John Preece
15 Jan 2019 · Coroner Roger Barkley · South Wales Central
The coroner's concerns
1. lack of understanding of falls management
“There was a clear lack of understanding and basic knowledge of falls management by both trained nurses and support workers in circumstances in which it should have been obvious that Mr [name redacted] sustained a head injury”
Responses
2019-0019-Response-by-NMC.pdf ↗· Cardiff and Vale University Health Board
Stated action
“we are doing everything we can through our new standards and assurance processes to ensure that nurses entering our register and maintaining their registered practice are properly trained in managing falls and conducting observations, no matter what their area of specialism, the age or background of the person they are caring for, or the context in which they are providing care”
2019-0019-Response-by-University-Health-Board.pdf ↗· Cardiff and Vale University Health Board
Stated action
“The UHB has recently opened a falls simulation training suite in the University Hospital of Wales (UHW) and there are plans for a further suite to be sited in University Hospital Llandough. All qualified and support staff are encouraged to attend simulation workshops on falls prevention management and post fall care. The training covers the management of an unwitnessed fail including how to respond to a head injury.”