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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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AADarwi11 . __ __ . ., PRIVA!E ~OSP~!A~ Manual: Section: Title: HS Policy PROCEDURE Darwin Private Hospital Polley Manual Special ObServation Unit (SOU) SOU- Referral. Admission and Discharge Process 1. PLANNED SURGICAL REFERRAL PROCEDURE Ref. No.: 9.03 Issue Date: Aug 2017 Page: 3of6 At the tfme of booking the elective patient, the requirement for admission to SOU Is to be indicated by the VMO on their consent fomi or booking fonn. The admitting VMO shall maintain primary responsibDity for the patient admitted into SOU at all times, however specialist VMO's may be involved in the patients care. If the patient Is being treated by multiple specialists, the primary VMO must document the order of communication/escalation to enable RMO and Nursing staff to escalate appropriately. Thfs lnfonnation is to be entered on WebPAS and Identified on the theatre list. The anaesthetist must review the patient prior to their surgical procedure and in consultation with the VMO Identify any specific monitoring criteria, treatment plans. goals and/ or any modifications to the .. between the flags" vital signs. The Jacana NUM should be made aware of the admission via email who will then confirm the admission bookfng and ensure appropriate staffing is organised. 2. UNPLANNED REFE;RRALS In the event of an unplanned admission, please refer to DPH Polley 9.04 SOU .. unplanned transfer to. ALL PATIENTSADIVIITTED TO SOUARETOBE:REVJEWED.BYTHE VMO TWICE DAlLY 3. ADMISSION CRITERIA CARDIAC Any new haemodynamically STABLE arrhythmia eg: RAF, svr. BBB, Bradycardia. post PPM Insertion. MUd CCF (KIIIIp Class II) without shock or requiring CPAPIBIPAP Moderately symptomatic hypotension without compromise +/- BP arterial monitoring. Moderately symptomatic hypertension requiring acute therapy and cardiac monitoring. Hypovolaemia requiring fluid resuscitation, without shock. Sepsis. without shock. PULMONARY Ha~modynamically stable patients requiring NRB or High Flow NP to maintain 02 saturations >90%. Acute asthma requiring Interventions hourly. Allergic reaction with mild upper airway obstruction requiring oral or nebulised treatment only with mild-mod increased WOB. NEURO Patients with a GCS >9 (acute deterioration) with nil other complications. Authorised: JoSeiler Authorised; Pauline Amorim Desl~nation: General Manager Designation: Director of Nursing Signature: Signature:

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