The report criticized that the prison healthcare staff did not adhere to protocols for assessing alcohol withdrawal, notably failing to breathalyze Mr. Zalalis despite signs of severe intoxication.
Nurse A's use of Google Translate to communicate with Mr. Zalalis highlighted the challenges in providing healthcare in in prison settings, particularly for non-English speakers with complex medical histories.
The ombudsman emphasized that reliance on prison staff for monitoring alcohol withdrawal instead of trained healthcare personnel is inadequate, which may lead to preventable tragedies.
Inadequate healthcare processes and mismanagement of specialized monitoring for patients withdrawing from substances represents a significant concern for the welfare of inmates in detention.
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