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DP v Nurse A and Nurse Cruzada
Health Practitioners Disciplinary Tribunal, 3 April
2006
On 3 April 2006 the HPDT upheld charges of professional
misconduct against two ICU nurses involved in the care of a 3
year-old burns victim from Tahiti. The Tribunal found that
Nurse A had on three occasions administered 1g instead of 250mg
doses of paracetamol to the boy, and that on discovering the error,
Nurse Cruzada had failed to respond appropriately.
The Tribunal said that Nurse A's failure to administer the
correct dosage of paracetamol on three occasions constituted a
failure to adhere to the standards expected of a nurse in her
position. It was mindful of the "trust which society has
placed in nurses to accurately administer medications to
patients. Nurses must always maintain the highest level of
vigilance when administering medication." No penalty was
imposed on Nurse A, who was granted permanent name suppression.
In the case of Nurse Cruzada, who observed the error recorded in
the drug administration records, but did not alert the medical
staff, complete an incident report, or tell the oncoming nursing
staff. The Tribunal was in no doubt that her omissions
constituted a significant departure from the standards expected of
a nurse in her circumstances. She was ordered to practise
under supervision, and to pay $5000 costs towards the
prosecution.
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