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Health and Community Services Complaints Commission Report on Investigation of Royal Darwin Hospital Security Arrangements for the protection of Children and Infants Paediatric Ward 5B Volume 1



Health and Community Services Complaints Commission Report on Investigation of Royal Darwin Hospital Security Arrangements for the protection of Children and Infants Paediatric Ward 5B Volume 1

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Tabled papers for 11th Assembly 2008 - 2012; Tabled papers; ParliamentNT




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25. O. There are fixed duress alarms in rooms 1 and 9 there is also a fixed duress alarm at the nursing station. (In the event of an incident, the alarm is activated alerting security that their attendance is required); P. In an emergency staff are to press *** for assistance. When asked what the phone number for security is the CNC said 2819012 I think. The CNC believed that the security number could be found in a phone list at the nursing station; Q. Boarders (persons authorised to sleep on a cot in their childs room) are supplied with a yellow wrist band to identify them to staff in the ward; R. There are only two reasons that the CNC is aware of for an infant to be removed from room 1 and placed elsewhere. These two reasons are, if room 1 which is the infants room is full, or the infant is infectious then the patient will be removed to a two bedroom room; S. Children sharing rooms should only be of the same sex. The CNC could not suggest a reason why a 5 month old female was placed in a room with an 8 year old boy when the incident occurred on 30th March 2006; T. During the night, head counts of the patients beds are conducted every two hours. However these checks are not recorded. Every 4 hours an entry ought to be made in the patients chart; U. During the day, staff know where the children are. As an example the CNC stated that if a child is in the school area then a magnetic coloured sticker is placed on the board in the childs room. The CNC reports that checks are not conducted to confirm that the child is in the school area. The stickers ought to be removed when the child is returned to the room; V. Asked what the longest period a child has gone missing from the ward, the CNC advised that once a child was missing for about half an hour. The CNC said that once they notice a child is missing then they would mount a search. This search included asking staff where they last saw the child, a search of the whole ward and outside the public entrance. Notification would then be made to the hospital based Constable, the Nursing Resource Coordinator (NRC) and security if the child could not be found; W. If there is a breach of security incident the matter would be entered into an AIMS form, the CNC would sign this form after reading it and it would be onforwarded. The CNC was not aware at the time of inspection of any other security incident form utilised. If the incident is after hours then the matter would be written up and the Team Leader, Medical Officer, Chief Nursing Manager (CNM), Director of Nursing and Consultant would be informed; X. Staff used to have ward monthly meetings to discuss policies, however this fell in a hole as we are too busy; Y. After the 2006 incident discussions about security were undertaken. One of the recommendations was to install CCTV outside each of the patient rooms. She said that as a result of budget restrictions this has not occurred; Z. She is aware that other hospitals of the same size were approached after the incident on the 30th March 2006 and their security procedures apparently sourced, she doesnt know who has these documents; Prior to the CNC being called away to conduct other duties the DI requested copies of the Paediatric Practice Committee monthly minutes; copies of minutes related to discussions about paediatric security; a copy of the ward orientation package and any other minutes relating to meetings or discussions surrounding the security of 12 Subsequent enquiries revealed that this was not the number for RDH Security. RDH Security Office phone number is 28140.

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