It was in the middle of April that the patient suffered from respiratory problems and fever, which doctors considered to be a pneumonia to be treated with antibiotics. Visor, gloves and aprons were the protective equipment that the staff was instructed to use - not mouth guards. Evening staff should then have been worried and not wanted to go in to the patient because covid-19 could not be excluded.
After discussion with the safety representative, it was judged that oral protection was to be used after all, but then the problem was that the oral protection was not in the department but only in home health care. While waiting for the mouth guard, the person was only supervised at a distance from the door and according to the reports, the person is believed not to have received proper supervision for five hours.
When staff from the ward next to closure were able to walk in to the patient later in the evening, the person was severely breathing-affected and had to be rushed to hospital, where they died a day later.
The incident has now been reported according to both a lex Maria and lex Sarah to IVO, the Inspection for Care and Care, which states that "Since the user could not call for help himself, this can cause great suffering for the individual."