James McManus
13 Mar 2015 · Coroner Lisa Hashmi · Manchester (North)
The coroner's concerns
1. lack of knowledge, application and implementation of key protocols
“lack of knowledge, application and implementation of key protocols by Trust staff - in particular, guidelines for the management of bleeding associated with thrombolytic therapy and the management of massive blood loss”
Responses
2015-0097-Response-by-Pennine-Acute-Hospitals-NHS-Trust.pdf ↗· Pennine Acute Hospitals NHS Trust
Stated action · 14th and October 2014 and on 10th and 24th November 2014
“advice, the Trust has taken action to prevent future deaths as documented below. This work has been led by Vascular Surgeon and Clinical Lead for Anaesthetics. New Thrombolysis Policy drafted November 2014 prior to inquest (please see attached in appendix 1). The new Thrombolysis policy was circulated and is now available on the Trust Intranet. All Critical Care staff have had a series of Training sessions in the care of the thrombolysed patient which was provided by the Vascular and Radiology 27”