Gary Ottway
18 Mar 2022 · Coroner Mary Hassell · Inner North London
The coroner's concerns
1. failure of constant nursing observation
“Though Mr [name redacted] was meant to be under constant nursing observation, not only was he in cardiac arrest but he was also cold and exhibiting hypostasis when he was found. This appears to indicate that either the nursing observation was not constant, or it was not effective. I appreciate that the trust is putting in place a new IT system to monitor signs of life, but nevertheless basic nursing observations must be performed competently. When the senior duty nurse and the nurse undertaking continuous”
Responses
No published response was found on judiciary.uk.