Alison Draper
29 May 2015 · Coroner Maria Voisin · Avon
The coroner's concerns
1. patient not found within 10 minute observation period
“there is no policy in relation to what staff should do ifa patient/service user is not found within the 10 minute observation period.”
2. overloaded staff managing multiple observation intervals
“above. It appears in this case that one member of staff was asked to check 19 patients, two of whom were on 10 minute observations”
Responses
No published response was found on judiciary.uk.