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Message: <blockquote data-quote="senal neveyi" data-source="post: 26987908" data-attributes="member: 570756">Actually nurses are responsible for the management of the ward and doctors are responsible for the management of patients. Thats, why the superior of nurses is called ward sister while the consultant, is called visiting physician/surgeon etc. And monitoring of the patients falls under the nurses' domain. Frankly I have a hard time believing you are a nursing officer.<hr />Well this needs a long answer. First as the cause of the death , diagnosis of the condition and what she meant by a bad condition are not clear it is difficult to understand what has happened here. Ofcourse it should be investigated and if there is any negligence it should be dealt with. But what I want to emphasize is transferring a patient is a medical decision and it should be taken on medical grounds. I have already mentioned the indications for patient transfer. Requests of the relatives without proper indication for transfer should not be entertained. It would be a waste of resources as well as potentially adversely affect another patient who truly needs it and overcrowds the tertiary care centers which leads to suboptimal management . In this case if the diagnosis was a myocardial infarction according to the current SL guidelines it could be managed in a base hospital..(In an ideal situation each and every patient with a myocardial infarction should be able to undergo angiography within 2hrs of presentation to a hospital. But sadly in SL its not so.) If only the pharmacological management fails ,the patient needs to be transferred to a cardiology unit(again ideally even patients who underwent successful pharmacological management should undergo an angiography within 24 hrs but due to limitations its not so). In this case if there was a substandard treatment or a failure to diagnose a failure or treatment or a failure to transfer when there was an indication while the patient is suitable for transferthen there is a case for negligence.  Ofcourse patient can develop a post MI complication after discharge. But if the treatment unit has followed the protocol but the patient has died nevertheless it wont be negligence. Actually its not whether the patient has died or not but whether the treatment unit has done its best or not. In the same time, I must accept that there is a communication failure . The patient's condition should have been explained to the bystander and the reason for not transferring. (I don't think nurses have neglected low blood pressure. Surely patient's BP would have been around 100/60 which is less than google search results but perfectly acceptable. But removing the monitor is unacceptable)Bystanders also should understand that nurses have to look after 50-60 patients while bystander looks after only one patient.If you have further queries you can clarify them from your family members I guess.------ Post added on [DATETIME="UT"]1634223789[/DATETIME]</blockquote>

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