A Bucks nurse faces being struck off after giving CPR to a care home resident who had a Do Not Attempt Resuscitation (DNAR) agreement in place.

Adeniyi Adisa Adesanya administered CPR to a resident at Woodland Manor Nursing Home in Chalfont St Peter, a Nursing and Midwifery Council (NMC) hearing found this month.

Mr Adesanya is said to have told the panel he did not know a DNAR order was in place, and is also said to have lied to colleagues about performing chest compressions when the resident – named as Resident A in the hearing document – stopped breathing.

He did not update the care plan for the resident to confirm CPR had been administered, the panel heard.

It comes after the resident, who was “very unwell” according to the hearing document, stopped breathing overnight on November 16-17, 2018.

She had been seen by her GP the day before, who diagnosed a chest infection and had also prescribed end-of-life medications.

The emergency buzzer went off in her room and she was found to have stopped breathing.

The hearing document said: “It is accepted that you had known Resident A for around a year and ought to have been aware that a DNAR arrangement was in place.

“Resident A had a cardiac arrest and it is alleged you performed CPR in direct contravention of the DNAR document.”

Mr Adesanya, who usually worked the night shift at the care home, is also said to have failed to update the care plan for the resident “as [he] was seeking to conceal the fact that CPR had been conducted in contravention of the DNAR document”.

And, when he was asked by his manager at the time if he had performed CPR, he said he had not – despite “giving her the impression” in a previous phone call that he had.

According to the hearing document, in a transcript produced by South Central Ambulance Service, Mr Adesanya can be heard saying: “We’re just giving her chest compressions anyway”.

The document also said Mr Adesanya believed he had been “stitched up” by the home, adding: “However the transcript of the emergency 999 call was independent evidence, and you were unable to satisfactorily explain why you informed the operator that CPR had already been started.”

Mr Adesanya had previously told the panel he was the only registered nurse working the night shift on the evening the incident took place.

And, despite him denying he know a DNAR agreement was in place, a colleague, said in their evidence that the resident “frequently spoke about the fact that she did not want to be resuscitated”, with the panel saying he should have known about the DNAR from updating the resident’s care plan and assessing her files.

The NMC said that Mr Adesanya’s actions “risked causing emotional and psychological harm to Resident A” and that his “dishonesty was serious, and he has demonstrated a lack of insight”.

It was also said he “showed no remorse” and, while he had an “unblemished nursing career” of more than 15 years and the misconduct arose from a single incident, the hearing found his actions “did fall significantly short of the standards expected of a registered nurse”.

The report said: “The panel was of the view however, that although Mr Adesanya’s misconduct arose from a single incident, he has maintained his dishonesty throughout the proceedings, shown no remorse and has not demonstrated any insight into his conduct.

“Considering all of the above, the panel viewed this to be evidence of a harmful, deep-seated personality or attitudinal problem. The panel also considered that although the misconduct has not been repeated, Mr Adesanya’s deception has been longstanding.

“The panel was of the view that in the absence of any insight there was a significant risk of Mr Adesanya repeating his behaviour.”

The panel imposed a striking-off order. As Mr Adesanya was not present at the hearing on July 1, he will be informed of the order in writing and will have 28 days to appeal the decision.

The panel also imposed an interim suspension order of 18 months as the striking-off order does not come into force until after the 28-day appeal period.