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No warning, 12-year-old guidelines and a long shift: The litany of problems before Joe Massa’s death

The inquest heard the nurse had no automated alert, used outdated guidelines and had just finished a 12-hour shift after an assault.

The registered nurse responsible for triaging Joe said inadequacies in the hospital’s system meant there was no alert to warn her of his abnormal heartbeat, and that if there had been, she would have escalated his care.

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Sydney Morning Herald broke the news in North Sydney, Australia on Monday, September 21, 2026.
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