Girl With Gastric Bypass Died ‘Screaming In Pain’ After A Nurse ‘Rammed Feeding Tube Into The Wrong Part Of Her Body’

A girl with gastric bypass died after she was left screaming in pain from a nurse ramming a feeding tube into the wrong part of her body, a tribunal heard.Nurse Carrie-Ann Nash put a tube into the abdominal cavity of ten-year-old patient Phoebe Willis rather than her stomach.Phoebe died the next day after the blunder caused a blood infection. The nurse’s ‘glaring unmindful care’ at Weston General Hospital in Somerset furnished to her death the Nursing and Midwifery Council (NMC) perceive .Nash should never have endeavor to insert the tube and did so with ‘some force’, the committee was also told.

‘It is the NMC’s case is that the way Nash did that change decision in the tube not being genuine inserted into the stomach.‘There were a number of warning signs this was the case but they were not lift up.’‘The tube was inserted into the abdominal cavity in-spite of the stomach resulting inflammation and acute infection.‘Despite this she attempted to insert the tube and this engender bleeding, this was a red flag caution.

‘She used the tube with some force, the NMC says.‘She flushed it with water and the patient screamed out in pain, another red flag.’But even after further warning signs she confirmed to a doctor she had inserted the tube successfully and fed Phoebe milk, it was said.After the feed there the tube leaked, another warning sign, but again Nash did not seek specialist help from a doctor, the hearing was told.Mr MacDonald said: ‘She should have called on senior advice to further investigate with a CT scan or surgical intervention.’

Instead Phoebe was discharged and taken home.The next morning she was rushed back to the hospital in an ambulance and it was found the tube had been inserted wrong and the tip was not on the stomach.Mr MacDonald said: ‘A significant amount of milk was found in the peritoneal cavity.‘This in turn contributed to her death that day. Nash, who was present at the hearing in Stratford, east London, today admitted to contributing to Phoebe’s death.She admitted she did not identify that the gastrostomy tube was not in the stomach and accepted this contributed to the death.The nurse also admitted to not keeping contemporaneous records or doing a risk assessment.But she denies she inappropriately tried to replace the tube or that she ‘forced’ the tube into Phoebe.Nash also denies that she did not seek ‘urgent advice’ on discovering Phoebe was in pain and bleeding.She also denies she ignored the ‘red flag’ signs: Pain on feeding, signs of distress/physiological instability, prolonged or severe pain post procedure, fresh bleeding and external leakage of gastric bypass contents.
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