Kent community nurse suspended after bag of 'white powder' fell out of her pocket during home visit

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A registered nurse working in Kent has been suspended after a bag of 'white powder' fell out of her pocket during a home visit, a misconduct case has found. Dorota Krausiewicz was a community nurse working for Ashford Community Nursing Team at Kent Community Health NHS Foundation Trust.

She was referred to the Nursing and Midwifery Council because of incidents which happened while she worked at the trust. There were 14 'charges' which also included carrying out patient visits without supervision, filling patient records to look as though someone else was with her, and incorrectly crossing off a dose on a patient's medication record, said the report.

Apart from one allegation which was dropped, the rest were all admitted to by Krausiewicz, who the panel heard lives alone with her dog and has no relatives in this country. Krausiewicz, who qualified as a registered nurse in 2018, and was sacked from the trust in April 2021.

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She is working as a registered nurse for an agency "on an acute ward in a local hospital", said the report. The fitness to practise committee for the council happened in June this year and its findings have recently been made public.

The report said that on July 16, 2020 a bag of white powder dropped out of Krausiewicz's pocket in a patient's home. It was picked up by a care assistant from an agency, and subsequently passed to Kent Police as "it was suspected to contain drugs", said the report.

"The police did not take any action. When asked about this during a local investigation, you stated that you had taken the bag from a friend as you were concerned for their welfare and had then forgotten that it was in your pocket when you attended a patient’s house," said the report.

"Whilst an internal investigation was undertaken in connection with the above incident, you were instructed by the trust that you must be accompanied by a colleague for all patient visits, as an alternative to suspension." But on two occasions in July 2020, Krausiewicz visited a patient alone despite being told verbally and in writing that she should not carry out independent visits.

Then, she asked a colleague to falsify patient records to look as though she had attended with them. On the second occasion, she falsified the record herself to look as though her colleague had accompanied her.

She was suspended by the trust on July 31, 2020 while it investigated the further allegations, which the report states Krausiewicz also admitted in August. Then, on January 29, 2021, she went to a patient's home to administer an injection but she crossed off two doses on the patient's medicine referral.

Nurse was sacked after meeting

This meant she had changed the patient's dosage without instruction from a prescriber, and she was not a registered prescriber. The report said she was "unable to provide any explanation as to why you did not date, sign or include a reason for the amendments".

On April 13 2021, the trust held a disciplinary meeting and Krausiewicz was sacked. The panel said the nurse's actions "did fall significantly short of the standards expected of a registered nurse, and that your actions amounted to a breach of the Code", the code being the Professional standards of practice and behaviour for nurses and midwives 2015.

A spokesperson for the Kent Community Health NHS Foundation Trust told KentLive: "I can confirm Dorota Krausiewicz has not been an employee of Kent Community Health NHS Foundation Trust since April 2021."

An interim suspension order of 18 months was added, which would cover the length of any appeal period. If no appeal is made, this will be replaced by the "substantive suspension order" of six months.

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