Coroners Act Response to the Coronial Findings in the matter of Ms Irene Magriplis dated 21 September 2017
Tabled paper 426
Tabled papers for 13th Assembly 2016 - 2020; Tabled papers; ParliamentNT
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Manual: Section: Title: HS Polley PACE Steps Darwin Private Hospital Polley Manual Hospital Clinical Clinical Deterioration, Recognising and Resp~ndlng to Clinical Deterioration, Recognising and Responding to. 8.46 1. Talk to the nurse or doctor. if concerns not addressed 2. Talk to the NUM Jacana, If concerns not addressed 3. Contact the DoN or After Hours Coordinator Ref. No.: 2.06 (Prev 9.05) Issue Date: Aug 2017 Page: 3of10 PRESS ASSIST Button if patient or carer believe that the medical condition has deteriorated and URGENT response is required. 2~.CLINICALREVIEW Criteria: Triggered by any observation In a yellow area You are worried about the patient but they don't fit the ctiterJa. Action~ Prfmarv Nurse: The Team Leader and NUMIAHC of the shift to be iriformed, primary nurse to state ''I need a COnical Review on (Ward) I (Bed Number]". Review the patient to ensure the following are managed appropriately o 02 requirements, o pain, o fever, o fluids, o blood loss o distress. Repeat & Record Observations within 60 mfnutes. If patient continues to deteriorate or a clinical revfew has not occurred within 30 mins or observations fall within the red area on the observation chart- Initiate Rapid Response as per criteria. If the observations fall within the purple area on the observation chart- initiate Code Blue as per criteria Clinical Review sticker to be, placed In the patient notes as a prefiX to documenting the event. Action- Team leader NUMIAHC Team Leader and NUM/ AHC to discuss with RMO in consultation with the VMO. Action- RMONMO Must respond and review the patient within 30 minutes Discuss the concerns and management with the TL, NUM or AHC in direct consultation with the VMO. a Document the following in the patient medical record at the time of review o Concerns o Treatment plan (with VMO consultation) o Outcome of treatment Authorised: JoSeller Authorised: Pauline Amorim DesJgnatlon: General Manager Designation: Director of Nursing Signature: Signature: