INMATES at Ashley Detention Centre can be taken off site to get medical treatment ``within 20 minutes'' if the nurse thinks they are ill enough to warrant it, a coronial inquest has heard.
But nurse Margaret Anne Thomas said her examinations and reports of an 18-year-old man who died in custody of a ruptured brain abscess on October 25 did not indicate any ``clinical signs and symptoms'' of a bigger problem.
``I have every ability to send somebody off site should the situation require it,'' Ms Thomas told the coroner in the Launceston Magistrates Court yesterday.
She said the information she had received about the man before his death had not even caused sufficient concern for her to rebook his missed doctor's appointment.
By October 12, 2010, Ms Thomas knew that the man had been in a car accident before being remanded on October 7, had been headbutted and had hot coffee thrown in his face and had vomited once. She had not been told that he had complained of headaches.
Forensic Health Services manager Anne-Maree Mallet told the coroner yesterday a nurse working by themselves could become ``stagnant'' and there was a plan to cycle four more nurses through the centre.
``It's very easy to become stagnant when there's a lone clinical provider,'' Ms Mallet said.
Ms Thomas is the sole nurse at the centre and works weekdays. At the time of the man's death there was no on-call service for sick inmates bar a triple-zero call.
Ms Mallet said the centre staff now had 24-hour access to medical assistance through video link or telephone with doctors at Risdon Prison.
She said if this system had been in operation in October 2010 the inmate's symptoms would have been recognised before his rapid decline on the weekend before his death.
``(He) probably would have been in hospital,'' Ms Mallet said.
The inquest has sat for 19 days and heard from youth workers at Ashley, a forensic pathologist, a brain abscess expert and the man's family.
It will resume for three days on March 26 to hear from the final five witnesses.