Bristol nurse forgot to give residents medication and tried to cover up errors

A nurse attempted to cover up his mistakes as he failed to give medication to patients in a care home. Akinkunmi Akintunde was placed under investigation by the home manager at Brunelcare in Bristol after a catalogue of errors were recorded by his colleagues.

Some of the incidents included Mr Akintunde forgetting to give medication to residents as well as incorrectly registering they had taken their medication. A misconduct hearing from the Nursing and Midwifery Council sought to understand the circumstances of the shortcomings and whether a suspension was appropriate.

On November 2, 2020, Mr Akintunde failed to give Senna, a laxative to treat constipation, to a resident, but his Medication Administration Record (MAR) chart indicated it had been given to the resident. On the following day, Resident B had not received their Levothyroxine medication at 7am, which should have been administered by Mr Akintunde.

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The tablet was still in the blister pack; however, the MAR chart was signed by Mr Akintunde to indicate that it was given. A colleague discovered the mistake and said it was clear Mr Akintunde had not administered the medication.

They said: ‘When I looked at the MAR chart, [Mr Akintunde] had signed to say it had been given. I phoned [Mr Akintunde] and he said he didn’t give it’.”

On November 13 2020, It was noticed that a blister pack from the previous day still contained a tablet of Memantine for Resident A and the MAR chart had not been signed. When a colleague spoke to Mr Akintunde about the missed medication, she believed he “did not appear concerned”.

Mr Akintunde noticed on November 19, 2020, that he had left the MAR chart for Resident A unsigned on November 12, 2020. He signed his initials on the MAR but realised that the medication was still in the blister pack.

Mr Akintunde marked over his initials with an ‘s’ for ‘sleep’ to signify the resident was asleep at the time and the medication was supposed to be administered. The nurse explained he did this as he was concerned about the audit.

The panel observed: “The panel further noted the Home’s internal investigation, particularly the record of the conversation dated December 1, 2020, in which Mr Akintunde admitted that he noticed the gap in Resident A’s MAR chart and added his signature and an ‘S’ as he was concerned that this gap would be picked up in an audit.

“The panel considered that a member of the public fully appraised of this information would view Mr Akintunde’s conduct as dishonest, as he was aware that he had not administered medication to a resident at the Home and attempted to cover this up later.“

These errors continued to occur when Mr Akintunde was undergoing further training and support. The panel observed he has taken “no real steps to address the concerns raised” and found his reflections “very limited and vague”.

The report added: “We consider the misconduct serious. Mr Akintunde made medication errors and despite further training and monitoring he continued to make similar errors over a period of time.

“These errors fall far below the standards expected of a registered nurse and would be found deplorable by fellow nursing professionals. Not only did Mr Akintunde fail to administer medication and fail to keep accurate records, he was also dishonest and showed a lack of integrity in an attempt to cover up his mistakes. Accordingly, his actions amount to misconduct.’

Mr Akintunde was issued a suspension order for nine months as well as an interim suspension order for 18 months. Following the suspension, this will be reviewed by the NMC.

The full hearing can be found through this link.