March 2018

Date: 13 March 2018

  • Details:

    The complainant reported her concerns about the clinical treatment she received and the attitude of the crew when she was undergoing a medically managed miscarriage. She has complained that the crew were very insensitive to her situation and that there were a few aspects of their clinical treatment that she did not feel should have occurred and along with being made to walk to the ambulance.

  • Findings:

    The investigating manager reviewed the documentation, obtained statements from both crew members and attempted on multiple occasions to contact the complainant by email and telephone. One of the crew members has left the trust since the incident but agreed to provide information in relation to the complaint investigation.

    The investigating manager felt that it was inappropriate that the clinicians asked the patient to transport herself to the hospital and transportation via ambulance should not have been questioned. The crew did not offer any stronger pain relief other than Entonox and also did not record any pain scores on the paperwork; the investigating manager was therefore unsure whether the pain levels of the patient were properly managed. The investigating manager agreed that that the patient should not have been made to walk to the ambulance due to the extensive blood loss at the time. He also felt that the paramedics did not provide the appropriate care during the journey to A&E under blue light conditions, as did not provide the patient with intravenous fluids to help stabilise her condition.

  • Lesson learnt / action taken:

    The investigating manager has advised that the member of staff has undergone an internal process to ensure learning and reflection has taken place to prevent recurrence in the future.  He has also asked the attending paramedic that now works for a private organisation to self-refer to the HCPC and ensure that their employers are aware this has been done. The individual has also been advised if they do not notify the investigating manager that this has happened he will ensure that he makes the referral to the HCPC himself.

  • Date:
    01 March 2018