Gladys Borgogno
31 Jul 2019 · Coroner Sarah Murphy · Stoke-on-Trent & North Staffordshire
The coroner's concerns
1. prolonged observation without addressing vomiting
“The length of the post procedure observation period where there has been an episode of vomiting in the absence of any other symptoms and normal observations.”
2. inadequate discharge advice about vomiting
“The pre and post procedure written documentation in respect of the advice to seek further | medical attention if vomiting developed post procedure upon discharge from hospital”