Nurse who failed to spot a pensioner had suffered a stroke for EIGHT HOURS is not struck off
Nurse was supposed to check on patient regularly but checked her only at 9pm and 5.25am the next day He made no record of patient's careAdmitted wiping another patient down with bed sheet soaked in her own urineCouncil said ban would not be 'proportionate'
Nurse now works in a care home
14:21 GMT, 27 July 2012
Nsengiyaremye now works in a care home and must undertake regular supervision sessions
A nurse who failed to notice an elderly woman had suffered a stroke for more than eight hours has avoided being struck off.
Thaddee Nsengiyaremye missed making nine vital checks overnight as the patient recovered from a hip operation.
He ignored her for several hours as she fell unconscious, her pulse dropped alarmingly and her arms went limp.
When Nsengiyaremye finally checked on her, more than eight hours after the last observation, he did not realise she had suffered a stroke and waited more than half an hour to call for help.
He admitted a string of charges against him when he appeared at a Nursing and Midwifery Council hearing in central London.
But the panel ruled he could continue in the profession because there was no evidence of ‘general incompetence’.
Nsengiyaremye will have to work under supervision and undertake further training over the next 18 months.
Panel chair David Flinter said: ‘A conditions of practice order will sufficiently address the panel’s concerns and adequately protect the public.
‘We have seen records of your supervision sessions in your current employment, which indicate improvement in your clinical practice.
‘There is no evidence of general incompetence.’
Nsengiyaremye was working a night shift at the Sussex Orthopaedic NHS Treatment Centre in Haywards Heath, West Sussex, on April 19, 2010, when he took charge of caring for the woman, referred to as Patient B.
His boss Michelle Hailey told the hearing he should have been checking on her regularly as she recovered from a hip operation at the treatment centre.
‘Even if the protocol is not being properly followed, you would expect someone who has just come out of surgery to have regular observations’, she said.
He was expected to make hourly checks until 2.30am and two-hourly observations after that.
But Nsengiyaremye actually checked on her just once, at 9pm, before finding her critically unwell at 5.25am.
'There was nothing done by the registrant at 8pm, he carried out observations at 9pm, and then nothing is done by him from 10pm until 6pm,' said Joanna Dirmikis, for the NMC.
'He ought to have been carrying out hourly observations until 2.30am.'
The hearing was told the woman had a weak pulse, high blood pressure, and her breathing was abnormal when Nsengiyaremye checked on her at 5.25am.
But instead of immediately calling for a doctor, he went to collect a machine to carry out more tests.
When the ambulance was finally called, at 6am, the patient was rushed to the Princess Royal Hospital opposite for emergency treatment.
The nurse was working at Sussex Orthopaedic NHS Treatment Centre in Haywards Heath
Mr Flinter said giving Nsengiyaremye a ban would not be proportionate or helpful.
'The conduct was serious and not isolated, but areas of retraining have been identified’, he said.
have concluded it would not be proportionate to suspend you and deprive
you of the opportunity to address the concerns about your practice.'
Nsengiyaremye admitted all the charges against him, including not making a record of his care of patient B until he was ordered to by Ms Hailey more than 10 hours after his shift had finished.
He was also found to have not made vital records of a patient’s fluid levels during the shift.
The registered nurse further admitted a previous incident when he wiped a patient with a bed sheet soaked in her own urine and refusing to give her a bath.
The woman rang the bell for her bedpan to be changed while Nsengiyaremye was working on November 9, 2009, but he was slow to respond.
When he finally arrived, Nsengiyaremye was aggressive towards the patient, refused to change her urine-soaked gown, and wiped her down with the dirty bed sheet he had just stripped off the bed.
Nsengiyaremye now works in a care home and must undertake regular supervision sessions, as well as adhering to a training plan relating to infection control, medication administration, record keeping, and recognition of clinical treatment.