Carol Jennings
2 Aug 2019 · Coroner Jacqueline Lake · Norfolk
The coroner's concerns
1. referral via telephone answering machine without open wound mention
“Mrs [name redacted] was referred to the Tissue Viability Nurse by way of a message being left on a telephone answering machine due to her legs being”
2. inadequate record keeping of wound
“lack of and/or inadequate record keeping”
Responses
2019-0279-Response-by-Queen-Elizabeth-Hospiatl-Kings-Lynn-NHS-Trust.pdf ↗· Queen Elizabeth Hospital
Stated action · first week of next month
“A new electronic referral system will be in place during the first week of next month. As compared with the previous system involving telephone referrals and the practice of answering machine use, which is being discarded, there is now a new e-form which must be used in all cases.”
Stated action · ongoing
“The weekly documentation and risk assessment audits are to be maintained and for Division 2 overall the most recent recorded compliance rate is 90.5%”
Stated action · October
“The Rapid Assessment Team has introduced a checklist for aiding communication among the acute medical teams and this will be in use in October”