Whistleblower is awarded €5,000 for unfair dismissal
Care worker had revealed abuse of medication on Mount Carmel ward
A care worker who was sacked after blowing the whistle on nurses who crushed non-prescribed drugs in the tea of demanding patients at Mount Carmel’s Forensic Unit has been awarded €5,000 after winning an unfair dismissal case.
In its ruling, an industrial tribunal noted no evidence was presented during the proceedings to show that the Health Department or the company with which the care worker was employed had conducted an investigation into the reported malpractice.
The tribunal heard how Patrick Agius – whose job was to prepare coffee and tea for patients as well as distribute food – had seen nurses administering medications not prescribed by the hospital’s doctors.
Mr Agius, who knew what medication each patient was prescribed, refused to hand out drinks to patients because he knew the drugs had not been prescribed.
He reported the matter in May 2011 and was eventually sacked from his post with private healthcare provider Support Services Ltd, the firm engaged by the Health Division to provide nursing services.
Mr Agius, who was engaged with a specific agreement to work nights because he had another job in the mornings, told the tribunal he first witnessed the abuse when he saw a night-duty nurse crushing tablets to add them to a patient’s cup of tea.
During the night, there were usually two nurses on watch duty while another two rested. He realised that there were nurses who were crushing pills for patients who were particularly demanding at night.
Mr Agius reported the matter to Joe Galea, the Health Department’s night manager responsible for nursing services.
He decided to report the matter on May 6, 2011, because the nurses could have been placing patients’ life in jeopardy.
The next morning, his boss, Gaetan Bonnici, called him and told him not to report for work any longer as he was being fired.
Mr Agius asked him to put this in writing and, in a subsequent e-mail exchange, Mr Bonnici informed him he was being transferred to another ward, which did not need people working at night, and would be working mornings.
Mr Bonnici told the tribunal that between October 2009, when Mr Agius started working for the company, and April 2011, various nurses had complained about the care worker’s attitude.
He said he had called Mr Agius for a meeting after receiving a declaration, signed by a number of nurses, who complained that he often interfered with their job and failed to obey their orders.
He offered to transfer him to Mater Dei Hospital and then to another ward but Mr Agius refused and asked for four days’ leave. He approved the first day but not the rest.
However, Mr Agius still did not go to work on those days so he called to inform him that the company considered him to have abandoned his job.
Nevertheless, in his judgment, Anthony Degiovanni, who presided over the tribunal, said it had resulted that the company had not received any report on Mr Agius.
It only acted after he and another nurse, Mary Ann Bugeja, submitted an incident report in which they blew the whistle on what was happening at the hospital’s Forensic Unit.
“There is no evidence to show that the company (Support Services Limited) investigated the allegations (made by Mr Agius and Ms Bugeja) on administering pills which had not been prescribed,” the tribunal said.
It ruled that Support Services Ltd had illegally sacked Mr Agius and ordered the company to pay him €5,000 by way of compensation.
19 Comments
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Rita Dimech Portelli
Jan 17th, 14:30
JeremJ Camiller; I HAVE read the whole article. The article said that two nurses were there while another two were resting. So, was the nurse, Ms Bugeja, one of the two who were distributing medications or was she one of the two who were resting? If she was distributing medications, she is at fault then. AND I ask again, how did he know what medications are given to patients?
Rita Dimech Portelli
Jan 17th, 14:36
Jeremy J Camilleri. I am not in any way putting down Mr Agius, or that he is in any way lying,but the nurse should have put this complaint, not the careworker. It is a nurse's job to give medications, and in NO WAY does a careworker have anything to do with it. Knowing what responsiblities a nurse and a careworker have helps sometimes, too, to give a clearer picture, Mr Jeremy J Camilleri.
Jeremy J Camilleri
Jan 17th, 17:06
Your question with regards Nurse Bugeja, may seh rest in peace, once again shows that you did not read the article. Ms Bugeja, a qualified nurse was, with Patricl, a whistleblower, so it is obvious that she was not one of those distributing the medicine.
Jeremy J Camilleri
Jan 17th, 17:07
WIth regards how he knew what medications are given to patients, the answer is simply because he is no fool. Even care workers get to know their patients when they do a good job. Any fool also knows that medication is administered in a normal manner, at certain times, and without crushing it into a cup of tea
Mr Andrew Camilleri
Jan 17th, 18:04
Rita, whoever sees wrongdoing should speak up immediately- whether he or she is a nurse or a caretaker.
John Grima
Jan 17th, 13:00
What is also surprising is that the night shift nurses seem to have a cosy arrangement whereby two nurses look after the patients and another two 'have a rest' (presumably having a bit of a sleep). This leads me to understand that if two nurses are enough to cover the needs during the night then why is the hospital paying for twice the cover needed. This seems to be a case of overmanning.
Joseph Bartolo
Jan 17th, 11:57
I really don't see the problem here.
Nurses today are perfectly capable of prescribing medicines for patients. Doctors are becoming more and more redundant with time.
In fact as you can clearly see, even the doctors seem to have accepted this practise as not even one doctor (or the Doctor's Union) wrote in to complain about these incidents.
Peter Murray
Jan 17th, 13:26
So do away with doctors then and just have nurses-is that what you are suggesting?.You really need eye-glasses if you cant see the problem here and being blind is one thing but not having any vision is inexcusable.
Joseph Bartolo
Jan 17th, 15:21
Not only that, my dear fellow. I can forsee a future when, with increasing technology (robotics to do the cleaning, carrying, washing of patients etc) and ongoing education of nurses, the time will come when the useless and demeaning hierarchy will disappear and the role of nurse and doctor will combine into a "docnur". Above this there will only be the positiion of specialist. Just wait and see!
P Agius
Jan 18th, 14:27
According to The MAM doctors' union on Tuesday, September 18, 2012, 07:33
The MAM said that, according to law, any administration of a drug must always be preceded by clinical diagnosis by a medical practitioner. This law is there to protect the patient from harm caused by inappropriate therapy. The Medicines Act actually completely prohibits the dispensing of medicine whitout medical prescription
Jeremy J Camilleri
Jan 17th, 11:09
Prosit Patrick and well done to the GWU legal team who represented Mr Agius throughout the whole of the tribunal and who were never even mentioned in this article.
Peter Murray
Jan 17th, 13:28
Do you consider he has received all due compensation in this instance.Why didn't the GWU insist on a full investgation by the Minister of Health?
Jeremy J Camilleri
Jan 17th, 17:03
Peter Murray, because a Union's job is to assist the worker, and we have done so in this case. There are various other bodies within the MInistry of Health that have other responsibilities.
Perhaps your question should be addressed towards the Ministry of Health.
james zammit
Jan 17th, 11:00
Nurse,ghalkemm mhux tabib, ikun jaf ezattament dwar certi pilloli ghax jidra biz-zmien u dan billi care worker ma jfissirx li ma jkunx jaf x'inhu ghaddej. Il-kurzitA TIEGHI HI X'PASSI ittiehdu kontra min abbuza ghax dan hu abbuz u jekk dan tawhx il-job lura ghax il-gustizzja trid tidher.
Doris Sarlo
Jan 17th, 10:31
What is very worrying is, it seems no investigation has been done!
Are the police or any authority looking into this very serious allegation? Are patients' health being put at risk here?
Some very important answers are required!
Rita Dimech Portelli
Jan 17th, 09:39
If Mr Agius is a careworker, how did he know of what medicine EACH patient was on? Is not his job to distribute food and tea? Careworkers have nothing to do with medications, so more information is needed on this.
eddie vella
Jan 17th, 10:40
Can You explain why medications should be administered with tea during the night without the patients knowing it?
Jeremy J Camilleri
Jan 17th, 12:17
Rita DImech Portelli A nurse and a care worker filed the report. The nurse unfortuately passed away before the case was settled.
Believe it or not, reading the whole article before commenting helps sometimes!!!!!!!!!
Joe Grech
Jan 16th, 20:49
What now?
Please choose the reason of your report below: