Peter White

1. 1. unqualified staff recording observations without qualified nurse review

   “1)Evidence was given to me that observation of patients are conducted throughout the Hospital using an Early Warning Observation Chart. The observations are often recorded by unqualified Health Care Assistants but the recordings should be checked and interpreted by a qualified nurse. A trigger score is given for each set of observations; one trigger should result in a review by a senior nurse and an increase in the frequency of observations, two triggers requires a review by a doctor and three triggers”

2. 2. EWS chart not completed correctly and triggers ignored

   “In the case of Mr. [name redacted] the EWS chart was not completed correctly, triggers were ignored and none of the observations were checked by a qualified member of staff. The evidence of Dr. an independent expert was”

3. 3. absence of regular audit system for EWS chart compliance

   “was also told that there is no regular audit system in place to ensure that the charts are correctly completed, interpreted and acted upon”

No published response was found on judiciary.uk.