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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is 70ml. Before that was lOml at 9.00pm, 20ml at 8.00pm, 80ml at 7.00pm and 11 Oml at 6.00pm. There are other figures before that and they may or may not relate to the drain. 139. It is not possible that Mr Treacy saw those notations and continued to hold the view that the 70ml he saw in the drain was the total amount since the operation. 140. That leads to the likelihood that Mr Treacy did not view the Fluid Balance Sheet when he saw Mrs Magriplis on the morning after the operation. He must have assumed that what he saw in the drain was the total since the operation. On a favourable interpretation, perhaps he felt entitled to make that assumption because he hadn't received a call about changing the drain. 141. Having said that, the weight of the evidence is that the nu~se did seek permission from. Mr Treacy to change the drain. The nurses on the night and day shifts were adamant that a drain would not be changed at the Darwin Private Hospital without seeking the permission of the surgeon. The nurse on the day shift conceded that she couldn't recall making the call almost two years after the event but insisted she would have done so. I accept her as a frank and honest witness. 142. In circumstances where Mrs Magriplis was clearly in shock and Mr Treacy was directing more fluids be given one might think failing to look at the Fluid Balance Sheet less than ideal. 143. The failure to look at the Fluid Balance Sheet clearly continued even when writing the statutory declaration for the coronia! investigator on 12 October 2015 and the letter from his lawyer on 20 April 2016. 144. He also cannot have looked at the nursing notes on those occasions because at 1.1 Opm on 28 May 2015 the nurse wrote in the notes these words: "Reardon drain changed as bottle was full & had de-vacced."

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