Investigation sets out order of events for what happened after teenager’s arrival at UHL emergency department
Accompanied by her parents, Aoife presents at the emergency department with a letter of referral from an out of hours GP service querying sepsis .Aoife is seen by a nurse A and is assigned triage category 2, meaning seriously ill. Nurse A wants to send Aoife to the resuscitation or “resus area” because of the sepsis concern but a Registrar says it is full and Aoife is sent to Zone A of the ED. Nurse B, on the night shift, says she is not told about the sepsis concern.
Aoife Johnston report: Death of girl at UHL was in circumstances ‘almost certainly avoidable’, investigation finds10.30pm:Aoife’s vitals are reported to Nurse B who speaks with Dr B in Resus. Aoife is prescribed intravenous Keral, a painkiller.Nurse B assesses Aoife and speaks with Dr C in Resus who advises continued paracetamol. Conflict of evidence as to whether nurse requested an antibiotic for Aoife.Nurse B discusses Aoife with Dr D who agrees to see Aoife ahead of other category 2 patients.
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