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Omoroubiye Ohiegbomwan, 0503086
The Member admitted that she engaged in professional misconduct when she failed to appropriately monitor and assess two patients in separate practice settings. Specifically, the Member failed to ensure a patient received appropriate medical treatment, including assessing the patient’s urine output and appropriately monitoring the patient’s condition. Additionally, the Member failed to maintain appropriate documentation with respect to her assessment and monitoring of the patient’s urine output and overall condition, and recorded the patient’s urine output when she had not assessed it.
Based on the Member’s admissions, the Panel found the Member:
- contravened a standard of practice of the profession or failed to meet the standards of practice of the profession;
- failed to keep records as required;
- falsified a record relating to her practice; and
- engaged in conduct, relevant to the practice of nursing, that, having regard to all the circumstances, would reasonably be regarded by members as dishonourable and unprofessional.
The College of Nurses of Ontario (“CNO”) and the Member presented the Panel with a Joint Submission on Order requesting that the Panel make an order that included the following:
- an oral reprimand;
- a 3-month suspension;
- terms, conditions and limitations, including:
- attending a minimum of 2 meetings with a Regulatory Expert;
- completing a nursing course in health assessment, with a minimum passing grade of 65%;
- employer notification for 18 months; and
- 3 random spot audits of the Member’s documentation practice over a 12-month period, involving a review of at least 5 of the Member’s charts, to ensure that the Member is meeting both CNO and employer standards.
The Panel accepted the Joint Submission on Order, concluding that the proposed penalty was reasonable and in the public interest.
Aggravating factors considered by the Panel included:
- there are two separate incidents which are similar in nature with respect to conduct and its consequences;
- the incidents show a serious disregard by the Member to monitor and assess patients;
- the incidents show a lack of engagement with the Member’s practice and professional obligations;
- the incidents show the lack of obligation to care for and monitor two vulnerable patients;
- the Member’s documentation was seriously deficient, which made it difficult for other members of the patients’ care teams to determine whether the patients’ care required escalation sooner;
- the Member’s conduct involved dishonesty and a breach of trust when she admitted to documenting an assessment that she did not perform; and
- the Member’s conduct involves two patients who died shortly after the Member’s shifts, however, there is no allegation that the Member’s actions directly caused the deaths.
Mitigating factors considered by the Panel included:
- the Member has no prior discipline history with CNO; and
- the Member has accepted responsibility for her conduct.