Territory Stories

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



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

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Tabled paper 426


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






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JVP ?2-3cm ASSESS - Frail, [words difficult to decipher] PLAN Albu1nin 500 mllhr, CXR If fails to respond, may need inotropes (in RDH) Fast please" 96. There was no mention of the drain. At that time it is likely there was more bile stained fluid in the drain. When Mrs Magriplis was admitted to ICU the Royal Darwin Hospital notes state, "D'rain- bile stained drainage 150mls (Mr Treacy aware)". Mr Treacy told me those words mean he was told. 97. Mr Treacy ordered more fluids and a chest X-ray. He seem.ed not overly concerned at that time, although thinking that her blood pressure might need to be suppor-ted by inotropes (not available in HDU). He continued with his theatre list until 5. 5 6pm. 98. When asked whether at that time he would have looked at the Fluid Balance Sheet, he said: "I've asked myself this question and that 400 was in the chart and I only identified it was there months later so I must not have looked at the chart and seen it or else it was not written in the chart at that time because I was not aware until months later that the drain bottle had been changed and that there was 400mls. So I don't know whether it was that I didn't look at the chart or whether it wasn't written there. As I have indicated, I would look at those charts." 14 Transfer to ICU 99. Dr Harbison however spoke to staff at the ICU sometime after 12.30pm. The time is not known because there is no note of the call. However after that call the ICU Registrar arrived to examine Mrs Magriplis. She was soon thereafter transferred to ICU. The timing of when that happened is not at all certain. The documents state that she was discharged from Darwin Private 14 Transcript p.l3 7

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