This is Leicestershire --
A nurse broke down in tears as she admitted failing to keep proper records or notifying senior staff about her concerns for a boy admitted to a children's unit.
Isabelle Amaro was giving evidence on the fourth day of an inquest into the death of six-year-old Jack Adcock at Leicester Royal Infirmary on February 18, 2011.
Ms Amaro, an agency nurse with 20 years experience, told Leicester coroner Catherine Mason she "did not know" why she failed to meet Jack's needs.
The inquest, at Leicester Town Hall, heard Jack was admitted to the children's admissions unit at the infirmary after being referred by his GP.
Sister Theresa Taylor said when she saw the youngster, who was suffering from diarrhoea and vomiting and had cold hands and feet, she referred him to the unit's registrar, Dr Hadiza Bawa-Garba.
She said: "His mum was very concerned about him. I didn't like the look of him and I took him into an observation bay.
"He had cold hands and feet, he was listless, there was no life in him, he wasn't right. The registrar came straight away."
Dr Bawa-Garba gave instructions to monitor Jack's oxygen level and make sure it did not fall below 92 per cent saturation, she said.
The inquest heard Jack was left in the care of his named nurse, Ms Amaro, who qualified in Portugal and became a registered nurse in Britain in 2009.
Ms Amaro told Mrs Mason she did not properly fill in paperwork relating to Jack's observations and did not do enough to raise concerns with senior staff about his health.
Mrs Mason asked Ms Amaro: "I want to know why a poorly boy, who by your admission you felt was too ill to be on your ward and you had concerns for, why you didn't tell anybody?"
Wiping away a tear, Ms Amaro mouthed: "I don't know."
She said she believed she mentioned to other staff that Jack would benefit from being in intensive care and with non-invasive ventilation but was met with little response.
Asked what her responsibility to Jack was, she said: "To take care of him. To raise all my concerns. I should have escalated my concerns in a way that I would have been heard.
"I've learned from this. I've learned a lot from this."
The coroner asked Ms Amara, who repeatedly wiped away tears: "Did you meet Jack's needs that day?"
"No," she replied.
Asked why she did not carry out routine tasks including taking his blood pressure, filling out his fluid balance sheets and taking a blood glucose measurement, Ms Amara said: "I don't know."
The youngster, of Glen Parva, had Down's syndrome and other health problems. He died from pneumonia.
The inquest continues. Reported by This is 3 days ago.
A nurse broke down in tears as she admitted failing to keep proper records or notifying senior staff about her concerns for a boy admitted to a children's unit.
Isabelle Amaro was giving evidence on the fourth day of an inquest into the death of six-year-old Jack Adcock at Leicester Royal Infirmary on February 18, 2011.
Ms Amaro, an agency nurse with 20 years experience, told Leicester coroner Catherine Mason she "did not know" why she failed to meet Jack's needs.
The inquest, at Leicester Town Hall, heard Jack was admitted to the children's admissions unit at the infirmary after being referred by his GP.
Sister Theresa Taylor said when she saw the youngster, who was suffering from diarrhoea and vomiting and had cold hands and feet, she referred him to the unit's registrar, Dr Hadiza Bawa-Garba.
She said: "His mum was very concerned about him. I didn't like the look of him and I took him into an observation bay.
"He had cold hands and feet, he was listless, there was no life in him, he wasn't right. The registrar came straight away."
Dr Bawa-Garba gave instructions to monitor Jack's oxygen level and make sure it did not fall below 92 per cent saturation, she said.
The inquest heard Jack was left in the care of his named nurse, Ms Amaro, who qualified in Portugal and became a registered nurse in Britain in 2009.
Ms Amaro told Mrs Mason she did not properly fill in paperwork relating to Jack's observations and did not do enough to raise concerns with senior staff about his health.
Mrs Mason asked Ms Amaro: "I want to know why a poorly boy, who by your admission you felt was too ill to be on your ward and you had concerns for, why you didn't tell anybody?"
Wiping away a tear, Ms Amaro mouthed: "I don't know."
She said she believed she mentioned to other staff that Jack would benefit from being in intensive care and with non-invasive ventilation but was met with little response.
Asked what her responsibility to Jack was, she said: "To take care of him. To raise all my concerns. I should have escalated my concerns in a way that I would have been heard.
"I've learned from this. I've learned a lot from this."
The coroner asked Ms Amara, who repeatedly wiped away tears: "Did you meet Jack's needs that day?"
"No," she replied.
Asked why she did not carry out routine tasks including taking his blood pressure, filling out his fluid balance sheets and taking a blood glucose measurement, Ms Amara said: "I don't know."
The youngster, of Glen Parva, had Down's syndrome and other health problems. He died from pneumonia.
The inquest continues. Reported by This is 3 days ago.