Territory Stories

Coroners Act Response to the Coronial Findings in the matter of Ms Irene Magriplis dated 21 September 2017

Details:

Title

Coroners Act Response to the Coronial Findings in the matter of Ms Irene Magriplis dated 21 September 2017

Other title

Tabled paper 426

Collection

Tabled papers for 13th Assembly 2016 - 2020; Tabled papers; ParliamentNT

Date

2017-10-11

Description

Deemed

Notes

Made available by the Legislative Assembly of the Northern Territory under Standing Order 240. Where copyright subsists with a third party it remains with the original owner and permission may be required to reuse the material.

Language

English

Subject

Tabled papers

File type

application/pdf

Use

Copyright

Copyright owner

See publication

License

https://www.legislation.gov.au/Details/C2019C00042

Parent handle

https://hdl.handle.net/10070/272337

Citation address

https://hdl.handle.net/10070/428565

Page content

and got absorbed back into the ward and run through the ward's manager. Q. Why didn't people want to work there? A. We just- most of us didn't feel safe in a three bed room by yourself. People forget you're there and sometimes when you do need help, it sometilnes gets hard to get help." 9 68. The College of Intensive Care Medicine of Australia and New Zealand Guidelines recommend that a nurse in charge of the HDU have post registration qualification in intensive care. None of the three nurses on the three shifts while Mrs Magriplis was in the HDU had such qualification. 69. Dr Seiler signed a second statutory declaration on 7 March 2017 (the second day of the inquest) after hearins the evidence of the nurses. In that declaration she said that nurses allocated to HDU required advanced clinical skills and that Darwin Private Hospital had competency based packages available to teach and assess the skills of the nurses. However no packages, completed by the nurses, were attached. The one nurse that was able to be asked about that package (because she was recalled) told me that she had seen it around but didn't believe she had ever completed it or signed it. 70. The staffing of HDU also seemed at odds with paragraph 11 of the Darwin Private Hospital High Dependency Unit Procedure Manual which states: "The unit will be staffed by two HDU trained Registered Nurses and the DPH RMO at all tilnes. The nursing staff will work on a ratio of 1:2 and this will be influenced by patient acuity". 71. The evidence was that there was only one nurse for three patients and the RMO was only available if called. 72. Within Table 2 on page 10 of the High Dependency Unit Procedure Manual are the "Core Nursing Skills Required in the HDU". One of the required skills is "Management of fluid balance". It requires: 9 Transcript pp.38 & 39 I t


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