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Nurse struck off after death of disabled man

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Lorraine Stevens, 61: Struck off (pic. WNS) 

A NURSE has been struck off after a patient died from downing a bottle of washing up liquid at a care home.

Lorraine Stevens, 61, didn’t raise the alarm when the man drank from the bottle – but instead made him drink several glasses of water to dilute it.

The patient was vomiting and frothing at the mouth, but Stevens waited nearly three hours to tell anyone else that he was unwell.

And when she did finally speak to her manager Stevens failed to mention how long he had been ill for, the misconduct hearing was told.

The disabled man – referred to only as Patient A – died the next morning.

Case presenter Gregory Wedge said: “Patient A reached through an open kitchen window and grabbed a bottle of washing up liquid, from which he drank an unknown quantity.

“The washing up liquid was promptly taken away from him and it is alleged that he was given glasses of water to drink.

“About 15 minutes after the incident, Patient A allegedly began coughing, vomiting and there was some foam at his mouth. He was given more water and continued to cough and vomit for 30 to 40 minutes.”

Mr Wedge said Stevens was the only qualified nurse at Begelly Bungalow in Begelly, Pembrokeshire, which housed four people with learning disabilities.

Patient A, who had been at the managed bungalow for just four months before his death, suffered brain damage at birth and had a history of trying to drink dangerous liquids.

But Stevens didn’t raise the alarm for two-and-a-half hours after he drank from the washing up bottle, and when she eventually did still failed to tell her manager the incident had happened hours beforehand.

The man collapsed at the bungalow around 8pm, some ten hours after consuming the liquid, and died in hospital early the following morning on July 13, 2013.

The Nurses and Midwifery Council also was told Stevens later mocked up risk assessment form for Patient A on the day his family came to collect his belongings.

The form said kitchen cupboards should be locked at the bungalow – but she didn’t point out it was written after his death.

Mr Wedge said Stevens had acted “dishonestly”.

He said: “She should have admitted that there was no risk assessment in place, rather than falsifying clinical documents in an attempt to create the impression that there had been one.”

Dyfed Powys Police investigated Stevens in connection with the man’s death, but no charges were ever brought to her or employers Hywel Dda University Health Board.

Panel chair Monica French told the hearing in Cardiff that Stevens’ actions “increased the risk of harm” to her patient.

She also said Stevens’ decision to leave her shift early on the day, leaving the “deteriorating” man to be cared for by staff without medical training, placed him at “an unwarranted risk of harm.”

Miss French said: “Stevens failed to ensure that Patient A was safe and to provide him with the high standard of care expected of her as a registered nurse.

“In addition, her dishonest actions in respect of the risk assessment were inconsistent with her obligations as a registered nurse.

“There was no evidence before the panel that Stevens had any insight or remorse into the potential gravity of her actions and omissions or their impact.”

Stevens, from Pembroke Dock, was given a struck off the nurses register, and will not be able to reapply for five years.

Speaking at her home, she said: “I don’t want to talk about it.”

 

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First dolphin killed by grey seal recorded in Welsh waters

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THE FIRST suspected case of a grey seal killing a common dolphin in Welsh waters has been recorded on a Pembrokeshire beach.

Marine investigators believe an adult female short-beaked common dolphin found stranded at Newgale Beach may have been attacked by a small group of grey seals operating between west Wales and the south-west coast of England.

The discovery marks a significant development in what researchers say is growing evidence that some male grey seals are preying on a wider range of marine mammals than previously understood.

Image

Corkscrew injuries identified

The dolphin, measuring around six feet in length, suffered severe “corkscrew” injuries — distinctive spiral tearing of blubber and tissue — which are consistent with previous confirmed grey seal attacks on harbour porpoises.

Mat Westfield, Wales strandings co-ordinator for Marine Environmental Monitoring, said similar incidents had recently been investigated in north Devon.

He said: “It’s the first recorded case in Wales. Because it’s so close geographically to Devon, we suspect it may involve a small number of individual grey seals operating in that area.”

Bite marks were identified on the dolphin’s pectoral fins and around the torn blubber edges — patterns marine pathologists associate with grey seal predation.

The carcass has been sent for further examination. Full laboratory results could take up to six months, with tests expected to determine whether the dolphin had any pre-existing illness or injury.

Marine Environmental Monitoring said the dolphin had “corkscrew” injuries consistent with a grey seal attack

Behaviour linked to adult males

Dr Izzy Langley, of the Sea Mammal Research Unit at the University of St Andrews, said evidence suggests the behaviour is limited to certain adult male grey seals rather than the wider population.

Grey seals are typically fish-eaters, feeding on sand eels, cod, herring and squid. However, over the past decade researchers have documented attacks on harbour porpoises and even other seal species.

Dr Langley said there was no clear evidence that dolphins targeted in such incidents were already sick or weakened.

She explained that researchers believe the attacks may involve ambush tactics from below, catching dolphins unaware while they forage.

“We’ve always found it difficult to understand how grey seals could kill a healthy dolphin,” she said. “It suggests this may not be an evolved predator-prey relationship, but behaviour developed by individual animals.”

Every confirmed case so far has involved adult male grey seals, leading scientists to suspect the behaviour may be learned rather than instinctive.

Rare but significant

Grey seals are common along the Pembrokeshire coastline and are a familiar sight around Ramsey Island, Skomer and the Marloes peninsula. While attacks on harbour porpoises have been recorded previously in Welsh waters, this is believed to be the first suspected fatal attack on a common dolphin.

Marine experts stress that such incidents remain rare and do not represent widespread predatory behaviour across the grey seal population.

However, the case is likely to prompt further monitoring of strandings along the west Wales coast as researchers seek to understand whether this represents an isolated event — or the emergence of a new behavioural pattern.

 

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Hywel Dda warns of ‘significant pressure’ as A&E departments remain packed

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Patients urged to use NHS 111 as Withybush, Glangwili and Bronglais face continued strain

HYWEL DDA University Health Board has warned that its emergency departments remain under “significant pressure,” with particular concern at Withybush Hospital.

In a statement issued on Monday (Mar 2), the Health Board said A&E departments at Withybush, Glangwili and Bronglais hospitals were continuing to experience high demand.

Patients were urged to contact NHS 111 Wales for advice if they are unsure where to seek help, and to use community pharmacies and minor injury units for non life-threatening conditions.

The Health Board said: “Help us to help you get the right care in the right place.”

It added that those with serious or life-threatening emergencies should always call 999.

Delayed discharges impacting flow

The statement also highlighted pressures caused by delayed discharges, urging families to support relatives who are medically fit to leave hospital but are waiting for homecare or community health support.

Bed-blocking, often linked to shortages in social care packages, is widely acknowledged as a key factor in A&E overcrowding, as patients cannot be moved from emergency departments into inpatient wards.

When wards are full, ambulance handovers slow and patients can face long waits for assessment and treatment.

Withybush under particular strain

Withybush Hospital in Haverfordwest was singled out as being under “particular” pressure.

There were no signs yet that things were improving today (Tuesday).

The Health Board did not release figures for waiting times, ambulance delays, or bed occupancy rates in its statement.

However, it confirmed that demand remains high across west Wales.

Alternative services highlighted

The public were reminded that:

  • NHS 111 Wales can provide 24-hour advice.
  • Option 2 via 111 offers urgent mental health support.
  • Community pharmacies can treat a range of common ailments without appointment.
  • Minor injury units are available for non life-threatening issues.

The Health Board thanked residents for their support and cooperation during what it described as a challenging period.

 

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Vote.wales: Information website launched to give people voting confidence

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Vote.wales to host all essential election information for the Senedd election

A BRAND new voter information website, vote.wales, has been launched today (2 March) by the Electoral Management Board for Wales, part of the Democracy and Boundary Commission Cymru.

Vote.wales is the first website of its kind in Wales and tells people everything they need to know about the election, including advice about voting, information about the Senedd, and a postcode search function to provide tailored local information.

The website holds information about who can register to vote, how voting works in polling stations, as well as postal and proxy voting, and what accessibility support people can expect when they go to vote.

A postcode search function on vote.wales allows voters to see which of Wales’ 16 new constituencies they will be voting in, as well as telling them where their local polling station is located.

Once nominations have closed, the website will also inform voters which political parties and independent candidates are standing in their area.

The website explains how the Senedd works and what it does, highlighting which policy areas are devolved to the Senedd and which remain the responsibility of the UK Parliament. It also sets out the difference between the Senedd and the Welsh Government.

Further developments are expected in the coming weeks. In a first for Welsh elections, voters will soon be able to access detailed accessibility information about their local polling station. Political parties and independent candidates will also be able to publish their election leaflets on the platform, so voters can see not only who is standing but what they stand for.

Following the election, vote.wales will publish the full election results.

Commenting on the launch, Shereen Williams MBE OStJ, Chief Executive of the Democracy and Boundary Commission Cymru, said:

“An important election is coming on 7 May, and vote.wales is the place to go to find out all about it.

“We know that people across Wales are looking forward to making their voices heard at this election, but many people don’t feel they have all the information they need before they go and vote.

“If you have questions about this election, then head to vote.wales. Voting confidence starts here.”

 

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