4.1 Inter- and multidisciplinary collaboration in risk assessment procedures

Day 2

George tells the nurse:

  • His buttocks (gluteal region) were painful overnight
  • Repositioning was difficult
  • He previously mentioned tailbone (coccyx) pain (ED, stretcher, staff)
  • Staff did not react

The nurse inspects the sacral area.

Pause and reflect:

  1. How could this have been avoided?
  2. At which moments should risk assessment have occurred?
  3. Which disciplines should have been involved?
  4. Where did the system fail?