Margaret Grimsley

“The apparent absence of or use of an upper alarm setting on a bedside oxygen meter. The evidence indicated that a lower scale alarm was set, but not an upper alarm which required manual observations as and when a nurse or healthcare assistant was carrying out observations. The risk is that over-oxygenation could take place without medical attention being sought.”

“The evidence of a Consultant [name redacted] did not reflect the response from SaTH in a letter to the deceased daughter of the 30 May 2024 at page 10.”

“It is not clear whether an upper alarm can be set and/or whether it is practice to do so.”