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."this should not have happened and should never be allowed to happen again to another vulnerable person or their family. .
on the afternoon of may 1, nurses got clearances from doctors and wheeled robert into helen's room. .
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![the two-way](/media.npr.org/branding/sections/thetwo-way/branding_icon-aec8943f7fba654246d504d81ae2999f30b3106f.png)
the staff's "dearth of knowledge" about the correct procedure to follow when someone dies unexpectedly was also highlighted. .
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