A Glasgow nurse has been struck off after making a number of medication errors, including administering unprescribed medicine to a patient.
Gary McLellan has been reported to the Nursing and Midwifery Council (NMC) after a concerned colleague noticed he had given medication incorrectly – despite having received training and supervision on the same issue before.
While working at Gartnavel Royal Hospital in April 2017, it was discovered that he had given a patient an unprescribed intramuscular injection.
A year later, he failed to analyze the breath of a patient recently admitted to a unit for drug or alcohol addiction before administering him a drug used in the treatment of an alcoholic disorder which causes “acute sensitivity to alcohol.
While working at the Greenfield Park nursing home in December 2019, it was also discovered that he had made several medication failures, including failing to count controlled medication during a transfer.
McLellan administered morphine, temazepam and tramadol to patients without a second checker present, as is the procedure.
He had asked a colleague to countersign the medication administration record when he knew he was not present at the time.
It later transpired that the dose of morphine he had given to the patients was a second dose which he believed had been given two or three hours later than he had recorded it.
Get all the latest Glasgow news and headlines straight to your inbox twice a day by signing up to our free newsletter.
From breaking news to breaking news on the coronavirus crisis in Scotland, we’ve got you covered.
The morning newsletter arrives before 9 a.m. daily and the evening newsletter, hand-curated by the team, is sent between 4 and 5 p.m., giving you an overview of the most important stories we covered that day.
To register, simply enter your email address in this link here.
Following the incident, the senior director of the home conducted an internal investigation. Mr McLellan did not commit to the investigation and was fired with notice, having failed probation and showing no idea of the seriousness of the errors in administering controlled medications.
The NMC panel found her actions to be “significantly below” those expected of a registered nurse.
The failures were found not to be isolated, but to have occurred over an “extended period” and were likely to cause “serious harm”.
They agreed that Mr McLellan failed to follow the home’s administration and medication policy and controlled drug procedure, despite receiving training and supervision on the subject.
In light of the investigation, the nurse did not provide a thoughtful account to indicate that he understood the impact of his actions, that he was remorseful, or that he had remedied his dishonesty.
As he failed to acknowledge the impact of his dishonesty, it was concluded that he was at risk of repeating his failings.
He has now been removed from the register of the Council of Nurses and Midwives.