Nurses get reminder after death
STAFF working in the mental health ward of the Townsville Hospital have been sent a directive about correct clinical restraint procedure after a patient died unexpectedly.
The memo was given to staff after a 44- year- old man died in the high dependency unit of the hospital’s acute mental health ward about 9pm on July 7.
It is believed the man may have died from a heart attack as a male security guard and female nurse attempted to restrain him.
The staff memo, which has been seen by the Townsville Bulletin, said it was “essential” that when a restraint occurred in an inpatient setting that best practice guidelines and procedures be followed.
“As a team we need to ensure that a co- ordinator for critical incidents is identified to ensure best practice is followed,” it said.
“That during a physical restraint a nurse is available to communicate with the consumer at all times and to ensure that a safe airway is maintained. That a separate nurse is allocated to administer intramuscular injection medication if required.”
The memo also said it was “essential” that the shift co- ordinator was physically present during all restraint and provide clinical oversight to ensure the safety of the patient team and that restraint procedures are followed.
A source told the Bulletin staff in the hospital had also been advised having five people to restrain a patient was best practice.
Townsville Hospital and Health Service chief executive Kieran Keyes said emails regarding policies and procedures were “routinely” sent to staff in line with best practice clinical care.
“The circumstances of the patient’s death are a matter for the Coroner and it is important that we do not pre- empt or prejudice due process,” he said.
“The Office of the Health Ombudsman will also review the matter.”
The Queensland Police Service has prepared a Death in Care report for the Queensland Coroner, who is investigating the incident.
The security guard involved in the incident has been suspended with pay for five weeks while the investigation continues. The nurse has been referred to the Office of the Health Ombudsman and placed on alternative duties.
When asked about restraint procedures, a spokeswoman for Queensland Health said hospitals used a “range of methods” for dealing with patients who may be at risk of potentially injuring themselves, other patients, clients or staff.
“As the matter you are referring to is under investigation by the appropriate authorities, no further information can be released,” she said.