Wettlaufer Public Inquiry Day 2
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In incident report, resident was asked to demonstrate how she was hit. Resident closed her fist and punched Van Quaetham in the front of her shoulder, where she'd previously had surgery.by Kate Dubinski via twitter 6/6/2018 3:50:36 PM -
But the administrator didn't believe it had happened the way the resident reported it. "We knew this resident well and we knew she was lying," Van Quaethem testifies. The resident had a history of lying.by Kate Dubinski via twitter 6/6/2018 3:53:15 PM
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Later, the resident came to Van Quaethem with Wettlaufer and recanted her story, said she'd lied about Wettlaufer hitting her. Felt it was being handled well internally. In hindsight, it would have been best to report it to the ministry and let them do the investigation.by Kate Dubinski via twitter 6/6/2018 3:54:25 PM
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But, the resident actually called the ministry of health herself on Jan. 23, 2012 to report that she'd been slapped, documents show.by Kate Dubinski via twitter 6/6/2018 3:55:52 PM
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Another incident, same resident, on Feb. 8, 2012. Critical incident report submitted the same day to the ministry. Resident says she was sleeping in her bed, Wettlaufer came into her room and hit her on her shoulder to wake her to do up her blood sugar.by Kate Dubinski via twitter 6/6/2018 3:59:13 PM
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Police were called and notified of the incident, so were family members of the resident.by Kate Dubinski via twitter 6/6/2018 4:00:03 PM
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The resident wasn't happy in long-term care, Van Quaethem says, she lied often. Later that year she was moved into the community.by Kate Dubinski via twitter 6/6/2018 4:10:15 PM
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While this was going on with the resident, there were other issues as well. In a disciplinary action form on Jan 16, 2012, she is given a poor performance warning, not meeting residents in a timely manner, not following policy after a fall.by Kate Dubinski via twitter 6/6/2018 4:13:19 PM
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PSW wrote to admin about 3 incidents in which: Wettlaufer ignored a patient's laboured breathing for three days, during which he suffered; waited until her break was over to give pain medication; waited 3 hours before giving Ativan to a patient who was requesting it.by Kate Dubinski via twitter 6/6/2018 4:21:37 PM
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PSW wrote: "I am not a rat or a troublemaker, but have known that by not telling anyone, I was only hurting the residents. I believe that by telling you, it will be properly dealt with and I feel in my heart I have done the correct thing by bringing this to your attention." 1/2by Kate Dubinski via twitter 6/6/2018 4:22:54 PM
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2/2 There were no formal critical incident reports filed because of those three incidents flagged by the PSW, Van Quaethem admits. Wettlaufer was given a warning.by Kate Dubinski via twitter 6/6/2018 4:23:42 PM
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Another PSW wrote a letter to management about a resident who fell from bed, lying in a pool of blood and Wettlaufer's treatment of that resident and his/her wounds; and another resident whose wound Wettlaufer forgot to treat because she was busy.by Kate Dubinski via twitter 6/6/2018 4:31:55 PM
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The incident with the resident who fell out of bed merited a critical incident report because the patient was transferred to hospital because of the fall. Wettlaufer's treatment (puncturing a hemotoma that then bled profusely) of the patient is not detailed in the report.by Kate Dubinski via twitter 6/6/2018 4:38:58 PM
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Wettlaufer was told she must come in on time, follow up on doctor's orders, take her breaks 1/2 hour or two 15-minute breaks, not all at once. It's not acceptable for residents to wait for meds, care, Wettlaufer was told, according to notes.by Kate Dubinski via twitter 6/6/2018 4:48:15 PM
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Wettlaufer got a written warning on Jan. 16 about the two incidents. Why not more discipline, lawyer asks. Because it could have been fought by the union, and if they won they would have had to pay out her suspension out of the nursing budget.by Kate Dubinski via twitter 6/6/2018 4:51:15 PM
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Back in court, but just before the break another startling revelation: former Caressant Care admin testified it was cheaper to warm Wettlaufer than suspend her. Bcuz union would grieve it and the money that cost would come out funds used to care for patients.
#WettlauferInquiryby john lancaster via twitter 6/6/2018 5:52:43 PM -
We're back from lunch. Van Quaethem is still on the stand being examined by commission senior council Liz Hewitt. Van Quaethem was an administrator at Caressant Care Home in Woodstock where Wettlaufer killed 7 people.by Kate Dubinski via twitter 6/6/2018 5:53:40 PM
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In 2012, Wettlaufer told Van Quaethem was OCD and bipolar and that she was changing meds. It's part of notes from a meeting with administrators. The administrator doesn't remember the issue being raised again.by Kate Dubinski via twitter 6/6/2018 5:59:27 PM
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"I explained to Bethe that she brought her health issues to us and that we are obligated to ensure the safety of the residents," Van Quaethem wrote in a disciplinary note in August 2012, after she failed to properly assess a patient. After that, Wettlaufer killed 3 more people.by Kate Dubinski via twitter 6/6/2018 6:03:06 PM
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In 2012 Carressant Care told Wettlaufer it may report her to province's licensing body for a "fitness to practice" hearing. They never did. Insread Wettlaufer kept working and went on to kill 3 more elderly patients.by john lancaster via twitter 6/6/2018 6:06:23 PM
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Another letter from a PSW raising concerns about how Wettlaufer is talking to residents. She asked a resident if she or she needed a psychiatric evaluation, seemingly making fun of the resident. Also a letter from an RPN (registered practical nurse)by Kate Dubinski via twitter 6/6/2018 6:07:15 PM
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A letter from an RPN chronicles Wettlaufer's "dilly dallying," socializing with residents, even though staff don't have time to socialize because they're so short staffed.by Kate Dubinski via twitter 6/6/2018 6:11:10 PM
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Other RPNs and PSWs said they wanted Wettlaufer to be written up, but then asked "what's the point? She's still here. Nothing ever happens," the RPN wrote in her letter to management.by Kate Dubinski via twitter 6/6/2018 6:12:18 PM
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From a critical incident report: A resident says he doesn't want Wettlaufer to administer his meds, he didn't trust her. If she comes near me again "I'll kick her and punch her in the teeth and kick her until her guts are on the floor," the resident reportedly said.by Kate Dubinski via twitter 6/6/2018 6:16:04 PM
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The interaction between the resident and Wettlaufer was reported as resident-to-staff abuse to the ministry.by Kate Dubinski via twitter 6/6/2018 6:17:22 PM
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By November 2013, Wettlaufer had a written warning, a one-day suspension and a five-day suspension for medication errors. She'd already killed seven people at that point.by Kate Dubinski via twitter 6/6/2018 6:38:24 PM
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"There were a lot of issues at that time (2013) with Elizabeth (Wettlaufer). It was leading to termination. She was getting a lot of disciplines. We wanted to make sure she had every opportunity to change, to improve," Van Quaethem testifies.by Kate Dubinski via twitter 6/6/2018 6:40:29 PM
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"Dear Bethe. This letter is to inform you that you are not working to the best of your ability..." starts a letter to Wettlaufer. "Your work performance is not adequate. You are not doing assessments, processing and following up on doctor's orders, or other work." 1/2by Kate Dubinski via twitter 6/6/2018 6:43:21 PM
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2/2 "Bethe, you are a good nurse and a valuable member of the nursing department. We hope that you take this counselling seriously. Your file indicates that you are up to a five day suspension. We do not want to proceed to further discipline..." letter states.by Kate Dubinski via twitter 6/6/2018 6:44:41 PM
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Why would you tell her she's a good nurse after all the problems you've had with her, lawyer asks. We wanted to give her a chance to improve, administrator Van Quaethem says.by Kate Dubinski via twitter 6/6/2018 6:45:29 PM
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There were an astounding number of errors being committed by Wettlaufer - she was rude. She was a bully. She waved her butt in the face of a resident. She made errors in treatment. Still, they wanted to give her more chances.by Kate Dubinski via twitter 6/6/2018 6:46:29 PM
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The Ontario Nurses Association grieves the suspension, but Wettlaufer asks the grievance to be removed. It is removed.by Kate Dubinski via twitter 6/6/2018 6:48:57 PM
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In December 2013, she put eye drops in a resident's eyes incorrectly. Wettlaufer is told by Caressant Care management to shape up, they don't want to go head office, don't want to fire her right before Christmas.by Kate Dubinski via twitter 6/6/2018 6:50:27 PM
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Wettlaufer gives another resident the wrong medication, gets a five day suspension, in January/February 2014. Wettlaufer is told to "Please reflect on your actions."by Kate Dubinski via twitter 6/6/2018 6:57:21 PM
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Again, commission lawyer asks, why, again, wasn't she terminated?
"You'll have to ask head office about that," Van Quaethem answers.by Kate Dubinski via twitter 6/6/2018 6:58:02 PM -
Again, the Ontario College of Nurses grieves the suspension. It was still being grieved when she was suspended.by Kate Dubinski via twitter 6/6/2018 6:58:53 PM
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CORRECTION: Again, the Ontario College of Nurses grieves the suspension. It was still being grieved when she was TERMINATED. twitter.com/KateDubinski/s…by Kate Dubinski via twitter 6/6/2018 6:59:36 PM
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Afternoon break, and then we'll hear about the circumstances surrounding Wettlaufer's termination. Back at 1:15.by Kate Dubinski via twitter 6/6/2018 7:00:03 PM