Katherine Flynn

“The case is a complex death where the immediate cause of death was blockage of an external ventricular drain resulting in hydrocephalus and coning. The written policy at this Trust, at the time, was not entirely clear about how the nursing staff should escalate things when a drain stopped draining but was still seen to be oscillating. Though some Trusts have developed their own policy on this area, these vary as there is currently no standard national policy dealing with this issue. This is a”