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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 Polley Darwin Private Hospital Polley Manual Hospital Clinical Clinical D~terioration, Recognising and Responding to Clinical Deterioration, Recognising and Responding to. 8.46 &.INCIDENT CONTROL !aDaiwin W.Y PRIVATE HOSPITAL Ref. No.: 2.06 (Prev 9.05) Issue Date: Aug 2017 Page: 6 of10 In the event of a Code Blue, the VMO (or RMO) assumes control until the RDH Code Blue team arrives in all adult and paediatric responses. DPH Code Blue attendance RDH COde Blue Team TJL each unit DON/AHC RMO -to phone VMO if not present. VMO Anaesthetist (as avaUable) PSA- to act as runner 6. TRANSFER TO RDH In circumstances where a patient undergoes an unplanned transfer to Royal Darwin Hospital due to clinical deterioratjon: The patient's NOK is to be notified as soon as possible The Director of Nursing Is to be notified by phone A riskman entry is to be completed. The NUM of the unit where incident occurred will liaise with RDH dQIIy about the patient's condition, diagnosis, treatment and "Outcome- this Is to be entered into the riskman as a journal entry. If the patient is deceased post transfer: I. Enquiries as to cause of death are to be made with the receiving hosplta" primary treating medical specialist. II. A copy of the death certificate/ report to coroner is obtained from the receiving hospital where possible. Ill. The death Is to be classified as a sentinel event and a Critical Systems Review undertaken. IV. The case is to be undertaken as a review by the hospital Morbidity and Mortality Committee. 7. RESCUSITATION TROLLEYS The resuscitation trolleys In the clinical areas have a standardised layout and equipment In alignment wHh RDH. This Is to enable all staff from any area/ site, to access the contents of the trolley rapidly given all Code Blue events are multlsite staffing. o See below for resuscitation trolley set-up _ It is essential that nil other equipment Is added to minimise clutter of non-standard, essential items. Each ward is responsible for maintaining its resuscitation troUey and equipment, including AEDs. Equipment is not to be secured with rubber bands as this can damage the sterile Integrity of the packaging. Authorised: JoSeller Authorised: Pauline Amorim Designation: General Manager Designation: Director of Nursing Signature: Signature:

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