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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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Manual: Section: Title: HS Policy PURPOSE Darwi~ Private Hospital Policy Manual Hospital Clinical Clinical Deterioration, Recognising and Responding to Clinical Deterlontlon, Recognising and Responding to. 8.45 A 1 J ,-=-- -[/'"') ;- ,< :-, I ~ l.f t '-..1 .<ADa1~win WY PRIVATE HOSPITAL Ref. No.: 2.06 (Prev 9.05) Issue Date: Aug 2017 Page: 1 of10 The Darwin Private Hospital addendum .l!JWI! be read In conjunction wHh the Corporate Heallhscope PoUcy 8.45, Clinical Deterioration, Recognising and responding to The purpose of this policy is to provide a standardised approach to escalating clinical deterioration aligning Darwin Private Hospital with Royal Darwln Hospital. This enables prompt and effecHve escalation to minimise the occurrence of adverse events such as cardiac arrest, unplanned Intra hospital transfer to ICU and unexpected deaths. SCOPE This policy applies to all Registered Nurses. Enrolled Nurses, Resident Medical Officers (RMO) and Visiting Medical Officers (VMO) accredited to work at DaiWin Private Hospital. It refers to all adult patients In acute and non-acute settings at DPH. POUCY The Darwin Private Hospital policy on COnical Deterioration, recognising and responding to is: Care Is patient centered and appropriate to the needs and wishes of the Individual. Advanced Personal Plans and Medical Ordem for Life Sustaining Treatment will be considered prior to escalation of care. A clinical review, rapid response or code blue can be Initiated by either the patient, carer (PACE), nunJing staff, RMO or VNJO DPH's Escalation Protocol Is in effect 24 hrs a day to respond to signs of clinical deterioration. Escalation criteria apply to all patient care areas at all times. DPH have access to appropriately qualified, skilled and experienced staff to allow escalation processes to be fulfilled. Primary responsibility for the care of the patient lies wl~~ the primary Visiting Medical Officer (VMO). Minimum observations are documented in the medical record and patient care plans. Any modifications to observations for patients is to be completed by the VMO on the Observation Chart. Handover processes Includes clear communication of monitoring plans and frequency of observations and further orders as directed by VMO. Communication between VMO, RMO and Nursing cannot be via mobile text messaging D Communication to.ols approved by The Australian Commission of Safety and Quality In Health Care (ACSQHC) are used when communicating about a deterioraUng patient. For DPH the communication tool used for all patients, at each line of communication Is: ISOBAR. ' Authorised: Designation: Signature: JoSeller General Manager (". ., Authorised: Pauline Amorim Designation: Director of Nursing Signature:

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