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09HDC01565 - Health and Disability Commissioner

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Opinion <strong>09HDC01565</strong><br />

Appendix 6 — Summary of postoperative observations in the SCU<br />

As recorded on the ―Neurosurgery Observation Chart‖ (NO Chart) <strong>and</strong> ―PCA Chart‖<br />

Coma Scale,<br />

Pupils, <strong>and</strong><br />

Limb movement<br />

Pulse<br />

Oxygen<br />

Blood<br />

pressure<br />

Temperature<br />

Respiratory<br />

rate<br />

Sedation<br />

score<br />

Pain at<br />

rest/activity<br />

[Day 2]<br />

1.30pm Checked 98<br />

2pm Checked 93<br />

100% @<br />

5L/min<br />

100% @<br />

5L/min<br />

122/72 12<br />

124/71 12<br />

2.30pm Checked 100 100% @<br />

5L/min<br />

3pm<br />

Checked –<br />

mild limb<br />

weakness<br />

113<br />

98% @<br />

5L/min<br />

4.30pm Checked 106 97% @<br />

5L/min<br />

5pm Checked 110 99% @<br />

5L/min<br />

6pm Checked 114 99% @<br />

5L/min<br />

7pm Checked 107 98% @<br />

3L/min<br />

123/70 12 44<br />

36.9 122/59 16 45 1 1/1<br />

134/68 18 1<br />

(4pm)<br />

1/1<br />

(4pm)<br />

131/60 18 46 1 1/1<br />

36.8 126/59 1 1/1<br />

136/66 1 1/1<br />

8pm Checked 101 127/66 0 2/2<br />

9pm Checked 101 97% @<br />

3L/min<br />

36.6 118/78<br />

10pm<br />

Checked<br />

11pm Checked 102 98% @<br />

3L/min<br />

36 122/77 0 1/1<br />

[Day 3]<br />

1am Checked 98 98% @<br />

3L/min<br />

3am Checked 98 97% @<br />

3L/min<br />

36 127/72 4 1/1<br />

36 128/72 4 2/2<br />

5am Checked 97 94% @<br />

3L/min 47 36 138/73 4 1/1<br />

44 This <strong>and</strong> the preceding two respiratory rates were recorded in the middle of the NO Chart<br />

45 This was recorded on the PCA chart<br />

46 This <strong>and</strong> the preceding respiratory rate were recorded at the bottom of the NO Chart.<br />

65 5 September 2012<br />

Names have been removed (except Canterbury DHB <strong>and</strong> the experts who advised on this case) to<br />

protect privacy. Identifying letters are assigned in alphabetical order <strong>and</strong> bear no relationship to the<br />

person’s actual name.

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