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A nurse has denied claims she administered “heavy-hitting” sedatives to children without them being prescribed. Ms H, who has interim name suppression, appeared before the Health Practitioners Disciplinary Tribunal facing a professional misconduct charge. On Tuesday, the panel heard Ms H reportedly administered sedatives she was either not allowed to give without supervision, or which were not prescribed, to two patients while working as an intern clinical nurse specialist at an Auckland hospital emergency department in 2017. While Ms H accepted she failed to document the names of doctors who gave verbal prescribing orders for the medicines, or those who supervised, she denied administering them without prescriptions or supervision. The Professional Conduct Committee (PCC) alleged Ms H gave a patient propofol, fentanyl and ketamine when they were not prescribed or documented in his chart. Propofol has strict guidelines for use, and Ms H was not qualified to give it without supervision. She also allegedly gave ketamine and propofol to a second child with a fracture, when neither drugs were prescribed or documented. On Wednesday, Ms H denied the PCC’s submission that she compromised patient safety. Giving procedural sedation was a “very large part” of her role in the emergency department, she told the tribunal. As an intern, Ms H managed her own patients under the supervision of a senior medical officer (SMO). She would discuss each patient with a supervising doctor, who would then decide whether they wanted to see the child directly. If they were happy with her assessment and plan, the SMO would give Ms H verbal orders to continue with the discussed treatment, she told the tribunal. She said this was done with both patients in this case, who were given medicines under verbal orders. No concerns were raised at the time about the medicines used in either case, she told the tribunal. Ms H said she had administered propofol or fentanyl many times during resuscitation situations directed by an SMO, as was “usual practice” for any ED or ICU nurse. Ms H told the tribunal her orientation to the DHB and the CNS intern role was “poor”, and maintains she was never told clinical nurse specialists could not give propofol. Ms H said she “mistakenly” believed she was able to administer propofol and fentanyl having attended procedural sedation courses, but always did so with supervision. “If I was told to never give propofol, I would have never given propofol,” she said. On reflection, Ms H said she was “really concerned” she could have made this “mistake”. Asked by her lawyer what she would do if a doctor told her to administer the medicines today under verbal order, Ms H said: “Absolutely not, I wouldn’t go there.” A five-person panel, led by barrister Alison Douglass, will decide on Thursday whether the allegation against her are established.

A nurse who allegedly gave children propofol, fentanyl and ketamine when she wasn’t allowed to and without prescriptions faces disciplinary action. Ms H, who has interim name suppression, appeared before the Health Practitioners Disciplinary Tribunal facing a professional misconduct charge. On Tuesday, the panel heard Ms H administered sedatives she was either not allowed to give without supervision, or which were not prescribed, to two patients while working as an intern clinical nurse specialist at an Auckland hospital emergency department in 2017. The issue reportedly came to light after staff heard Ms H talking about giving propofol to a patient at a “social event”. The panel heard that while undergoing training, Ms H gave propofol, fentanyl and ketamine to Patient A, who had a fractured ankle. None of the drugs were prescribed or documented in the patient’s medication chart. Propofol – which caused the death of Michael Jackson – is an anaesthetic. It is rarely used on its own because it can cause difficulty breathing. There are strict guidelines for its use and it is always administered in a resuscitation room with a “dedicated airway doctor” present, and under the guidance of an ED senior medical officer (SMO), the tribunal heard. However, it’s alleged Ms H did not do this. An emergency medicine specialist told the tribunal she would not expect propofol to be given without a very senior doctor or consultant present, and she would not allow a junior doctor to administer it to a patient on their own. Another witness, a clinical nurse specialist, said she had never given a child propofol in her eight years working in the emergency department. Lawyer for the Professional Conduct Committee, Matthew McClelland, said the nurses actions compromised patient safety. The panel heard Ms H also gave Patient A fentanyl and ketamine without a prescription, or failed to properly document if she received a verbal order to give the drug. Ms H understood she was able to administer propofol to patients because she attended a procedural sedation workshop, but this was not the case, the tribunal heard. McClelland said Ms H also falsely represented herself by signing Patient A’s clinical assessment form as a clinical nurse specialist when she was an intern. She also failed to complete “full and accurate” clinical notes, compromising Patient A’s safety, McClelland said. Ms H also gave ketamine and propofol to Patient B, who fractured her leg. Neither drugs were prescribed or documented. The propofol was either given without the supervision of a senior doctor, or Ms H failed to document the name of the doctor present, the tribunal heard. Ms H was qualified to give patients ketamine, but not without a prescription. A panel of five, led by barrister Alison Douglass, must decide whether the charge against the nurse has been established and, if so, what penalty should be imposed.

The Overseas Investment Office (OIO) has ordered overseas investors to sell a historic Waikato hotel complex after they failed to follow through with an agreed redevelopment. Group Manager for the Overseas Investment Office, Vanessa Horne, says the OIO approved Kingstown Blue Spring Resort (KBSR) to purchase the Okoroire Hot Springs Hotel near Tirau in July 2014. The company needed consent under the Overseas Investment Act to purchase the property because of the size and location of the land, and its historic value. “The Okoroire Hot Springs Hotel is one of New Zealand’s oldest hotels, having first opened its doors in 1889. The property includes hot springs and several historic buildings,” says Ms Horne. “As part of the OIO consent, KBSR agreed to undertake work to improve the facility. This included protecting important heritage features and improving public access to the property. “KBSR also said it would construct eight new hot pools and 22 new guest rooms, which would have increased the number of guests that could stay and was intended to make it more attractive for visitors and tourists. This was one of the main reasons why the application was approved. “The improvements would have provided benefits to the community, including the creation of jobs, walking access through the land to the Waihou River, and the protection of a heritage site. KBSR was given four years to complete the work.” KBSR undertook some minor work, however, the OIO became concerned about the company’s ability to complete the developments in time and comply with its consent conditions. Ms Horne says the OIO visited the property and worked with KBSR to try to resolve its concerns. “KBSR has made very little progress towards completing the required developments and the OIO has decided the company is in breach of its consent conditions. “The OIO has declined an application from KBSR to change its consent conditions. KBSR did not adequately address our concerns or give us confidence they would be able to complete the developments in the future. “KBSR has been ordered to dispose of the Okoroire Hot Springs Hotel.” Ms Horne says the OIO has stepped up its enforcement activity over the last few years. “The OIO will act against overseas investors that don’t follow the rules and those that don’t deliver the benefits to New Zealand that the Overseas Investment Act requires. “This case highlights the importance of overseas investors taking their obligations under the Overseas Investment Act seriously.”

A former heritage trust chairwoman has accused her fellow trustees of being “dysfunctional”, following her resignation. Former Lawrence Chinese Camp Charitable Trust chairwoman Adrienne Shaw said this week she had left the trust as she felt fellow board members lacked the “time, energy and passion” to move the heritage site’s ambitions forward. Her resignation called into question plans announced last year to develop the 150-year-old gold-rush camp into a multipurpose visitor complex, for an estimated $4.5million. Geraldine resident Ms Shaw had been instrumental in driving the plans and establishing a target date of 2025. In a July 27 email to friends and associates, she said she had resigned “due to ongoing differences in opinion and styles”. However, Ms Shaw said she felt she had been “ambushed” by other trustees during a recent annual meeting. “I’m a positive, solution-focused person and, stepping away as I now have, I can see that perhaps clashed with entrenched dysfunctional elements of the board.

A man who punched his partner repeatedly in the chest as she lay in bed is trying to have his assault conviction overturned because he wants to become a youth social worker. The 34-year-old, who has interim name suppression, was earlier convicted of assault on a person in a family relationship for the late March attack. According to the summary of facts, the couple were at their Blenheim home when, in conversation, “the defendant took offence to the views of the victim in relation to a male he had previously had an altercation with”. He became aggressive and verbally abusive towards her, and she punched him in self defence before fleeing to a neighbour’s house, asking them to call police. The neighbours came with the victim back to the house to confront the man. “The defendant commenced a physical altercation with these persons while the victim went to her bedroom and attempted to go to sleep,” the summary said. It is unclear what occurred during this physical altercation, but directly afterwards the man came into the bedroom and confronted his partner, approaching her while she lay in bed and punched her hard in the torso about eight times with a closed fist. The judge has reserved his decision.

Doctor Deane Drew had been starting sexual relationships with multiple patients over decades of practice and prescribed medications to a patient who was abusing them. The Wellington practice owner was last month struck off by the Health Practitioners Disciplinary Tribunal (HPDT), which today released its written decision. The tribunal’s decision reveals all of these patients were vulnerable through their own mental health issues. The tribunal also found a text message from the doctor to one of the patients saying “please don’t lay a complaint as it could ruin my life and that would be pretty harsh for abusing your trust and treating you badly”. HPDT chair Alison Douglass said: “There was a severe departure from accepted standards and the seriousness of the conduct warrants a disciplinary sanction.” As a result, on top of the fine and $28,966 of costs, Douglass ordered that Drew’s medical registration be cancelled and conditions be imposed that he needed to meet before he could apply for re-registration. They also recommended to the Medical Council that further conditions to be placed on his practice if the he was re-registered in the future. Drew, a former part owner of the Lambton Quay practice City Medical, had been prescribing drugs of dependence and psychotropic medications to all of the women while he was in a close personal relationship with them.

Former Mercy Hospital chief executive Sister Mary Lucia has died. She was in her 63rd year of religious profession.

The Latrobe Community Health Service Ltd and the Australian Municipal, Administrative, Clerical and Services Union and Another have a (s.576(2)(aa) – Promoting cooperative and productive workplace relations and preventing disputes) set for hearing hearing by Fair Work Commissioner Harper-Greenwell 20/24 Philip Parade Churchill 3842.