Zawdie Bascom

1. 1. lack of pain score recording at triage

   “Mr [name redacted] presented in severe pain to A&E. This was his primary presenting problem. Despite this, there was no recording of his pain score on triage into A&E.”

2. 2. inadequate documentation of analgesia effect on pain score

   “Analgesic medication was administered at 03:45 and a pain score recorded at 05:15 of 9/10. The doctor who recorded the pain score at that time could not recall whether he had any regard to the fact that analgesia had been given, when he noted the score of 9/10.”

3. 3. failure to record pain scores after analgesia

   “Further analgesia in the form of tramadol was given at 05:30. There was no further pain score recorded following this analgesia. No pain score was recorded prior to discharge.”

4. 4. action plan omits severe pain cases

   “It was noted in evidence that the Trust carries out pain audits in compliance with the College of Emergency Medicine. The Consultant who gave evidence was unable to comment upon the practice at Newham University Hospital. The updated action plan referred only to regular audits in relation to sickle cell, fractured hip, and pain in children. The updated action plan does not address the circumstances where patients present to A&E in severe pain.”

5. 5. absence of systematic pain assessment by nursing staff

   “No pain score was recorded by any member of the nursing team. There was no evidence of any systematic assessment of pain (for example, response to analgesia).”

No published response was found on judiciary.uk.