The totally off-topic thread

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I can tell you from personal experience that as a medical practitioner in NSW I can and do report sudden and/or unexpected hospital deaths directly to the Coroner without involvement from any "internal" boards.

One down, 24,789 to go.
 
Here is another one for the "Snouts-in-trough" file. Good to see they're putting their special forces skills into effective use.

[h=1]Defence's 'bad apples' getting away with it: Senator[/h]http://www.smh.com.au/federal-politics/political-news/defences-bad-apples-getting-away-with-it-senator-20140826-108q7i.html

In one case, Defence is investigating the disappearance of files from a secure military archiving facility in Sydney, with the documents allegedly stolen to cover up the rorting of money from the regimental funds of an elite commando unit.
"I worry that there is a systemic problem, that there are inadequate safeguards in place to deal with this, that if there are any bad apples in Defence, it's much easier for them to get away with it." The defence department has launched an internal inquiry into suspected misappropriation of tax payer funds involving one or more members of the army's elite 2nd commando regiment. The suspected financial malfeasance was discovered after a confidential file detailing the use of regiment funds was removed- without approval - from defence department archives at Sydney's Randwick Barracks.

A group of DSTO technicians were "counselled" last month after they paid for a dinner in Adelaide - washed down with 29 bottles of wine - with a Commonwealth cards and then tried to claim meal allowances for the evening of the spread.

How many were there at the dinner?

But The Canberra Times understands that the boozy evening - when 14 public servants drank 29 bottles of wine were – had already been paid for with a Defence-issued credit card.

Almost 70,000 public servants and uniformed personnel working for the Defence Department and Australian Defence Force have access to cards which in total can rack expenses of more than half-a-billion-year.
But the use of credit cards by Defence personnel and public servants has made news in Canberra twice this month with both civilians and soldiers sacked or disciplined over unauthorised spending.
 
This morning I got up and went for a 12km run in the Perth WA City to surf finished in around 85 minutes. Tonight I am flying off to Brisbane for 12 days.
And next weekend I am running the Brisbane Bridge to Brisbane which is thankfully only 10km but with the down side the race starts at the stupidly early 6:00am.

And very happy that Fremantle finished 4th, now to beat Sydney.
 
One down, 24,789 to go.
And I worked in NSW public hospitals for 22 years and also reported deaths directly to the coroner without the intervention of an internal committee.I think you will find most senior doctors do.
 
And I worked in NSW public hospitals for 22 years and also reported deaths directly to the coroner without the intervention of an internal committee.I think you will find most senior doctors do.

Would there be any legal, professional or ethical issues or otherwise in reporting a death to the coroner without going through the hospital hierarchy / system?
 
Would there be any legal, professional or ethical issues or otherwise in reporting a death to the coroner without going through the hospital hierarchy / system?

No, not at all. In fact there would be multiple ramifications for failing to report a death to the coroner if in fact the death should have been reported.
 
Would there be any legal, professional or ethical issues or otherwise in reporting a death to the coroner without going through the hospital hierarchy / system?
Most of the places I have worked in - SA and VIC - you have an obligation to report cases (see below for SA), part of orientation when joining the organisation, periodically reminded by the hospital executive, so in fact there is active encouragement to do so (actually mandatory...)


SA reportable deaths
Usually a police officer or doctor will notify the State Coroner of any death that may be a reportable death.
A death must be reported to the State Coroner where it has occurred:

  • unexpectedly, unusually or by a violent, unnatural or unknown cause
  • on a flight or voyage to South Australia
  • while in custody
  • during, as a result or within 24 hours of certain surgical or invasive medical procedures, including the giving of an anaesthetic for the purpose of performing the procedure
  • within 24 hours of being discharged from a hospital or having sought emergency treatment at a hospital
  • while the deceased was a ‘protected’ person
  • while the deceased was under a custody or guardianship order under the Children’s Protection Act 1993
  • while the deceased was a patient in an approved treatment centre under the Mental Health Act 2009
  • while the deceased was a resident of a licensed supported residential facility under theSupported Residential Facilities Act 1992
  • while the deceased was in a hospital or other facility being treated for drug addiction
  • during, as a result or within 24 hours of medical treatment to which consent had been given under Part 5 of the Guardianship and Administration Act 1993
  • when a cause of death was not certified by a doctor.
 
Another laptop died on Friday. Motherboard gone. Lenovo T61 so almost impossible to replace.

That's 4 laptops now in 9 years with 3 of them dying twice.

And in case anyone ever questions my luck think again. The first laptop I bought back in 2005 is still going. :shock: Trouble is I gave it to my brother 4-5 years ago. :(
 
This morning I got up and went for a 12km run in the Perth WA City to surf finished in around 85 minutes.
Good effort Bundy.

Tonight I am flying off to Brisbane for 12 days.
I did notice you arrive late last night ;)

And very happy that Fremantle finished 4th, now to beat Sydney.
It can be done - just ask Richmond
 
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Deaths in hospital
one of my monthly jobs is reviewing every patients notes who died within 24 hours off presenting to the ED
This is to determine systems issues and to decide if any further investigation needs to be done and if any further reporting needs to be done
I refer to internal committees or to my own departments processes if needed and can refer to the coroner

as far as the coroner goes there are mandatory reporting guidelines that the local coroner yes very upset about if not followed
( note to self , never be on end of upset coroners requirements ever again)

When i go on holiday the guy who does my job while away always welcomes me back with "your life sucks" , then takes over more of the bits of my job that i hate so he doesn't end up doing it all if i spit it and resign
( I've actually given 2 years notice but i dont think anyone will realise until 2016 wen I'm not there)
 
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