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Report of the Inquiry into the circumstances of the Death of Bernard ...

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HCOs advised staff to loosen <strong>the</strong>ir hold and leave him on <strong>the</strong> floor. HCOs checked him.<br />

He seemed to have a small fit and came out <strong>of</strong> it quickly. They decided to check him in<br />

<strong>the</strong> hospital wing ra<strong>the</strong>r than move him straight to <strong>the</strong> segregation unit. Staff helped him<br />

to stand and he walked without restraint. During <strong>the</strong> move he saw an <strong>of</strong>ficer from <strong>the</strong><br />

incident and began shouting and pointing. A nurse checked him. HCO Harrison was due<br />

<strong>of</strong>f duty at 2000 and left.<br />

10.32 Nurse Stanley told <strong>the</strong> Prison Service investigators that he saw Sonny Lodge<br />

when he arrived at <strong>the</strong> Healthcare Centre. He was fully conscious and did not complain<br />

<strong>of</strong> any injuries. His blood pressure was slightly raised and his vital signs were OK. Nurse<br />

Stanley was happy for him to walk to segregation.<br />

10.33 In a statement for <strong>the</strong> inquest, Nurse Paterson said she was asked to check<br />

blood pressure, pulse and pupil reactions on Sonny Lodge, who was suspected to have<br />

had a fit. She found BP at 150/100 and pulse at 100 per minute, which were both a little<br />

high, and symptoms that could be expected in someone who recently had a fit. His pupil<br />

reaction was normal not sluggish but she said this reaction returns quickly after fit.<br />

Sonny Lodge said he had had a fit but could not say how long it lasted. He said he had<br />

not hurt himself. A mark on his forehead seemed to be an old graze and did not appear<br />

to need treatment.<br />

Records <strong>of</strong> <strong>the</strong> incident<br />

10.34 An entry in <strong>the</strong> inmate medical record states:<br />

“Inmate C and R’d from G wing. Involved in altercation with staff. Not actually C and R’d.<br />

Staff concerned re physical response. ? Loss <strong>of</strong> conscious. When observed full recovery,<br />

not confused or post ictal. No confusion BP 150/100 P90. Transfer to seg unit. MO<br />

informed.”<br />

10.35 This entry appears immediately beneath HCO Stell’s entry about Ms A’s<br />

telephone call on 25 August (see paragraph 8.5 above). The date appears to have been<br />

amended from 28 to 27 August. It is not clear from <strong>the</strong> record when <strong>the</strong> entry was made<br />

or by whom. However, it appears that <strong>the</strong> entry was made before HCO Harrison went <strong>of</strong>f<br />

duty. HCO Harrison told <strong>the</strong> Prison Service Investigation that his colleague, Nurse<br />

Stanley, asked HCO Williams to get Mr Lodge’s medical records, that staff referred to it<br />

back in <strong>the</strong> <strong>of</strong>fice and Mr Stanley made <strong>the</strong> entry in <strong>the</strong> Inmate Medical Record. HCO<br />

Harrison remembered that when his colleagues were reading through it back in <strong>the</strong> <strong>of</strong>fice<br />

78

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