Stephen Taylor
1 Nov 2018 · Coroner Andrew Cox · Worcestershire
The coroner's concerns
1. junior neurosurgical doctor left to implement alcohol withdrawal regimen
“heard also from [EEE one of the Trust's consultant neurosurgeons. Both consultants expressed their belief that neurosurgical patients of this nature required additional support from their consultant physician colleagues. | was told that this has been an issue for some time and remained unresolved. In particular, there was concern that a junior neurosurgical doctor was left to implement an alcoho! withdrawal regimen. | was told that these difficulties are not confined to patients who are admitted”
2. alcohol withdrawal protocol difficult to understand
“alcohol withdrawal protocol was difficult to understand. This resulted in the doctor prescribing diazepam when Lorazepam should have been used”
3. alcohol withdrawal protocol difficult to understand
“was told that the alcohol withdrawal protocol was difficult to understand. This resulted in the doctor prescribing diazepam when Lorazepam should have been used, | was told and shown an action plan that the Trust intends to implement to improve the process”