EXHIBIT 42 - rubyprincessinquiry.nsw.gov.au · 2. I am a P1 Ambulance Paramedic for NSW Ambulance (NSWA). I have held this position for 3 years. I am currently stationed at Paddington

Special Commission of Inquiry into the Ruby Princess

EXHIBIT 42

Statement and annexures of Mathew Symonds dated 30 April 2020

In the matter of:

Place:

Date:

I Name:

STATES:

NSWAMBULANCE

STATEMENT OF A WITNESS

Ruby Princess Investigation

Paddington Ambulance Station

3 Ci r1< April 2020

Mathew Symonds

1. This statement made by me accurately sets out the evidence that I would be prepared, if

necessary, to give in court as a witness. The statement is true to the best of my knowledge

and belief and I make it knowing that, if it is tendered in evidence, I will be liable to

prosecution if I have wilfully stated in it anything that l know to be false, or do not believe

to be true.

2. I am a P1 Ambulance Paramedic for NSW Ambulance (NSWA). I have held this position

for 3 years. I am currently stationed at Paddington Ambulance Station. I have a Bachelor

of Paramedicine. I hold a current national paramedic registration as conferred by the

Paramedicine Board and the Australian Health Practitioners Regulation Authority

(AHPRA).

3. I have been asked by Detective Chief Inspector, Jason Dickinson APM of NSW Police

Force, to provide a statement regarding my attendance at the Ruby Princess cruise ship

on 19 March 2020.

4. I have reviewed the transcript of the NSW Ambulance audio recordings from 18 March

2020 - 19 March 2020. A copy of the transcript is annexed to this statement.

5. I appear in those recordings at table 19.

6. On 18 March 2020 I was stationed at Paddington Station. I was rostered to work an

overnight shift. I started my shift at 6:45pm and finished at 7:35am.

7. I was rostered on that night with another crew member, Rebecca Orr.

8. At approximately 2.34 am I received a call from a Dispatcher at the Control Centre who

advised that we had been assigned to attend the Overseas Passenger Terminal (OPT) at

Circular Quay to transfer a patient to Royal Prince Alfred Hospital (RPA). We also received

a notification through the Ambulance mobile data terminal (MDT) for the job at around the

time of that call.

NSW AMBULANCE


9. I now know that patient to be Lesley Bacon.

10. I have reviewed the Incident Detail Report. A copy is annex.d to this statement. I did not

create this report however to the best of my knowledge it is an accurate record of our

attendance at this job.

11 . I have reviewed the Electronic Medical Record (EMR) for this job. A copy is annexed to

this statement. I did create this report and to the best of my knowledge it is an accurate

record of our attendance at this job.

12. When I received the notification, my crew mate, Rebecca Orr, drove us to the OPT in

Circular Quay. At the time all the infonnation I had was that the patient had an upper

respiratory tract infection, left leg pain, was a suspected or confirmed coronavirus patient

and that she required a stretcher.

13. Upon arrival at the OPT the Ambulance Duty Operations Manager, Christopher Townsend,

was in attendance and he advised us that both the patients being medically disembarked

were potentially COVIO-19 positive as they had been swabbed but were awaiting results

and that full personal protective equipment (PPE) should be worn .

14. Prior to entering the ship, we put on the required PPE. This consisted of a gown, glasses.

gloves and a P2 face mask.

15. We then went onto the ship and into the onboard medical centre. I recall that there were

two rooms in the medical centre, with one patient in each, and that there was at least one

nurse, one doctor and the husband of the patient we were transporting. The nurse and

the doctor were female.

16. I recall that the doctor was wearing a mask and that the nurse did not wear a mask until

we began transferring the patient. The patient's husband was not wearing a mask.

17. The nurse initially approached us and said that the doctor would be with us shortly. The

doctor then approached us and told us that the patient was complaining of left leg pain

with a suspected femoral compression, that she was presenting with a respiratory tract

infection, had been swabbed and tested negative for Influenza A but that they could not

rule out COVID-19. She then told us the patient's comorbidities which included,

osteoarthritis, pulmonary embolus, hypercholesterolaemia, Diabetes Type 2 (insulin

NSW AMBULANCE


dependent), Emphysema and Hypothyroidism. I wrote these details on the back of my

glove. I then confirmed these again with Lesley once we were in the Ambulance.

18. The only other conversation I recall is that the doctor or nurse mentioned that other

passengers had already disembarked from the ship and had made their own way to RPA

to get tested for COVID-19.

19. I then told the patient that we would run her outside and proceeded to transport the patient

from the onboard medical clinic and load her onto the Ambulance.

20. Once in the Ambulance , I sat in the back with the patient, Whilst my crewmate,

Rebecca Orr, drove to RPA. I entered the case description into the electronic medical

record (EMR), including the details I had written on the back of my glove.

21 . Whilst in the back of the Ambulance I confirmed with the patient the details I had entered

in the case description in the EMR. I then engaged in some casual conversation with her.

The patient told me that she and her husband were from Wollongong and that they had

already completed the cruise three times and that they had had a great time. She stated

that she was now particularly concerned about her husband and she

had arranged for someone to pick him up from the ship and that she worried about the

pain in her leg. The patient also told me that she did not think that she had Coronavirus

and I agreed, saying I thought it was more a case of her leg pain and shortness of breath

was an exacerbation of her emphysema and the upper respiratory tract infection. I

apologised for having to be in mask.

22. We then arrived at RPA at approximately 3.57 am. My crewmate, Rebecca Orr. went into

RPA and spoke to the staff in triage, who advised to take the patient directly to the

designated COVID area. We then unloaded the patient, bypassed the hospital triage and

took her to the designated COVID area at RPA as instructed. I then provided a handover

to the medical officer as per the information I had recorded in the eMR.

23. Upon departure from RPA we cleaned and decontaminated the Ambulance prior to

returning to active duty.

24. The following day we reported the incident to the Ambulance Duty Operational Manager

so that the job could be added to the Ambulance COVID-19 job register.

S•1At'J ·. ~Aa.11A~\ ~'ff'lcA ;7~ iJ.Ji,e½zo\ : Ce1v11~ ron &ii-O (6

VisiNet Browser 4.5 - Reports - Incident Report Page I of 4

Incident Information Incident Type: Priority: Determinant Base Response#: Confirmation#: Taken By: Response Area: Disposition: Cancel Reason: Incident Status: Certification: Longitude:

Incident Location Location Name: Address: Apartment: Building: City, State, Zip:

Call Receipt Caller Name: Method Received: Caller Type:

Time Stamps Description Phone Pickup 1st Key Stroke In Waiting Queue Call Taking Complete 1st Unit Assigned 1st Unit Enroute 1st Unit Arrived Closed

Resources Assigned

Incident Detail Report Data Source: Data Warehouse

Incident Status: Closed Incident number: 11620

Incident Date: 19/03/2020 02:34:08 Last Updated: 28/03/2020 10:33:59

R3 Priority Medical R3 nme Critical

10116 2825 Nguyen, Ashley Paddington Patient Transported

Closed Medical 28789972

Alarm Level: Problem: Agency: Jurisdiction: Division: Battalion: Response Plan: Command Ch: Primary TAC: Secondary TAC: Delay Reason (if any): Latitude:

Overseas Passenger Terminal County: CIRCULAR QY W Location Type:

Cross Street 0230 Map Reference: THE ROCKS (NSW 2000) NSW 2000

BIBI

Receptionist Call Back Phone: Caller Location:

Elapsed Times User Description

Received to In Queue Calf Taking

0 PERSON Ill (SPECIFIC DIAG) Ambulance Service Of NSW Sydney Operations Centre East_Paddington Paddington R3 Time Critical

56141885

High Frequency Location GEORGE ST/PATH

Date 18/03/2020 18/03/2020 18/03/2020 18/03/2020 19/03/2020 19/03/2020 19/03/2020 19/03/2020

Time 19:08:19 19:08:19 20:37:10 19:12:58 02:34:08 02:35:53 02:48:59 04:51:10

Nguyen, Ashley In Queue to 1st Assign

Time

00:00:00 00:00:00 05:56:58 07:25:49 00:01 :45 00:13:06 09:42:51

Call Received to 1st Assign Assigned to 1st Enroute Enroute to 1st Arrived

VisiNetMobilelnterface Incident Duration

At Delay Odm. Odm. Unit Assigned Disposition Enroute Staged Arrived Patient Avail Complete Enroute Arrived Cancel Reason 1620 02:34:08 Patient 02:35:53 02:48:59 04:37:04 04:51:10

Transported

Personnel Assigned Unit Name 1620 Orr. Rebecca (65475); Symonds, Mathew (91869) - Operational Paramedics

Pre-Scheduled Information Patient Call Taken BACON, LESLEY 18/03/2020 19:12:58

Pickup Requested 19/03/2020 02:30:00

Pickup Promised 19/03/2020 01 :00:00

Transports

Unit Location/Address Patient 1620 Royal Prince Alfred BACON,

Hosp/12 MISSENDEN RD LESLEY

Transport Legs No Transports Information

Comments Date

18/03/2020

Time

19:11 :14

User

80287

Mode Protocol Non - 08 Other Emergency

Mileage Start/End/Total I I

Depart Arrived Complete 03:33:57 03:57:17 04:51:10

Type Cont. Comments

Response

DX UPPER RESPIRATORY TRACT INFECTION SEVER LOWER BACK PAIN FEMORAL NERVE RADICUROPAPHY CORONAVIRUS - SUSPECTED OR CONFIRMED PT REQUIRES STRETCHER FOR TRANSPORT

https:/ /ras.ambulance.nsw.gov .au/f5-w-687 4 7 4 703a2f2f3 1302e3 13 93 72e3 I 30302e3 3 .. . 28/03/2020

VisiNet Browser 4.5 - Reports - Incident Report

18/03/2020 19:12:05 80287 Response

18/03/2020 22:32:42 16555 Response

18/03/2020 22:47:37 11218 Response

18/03/2020 22:59:58 11218 Response

18/03/2020 23:31:40 11218 Response

18/03/2020 23:31:59 11218 Response

19/03/2020 01 :20:53 16555 Response

19/03/2020 02:34:09 1620 Response

19/03/2020 04:27:40 SDSICAT Response

19/03/2020 04:51:11 SDSICAT Response

Address Changes No Address Changes

Priority Changes No Priority Changes

Alarm Level Changes No Alarm Level Changes

Activity Log Date Time Radio Activity Location 18/03/2020 19: 12:58 DEBUG:

SystemAction 18103/2020 19:12:58 DEBUG:

SystemAction 18/03/2020 19:13:24 DEBUG

UserAction 18/03/2020 19: 15:58 Read Incident

18/03/2020 19:16:09 DEBUG: SystemAction

18/03/2020 19:16:09 DEBUG: User Action

18/03/2020 19:17:02 DEBUG: UserAction

18/03/2020 20:37:10 DEBUG: SystemAction








18/03/2020 20:40: 12 DEBUG: UserAction

18/03/2020 20:41 :56 DEBUG: User Action


Page 2 of 4

CREW TO GO TO THE GATEHOUSE WILL BE ESCORTED BY SECURITY AND WILL BE ESCORTED TOPT [PRIVATE) CB TO BIBI@ CARNIVAL CRUISES RE RECEIVING DR AT RPA -AS NUM UNAWARE PT ARRIVING [PRIVATE] PORT AUTHORITY CTCD STEVE - UNAWARE OF CRUISE SHIP COMING INTO PORT AT THIS TIME OR TODAY OR ANY SUSPECTED COVID-19 PTS • TO MAKE FURTHER ENQUIREIS AND CB WITH UPDATES [PRIVATE] CB FROM PORT AUTHPRITY HARBOUR MASTER CAMERON - CONFIRMED SHIP IS DOCKING BUT UNAWARE OF ANY SUSPECTED COVIED-19 PTS-WILL MAKE FURTHER ENQUIRIES ANO CB [PRIVATE) CB FROM WATER POLICE RE FURTHER INFO - PORT AUTHORITY CTCO POLICE RE AUTHENICITY OF MY CALL [PRIVATE) CB RPA NUM STILL UNAWARE OF ANY COVI0-19 PTS [PRIVATE) DOOM AWARE [PRIVATE) ACKNOWLEDGEMENT OF INCIDENT RECEIVED BY MOT. [private] Incident Timer was Reset. Performed by: Mannion, Naomi Louise. Reason: Delayed at Hospital. Comment: Next Late Chee!< Time: 19/03/2020 04:59:37. Reset Time: Mar 19 2020 4:27 AM Incident has been closed.

Log Entry User RMI Insert Comp 80287 (12002130) RMI Insert Logged 60287

User dicked EXIT 80287

Incident 130 was Marked 80267 as Read. Saving The Call(12002130) 80287

User clicked SAVE 80287

User clicked EXIT 80287

Saving The Call(12002130) 16096

User dicked SEND TO Q 16096










https://ras.ambu lance.nsw .gov .au/f5-w-6874 7 4 703a2t2 f3 I 302e3 13 93 72e3 I 30302e33... 28/03/2020

VisiNet Browser 4.5 - Reports - Incident Report

18/03/2020 20:44:02

18/03/2020 20:44:20

18/03/2020 20:44:20

18/03/2020 22:23:04

18/03/2020 22:25:44

18/03/2020 22:25:44

18/03/2020 22:25:4 7

18/03/2020 22:32:42

18/03/2020 22:32:43

18/03/2020 22:37: 10

18/03/2020 22:37:37

18/03/2020 22:4 7:37

18/03/2020 22:47:39

18/03/2020 22:47:39

18/03/2020 22:58:15

18/03/2020 22:59:58

18/03/2020 22:59:59

18/03/2020 22:59:59

18/03/2020 23:00:42

18/03/2020 23:00:56

18/03/2020 23:21 :35

18/03/2020 23:25:02

18/03/2020 23:26:34

18/03/2020 23:31 :40

18/03/2020 23:31:59

18/03/2020 23:32:00

18/03/2020 23:32:00

19/03/2020 00:14:24

19/03/2020 01:04:13

19/03/2020 01 :20:53

19/03/2020 01 :20:58

19/03/2020 02:16:43

19/03/2020 02:29:02

19/03/2020 02:30:36

19/03/2020 02:34:08 1620

19/03/2020 02:35:53 1620

19/03/2020 02:48:59 1620 19/03/2020 02:50:17

19/03/2020 03:18:59

DEBUG: UserAction DEBUG: SystemAction DEBUG: UserAction DEBUG User Action DEBUG: User Action DEBUG: User Action DEBUG: UserAction DEBUG: User Action DEBUG: UserAction DEBUG: User Action DEBUG: User Action DEBUG: UserAction DEBUG: SystemAction DEBUG: User Action DEBUG: User Action DEBUG: User Action DEBUG: SystemAction DEBUG: User Action Read Comment

DEBUG: User Action DEBUG: User Action DEBUG: User Action Read Comment

DEBUG: User Action DEBUG: User Action DEBUG: SystemAction DEBUG: User Action DEBUG: User Action DEBUG: User Action DEBUG: UserAction DEBUG: User Action DEBUG: User Action DEBUG: User Action DEBUG: User Action 02 Dispatched

03 Responding

06 At Scene Read Comment

Incident Late

CIRCULAR QY W [Overseas Passenger Terminal] CIRCULAR QY W [Overseas Passenger Terminal] CIRCULAR QY W

Page 3 of 4


Saving The Calf(12002130) 14269

User dicked SAVE/CLEAR 14269


User Promted Yes-No- 16555 Cancel User dicked EXIT 16555

User Selected NO 16555

User clicked COMMENT- 16555 SAVE User dicked EXIT 16555



User clicked COMMENT- 11218 SAVE Saving The Calf( 12002130) 11218

User clicked SAVE/CLEAR 11218


User clicked COMMENT- 11218 SAVE Saving The Calf(12002130) 11218


Comment for Incident 130 16555 was Marked as Read. User clicked EXIT 16555



Comment for Incident 130 14042 was Marked as Read. User clicked COMMENT- 11218 SAVE User clicked COMMENT- 11218 SAVE Saving The Call(12002130) 11218




User clicked COMMENT - 16555 SAVE User clicked EXIT 16555




Response Number (10116) 14269

Responding From = VisiNET OATLEY RO\OXFORD ST

VisiNET Comment for Incident 130 14269 was Marked as Read. Active incident marked as late

https://ras.ambulance.nsw.gov.au/f5-w-687474703a2f2131302e3 l 39372e3130302e33... 28/03/2020

VisiNet Browser 4.5 - Reports - Incident Report Page 4 of 4

19/03/2020 03:33:57 1620 08 Depart Scene 19/03/2020 03:38:26 DEBUG:

User Action 19/03/2020 03:41:14 DEBUG:

User Action 19/03/2020 03:57:17 1620 09 At Destination 19/03/2020 04:27:17 Incident late

19/03/2020 04:27:37 1620 Reset System Timer

19/03/2020 04:27:37 CAX Reset Timer Comment

19/03/2020 04:37:04 1620 10 Off Stretcher

19/03/2020 04:51 :10 Response Closed 19/03/2020 04:51 :10 1620 00 Available




Edit Log

Date Time Field Changed From

18/03/2020 19:15:58 Read Call False

18/03/2020 19:16:09 Time_Picku Mar 19 2020 02:30:00

18/03/2020 19:16:09 Response_D Mar 19 2020 02:30:00

18/03/2020 19:16:09 Time_Picku Mar 19 2020 02:30:00

18/03/2020 20:44:20 Postal_Cod 2050

18/03/2020 23:00:42 Read Comme False

18/03/2020 23:26:34 Read Comme False

19/03/2020 02:50:17 Read Comrne False

Custom Time Stamps No Custom Time Stamps

Custom Data Fields No Custom Data Fields

Attachments No Attachment

Royal Prince Alfred Hosp VisiNET User clicked EXIT 14269


Royal Prince Alfred Hosp VisiNET Active incident marked as late [Reset Reason] Delayed at Hospital [Next Late Check Time] 19/03/2020 04:59:37

Stored Proc Next Late Check Time: SDSI_ResetTimerCreatelncidentComment 19/03/2020 04:59:37 12 MISSENDEN RD [Royal Prince Alfred VisiNET Hosp] Overseas Passenger Terminal VisiNET 12 MISSENDEN RD [Royal Prince Alfred VisiNET Hosp)

Changed To

True

Mar 19 2020 01 :00:00 Mar 19 2020 01:00:00 Mar 19 2020 01 :00:00

True

True

True

Reason

(Response Viewe (Response Viewe (Response Viewe (Response Viewe (Response Viewe (Comment Notifi (Comment Notifi (Comment Notifi




Table Workstation User

Response_Master_lncident CADSYD44 80287

Response_Transports CADSYD44 80287

response_master_incident CADSYD44 80287

response_prescheduled_infoCADSYO44 80287

Response_Transports CAOSYD23 14269

Response _Master _Incident CADSYD28 16555

Response_ Master _Incident PRDCAO01 14042

Response_Master _Incident CADSYD23 14269

https://ras.ambulance.nsw.gov.au/fS-w-6874 74703a2f2f31302e3139372e3130302e33... 28/03/2020

VACis - Ambulance Electronic Medical Record .._.,

CONSOLIDATED COPY Page 1 of 4

(Complaint Investigation (Closed cases only))

(CJosed)

Case# 10116 Patient Name BACON, LESLEY, Mrs

512002009

Case Date 19 Mar 2020, Thursday Address OVERSEAS PASSENGER TERMINAL W CIRCULAR Quay THE ROCKS (NSW 2000) NSW, 2000

Patient 1 of 1 Treated by crew Final (P)unknown problem Gender Assessment

Ambulance Crew Team # /Name 132/PADDINGTON Fleet Unit 1620/Ambulance #/Type Skill Set Pl 18-Mar-2020 @20 :08 Crew Members Clinician/Treat SYMONDS, Mathew (6009 1869]

Clinician/Assist Orr, Rebecca [60 165475]

Case / Scene Case Given As O PERSON III (SPECIFIC DI AG) Dispatched R3 Time Critical Code

Responding from Station

Public Place

Aust ralia

Female DOB 27/10/1942 Age 77 YEARS

19-Mar -2020 @02: 34

Location Upon Dispatch Location Type Case Scene OVERSEAS PASSENGER TERMINAL, W CIRCULAR Quay, THE ROCKS (NSW 2000) NSW, 2000

Australia

Destination 19-Mar-2020 @03:57

Co-ordinates Latitude [ -33.858115] Longitude (151.210028]

Royal Prince Alfred Hospital ROYAL PRINCE ALFRED HOSPITAL MISSENDEN Road CAMPERDOWN NSW, 2050 Australia Co-ordinates

Reason Clinically Appropr iate Per Matri x

Latitude [ -33.889524 ] Longitude [151.182588]

Transport Code Value not yet selected 19-Mar-2020 @03 :33

Billing Details Billing Type Pension Type Card Not Sighted

Pensioner Age

NSW Ambulance, Locked Bag 105 Rozelle, 2039 Report Printed 09/04/2020 11: 39 (AMBEMR3899) Thi• docuffl..,. 11, ,...., 1•tn11l nt UI• prop--,y Gf, A.mluh,.q HSW • ncl m ..-t n ,t II• ul .. J•d, coti•d or 4ii, tt-,butod br >lllY P•rtv 'lllitho>ut prop,:, e utilorin ,tlOn. •~ v2,0

Case#

Case Date

Times

VACis · Ambulance Electronic Medical Record

10116 512002009

----CONSOLIDATED COPY

(Complaint Investigation (Closed cases only))

(Closed)

Patient Name BACON, LESLEY, Mrs

19 Mar 2020, Thursday

Page 2 of 4

Call Dispatched En Route @ Scene @ Patient Loaded Notify @ Triage Off Clear Received

19:08 02:34

Past History Pre-E.xlst

Meds

Allergies

case History case Nature

Case Description

On Examination

Destination St.retcher

02:35 02:48 02:50 03 :57 04:33

Osteoarthritis; Pulmonary Embolus; Hypercholesterolaemla; Diabetes Type 2 insulin requiring; Emphysema; Hypothyroidism

other LIST OF MEDS WITH PT Transported with Patient

No Known Allergies

medical

C/T TX PT FROM CRUISE SHIP TO RPA O/A PT IN SICK BAY OF THE SHIP WITH DR ON SCENE STATING THE PT HAS HAD A 1/52 HX OF LOWER LEFT LEG PAIN WITH SUDDEN ONSET WHEN STEPPING INTO AN ELEVATOR- DENIES PREVIOUS HX OF THE SAME, NO INJURY TO THE AREA-? FEMORAL COMPRESSION, CO UPPER RESPITORY TRACT INFECTION WITH INFLUENZA SWAB COMING BACK NEGATIVE- ASSOCIATED PRODUCTIVE COUGH, COVID SWAB SUBMITTED AWAITING RESULTS O/ E PT ALERT AND ORIENTATED TO TIME AND PLACE, PALLOR NORMAL, GCS 15, DENIES INJURY OR TRAUMA, PT TX TO RPA FOR FURTHER INVESTIGATIONS, TX NIL INCIDENT

Primary Survey no Immediate life threat

Secondary Survey

Initial Assessment

fever

unknown problem

Management & Reassessment 02:53 reassurance provided 02:53 oxygen therapy nasal cannula 3 I / min

Report Printed 09/ 04/2020 11: 39 (AMBEMR3899)

[Cl inician/Treat : 60091869) [Clinician/Treat: 60091869)

NSW Ambulance, Locked Bag 105 Rozelle, 2039

nils documtnt It. Ind ttlnlllil\S the prope,ty of, Ambuhince NSW end must !'lot be rtleu.d , copied or distnb11 t•d by -anv p~rty wittlout jN'Opt, 1uttiorhMIOr..

VAq'S - Ambulance Electronic Medical Record

CONSOLIDATED COPY (Complaint Investigation (Closed cases only))

Case# 10116 512002009

Case Date 19 Mar 2020, Thursday

Protocol Codes Chief Protocol Al - Principles of Care Protocol 2 A2 - Patient Care

Vital Signs Survey rr1me

VSS Position ,___' CVS

Pulse

Site

Quality

BP

remp

Route

!Skin

Temp

, Cotour

-· Moisture

IRESP

IRR

'SP02 0/o

Environment

CNS

IEyes --- -Verbal

Motor

GCS Score

Pupils (L)

Size

Reactivity

Pupils (R)

--· ----Size

Reactivity

--'Pain

Result Final Assessment

Patient

(P)

02:53

Supine

98 (Regular)

Radial

Normal

135/82

,37.8

rrvmpanic

Normal

Normal

Normal

20

94

Supplemental Oxygen

4 • Spontaneous

5 • Orientated

6 • Obeys Command

15

Normal

Reactive

Normal

Reactive

4 of 10

unknown problem

(Closed)


-

Page 3 of 4

Outcome

No Change (Observed)

NSW Ambulance, Locked Bag 105 Rozelle, 2039 Report Printed 09/04/2020 11: 39 (AMBEMR3899) Thts dacvment •• ef'MI r.m&!M the orcpeny of, Ambul&ric• NSW -.d must t1ot 1H "lu,ud, cosiied a<dbtnbuttd by ll'l'Y iu1m w1t/llo,i;1 PfOCltK 1ullt.of\'f.&flon,

Case#

Case Date

Signatures Signed By

VACIS - Ambulance Electronic Medical Record

10116 512002009

----CONSOLIDATED COPY

{Complaint Jnvestlgat.lon (Closed cases only))

(Cosed)


19 Mar 2020, Thursday

Signed By

Page 4 of 4

[Clinician/treat: 60091869] [Clinician/assist: 60165-475]

NSW Ambulance, Locked Bag 105 Rozelle, 2039 Report Printed 09/04/2020 11:39 (AMBEMR3899) This dOC:\lfflen( ts., 8"d rffl!aiM the p,op ,rty ef, ,lifflbv~ NSW a.nd m,u,t "°' h r•l•U td, copfH1 or dislritlut•d by tit'/ p81'ly ,;llhotlt proper 1utllofisallon. ePCA v2.0

@ NSWAmbulance excellence in care

Re:

Subject:

Investigation into the circumstances surrounding the docking and disembarking of the Ruby Princess - NSW Ministry of Health

Transcript of Higher Ground recordings, NSW Ambulance

Ashley Nguyen (Voice) - 2637911 Table 1

Date: 18/03/2020 Time: 06.59.37 pm

Call taker Ambulance Emergency what town and suburb.

Bibi Hi sorry um my name is Bibi. I'm calling on behalf of Carnival Australia.

Call taker Mmmm

Bibi I have two passengers onboard a cruise vessel arriving in the early hours morning.

Call taker Yes.

Bibi I've had a request by the doctor and forward to book him an ambulance.

Call taker Sorry could you just bear with me a second.

Bibi Sure.

Call taker I just have to get my supervisor if you could just give me a moment.

Bibi Sure. Yeah yeah yeah take your time.

Call taker What was the diagnosis of the patient, sorry?

Bibi So basically they're infectious. They've got an upper respiratory tract uh that they also require cardiology consult.

Call taker Mmmm.

Bibi So that's one of them and the second one is the same. They're uh infectious. They've got upper respiratory tracts and they have severe lower back pain and I can't even read the words, please excuse my medical . ..

Call taker Yep.

Bibi .. .femoral nerve radiculopathy.

Call taker Yep. Yep. If I could please have the patient's name.

Bibi Sure. So the first patient is Mr Anthony ...

Call taker Yes.

Bibi Londero spelt L-O-N-D-E-R-O.

Call taker And what was his date of birth?

Bibi I'm just waiting for those details. That'll probably come through as I'm speaking to you.

Call taker Yes and where are we picking them up from?

Bibi So the cruise vessel will arrive at 2.30. They will be ready in the medical centre at 3.00am at the Overseas Passenger Terminal.

Call taker That's the one in Circular Quay.

Bibi Correct. Yeah.

Call taker And what dock?

Bibi Sorry that's what it is called the Overseas Passenger Terminal. All the same

Call taker And which hospital will they ...


Date: 18/03/2020 Time: 06.59.37 pm

Bibi We've been requested by New South Wales to take them to the Royal Prince Alfred.

Call taker And the diagnosis of um ...

Bibi So it says: nfebrile upper respiratory tract infection. Signs of rate related cardio ischemia ".

Call taker I'm sorry, could you repeat that for me please.

Bibi Sure uh signs of rate related cardiac ischaemia.

Call taker So, is he infectious?

Bibi So the doctor has told me they've been tested for corona ...

Call taker Yes.

Bibi .. . virus so precautions need to be taken. So possibly.

Call taker And will he require a stretcher?

Bibi Yes he will.

Call taker Yep and what was the name of the referring doctor.

Bibi Umm oh God I don't have it on the tip of my - that'll probably come through sorry.

Call taker Yes, that's ok, or the receiving doctor at RPA?

Bibi Or receiving sister RPA Emergency so yeah.

Call taker Ok. Did you have an MRN?

Bibi I don't know what that is, sorry.

Call taker A medical records number.

Bibi Um no. All I know he's Australian.

Call taker Okay. Yes.

Bibi So ...

Call taker And what was your name?

Bibi Bibi B-I-B-1.

Call taker Yes. And what is your role?

Bibi Um a Port Agent.

Call taker And the number that you're call ing from?

Bibi -Call taker Yes.

Bibi ----Call taker And who do you work for?

Bibi Carnival Australia.

Call taker And the ship was arriving at 2.30? Was that correct?

Bibi Correct yes.

Call taker And they'll be ready at 3 .. .

2


Date: 18/03/2020 Time: 06.59.37 pm

Bibi They'll be ready at 3 by the time we sort of tie her up and stuff.

Ashley Nguyen Yeah. Is there a specific place where the paramedics need to go or ...

Bibi Uh they will - they'll see a gatehouse. If they just make their way through the gatehouse they'll be directed by security and I'll be there on - on the dockside waiting for them to escort them.

Ashley Nguyen inaudible down [pause] sorry I'm just putting all this in.

Bibi Sure.

Ashley Nguyen All three ... yeah, okay. Sorry, just give me a moment.

Bibi That's okay. Take your time.

Ashley Nguyen [Typing information] And the name of the next passenger.

Bibi Yeah is Mrs Lesley L-E-S-L-E-Y.

Ashley Nguyen Yes.

Bibi Last name Bacon B-A-C-O-N.

Ashley Nguyen And any date of birth or still . . .

Bibi No not yet. No sorry. [Pause] Hang on. Something just came through as I was talking to you. Oh, I've got a date of birth for them.

Ashley Nguyen I'm sorry just a moment. Yep, what was the date of birth?

Bibi So Ms Bacon is 27th of October.

Ashley Nguyen Yes.

Bibi 1942. And I'm just waiting for Mr Londero I can see that he's texting me.

Ashley Nguyen I'll just continue to put all these details in.

Bibi Are you ready for the second one?

Ashley Nguyen Yes.

Bibi So he is the 2nd of March.

Ashley Nguyen Yes.

Bibi 1968.

Ashley Nguyen Yes thank you. Yep and what was um Ms Bacon's diagnosis, sorry

Bibi So she's got febrile, upper respiratory tract infections.

Ashley Nguyen Mm.

Bibi And there's severe lower back pain with signs projective of a, please bear with me again, Femoral nerve radiculopathy.

Ashley Nguyen I'm sorry could repeat that for me please?

Bibi Okay, I'm sorry, it's probably my enunciation. Femoral as in F-E-M-O-R-A-L.

Ashley Nguyen Yes.

Bibi Nerve.

Ashley Nguyen Yes.

Bibi Radiculopathy. So R-A-0-1-C

Ashley Nguyen Yes.

3

Ashley Nguyen (Vo ice) - 2637911 Table 1

Date: 18/03/2020 Time: 06.59.37 pm

Bibi U-L-O

Ashley Nguyen Yes.

Bibi P-A-T-H-Y

Ashley Nguyen Yep. Yep and the same as before - she's been tested for coronavirus?

Bibi Yeah they been tested - she's been swabbed for coronavirus, um influenza test negative, she needs assessment in the ED with imaging and a specialist.

Ashley Nguyen Yes. And she will require a stretcher.

Bibi She will require a stretcher.

Ashley Nguyen And um still no referring doctor?

Bibi Yes, so I've got the name up for both of them it's doctor, please bear with me,

Ashley Nguyen Yes

Bibi Von as in V-O-N.

Ashley Nguyen Yes

Bibi And then W-A-T

Ashley Nguyen Yes.

Bibi Z-G-O-R-S.

Ashley Nguyen Yep and the receiving doctor?

Bibi Um same thing just to ED.

Ashley Nguyen Yep.

Bibi Oh okay her first name, doctor's fi rst name is Ilsa I-L-1 1-L-S-M

Ashley Nguyen Is that for the receiving doctor or . ..

Bibi No that's for Dr Von Watzgors.

Ashley Nguyen Yep. Sorry, I'm still just entering all that stuff in ...

Bibi That's okay take your time.

Ashley Nguyen [Entering information] Hello.

Bibi Yeah are you there.

Ashley Nguyen Just confirming that we're taking Mr Anthony Londero and Mrs Lesley Bacon from the Overseas Passenger Terminal .. .

Bibi Yeah.

Ashley Nguyen At 2.30 to Royal Prince Alfred Hospital ED.

Bibi Can we make it 3 o'clock?

Ashley Nguyen Yeah. 3 o'clock.

Bibi Yes. Perfect.

Ashley Nguyen Yes, so they'll be at um the .. .

Bibi Yes.

Ashley Nguyen .. . gatehouse to be escorted by security and you'll be there at dockside.

Bibi Wonderful.

4


Date: 18/03/2020 Time: 06.59.37 pm

Ashley Nguyen Yep that's all been organised.

Bibi Wonderful.

Ashley Nguyen Thank you so much for your patience.

Bibi Thank you Darling, bye.

Ashley Nguyen Thank you. Bye.

Naomi Mannion (Voice) - 2137837 Table 2

Date: 18/03/2020 Time: 08.40.29 pm

Naomi Mannion Hello.

Bibi Can you hear me?

Naomi Mannion Hello. Yes, yes, I can hear you. Hello, it's the ambulance calling .

Bibi Hi.

Naomi Mannion Hi, whom am I speaking with?

Bibi It's Bibi speaking.

Naomi Mannion Oh Bibi, hi. Thank you. Listen you've called through a few jobs for earlier tomorrow morning.

Bibi Correct.

Naomi Mannion Great. Listen, I just wanted to clarify there's three patients in total, is that right?

Bibi There's two patients.

Naomi Mannion Two patients.

Bibi Yes.

Naomi Mannion Oh okay, alright, just the two patients. I just wanted to confirm do they both need a stretcher or are they able to walk?

Bibi The doctor has advised that they both need a stretcher.

Naomi Mannion They do.

Bibi Yeah, they got no - they're not on oxygen. They got IV ...

Naomi Mannion Yeah.

Bibi . . . but it's not attached to anything ...

Naomi Mannion Okay.

Bibi . . . but they need assistance.

Naomi Mannion Oh okay, alright .. .

Bibi Yes.

Naomi Mannion ... no worries, that's fine. I just wanted to know if they could travel together or if they had to be taken in separate ambulances?

Bibi Yeah, the problem is I think two coming off the vessel they'll have family that was with them as well.

Naomi Mannion Yeah, okay, sure.

5


Date: 18/03/2020 Time: 08.40.29 pm

Bibi Yeah. Okay.

Naomi Mannion No worries at all. And those family members will be masked as well, I assume?

Bibi I would assume so.

Naomi Mannion Yes.

Bibi Obviously, I'm heading in there so I'll be there from like 2.30 when they arrive and I'll ensure that everyone's masked.

Naomi Mannion Okay. Fantastic.

Bibi And have that conversation with the doctor, obviously and she did say can you just make sure that you know they have been tested.

Naomi Mannion Uh huh

Bibi And just to make sure that, you know, they could potentially be infectious so just to - to let the ambulance service know.

Naomi Mannion Yeah sure. Yeah we'll, um we'll obviously have all our appropriate ...

Bibi Amazing.

Naomi Mannion You know PPE on ... so yeah.

Bibi Perfect.

Naomi Mannion Alright no worries at all. Well thank you very much for your help.

Bibi Alright. Thank you. My Pleasure.

Naomi Mannion Okay, cheers, bye bye.


Date: 18/03/2020 Time: 10.24.39 pm

Automated message Welcome to Royal Prince Alfred Hospital our operators are on other calls right now but one will be with you shortly. If you are experiencing an emergency please hang up and call Triple Zero otherwise please hold the line.

RPAH switch Welcome to NSW Health inaudible speaking

Naomi Mannion Hello it's Ambos, how are you going?

RPAH switch Good thank you.

Naomi Mannion Oh yeah good thank you. Could I please speak to the NUM in ED please?

RPAH switch No problem.

Automated hold We are currently taking ... <phone rings> message

NUM Hello Naomi speaking.

Naomi Mannion Oh hello it's ambulance calling. How are you?

NUM Good thanks. How are you?

Naomi Mannion Yeah good thank. Have I come through to the NUM or?

6


Date: 18/03/2020 Time: 10.24.39 pm

NUM Yes.

Naomi Mannion Oh fantastic. Listen I just wanted to call to confirm I've got two bookings in our system here for two patients coming off Carnival cruise line and I just wanted to confirm that you guys knew about them and that you're accepting them.

NUM Uh what are their names?

Naomi Mannion Lesley Bacon ... and

NUM No, not on our - the arrival list.

Naomi Mannion They're not?

NUM They, are they confirmed Covid or?

Naomi Mannion They're suspected.

NUM Uh ... <chatting to colleague> sorry, I've just come on so inaudible

Naomi Mannion No, no that's okay.

NUM ... instructions for the VMO ...

Naomi Mannion Okay

NUM <talking to colleague ... no one actually told us. Do you know about two cruise patients, sick patients ... > When these go through it inaudible

Naomi Mannion Okay

NUM <talking to colleague .. . Have you heard about any cruise ship people coming? No. No. Nobody told me about any cruise ship (male voice)> No. Nobody knows.

Naomi Mannion No, nobody knows, okay interesting. Alright no worries I'll follow up.

NUM Okay.

Naomi Mannion Okay, I'll let you know what I know, thanks.

NUM Okay.

Naomi Mannion Bye


Date: 18/03/2020 Time: 10.29.25 pm

Bibi's Message Hi you've call Bibi from Carnival Australia sorry I can't take your call right Service now. Please leave a message and I'll get back to shortly <beep>.

Naomi Mannion Oh hi Bibi, it's Naomi call ing again from the Ambulance Control Room. Just in regards to these two patients that we've got coming in - they've been booked by you to go to Royal Prince Alfred. I have just spoken to Royal Prince Alfred there and they weren't aware of the booking so I was just wanting to confirm who was the --octor there? If you could give me a call back my direct line is Thank you so much. Bye bye.

7

DOCO South 5039 - Peter Dilonardo (Voice) - 3547574 Table 5

Date: 18/03/2020 Time: 10.29.30 pm

Recording ... recorded for quality and training purposes.

Kim Good evening, Port Authority NSW. This is Kim.

Peter Dilonardo Hi Kim. Peter from NSW Ambulance. How are you?

Kim Good. How are you, Peter?

Peter Dilonardo Not too bad. Look, I have an enquiry. I don't if it's come through to the right place - about cruise ships that are com ing into Sydney with suspected Corona Virus patients on board .

Kim OK. I'm the after-hours messaging service.

Peter Dilonardo Oh OK.

Kim I just put through complaints and feedback and things like that. I don't have any up-to-date information . The only information that we have on my - on the system that I have access to is phone numbers for the cruise liners, unfortunately. So -

Peter Dilonardo Alright. I'll try another number.

Kim Alright. Sorry about that.

Peter Dilonardo No worries. That's OK.

Kim Thank you. Bye.

Peter Dilonardo Alright. Thank you. Bye.

Peter Dilonardo (Voice) -1226429 Table 6

Date: 18/03/2020 Time: 10.31.33 pm

Recording You have called the NSW Marine Area Command. This call is being recorded for Search and Rescue purposes.

SC Butler Sydney Water Police, Snr Constable Butler speaking.

Peter Dilonardo G'day. It's Peter from Ambulance Radio. How are you going?

SC Butler Not too bad thank you.

Peter Dilonardo Hey, I'm trying to track down a number for the Port Authority to check up on a cruise liner that's got a couple of suspected Corona patients coming in.

SC Butler Alright.

Peter Dilonardo They're going off to RPA Hospital, but the hospital's unaware of them.

SC Butler Yep.

Peter Dilonardo I don't know if the proper channels are being followed.

SC Butler Yep.

Peter Dilonardo Because I know there's one of the other cruise liners that have been denied entry because they've got Corona patients on board, suspected. But they're coming into port at 2.30.

SC Butler This morning?

Peter Dilonardo Yeah.

SC Butler I have a number if you want to call them.

8


Date: 1810312020 Time: 10.31.33 pm

Peter Dilonardo Yeah, that'd be great.

SC Butler It's -

Peter Dilonardo 1111 SC Butler -Peter Dilonardo -SC Butler Just let me confirm it though.

Peter Dilonardo Because do you - you don't get notice of what ships are coming and going, do you?

SC Butler No. We don't usually keep track of that. If there's a problem with it VTS (Vessel Traffic Services) will call us ...

Peter Dilonardo Yeah yeah. I figured that, alright.

SC Butler I don't know if they'd call us for that one.


SC Butler Not our department <laughter>

Peter Dilonardo No, well , I know yesterday or the day before we had to get Water Police assistance to go to the ship, get a couple of patients off, and come back into land because they wouldn't let them dock.

SC Butler Yeah, yeah, I went to that one.

Peter Dilonardo Yeah, OK.

SC Butler But I think that's still a stroke and a heart attack.

Peter Dilonardo Yeah - because I think that ship's stil l floating out to sea.

SC Butler Yeah, it did it went back out. I don't know if that is the number because it's written in green that might be the inaudible? Try this - write this one down - oh God! It's worn out. Give me one sec I know there is a book behind me. I'll try and find the right one ...

Peter Dilonardo No worries. Cool. Ta.

SC Butler Ah! The Port Authority?

Naomi Mannion Yeah. (in background)

SC Butler Yeah. It's the messaging service. That one?

Naomi Mannion Yeah. That one. (in background)

SC Butler Are they both off the same ship?

Naomi Mannion Yeah, they're both off the same ship. (in background)

Peter Dilonardo Christ! And RPA know nothing about it.

Naomi Mannion I'm pretty sure that they inaudible disembarking? Inaudible boat getting off at (in background) 6am - that was why I was like I didn't think they were expecting any boats?

Peter Dilonardo Actually they haven't mentioned a suspected Corona. Because the other ones still floating out and they won't let it back. <coughing>

9


Date: 18/03/2020 Time: 10.31.33 pm

SC Butler Are you there?

Peter Dilonardo Yep.

SC Butler There's about a million numbers up on the board. It's 1111 Peter Dilonardo -SC Butler -Peter Dilonardo i.ilExcellent. Alright. Thank you very much. Have a good night. Bye Bye.

SC Butler No problem. Bye

Peter Dilonardo (Voice) - 5939529 Table 7

Date: 18/03/2020 Time: 10.34.55 pm

Recording Thank you for calling Sydney VTS - Vessel Tracking Services. For all bookings and cruise-related enquiries please refer to the Harbour Master's directions found on our website. If you wish to speak to an operator, please hold the line.

Peter Dilonardo It's number the Water Police gave me. (In the background talking to Naomi Mannion - discussing 3 cruise ship patients 1 x Sun Princess and 2 x Carnival Ruby Princess)

Recording This call is being recorded.

Steve Sydney VTS, Steve speaking.

Peter Dilonardo Steve, my name's Ben. [(Note - later he s~ells his name as Peter Dilonardo} I'm call ing from Ambulance Radio. How are you?

Steve Oh G'day! Good.

Peter Dilonardo Hey, are you in charge, or do you know about the ships coming into port and all that?

Steve Yes.

Peter Dilonardo Alright. Well, I've just got a query. We've got two ships coming in with some Corona Virus patients on board and they're docking at 2.30 this morning.

Steve Oh.

Peter Dilonardo Yes.

Steve And they've got the virus.

Peter Dilonardo Yes. Because I know there's a Voyager of the Seas which has got Corona Virus patients on board, and they're refused entry.

Steve Who's been refused entry?

Peter Dilonardo Well, Voyager of the Seas. I believe they haven't - they're not allowed to port.

Steve No, that's not the case.

Peter Dilonardo Oh. OK.

Steve Yeah.

Peter Dilonardo Alright. Because we've just called the hospital to see if they're aware of these patients coming in, and they're not. They have no idea about 'em. So I don't know if they'll sort of been contacted by the cruise ship. We're trying to get

10


Date: 18/03/2020 Time: 10.34.55 pm

back on to them but there's no answer. I've left a voicemail message. There's no restrictions on ships coming in with the Corona patients, are there? Are they stil l allowed entry? Or are they being denied entry to dock, or, that you're aware of?

Steve I'll just start with your details.


Steve What's your full name?

Peter Dilonardo Peter D I LON ARD 0 .

Steve D I L O N A R D O Dilonardo.

Peter Dilonardo Yeah. I'm a Senior Supervisor with NSW Ambulance 000 Emergency.

Steve Supervisor. NSW Ambulance. Yep. What's your contact number there?

Peter Dilonardo -Steve

Peter Dilonardo --Steve -Peter Dilonardo We've got three jobs in our system. Two patients off the Carnival cruise.

Steve Carnival cruise.

Peter Dilonardo Yeah. They're being dropped off at 2.30 and I believe then everybody else is offloading the ship at 6 o'clock.

Steve We don't have anything in our system to back that up.


Steve Have you got any specific details on the vessel, like the actual name of the vessel?

Peter Dilonardo It's just got - let me have a look - we got a call from Carnival Cruises. Boat is docking at 2.30. We can board at 3 o'clock. We're to go to the gatehouse and be escorted by security.

Steve Do you know where? Which gatehouse?

Peter Dilonardo I'm assuming it's the one at The Rocks.

Steve The one at The Rocks.

Peter Dilonardo You see, we've got at Circular Quay West - that's the normal one where the ships all go to dock.

Steve Yeah. Yeah. We do have some that go down to Circular Quay. Yeah.

Peter Dilonardo There's no ship name. But there's two patients coming off that one. And then we've got another ship coming into White Bay Cruise Terminal, the Sun Princess.

Steve The Sun Princess, yeah.

Peter Dilonardo Yeah. That's docking at midnight.

Steve Yeah.

Peter Dilonardo With a medical-related case, but it's also a - oh no, that's not a suspected Corona, no. Disregard that one.

11


Date: 18/03/2020 Time: 10.34.55 pm

Steve OK. Yeah, that one's coming in now. Pilot's on board that one.

Peter Dilonardo Yeah. So, you don't know of the Carnival cruise coming in at 2.30 at all?

Steve There's nothing coming in - there's no Carnival cruise coming in at 2.30. We don't have a passenger ship coming in at 2.30.

Peter Dilonardo Oh. OK. There's one coming in at 6 or 6.30 or - ?

Steve No, no, there's nothing in in the morning.

Peter Dilonardo OK.

Steve Yeah. We just needed to - you need to just be a bit more specific with your details.

Peter Dilonardo Yeah. No, this is all we got. Because we had someone from the Carnival Australia ring up and book us.

Steve Well who? Who?

Peter Dilonardo A Bibi. BIB I.

Steve Bibi?

Peter Dilonardo Yeah. I've got a mobile number here if you want.

Steve Yeah. That'd be great.

Peter Dilonardo -Steve -Peter Dilonardo -Steve lllleah

Peter Dilonardo -Steve 1111 Peter Dilonardo Now we tried calling them but it went through to voicemail.

Steve OK. I'll give her a shout. It does sound like the ship's agent.

Peter Dilonardo Yeah OK.

Steve And what are you - and you said that they're def- how do they know that they've got two Corona.

Peter Dilonardo Well, it's a suspected. The patients, the two patients on board are suspected Corona.

Steve OK.

Peter Dilonardo Yeah. Because we've got two medical bookings and to take them to hospital.

Steve Oh right. OK.

Peter Dilonardo Yeah. They've got respiratory issues which is one of the signs of Corona. I mean, it's obviously not confirmed and they need further testing. But I know there's been restrictions on ships being able to dock.

Steve Yeah. Yeah. We do ask them, we do have a bio-security, I guess, email that we send them - get them to confirm, you know, last ports of call; has anyone been in contact with a known case of Corona, Convid-19, Covid-19. Now, but I just need to be - we just need to be more specific with the ship

Peter Dilonardo Yeah. Yeah.

12


Date: 18/03/2020 Time: 10.34.55 pm

Steve If I can ... We've got an arriving ship at 0100, the Ruby Princess.

Peter Dilonardo Oh OK. I don't if that's a Carnival one.

Steve Yeah. It could be that.

Peter Dilonardo Just let me quickly google that

Steve Just have a quick look if the agent's Bibi. No it's not Bibi.

Peter Dilonardo I'm just Googling the ship.

Steve I've had a quick look at their Declaration.


Steve They've answered - just bear with me -

Peter Dilonardo Yeah. Alright.

Steve How did you get this number?

Peter Dilonardo I rang the Water Police.

Steve OK.

Peter Dilonardo They had a couple of numbers and, yeah, this is what I got through. Because I tried ringing the Ports Authority, but that's just a messaging service and they had no other number.

Steve Alright.

Peter Dilonardo The other Maritime numbers through the old RPA - there was no one there.

Steve Yeah.

Peter Dilonardo Because you're the Port Authority, aren't you? Or -

Steve Yes. We are. Yeah. So is this the best number I can call you on?

Peter Dilonardo Yes. It's my direct number, yeah.

Steve So it's -

Peter Dilonardo I'll give you until seven oh sixish.

Steve What is it? ..

Peter Dilonardo -Steve Sorry mate.

Peter Dilonardo That's alright. -

Steve -Peter Dilonardo Just ask for me, cos, yeah .

Steve OK. Alright Peter.

Peter Dilonardo No worries. If I get any more information I'll ring you back. What was your name?

Steve It's Steve.

Peter Dilonardo Steve. Alright Steve. No worries.

Steve Yeah. And I'll fo llow-up at my end, OK?

Peter Dilonardo No worries. OK. Thanks mate. Bye.

13


Date: 18/03/2020 Time: 10.34.55 pm

Steve OK. Bye.

DOCO South 5039 Peter Dilonardo (Voice) - 5244568 Table 8

Date: 18/03/2020 Time: 10.51.37 pm

Peter Dilonardo Sydney Control, Pete.

Cameron G'day! I was after Peter Dilonardo. Butchart

Peter Dilonardo Yes. It's Pete.

Cameron Steve, is it? Butchart

Peter Dilonardo No, not Steve - it's Peter.

Cameron No, no. It's Cameron Butchart, the Harbour Master for the Port of Sydney and Butchart Port Botany.

Peter Dilonardo Oh hi! How are going?

Cameron Yeah. We received a call from you just -Butchart


Cameron Who am I speaking to? Butchart

Peter Dilonardo It's Peter.

Cameron Who's Peter? Butchart

Peter Dilonardo I'm Peter Dilonardo from NSW Ambulance.

Cameron Oh, you're NSW Ambulance - no worries at all. Butchart

Peter Dilonardo Yeah. Yeah.

Cameron So, you've obviously received some information that we haven't received. Butchart

Peter Dilonardo Look. We've got two bookings here for Carnival Australia for a cruise ship that's coming in at 2.30 with two suspected Corona patients on board. They're going to RPA Hospital. We've contacted RPA Hospital, they're unaware of any patients coming in. So we've tried ringing back the contact person and details that were left for us. But we couldn't get through. We left a voicemail message for them to give us a call back. I know yesterday, the day before, we had two patients off the Voyager of the Seas which wasn't allowed to port. So I thought it was -

Cameron They didn't have Corona though, did they? Butchart

Peter Dilonardo No, no - well, I believe they've got Corona patients on board, but the two patients we took off were not Corona, or suspected Corona, they were medical issues.

Cameron Right. Because we've actually got to put a Pilot on board this ship, the Pilot Butchart actually brings the ship in. So, the there are issues for our staff. Are you able

14


Date: 18/03/2020 Time: 10.51.37 pm

to confirm, do you know if they're passengers or are they part of the bridge team, or the engineering team?

Peter Dilonardo Look, I believe they're passengers - yeah, just let me have a read of the notes again.

Cameron God, you guys must be busy at the moment. Butchart

Peter Dilonardo Oh, it's just ridiculous. Absolutely ridiculous. And it's only gonna get worse. People, you know, they're ringing up - stupidly ringing up - nl work in an office block with Asians. One was coughing. They've got Corona." And it's like -ahhhh - and it's just gonna get worse for us. We're in for a world of hurt Look, I don't - it doesn't say.

Cameron No? Butchart

Peter Dilonardo Generally if it is staff it will stay in the notes that it is a staff member, so I'm assuming it's two passengers.

Cameron So what information are you seeking from us? Butchart

Peter Dilonardo Look, we just wanted to know if the ship was actually coming into port, and if it is they were allowed to disembark. Because I know that there's restrictions going on everywhere with people, especially cruise ships, being allowed to come into port and offload patients. Because the two we had yesterday, the day before had medical issues, they weren't Corona, but we went out with the Water Police and a pilot, I guess, and they were brought back to land. The ship wasn't allowed to come in.

Cameron Oh OK. So that was a different story. You mentioned the Voyager of the Seas. Butchart That was a heart attack, wasn't it? A heart attack or a stroke?

Peter Dilonardo Yeah. I think one was a heart attack and one was a stroke.

Cameron Yeah. OK. So that was different. The vessel didn't actually have a booking to Butchart come into the harbour.

Peter Dilonardo Ah. OK. I thought they just weren't allowed - obviously, that rumour got around and the stories were mixed up.

Cameron That's a medical evacuation . Butchart

Peter Dilonardo Ah. OK.

Cameron We brought them in to get them off as quick as we can then get back to sea Butchart again. We've actually got a booking this evening. They have booked the

Overseas Passenger Terminal and they will be docking alongside the OP Terminal.

Peter Dilonardo Ah. OK. So that's - they are coming in?

Cameron Yes, they are. Butchart

Peter Dilonardo Oh. OK. Alright. No. It's because I spoke to Steve, one of the other blokes, and he couldn't find any, any um -

Cameron Well, if it is the Carnival ship, but as I said, I haven't heard anything about it so Butchart I might make some contacts with through Carnival, and find out why we

haven't been told.

15


Date: 1810312020 Time: 10.51.37 pm

Peter Dilonardo Yes, well, because you're supposed to be told all this, aren't you?

Cameron Of course we are and I just might have to escalate this one inaudible as well. Butchart

Peter Dilonardo Because I know there's, everybody's very sensitive, and it's very political at the moment. It just didn't seem right, the bookings that we have and the fact that the hospital aren't aware of them. Or maybe there's someone that knows about it but they just haven't passed it on. Because we rang back our contact, well the person who made the bookings, and like I said, we just got voicemail.

Cameron Yeah. And that was Bibi from Carnival? Butchart

Peter Dilonardo Yeah, yeah, yeah - that's right.

Cameron OK. Just let me make a couple of phone calls for you and I'll be able to tell you Butchart exactly where you need to be.

Peter Dilonardo Because they've just booked it as Circular Quay West, which is where they normally dock, I believe. That's where we were going to go. Because we've got here they're docking at 3 at 2.30, but we can go on and get the patients at 3 o'clock.

Cameron Just let me see. We've brought the ship forward - yes they'll be booking at Butchart 2 am. That's right.

Peter Dilonardo 2 am. OK. Alright.

Cameron Let me a couple of calls and just clarify all of this. Butchart

Peter Dilonardo No worries.

Cameron There are so many ships coming in and out inaudible. Basically the entire Butchart Australian cruise fleet is inaudible.

Peter Dilonardo Wow! <laughter>. Fun times. Alright, thanks Cameron. See you mate.

Cameron Bye. Butchart

DOCO South 5039 - Peter Dilonardo (Voice) -1814954 Table 9

Date: 1810312020 Time: 11.18.51 pm


sc1111 Hi. How are you going? This is Snr Constable - from Sydney Water Police.

Peter Dilonardo Hey. How are you?

sc 1111 Yeah good. Is this Steve?

Peter Dilonardo No, this is Peter.

sc1111 Peter?


sc1111 So, where are you from?

Peter Dilonardo NSW Ambulance.

16


Date: 18/03/2020 Time: 11.18.51 pm

sc1111 NSW Ambulance.

Peter Dilonardo Did the Port Authority ring you guys?

sc1111 Yeah. Because they're not really certain about your bona tides.

Peter Dilonardo Oh <laughter> yeah.

sc1111 Where did you get this information from?

Peter Dilonardo Which information?

sc1111 So, there's apparently someone's called from this number saying that ...

Peter Dilonardo Yeah. That's me. I rang the Port Authority. Because I rang the Water Police first. I don't think I got you, I got somebody else.

sc1111 Yeah you did. Yeah.

Peter Dilonardo Oh OK. About the ...

sc1111 inaudible case.

Peter Dilonardo Yeah, yeah. We got two bookings that were booked through two separate patients on board the Carnival cruise liner.

sc1111 Yeah. Do you know what cruise liner?

Peter Dilonardo No. All we got - it was booked in from, I'm guessing it's an agent from my conversation with people at the Port Authority. They were coming into dock at 2.30 and they had - they have two suspected Corona patients on board.

sc1111 And how did you receive this information?

Peter Dilonardo We got it from a Bibi who called it in. I'm guessing it's an agent for Carnival Australia.

sc1111 Do you have their contact information?

Peter Dilonardo Yeah. Yeah. It's

sc1111 What's his first name, sorry?

Peter Dilonardo Bibi - B I B I. I'm guessing it's a receptionist or one of the agents for Carnival Australia. The referring doctor - I'll give you their name - (I need more paper). The reason I'm making further enquiries is because I called RPA Hospital and they're unaware of any patients coming in, and I know with all the Corona Virus things going on, they've refused entry to a couple of ships, which is why I've made further enquiries, especially as the hospital doesn't know about these patients coming in. Sometimes they don't always contact the hospital, but I know with all the whole Corona Virus going on, they don't like surprises that just rock up, especially when they've been assessed by medical doctors and they're supposed to go through the Ministry of Health. There's a certain protocol and procedure they're supposed to follow before we get involved and I don't even know if that's being followed, or bypassed, or - but the referring doctor, who I believe is on the ship, is a Dr Von

sc1111 Hang on, hang on, Dr -

Peter Dilonardo V O N - I'm guessing that's their first name - the surname is WATZDORS.

sc1111 WATZ

Peter Dilonardo D O R S yeah. Did the Port Authority ring you?

sc1111 Yeah, because they're getting hounded with not ahhhh -

17


Date: 18/03/2020 Time: 11.18.51 pm

Peter Dilonardo Oh look, I can imagine. Yeah.

sc1111 furphies and yeah. OK. So what's your first and last names?

Peter Dilonardo Yeah. First name's Peter. Surname is, and I'll spell it for you, D I L O N A R D O Dilonardo. I'm the Senior Supervisor on tonight for Ambulance Radio. Yeah. So the booking we've got the ship's coming at 2.30 and we'd like to board with security at 3 o'clock to pick up two patients.

sc1111 And how will you get aboard?

Peter Dilonardo Well, we've been told to go to the gatehouse cause its coming into dock at Circular Quay West down at The Rocks, I imagine. The information we have is - I just have to find it - Ambulance crew to go to the gatehouse, will be escorted by security, and will be escorted to the patients.

sca11111 Alright. There's going to be a lot more than that involved. Have you rung any, like the hotline or anything or -

Peter Dilonardo I've tried - no, no I haven't. I've called the, Bibi, the one who made the bookings. We've got the voicemail, so we're waiting for them to call back.

sc1111 OK.

Peter Dilonardo We left them a message. But what I'll do is I'll ring up the hospital again and see if they're aware, because I know there is a clinic which is separate from the ED.

sc1111 Yep.

Peter Dilonardo But normally the ones that go to the clinic have all been - had further information - there's a different protocol there - we just go to the ED but they don't know of any patients coming in.

sc1111 Yep. Right.

Peter Dilonardo But I'll give them a call and let them know.

sc1111 And you can be reached on this number?


sc1111 Alright.

Peter Dilonardo It's my direct line, if I'm not at my desk someone will answer it and just ask for me.

sc1111 Who told you you'd be coming into Circular Quay? Bibi or?

Peter Dilonardo Yeah Bibi. It's coming Overseas Passenger Terminal is where we were told to go to.

sc1111 Yeah. Because if it is bunkering it' ll just drop anchor in the middle of the harbour so I don't know -

Peter Dilonardo Well, yeah, I know, that's what happened with the Voyager of the Seas the other day.

sc1111 Yeah, that was me, I was on there too.

Peter Dilonardo Yeah. Yeah. Because I thought it was a bit odd they were coming in so early and then if they've got Corona Virus patients on board - or suspected I should say.

sc1111 I wouldn't imagine they would want them alongside.

Peter Dilonardo Well, yeah. So, I don't know. This just doesn't seem right to me.

18


Date: 18/03/2020 Time: 11.18.51 pm

sc1111 I most likely will be call ing you back.

Peter Dilonardo Yeah, no worries. Alright. Thanks. Bye.

sc1111 Thanks. Bye.


Date: 18/03/2020 Time: 11.24.1 6 pm

Welcome to Royal Prince Alfred Hospital our operators are on other calls right now but one will be with you shortly. If you are experiencing an emergency please hang up and call Triple Zero otherwise please hold the line. Thank you for your patience.

[Background message ... immunities against Covid-19 or coronavirus. We are currently experiencing a high number of calls. Thank you for your patience. RPA is operating a Covid-19 or coronavirus clinic. It is currently open daily from 8.00am with the last patients to be triaged at 9.00pm. This clinic can be accessed via Gloucester House Drive alongside the main building. Please do not go through the main entrance if you are coming to the Covid-19 Clinic. We are currently taking precautions against Covid-19 and coronavirus. You can help us to protect our patients our staff and our community by limiting visits to our hospitals and facilities. We are asking patients in our hospital to only invite one visitor to be with them at any one time and where possible we are asking them to please avoid bringing children. Please also wash your hands or use the hand sanitiser provided when you enter and leave. You might notice some changes to entrances and thoroughfares of our hospitals and facilities. Thank you for your patience. This is part of our response to Covid-19 or coronavirus. It's all helping to protect you, our patients our staff and ...

Person 1 . . . Royal Prince Alfred. Good evening

Peter Dilonardo Yeah G'day it's the ambulance I was after the ED NUM please.

Person 1 Yeah sure.

Peter Dilonardo Thank you.

[Telephone rings]

NUM Hello Naomi speaking.

Peter Dilonardo Hi Naomi it's Peter from the ambulance. How're you going?

NUM Good how are you?

Peter Dilonardo Are you in charge tonight?

NUM Yes

Peter Dilonardo Look I believe one of my other supervisors rang you earlier about two patients coming in off the Carnival cruise liner for suspected corona.

NUM Hmmm.

Peter Dilonardo Are you guys aware of it all? Have you been contacted?

NUM Um someone called me before and asked me ...

Peter Dilonardo Yeah yeah yeah.

NUM And no one was aware.

19


Date: 18/03/2020 Time: 11.24.1 6 pm

Peter Dilonardo Yeah alright so you're still not aware of these patients coming in?

NUM No. Who should have been - like who's contacting like the medical team on the boat are they meant to be contacting our team or .. .

Peter Dilonardo Well I've got a referring doctor but they normally um the fact that it has been booked into RPA to go to RPA I'm assuming that they've made contact with someone but they may not have which is why we're calling because there's a suspected corona. They've got two patients on board.

NUM And they haven't been, like I take it they haven't been swabbed or had any treatment or anything like that?

Peter Dilonardo Look we don't know, we have very limited information and we can't get back onto the person who's booked it.

NUM Okay. Oh well I guess we'll just have to see when they turn up.

Peter Dilonardo Alright. No worries. We'll let you know when we're on the way anyway.

NUM Alright. Thank you.

Peter Dilonardo Alright. Thanks bye.


Date: 18/03/2020 Time: 11.41.06 pm

Peter Dilonardo Sydney Control, Pete

sca11111 Hey Pete. Snr Constablellll, Water Police. How are ya?

Peter Dilonardo Good. How are you?

sc1111 Good. Good. So, yeah, I can't hold of Bibi. I've rung Port - I rang back the Ports. Bibi - they knew Bibi straight away.

Peter Dilonardo So, yeah, I think one of them said they were one, possibly one of the agents, booking agents, for Carnival.

sc1111 Yeah. So I tried to call the other booking agent ummm Analdo, but they're not answering.

Peter Dilonardo Yeah. When we called Bibi back then it just went through to voicemail.

sc1111 I'm call ing now.


sc1111 Yeah, but I left a message so I hope I get a return.

Peter Dilonardo No worries, but, the Port confirmed the ship was coming in because the first bloke I spoke to said they had no idea, there was nothing booked to come into, into -

sc1111 Sydney Harbour?

Peter Dilonardo Yeah, yeah. But then some Cameron, I think, rang me back. I don't if he called you , and said that there was a booking from the company at 2 but we got off at 2.30.

sc1111 Yeah, yeah. That's right.

Peter Dilonardo Yeah. Alright.

20


Date: 18/03/2020 Time: 11.41.06 pm

sc1111 I'm doing a bit of running around because the Harbour Master can't get on to NSW Health. Is there a line or, that you have, that we can -

Peter Dilonardo Look, there's a Corona Hotline number, but I don't know if they're 24 hours. I know RPA have got a Corona clinic, but that's only like 9 o'clock they close, and I just rang and spoke to the Nurse Unit Manager and she wasn't aware there was any patients coming in, and we're going there though, but what sometimes happens with the cruise liners is the doctors on board will book it with us to take them to the various EDs. It's pretty common knowledge that RPA is one of the Corona clinic hospitals. They don't always ring the hospital and say 'hey, we've got a patient coming in, will you accept them?' type thing, they just ring and book it with us and we just turn up. So, it's now always, like I said, it's common for them not to ring the hospital to let 'em know what patients are coming in, and we just turn up, which is probably what the case is for now.

sc1111 Yep. Alright. Well, I've, they just need some direction. The Harbour Master needs some sort of direction about, from Health, because they're running a point about this obviously.

Peter Dilonardo Yeah, well they knew of the ship coming in.

sc1111 Who? Did Health get or -

Peter Dilonardo No, no, the Port - the second bloke, Cameron, that rang me back. He said they had a booking on it but they were unaware of any suspected Corona patients. So, I think they were a bit freaking out of that. Just let me - I've got a - I've just gotta find that email.

sc1111 Can you send that email to me?

Peter Dilonardo Which one?

sc1111 The one about the Corona Hotline, or whatever it is.

Peter Dilonardo Yeah, I'm just trying to find it. Just hang on, if you give me a sec.

sc1111 That's alright.

Peter Dilonardo I'm getting daily emails. <trawling through emails>

sc1111 You'd think there'd be a 24-hour number.

Peter Dilonardo Yeah! I know there are people 24 hours at Health who are monitoring-type this, but I've got a website on one of the emails and I'm just trying to see if I can find a number.

sc1111 OK. If I give you my email - I'll call the POC which is our Command Centre. If I give you my email can you just forward that through?

Peter Dilonardo Yeah. Yeah. No worries.

sc1111 Yep. lt'sllll

Peter Dilonardo Sorry-

sc1111 Yeah, @police.nsw.gov.au

Peter Dilonardo No worries. Right. I'll see if I can find it and I'll forward it on to ya.

sc1111 Yeah, thank you.

Peter Dilonardo No worries. Thanks. Bye.

21


Date: 18/03/2020 Time: 11.48.57 pm

Recording Thank you for calling the Sydney Local Health District Public Health Unit after-hours line. If you are seeking information and general enquiries about Novel coronavirus, please call the Commonwealth Help Information line on 1800 020 080 repeating 1800 020 080 which operates 24 hours a day, 7 days a week. In addition, for regularly updated information [RECORDING ENDS]

DOCO South 5039 (Voice) - 2776233 Table 13

Date: 19/03/2020 Time: 12.12.46 am


sc1111 Hi Peter, it's Snr Constablellll from Sydney Water Police.

Peter Dilonardo How are you?

sca11111 Yeah good. So, this is a bit of a roundabout, but we - I've just to Cameron, the Harbour Master, who's called the -

Peter Dilonardo I guess the phone number

sc1111 Yeah, well he's called them, but he's also - he called - they've called the CEO of Carnival Australia.

Peter Dilonardo OK yep.

sc1111 He said that from Bibi they then booked two Ambulances for non-Covid related -

Peter Dilonardo Ahhh we've got it as Covid-related.

sc1111 Is there any way to listen to that call again or -

Peter Dilonardo Ahhh, Jeez, it depends on who took it.

sc1111 Yeah.

Peter Dilonardo I can try and find out - you see, we've got it as an upper respiratory tract infection , signs of rate related cardiac ischemia, anybody with - you see, I don't know if they've told us that. Anybody who has any respiratory or breathing problems, or there's another certain protocol, we ask them all the questions about the Corona.

sca11111 Yeah.

Peter Dilonardo Oh, they're saying it's not.

sc1111 Yes. So the CEO has said that it's not.

Peter Dilonardo OK.

~ He, apparently he said they've booked two Ambulances non-Covid related, but we still can't raise the Ruby Princess yet.

Peter Dilonardo Oh OK. The Ruby Princess is not a Corona. That's a completely, that's non, that's a medical issue, and I believe we're there already and picked 'em up. Hang on -

sc1111 That couldn't be possible, they're still coming through The Heads.

Peter Dilonardo No, we're there waiting for them to come in.

sc1111 So, what's the vessel that you've got then?

Peter This is the Carnival.

22

DOCO South 5039 (Voice) - 2776233 Table 13

Date: 19/03/2020 Time: 12.12.46 am

sc1111 So, the Ruby, Carnival own Ruby Princess.

Peter Dilonardo OK. Sorry. No, no, the Sun Princess is the one at - the other one. OK.

sc1111 Yep.

Peter Dilonardo So the Ruby Princess is the Carnival one which is coming in?

sc1111 Yep.

Peter Dilonardo OK. Look I'll see if I can find, if I can access the call, and do you want me to call you back and let you know, or?

sc1111 Yeah, please.

Peter Dilonardo Alright, so what's your direct number?

sc1111 lt'tlllll

Peter Dilonardo -sca11111 -Peter Dilonardo - · Alright. I'll see if I can access it and I'll give you a call back.

sc1111 Thank you. Bye.


Date: 19/03/2020 Time: 12.17.52 am

Recording You have called the NSW Marine Area Command. This call is being recorded for search and rescue purposes.

sc1111 Sydney Water Police, Snr Constable- speaking.

Peter Dilonardo G'day. Pete from Ambulance radio. How are you?

sc1111 Yeah good.

Peter Dilonardo I um - the staff member took the bookings actually on my shift in my centre here, so I went over and spoke to them. The message they were given was that these two patients were tested for Corona Virus, but the results haven't come back which is why they've gone down - it's automatic notation that if they've been tested for it, they're suspected until they're cleared.

sc1111 OK. Have not been cleared.

Peter Dilonardo Yeah. I think that - the testing they do takes 72 hours before they come back.

sc1111 And when were they tested? Do you know?

Peter Dilonardo No, they didn't tell us.

sc1111 That's alright. And where they in New Zealand when they got tested, or?

Peter Dilonardo I don't know. They didn't say.

sc1111 That's alright. I'm just asking you questions ...

Peter Dilonardo Yeah, yeah.

sc1111 The C - I'll let you know - the CEO knew of five people who had been on the way to New Zealand, because this is where - the cruise has gone to New Zealand before coming back.

Peter Dilonardo Oh. OK. Right.

23


Date: 19/03/2020 Time: 12.17.52 am

sc1111 So, it's gone to New Zealand. During that time five people have been suspected of having Corona Virus. They've all been tested and they've come back negative.

Peter Dilonardo Oh OK. The information we got was that these two particular patients, they've been tested, but the results haven't come back.

sc1111 Yeah, well, it could be a new that - like a couple from New Zealand.


sc1111 Alright. Fuck! Leave it with me.

Peter Dilonardo <Laughter> No worries. We're going to head down at about 2.30 to pick up these people anyway and we'll be taking them to RPA and they'll do some more testing there, I guess.

sc1111 So RPA are going to take them?

Peter Dilonardo Yeah, yeah, they'll take 'em, yeah.

sc1111 OK. RPA. It's all going to change if - if this is - if what you're saying is true, they might not -

Peter Dilonardo Let 'em in.

sc1111 Let 'em in. Because before, when I was speaking to Cameron, he was saying that the bookings been cancelled.

Peter Dilonardo Ah! OK.

sca11111 But, hang on, now that they've spoken to the CEO who said that it's not Corona-related, they've now accepted the booking again.

Peter Dilonardo OK.

sc1111 So -

Pete Alright. You'll want to let me know. We'll just head down as normal unless we hear otherwise.

sc1111 Yeah. Done.

Peter Dilonardo Alright. Thank you. Bye

sc1111 Thankyou. Bye.

DOCO West 5037 - Naomi Mannion & Peter Dilonardo (Voice) - 2126659 Table 15

Date: 19/03/2020 Time: 12.35.03 am

Naomi Mannion Sydney Control, Good evening it's Naomi.

Cameron G'day how are you? It's Cameron Butchart the Harbour Master for the Port Butchart Authority.

Naomi Mannion Oh yes, hi, good. How are you Cameron?

Cameron Very well. Is Peter there at all please? Butchart

Naomi Mannion I think he's just stepped away - oh no - he's. Sorry he has stepped away. I'll just put him on. Hold on.

24


Date: 19/03/2020 Time: 12.35.03 am

Cameron Thanks. Butchart

Peter Dilonardo Cameron, hi, how are you going?

Cameron Yeah, mate, how are you? Butchart

Peter Dilonardo Not bad.

Cameron It's all happening now, we're trying to raise this ship. We're trying to speak with Butchart their doctor.


Cameron We're trying to find whether it's a miscommunication or what's going on Butchart because as I'm sure you're aware this is corona ...

Cameron Yeah well, this could be front page news in the morning. Butchart

Peter Dilonardo Yeah, that's the reason why I rang in the first place coz I mean this - it's such a political thing at the moment. Um ...

Cameron Yeah .. . Butchart

Peter Dilonardo So we've gotta be mindful . ..

Cameron We've spoken with the doctor onboard the ship. Butchart

Peter Dilonardo Oh okay.

Cameron He has said there's 128 people in isolation on there. Butchart


Cameron They sent samples off in New Zealand for Covid corona testing. Butchart


Cameron I don't know what the results of them are. He said that the ambulance that he Butchart has booked. He says he's booked three ambulances. One's for an upper ear

infection.

Peter Dilonardo Okay, we've got two bookings. One's for um - can you just open it - so one we have for respiratory problems.

Cameron Yeah. Butchart

Peter Dilonardo Um .. .

Cameron And the other one he said the nerve entrapment in the leg. Butchart

Peter Dilonardo Yeah - can you just open up there Alan - respiratory problems again and the lower - severe lower back pain um with nerve issues. The information we got because I spoke to the staff who took the bookings ...

Cameron Yeah .. . Butchart

Peter Dilonardo And they said these patients were tested for corona.

25


Date: 19/03/2020 Time: 12.35.03 am

Cameron Yes. Butchart

Peter Dilonardo Suspected corona but the results haven't come back. So until the results pretty much with health - if anyone it's ...

Cameron What time was the booking made? Was it today? Butchart

Peter Dilonardo Oh hang on let me have a look. Yeah it was called through to us at- it was last night 2330 approx, oh no, hang on that's another matter, let's disregard that. Um 1911 so ten past seven last night was when the calls were put through.

Cameron So last night .. . Butchart


Cameron If after midnight now ... Butchart

Peter Dilonardo Yeah yeah .. .

Cameron eight hours yeah Butchart

Peter Dilonardo Yeah yeah that's right. So pretty much as far as Health is concerned any suspected for corona unless the results come back and it says they're clear it's a suspected corona case and we need to take all the precautions for it.

Cameron inaudible Butchart

Peter Dilonardo Yeah yeah

Cameron And you guys will be attending that. Butchart

Peter Dilonardo / Yeah yeah well - (yeah mate as corona) (CB) Cameron Butchart

Peter Dilonardo Yeah pretty much. Unless we know they're cleared they're not positive for it we treat everybody the same as if they actually have it. So we're to use all the universal precautions for it and the hospital would be doing the same thing.

Cameron Oh well they're going treat as is its corona then. Cause this will be if it is a Butchart corona they it'll be you know tomorrow Ruby Princess.

Peter Dilonardo Yeah like all the others have been.

Cameron It's the same. It's the sister ship is the one that went up in Japan. Butchart

Peter Dilonardo Oh okay. Oh geez.

Cameron That was the Diamond Princess this is the Ruby Princess. Butchart

Peter Dilonardo Bloody hell. I mean it's so political at the moment it such a hot topic.

Cameron And they've got 120 people in isolation. Butchart

26


Date: 19/03/2020 Time: 12.35.03 am

Peter Dilonardo Yeah. Well the problem with ships too is I mean it is especially the air infiltration the air condition, it just spreads through the ship. So ...

Cameron Right okay. Alright can you guys just treat it as corona. Butchart

Cameron Yeah yeah. We'll put our pilot on their .... We'll tell the pilot to wear all the PPE. Butchart

Peter Dilonardo Yeah yeah.

Cameron The mask, gloves, goggles. Butchart

Peter Dilonardo Yeah that's what we'll be doing.

Peter Dilonardo So they told us the ship was coming in at 2.30 and we'll be able to board at 3, I think it is.

Cameron Yeah roughly. Butchart

Peter Dilonardo Yeah so we'll have two crews down there for about 2.30ish.

Cameron Yeah. Butchart

Peter Dilonardo Alright.

Cameron Okay no worries. Butchart

Peter Dilonardo No worries alright.

Cameron .. . Ta-ta Butchart

Peter Dilonardo See you mate.


Date: 19/03/2020 Time: 01.20.07 am

Andrew Bibby Sydney South Duty DOM Andrew speaking

Naomi Mannion Hello, it's Naomi, how are you?

Andrew Bibby Oh good Naomi, how are you?

Naomi Mannion Good. How's it all going?

Andrew Bibby Oh so far so good.

Naomi Mannion Good to hear.

Andrew Bibby You know <laughs>

Naomi Mannion Cool. Hey um, I just wanted to let you know um had a bit of a controversial somewhat I don't know could be a bit of a um media thing tomorrow . ...

Andrew Bibby Mm

Naomi Mannion Just got two query coronavirus patients coming in off a Carnival cruise.

Andrew Bibby Oh.

27


Date: 19/03/2020 Time: 01.20.07 am

Naomi Mannion At 2.30.

Andrew Bibby A-M?

Naomi Mannion Yes. Yeah.

Andrew Bibby <chuckles>

Naomi Mannion Um yeah, we were kinda -

Andrew Bibby What's wrong .. .

Naomi Mannion .. . going back and forth. Well we're not sure where they've come from but .. .

Andrew Bibby Okay, but you're aware of where you're picking them up from?

Naomi Mannion Uh from the .. .

Andrew Bibby From the terminal?

Naomi Mannion ... from the passenger terminal into RPA. Now RPA weren't originally aware of it. The cruise line ... <clears throat> had - it's a bit of a long story - had permission to dock then they had five cases that they were testing ...

Andrew Bibby Mm

Naomi Mannion They came back as negative and they said 'okay no worries you guys can dock'.

Andrew Bibby Mmmm.

Naomi Mannion And then we've got these other two cases and they weren't aware of it and so there's a bit of a hoo-ha.

Andrew Bibby Mm.

Naomi Mannion Apparently there's about 120 people on board in isolation.

Andrew Bibby Mm.

Naomi Mannion Umm, so the long and short of it is we're going to go pick up these two patients - RPA are now aware of it.

Andrew Bibby Yep.

Naomi Mannion And I was going to get Chris Townsend who's is our off road SO , downstairs, maybe just to go and oversee things, the process down there coz it's a bit unsure as to what's happening with the rest of the patients quite honestly.

Andrew Bibby Yeah, right okay.

Naomi Mannion Yeah.

Andrew Bibby Um that's a great idea to get Townsend to do it. <laughs>

Naomi Mannion Yeah <laughs>. Throw him right in.

Andrew Bibby Um yeah sure so we'll be sending two cars are we or are we going to transfer them both in one car?

Naomi Mannion No, no they both require a stretcher apparently.

Andrew Bibby Oh so they're sick, sick Well, you got, you know, who can you tell with these cruises but right we're assuming they're sick.

28


Date: 19/03/2020 Time: 01.20.07 am

Naomi Mannion Yeah.

Andrew Bibby But it's controversial because - it's controversial because we're not meant to be having cruise ships dock, is that correct?

Naomi Mannion That, well, that's correct. If they're, you know, query corona.

Andrew Bibby And they're only docking to offload these patients?

Naomi Mannion Well that's the other thing that we can't confirm . We don't know if they were just offloading the two or for if they're offloading like if the whole ship is coming in. Potentially I think the whole ship is going to be offloaded, tomorrow.

Andrew Bibby Ohh a hundred patients?

Naomi Mannion Sorry?

Andrew Bibby A hundred and something patients?

Naomi Mannion Well probably more, it's a Carnival cruise. I'd say about three thousand patients, with about 120 ...

Andrew Bibby Oh sorry three thousand people but 120 are in isolation?

Naomi Mannion Correct.

Andrew Bibby Phew ...

Naomi Mannion Yeah.

Andrew Bibby Yeah right okay. Alright.

Naomi Mannion So we're just still working on the kinda finer details at this stage but I guess I wanted to give you a heads up that there's two that are coming off that ship.

Andrew Bibby Okay, in an hour?

Naomi Mannion In an hour.

Andrew Bibby Okay, sure.

Naomi Mannion Yeah.

Andrew Bibby I'll call our duty super and let her know . Let her know what's going.

Naomi Mannion Yeah. Just because there are two that are com ing. Just let me get some finer details before you do so then I can give you some more - you know .. .

Andrew Bibby Okay.

Naomi Mannion ... concrete stuff if you like.

Andrew Bibby Thanks. That'll be great.

Naomi Mannion Pete the Sydney SOCO's just been dealing with it so I'll just confirm if we are offloading the whole ship in the morning ...

Andrew Bibby Yeah sure.

Naomi Mannion Because obviously that's got so much potential, I suppose. I imagine that they'll have to go into their own two week you know quarantine just like an international fl ight but ...

Andrew Bibby In that case why aren't we setting up a

29


Date: 19/03/2020 Time: 01.20.07 am

Naomi Mannion <cough> Mm

Andrew Bibby ... screening point like with the airports like Public Health's there. Well are they there? Do Public Health know about this?

Naomi Mannion Um, again, questions I'll need to ...

Andrew Bibby Okay.

Naomi Mannion ... I'll need to find some more, yeah.

Andrew Bibby Okay. Yeah .. .

Naomi Mannion Okay.

Andrew Bibby ... so yeah that's probably the main one if the .. .

Naomi Mannion Yeah.

Andrew Bibby ... SCCO whoever the SCCO's speaking to ...

Naomi Mannion Yeah.

Andrew Bibby ... do Public Health know about it.

Naomi Mannion Yeah, sure.

Andrew Bibby Cool.

Naomi Mannion We - I know that he has been speaking to the Port Authority and Water Police

Andrew Bibby Oh okay .

Naomi Mannion . . . and what have you so yeah, I'll get some more info for you and let you know. I just thought I'd give you a heads up.

Andrew Bibby Cheers mate, thanks for that.

Naomi Mannion Alright, now worries. Thanks.

Andrew Bibby Okay, no worries bye.


Date: 19/03/2020 Time: 01.26.13 am

Andrew Bibby Duty DOM Andrew speaking.

Naomi Mannion Hello, it's Naomi again.

Andrew Bibby Hello.

Naomi Mannion Hello. Yeah, so a lot of it is quite unclear at this stage because we, obviously given the time, we have not been able to get a hold of anybody.

Andrew Bibby Mmmm

Naomi Mannion All that we've been speaking to is the Port Authority and the Water Police and all we know is that they've got permission to dock.

Andrew Bibby Mmmm.

Naomi Mannion As far as we are concerned we are picking up two patients.

Andrew Bibby Mmmm.

30


Date: 19/03/2020 Time: 01.26.13 am

Naomi Mannion Whether or not they will be disembarking the entire ship tomorrow morning we have no idea.

Andrew Bibby Okay.

Naomi Mannion So I think we'll just have to wait until Chris gets down there to maybe try to get some more information.

Andrew Bibby Excellent. That's great.

Naomi Mannion Yeah.

Andrew Bibby <laughter>

Naomi Mannion <laughter> so that's all we've got I'm afraid.

Andrew Bibby Okay, perfect.

Naomi Mannion Yeah.

Andrew Bibby And then we're going to send two cars.

Naomi Mannion Okay we'll send two cars and Chris.

Andrew Bibby Two cars and Chris, okay.

Naomi Mannion Yeah. So I'll give Chris a heads up now.

Andrew Bibby Alright.

Naomi Mannion I have already spoken to him about it.

Andrew Bibby I just gave him a little call. Yeah.

Naomi Mannion Yeah.

Andrew Bibby I just gave him another call then and he says that he might - he thought he wasn't going and I reassured him that he probably would be going.

Naomi Mannion Yeah. Yeah. I'll - I'll give him another call now and just let him know. And then, I don't know if you might want to talk to him about all of the information you need to pass on or whatever but I think what we probably all need to know is if all these patients are going to be disembarking tomorrow morning.

Andrew Bibby Yes. Um yeah.

Naomi Mannion And, and what the plan is for them, you know, like where are they all going?

Andrew Bibby Thousands ...

Naomi Mannion Yeah.

Andrew Bibby Thousands of passengers but potentially a hundred, what did you say 126 in insolation?

Naomi Mannion 120 isolated. Yeah.

Andrew Bibby 120 isolated.

Naomi Mannion But if it's - I mean I've recently just well - back in December I went on a Carnival cruise and I don't know what size this one is but I'm sure it's probably the same and that is at least 3,000 guests.

Andrew Bibby Mm, yeah.

Naomi Mannion So ... um .. .

Andrew Bibby And they're not meant to be here.

31


Date: 19/03/2020 Time: 01.26.13 am

Naomi Mannion Well no ...

Andrew Bibby Not meant to be docking ...

Naomi Mannion ... they do have permission to dock.

Andrew Bibby Yeah right.

Naomi Mannion Whether or not that's permission to dock to just offload these two.

Andrew Bibby Mm

Naomi Mannion Or permission to dock to disembark the whole entire cruise ship, I have no idea at this point.

Andrew Bibby Mm. Okay.

Naomi Mannion Yeah. So ... I .. .

Andrew Bibby Alright, great.

Naomi Mannion ... once Chris gets down there I'm sure we'll know more but .. .

Andrew Bibby Yeah.

Naomi Mannion ... at this stage I think it's just an agent on behalf of Carnival that has called this job in. It's very kind of, bizarre.

Andrew Bibby Well - no worries - I'm going to give Chris a call now, because also I want to borrow his experience on what it is like waking up for the Duty Super in the middle of night to tell them these sort of things ...

Naomi Mannion Yeah.

Andrew Bibby Um, so yeah, so I'll give him a call now and then when - so when are you planning on dispatching people?

Naomi Mannion So we've got about - about 2.30 for them to offload at 3.00.

Andrew Bibby Right .. .

Naomi Mannion So I don't know if you want to go armed into the conversation with the Duty Super so in which case you might want to wait until you've heard Chris once he's been out there.

Andrew Bibby Yeah .

Naomi Mannion . . . so you've got the information.

Andrew Bibby I don't know. I'll ring Chris and get his opinion because sometimes they would rather know early

Naomi Mannion Yeah so ...

Andrew Bibby ... to put things in place, you know.

Naomi Mannion .. . and then they can escalate things. Yeah.

Andrew Bibby Yeah. So I will .. .

Naomi Mannion I mean we've trying to find out as much as we can at this end but that's all we've got at this stage from an ambulance perspective we're just picking up those two query Covid patients.

Andrew Bibby Sure. Okay.

Naomi Mannion Yeah.

Andrew Bibby No worries.

32


Date: 19/03/2020 Time: 01.26.13 am

Naomi Mannion Aright, cool. Well I'm sure ...

Andrew Bibby Thanks for letting me know.

Naomi Mannion ... I'll talk - okay cheers

Andrew Bibby Bye bye.

Naomi Mannion Bye.

Tracy Schneiders (Voice) - 5210636 Table 18

Date: 19/03/2020 Time: 02.32.39 am

Simeon Pridmore Bondi Station, Simeon speaking

Tracy Schneiders Oh hi Simeon it's Tracy. I've got two patients coming in on a ship at the Rocks, 3 o'clock ...

Simeon Pridmore Okay.

Tracy Schneiders So I'll drop one down to you guys and I'll find another car for the other patient.

Simeon Pridmore Okay, no worries.

Tracy Schneiders Thank you. Bye bye.

Simeon Pridmore Bye.


Date: 19/03/2020 Time: 02.34.01 am

Mathew Symonds Hello Mat speaking

Tracy Schneiders Hello Mat, 622 for a medical.

Mathew Symonds Yeah no worries.

Tracy Schneiders Thank you. Bye.


Date: 19/03/2020 Time: 03.32.49 am

Tracy Schneiders Responder 99 go ahead.

Chris Townsend Thanks, six twenty and four O four O looks like it going to inaudible now? We'll be driving shortly. Just really courtesy code 3 to PA when they're ready -they'll let you know. And I'm clear from this location thanks.

Tracy Schneiders Responder 99 thanks return


Date: 19/03/2020 Time: 03.33.51 am

Jayden Hedt Four O Four to Sydney

33


Date: 19/03/2020 Time: 03.33.51 am

Tracy Schneiders Four O Four go ahead.

Jayden Hedt Four O Four can you please get RPA..,up for a courtesy code 3

Tracy Schneiders Four O Four will do.

Jayden Hedt Cheers

SOCO Desk Radio (Voice) -1802141 Table 22

Date: 19/03/2020 Time: 03.34.44 am

RPA Nurse RPA standing by for Car 404

Jayden Hedt 404 G'day. W e're coming to you from The Rocks with a 62-year-old male. This is just a courtesy call ah potential Covid-19. They've been on a ship that has just returned from New Zealand. Patient has been presenting with some upper respiratory tract infectious symptoms. And slightly elevated inaudible at point zero six. Obs as follows temp 36.9 blood pressure 137/73 heart rate 97 stats 96 pulse rate 16 GCS 15. We've got an ETA of approximately 15 minutes.

RPA Nurse RPA to Car 404 can you specify what symptoms please?

SOCO Desk Radio (Voice) - 3123300 Table 23

Date: 19/03/2020 Time: 03.35.51 am

Jayden Hedt 404 please repeat that.

RPA Nurse Car four zero four could you specify what the - what symptoms the patient has please.

Jayden Hedt inaudible myalgia, sore throat, abdo pain, tachycardia, slight ECG changes with some minor elevation in AVR and V one. And bilateral shoulder pain. No previous known cardiac history.

RPA Nurse Thank you RPA copied and cleared.


Date: 19/03/2020 Time: 03.37 .42 am

Rebecca Orr 620 to Sydney.

Tracy Schneiders 620 go ahead.

Rebecca Orr Thank you. Do you mind getting RPA up for a courtesy code 3

Tracy Schneiders W ill do.

Rebecca Orr Thank you


Date: 19/03/2020 Time: 03.38.25 am

RPA Nurse RPA for Car 620

34


Date: 19/03/2020 Time: 03.38.25 am

Rebecca Orr Thanks RPA. We're coming through today with a 77-year-old female possible COVID from a cruise ship. She is presenting with respiratory symptoms of upper respiratory tract infection with a productive cough. She's also got left-sided nerve pain, possible femoral nerve compressions as per doctor on the ship. Otherwise, she has a blood pressure of 135/82; a heart rate of 98; a temperature of 37.8; a resp.rate of 20, sats of 94% on two litres and a GCS of 15.


Date: 19/03/2020 Time: 03.39.14 am

RPA Nurse RPA car six two zero what's your ETA?

Rebecca Orr Sorry about that around 10 to 15.

RPA Nurse Copied and cleared.


Date: 19/03/2020 Time: 03.51.22 am

Chris Townsend Hello, Chris speaking.

Naomi Mannion Hello. It's Naomi.

Chris Townsend Hello.

Naomi Mannion How are you?

Chris Townsend Good. Did Bibby ring you?

Naomi Mannion No.

Chris Townsend Oh okay. I just thought he was going to call you

Naomi Mannion Oh sorry. No he didn't call me.

Chris Townsend So the 120 people, is a total of 120 that have got sick during the cruise ie from stubbed toes, you know, sore - sore bottoms um ...

Naomi Mannion Yeah right okay.

Chris Townsend Not necessary coronavirus related.

Naomi Mannion Umm

Chris Townsend They did have 11 other patients that they have been in contact with the Public Health Officer um over and they've already disembarked and made their way to Prince of Wales or RPA.

Naomi Mannion Okay.

Chris Townsend I don't know I never saw anyone. Anyway so yeah those two patients .. .

Naomi Mannion <coughing>

Chris Townsend ... that have been transported now to RPA one had troponin rise so and the other one had something else.

Naomi Mannion Oh okay. Alright.

Chris Townsend inaudible yeah.

35


Date: 19/03/2020 Time: 03.51.22 am

Naomi Mannion And so is that it? Is everybody else now or .. .

Chris Townsend That's it. Yeah. So then they're going - so today they're going to disembark everyone else.

Naomi Mannion Yeah.

Chris Townsend Off that ship. There's twenty seven hundred or - twenty seven hundred passengers.

Naomi Mannion Mmmm.

Chris Townsend And then they're going to a skeleton crew on the boat and then they're going to I think sail out and quarantine themselves off the - off the Harbour or something.

Naomi Mannion Ok sure.

Chris Townsend Yeah. So no longer our problem.

Naomi Mannion Okay, cool. Perfect.

Chris Townsend Yeah.

Naomi Mannion Alright that is awesome <yawning> thank you.

Chris Townsend Alright, thank you.

Naomi Mannion Alright, see you mate. Bye.

Chris Townsend See ya, bye.

36

Documents

EXHIBIT 42 - rubyprincessinquiry.nsw.gov.au · 2. I am a P1 Ambulance Paramedic for NSW Ambulance (NSWA). I have held this position for 3 years. I am currently stationed at Paddington