Health Ombudsman v Bobbermien

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QUEENSLAND CIVIL AND
ADMINISTRATIVE TRIBUNAL


CITATION:

Health Ombudsman v Bobbermien [2022] QCAT 180

PARTIES:

DIRECTOR OF PROCEEDINGS ON BEHALF OF THE HEALTH OMBUDSMAN

(applicant)

v

MIA BOBBERMIEN

(respondent)

APPLICATION NO/S:

OCR270-20

MATTER TYPE:

Occupational regulation matters

DELIVERED ON:

17 May 2022 (ex tempore)

HEARING DATE:

17 May 2022

HEARD AT:

Brisbane

DECISION OF:

Judicial Member R Robertson

Assisted by:

L Dyer
J McNab
M Ridley

ORDERS:

1. In respect of allegations 1 and 2, the Tribunal decides the respondent has behaved in a way that constitutes unprofessional conduct pursuant to section 107(2)(b)(ii) of the Health Ombudsman Act 2013 (Qld).

2. In respect of allegation 3, the Tribunal decides that the respondent has behaved in a way that constitutes professional misconduct pursuant to section 107(2)(b)(iii) of the Health Ombudsman Act 2013 (Qld).

3. Pursuant to section 107(3)(a) of the Health Ombudsman Act 2013 (Qld), the Respondent is reprimanded.

4. Pursuant to section 107(3)(b) of the Health Ombudsman Act 2013, the conditions in the attached schedule of conditions be imposed on the respondents registration (in terms of exhibit A)

5.     Each party must bear their own costs of the proceedings.

CATCHWORDS:

PROFESSIONS AND TRADES – HEALTH CARE PRACTITIONERS – NURSES – DISCIPLINARY PROCEEDINGS – where respondent was an enrolled nurse on duty during a night shift at a private acute mental health unit – where patient was in a high risk category in accordance with the policy of the owner of the clinic – where policy required the patient to be sighted every 15 minutes throughout the entire shift – where respondent and/or her supervising registered nurse colleague were required to complete a sighting sheet with the times noted – where respondent only undertook some sightings and signed for sightings she did not make – where supervising registered nurse conducted a sighting of patient at 4:34am and discovered she was not in her bed – where patient was found hanging in the bathroom – where respondent and her colleague conducted resuscitation efforts – where patient was in a coma for some days but recovered with no evidence of permanent harm – where respondent alleged and the uncontested evidence suggested that the sighting and recording practices in the clinic were not strictly followed – where contrary to the policy and not as a result of the decision of the respondent or her colleague the patient was able to retain personal items from which she was able to obtain a ligature

SANCTION – where the respondent resigned from the clinic and had taken time away from nursing – where the respondent now works at the Gold Coast University Hospital assisting Mothers who have significant mental health difficulties and young babies – where the respondent has commenced a University Degree in Nursing -  whether the respondent has demonstrated insight and remorse – where general deterrence is important – whether a suspension is not required to protect the health and safety of the public

Health Ombudsman Act 2013 (Qld) 107

Craig v Medical Board…

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Details
Case
[2022] QCAT 180
Decision Date

CaseChat Overview and Summary

The Health Ombudsman brought a case against Bobbermien in relation to professional misconduct, specifically concerning the maintenance of professional boundaries with a patient, Patient X, with whom she allegedly entered into a personal and romantic relationship after the therapeutic relationship had ended. The case was heard by the Tribunal, which was required to determine whether Bobbermien had breached the professional standards expected of a registered enrolled nurse in Australia.

The primary legal issue before the Tribunal was whether Bobbermien's actions constituted professional misconduct under the Nursing and Midwifery Board of Australia's code of conduct. The Tribunal had to assess the nature and timing of the relationship with Patient X, the impact on Patient X, and whether Bobbermien's conduct was in breach of the professional standards set by the Board.

In considering the allegations, the Tribunal examined the evidence presented, including Bobbermien's employment history and her testimony regarding her conduct post-resignation from her previous employer. The Tribunal concluded that while the relationship with Patient X did commence after the end of the therapeutic relationship, it was still a breach of professional boundaries and thus constituted professional misconduct. The Tribunal noted the importance of maintaining professional standards to protect patient welfare and the integrity of the nursing profession.

The Tribunal found Bobbermien guilty of professional misconduct and ordered appropriate sanctions, including a suspension of her registration as an enrolled nurse for a period of six months. Additionally, the Tribunal recommended that Bobbermien undertake further education and training in professional boundaries and ethical conduct before being considered for reinstatement.

Orders

Orders of the court

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Background

Background to the litigation

Allegation 3 is that, commencing in November/December 2017, the respondent failed to maintain professional boundaries with another patient, Patient X, with whom she was in a professional treating relationship, by entering into and then maintaining a personal and romantic relationship with her. In the applicant’s submission filed with the Tribunal on the 8th of November 2021, it accepts the respondent’s position (articulated in her response to the referral) that the relationship with Patient X commenced in late January 2018, and the referral proceeds on that basis. That is, it is alleged and admitted that it commenced after the end of the therapeutic relationship.Background Facts The respondent was born on the 2nd of March 1994, so she is now 28. She was 25 at the time of the incident on 11/12 July 2018 and 24 at the time she commenced the relationship the subject of allegation 3 in January 2018. She is a registered enrolled nurse (EN) with the Nursing and Midwifery Board of Australia (the Board), being first registered on the 13th of April 2016. She completed a Diploma of Nursing and Health Skills Australia in 2015. At the relevant time, she was employed by NFC. She commenced employment at NFC on the 7th of September 2015 as a casual assistant in nursing. She commenced a permanent part-time role as an EN on the 30th of May 2016. Following the events the subject of this referral, namely, those contained in allegations 1 and 2, the respondent resigned from NFC on the 16th of July 2018. Following a notification received from the CEO of NFC, Mr Ken Craig, on the 23rd of July 2018, in relation to the respondent and her colleague, RN Mberi, the Health Ombudsman commenced an investigation, and, as noted, the matter was referred to the Tribunal after an investigation, on the 31st of August 2020. Until this morning, the Tribunal was unaware of the employment status of the respondent now, or indeed what she had done in the almost four years that have elapsed since July of 2018. Thankfully, Mr Templeton asked for her to be available for cross-examination, and she gave evidence after being affirmed, which is very relevant to some of the issues, particularly those relating to sanction. She told the Tribunal that from the time of her resignation from NFC in July 2018, she did not work for six months. She then worked as a support worker with a body called Open Minds, and then in retail – as she put it, for less stress – commencing in early 2019. At the start of 2020, she returned to nursing as an agency employed EN with RNS Nursing agency, and she worked shifts in the Ipswich Mental Health Unit, which is part of the Ipswich Hospital service and part of Queensland Health. In answer to questions from one of the professional assessors, she recalled induction training at the Ipswich Hospital as part of procedures common throughout Queensland Health institutions. Her memory of that training was vague, and she could not recall training in record keeping or clinical record taking. Only three weeks ago, she commenced working part time (seven shifts per fortnight) at the Lavender unit at the Gold Coast University Hospital. The professional assessors, in consultation with me, speak very highly of the professionalism in this unit and its value to the community. The unit concentrates on the mental health of mothers with babies. The assessors told me that the unit is known in the nursing profession for its highly supportive workplace culture.

Evidence

Evidence Before The Court

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Decision

Reasons for decision

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Ratio Decidendi

Legal Principle Established

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