago
We have made a change
Jane Wilson
Senior Nurse, Older People Services,
NHS Lanarkshire
Submitted on 11/01/2017 at 15:55
Published on Care Opinion on 12/01/2017 at 14:42


picture of Jane Wilson

Dear Snuggles

As the Senior Nurse for this ward I was disappointed to read about your experience. As a result of this, all Registered Nurses in the ward have been reminded of their responsibility regarding administration of medicines. I have instructed the staff in ward 15 to raise this issue every day at their daily safety brief. I will be carrying out spot checks within the ward to ensure that practice improves.

We have just introduced a new Senior Charge Nurse to the ward and she has been made fully aware that there has been an issue with medicines and will be vigilant that practice improves.

Thank you for taking the time to alert us to this poor practice, I hope you find this response helpful.

Jane

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