In medical practice, the duty of candour requires healthcare professionals to be transparent about errors and adverse events, prioritizing patient safety over personal reputation or relationships; this ethical obligation creates significant tension when doctors must choose between protecting colleagues or family members versus fulfilling their professional responsibility to report mistakes.
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Doctor Covers Up A Near-Fatal Mistake! | CasualtyAñadido:
[Dylan] Where's Dr Nash?
I don't know. I haven't seen her today.
Can someone find her then, please?
- Have you seen Stevie? - She's on her way back from theatre.
OK, thanks!
Stevie… - OK, what's up?
- Need you in resus, please.
Sure.
Tension pneumothorax.
OK, get set up for a thoracostomy.
Can we have the antiseptic solution as quickly as possible, please?
We need to decompress her.
OK, Matty, when you're gowned up, can you make the incision, please?
Stevie, you make the incision.
No, no. It's fine. He needs to practise.
[Rida] Sats are dropping, guys.
Yeah. Come on, Stevie. Grab the scalpel.
Make the incision, please. Let's go.
Come on, she's hypoxic. Heart rate's climbing all the time. Let's go.
You don't trust him?
I discovered him nearly overdosing a paediatric patient with morphine.
What? When?
A few weeks ago.
OK, um… If you haven't reported it, you know you have to.
Duty of candour.
No, you know how it works. In this job, reputation is so important.
If they find out about this and, you know, the other patient that he paralysed…..he'd never work again.
Yeah, but in this job, patients come first.
Because they have to.
So if you don't tell someone, I will.
Yeah, look, Matty. I… I know, by the way.
You know what?
I know you overdosed a patient with morphine. Dylan told me.
Um… Yeah, that was your patient.
I was covering for you.
- OK! - Mm-hmm. Abigail Clarkson.
The girl who was injured in the explosion.
Yes, I remember.
Mm-hmm. Yeah, well…..she was given morphine at the scene, as outlined in the handover, and you gave her another dose on top of that.
Dylan caught me giving her naloxone to try and reverse it.
Just a heads up.
I'm going to admit that it was me, that I'm the one who overdosed Abigail Clarkson.
Why?
Dylan hasn't said a word.
Why would you do this? We'll all get it in the neck.
Because it's the right thing to do, Matty, OK?
I can't work, I can't live with this hanging over me.
So that's why.
If you submit that Datix, then everyone's going to find out about us.
And I thought you didn't want that.
I just… Why do this to yourself?
Carry on.
Hey, Stevie, have you got a second?
Can I chat to you?
Come in, take a seat.
Yeah, look, I can explain, with the… No, I've been asked to do the…..the keynote address at the Alderwood Institute, so… I just wanted to talk to you about the rotas.
Dylan's going to need a bit of time off.
OK. Well, that's great.
Well done. Congratulations.
So what was it you needed to explain?
Yeah. Yeah, I'm sorry. I should have spotted the chemical-exposure link with the patient before I brought them to resus.
Stevie, come on. Don't worry about it. It's fine. We isolated it.
It's not a problem.
I couldn't do it.
I didn't do it. I didn't report him.
- OK. It's OK. - I just feel dreadful having to ask this of you.
But please don't tell anyone.
Stevie, transferring Jayden Griffith to ITU.
- OK. Yeah, yeah, I'll be right there. - Cool.
If not for me, then please do it for him.
Because, you know, it's ironic.
Just as I'm about to give this keynote speech, I did not think that trying to be a good father would jeopardise being a good doctor.
Look, Dylan, you have done more than enough. You're willing to risk… So what am I doing wrong? He's barely spoken to me for two weeks.
Nothing. You've done nothing wrong. Of course not.
And I know it's different for you, but has he said anything?
No.
No.
Matty?
Matty? Matty, Matty!
We need to talk.
OK, why did you tell Stevie I nearly killed a kid?
Well, I mean, I had to satisfy myself you weren't going to make the same near-fatal mistake twice.
I didn't report you.
I had to satisfy my conscience that you were capable.
Ah, so you're part of the cover-up, right?
If you weren't my dad, would you have reported me?
Yeah.
My dad, the one who brought me up, the one who paid for me to go to medical school…..he believes in me.
He believes I can be a doctor.
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