Stanley Sampey
18 May 2016 · Coroner S McGovern · Warwickshire
The coroner's concerns
1. lack of working suction equipment
“There was no working available suction equipment on the Ward to manage the patient's airway at the time of the cardiac arrest.”
2. lack of structured checking procedure
“There was a lack of any structured checking procedure in place to ensure working suction equipment on wards.”
3. flat battery and incorrect checking procedure
“The battery on the portable suction unit was found to be flat and the checking procedure was incorrect.”
Responses
No published response was found on judiciary.uk.