Michael Wysockyj
24 May 2022 · Coroner Jacqueline Lake · Norfolk
The coroner's concerns
1. delayed x-ray due to ambulance offloading
“The ED was busy at the time and unable to offload ambulances. An x-ray cannot be carried out on an ambulance and must wait until the patient is in ED. If the patient remains on the ambulance for several hours this can delay the x-ray taking place.”
2. lack of escalation mechanism for x-ray request
“The need for an x-ray remains with the nurse, nurse in charge and/or doctor. If an x- ray is not carried out, the request remains with the nurse, nurse in charge and/or doctor and it was not clear from the evidence there is anything in place to ensure this is escalated and the x-ray takes place”