Hedley Greenland
26 Sept 2017 · Coroner Andrew Barkley · South Wales Central
The coroner's concerns
1. lack of urine output monitoring
“A fluid balance chart should have been used by nursing staff to monitor fluid intake and urine output”
2. untrained nurse handling male catheter
“The qualified nurse on duty overnight 16'"/17"" December was not trained in male catherisation.”
3. missing catheter care bundle
“There was no evidence in the medical/nursing notes that the "Catheter Care Bundle" was being used”
4. inadequate catheter management knowledge
“The evidence given by two nurses involved in Mr [name redacted] care revealed a clear lack of understanding, knowledge and training as to how to manage a long term indwelling catheter”