Hospital's Blunders over 'Do Not Resuscitate' Notes; Inspectors Uncover Raft of Problems in the Care of Elderly Patients

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Byline: Julie-Anne Barnes

A HOSPITAL failed to record proper details about patients who had been identified as 'not for resuscitation', a damning new report has found.

It follows an inspection of older people's care at Monklands Hospital in Airdrie, Lanarkshire.

A raft of problems was uncovered, including one incident where an elderly patient was left languishing without proper care. According to the report by Healthcare Improvement Scotland, staff gave incorrect information about patients who were identified as not for resuscitation.

It said: 'When we explored this with staff, we found patients had been identified by room number and this became inaccurate when patients moved rooms.'

Inspectors also found that a 'do not attempt cardiopulmonary resuscitation' (DNACPR) form had not, as required, been countersigned by a senior clinician.

On two other wards at the hospital, forms had been completed with a note saying the issue would be discussed with family members but there was no subsequent record of talks. In addition, some care plans giving the individual needs of patients with dementia had 'limited information' about what treatment staff should provide.

The report also found that an elderly patient at Monklands was left languishing in a ward, despite being medically fit for discharge.

The hospital has a 24-hour accident and emergency department and 463 acute inpatient beds.

The announced inspection was carried out between June 25 and 27 across a range of wards and accident and emergency. …