A man who is suspected to have taken his own life in hotel quarantine received only one welfare check during his detention, a Victorian inquiry has been told.
An authorised officer, a nurse and a security guard forced entry into the man's room at the Pan Pacific hotel on April 11 after realising he had not answered the phone for 24 hours.
Professor Euan WallaceCredit:Supplie
Professor Euan Wallace, chief executive of Safer Care Victoria, said hotel quarantine was established so quickly, within two days in late March, there wasn't time to think through all the eventualities.
There was no formal escalation policies to support clinicians to make decisions, he said.
"We would never ask a health service to stand up a program of this complexity in two days," he said.
The review team, according to the findings, noted that day-to-day operations were "marked by a lack of communication and co-ordination regarding detainee information collected through these fragmented channels."
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