A NURSE who failed to recognise a patient with a broken ankle was dying has been kicked out of the profession.
The man passed away at Derriford Hospital, when Victor Morgia did not notice his condition was worsening rapidly, the Nursing and Midwifery Council heard. The Filipino nurse did not raise the alarm after recording low oxygen levels in the man, who was injured when he fell from a train.
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Nurse Victor Morgia struck off after he failed dying patient in Plymouth
The nurse had already been warned for giving potentially fatal doses of the wrong drug to another patient, the hearing was told.
Panel chair Stephen Redmond said: "A registered nurse of your experience, some 19 years, should not have made the errors you made in relation to basic patient observations, drug administration and record keeping.
"Failing to act as clinically appropriate in a way which created significant potential risk to patients runs through all of these charges. To allow you to continue practising would fail to protect the public."
The injured man, known only as Patient A, was admitted to the hospital on March 5, 2009.
"He was apparently an alcoholic and suffering with withdrawal," said Craig Weston, for the NMC. "He was first treated in A&E, where observations had been taken and recorded as normal."
Morgia came on shift at 8.45pm and at 10pm recorded oxygen saturation levels and a breathing rate that should have led him to alert senior medics, the panel was told.
But Mr Weston said: "It is the NMC's case that no more observations were undertaken between 10 and the unfortunate death of Patient A. The patient was found at 6am to be cold and non-responsive. The alarm was raised and his death was recorded at 6.15am."
Morgia had already been given a formal warning after confusing a patient's painkillers in November.
Following the death of Patient A, Morgia was placed under supervision and moved to an endoscopy ward.
After a string of errors, including carrying out procedures he was not qualified to do, he was given the sack by the hospital on April 14 2010.
But when he applied for a job at a Plymouth nursing home, Morgia neglected to tell his prospective bosses of his employment history.
Despite telling the panel he had learned from his mistakes, it emerged he had also lied when applying for another job in Plymouth.
Morgia arrived from the Phillippines in 1999, and completed his retraining to work in the UK in 2000.
He was found to have failed to have prioritised Patient A's care, despite denying the charge.
The panel found that he had acted dishonestly in applying for a job at a nursing home in Plymouth and failing to tell his prospective bosses he had been dismissed by Derriford Hospital.
But he was cleared of making a number of record keeping errors in relation to drug administration.
He tried to persuade the panel at the hearing in London his diabetes and depression were responsible for his failings. But they decided this was not enough to grant the nurse a last chance.
A spokeswoman for Plymouth Hospitals NHS Trust said: "Mr Morgia did not meet the standards of nursing practice that we expect. Following an investigation he was placed on supervised practice; during this time further issues arose with his practice that led to his dismissal and referral to the Nursing and Midwifery Council.
"In respect of the patient where there was a failure to undertake observations, we met with the family of the patient concerned, explained the results of the investigation and apologised to the family. The patient's death was also the subject of a Coroner's inquest."
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