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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(1 q Ia Darwin WJ PRIVATE HOSPITAL Manual: Darwin Private Hospital Polley Manual Special Observation Unit (SOU) Ref. No.: 9.03 Section: Issue Date: Aug ao17 Title: SOU.- Referral, Admission and Discharge Process Page: 2of8 HS Polley Safety checks will be conducted at each e.hlft change I new admission and will include checking alarm paramebtrs. ALL settings outside the standard parameters must be documented by the VMO. Monitoring equipment alan;ns a.-. not to be turned off and Immediate review of the patient and monitoring eq~Jipment to occur prior to PAUSING, any alarms. Strict Fluid Balance Is to be documented with any abnormaDtles of excess, or Insufficient fluid loss to be lntmedlately reported to the VMO. Patients will be reviewed twice dally by the VMO If the patient Is being treated by multiple specialists, the primary VMO must document the order of communlcatlonfescalaUon to enable 'the RMO and Nursing staff to escalate appropriately. All patients In SOU will have a documented review by the Jacana NUMITL each shift. In the absence of the VMO, the RMO Is to be notified of any patient concerns, escalation procassas or to review treatment orders, pathology and radiology. The RMO Is to handover any abnonnalltl or concems to the VMO. The SOU Is not to be used as ward overflow, nor Is the SOU nurse to be allocated patients on thewud. All efforts are to be made to ensure privacy and dignity of the SOU patient Is upheld. NOK to be notified If an unplanned admission Into SOU occurs. Prior to transfer to the ward, a final documented assessment Is to occur Including vital signs. Patients should be admitted Into SOU for no ..-ore than 48 hours. If their condition Is not Improving the VMO MUST review and consider potential transfer to higher level care. The decision to discharge a patient from SOU lies with the VIVIO. All patients discharged home directly from SOU wiD haw an electronic discharge summary completed. DEFINITION I BACKGROUND Requirement for SOU is predominately by acuity as opposed to being for specific conditions. These patients require a higher level of obsen1atlon, treatment. monitoring. frequent interventions and/ or therapies not available or suitable for the medical or surgical ward. Typical condiUons I problems which are appropriate for SOU care and exclusion criteria are listed below. This Is not an exhaustive list and is Intended as a guide only. Ultimately the appropriateness should be determined by the VMO assessment, in discussion with the AHC and NUM. Authorised: Jo Seiler Authorised: Pauline Amorim Designation: General Manager Designation: Director of Nursing Signature: Signature:
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