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"Patient Experience Report – Rockingham Hospital Emergency Department"

About: Rockingham General Hospital / Emergency Department

(as a carer),

My parent, in their 80s, had been suffering for three months from two leg wounds caused by falling tree branches. The wounds remained unhealed, painful, and inflamed, with persistent throbbing pain and disrupted sleep.

Multiple visits to their GP led to an initial prescription for a topical cream, which worsened the condition. A subsequent biopsy confirmed the presence of Squamous Cell Carcinoma (SCC), and my parent's GP urgently referred them for surgical intervention at Rockingham Hospital.

Despite the urgency, a week passed without any contact from the hospital. During this time, my parent's symptoms worsened—ongoing pain, signs of infection, fever, a new sore developing on their hand, and severe fatigue. Concerned about a potential systemic infection or the risk of it spreading to the bone, I personally took my parent to Rockingham Hospital Emergency Department.

________________________________________

Emergency Department Experience:

•Arrival & Initial Triage:

Upon arrival, we were seen by the triage nurse and advised to wait. At that time, there were approximately 50 patients in the waiting area.

•Waiting Time:

The hospital’s own website estimated a 3-hour wait time. However, we waited a total of 9.5 hours, only being seen late in the evening. During this time, I repeatedly inquired about waiting times, but was advised there was no timeframe and we simply had to wait.

•Conditions in the Waiting Room:

From what I saw, the waiting area seemed overcrowded, with many patients in apparently severe conditions also waiting extensive periods. I witnessed:

o A person with ulcers post-coma had been waiting since the morning.

o A child with a bleeding head injury had been waiting since mid-morning.

o A grieving parent suffering from prolonged hemorrhaging and weight loss was, to me, visibly distressed.

o An elderly person with facial lacerations and swelling had been waiting over 6 hours.

o A young child, in my opinion, visibly deteriorating, collapsed after waiting over 4 hours.

•Patient Monitoring:

Nurses began performing basic checks such as blood pressure and placing cannulas, though no further movement occurred for several hours. My paren'ts blood pressure was elevated, and they were finally given ibuprofen and paracetamol after 7 hours of waiting.

•Final Treatment & Outcome:

We were finally seen by Dr. Harry, who was compassionate, respectful, and apologetic for the delay. He conducted a full assessment, diagnosed an infection, and prescribed OxyContin and Celecoxib for pain and inflammation. He also expedited the surgical referral, now expected within 2 weeks.

•Discharge Time:

We left the hospital at almost midnight, after a total of 9.5 hours in the Emergency Department. My parent was not admitted due to lack of available beds.

________________________________________

Concerns & Feedback:

1.Excessive Wait Times:

A 9.5-hour wait for an elderly patient with a cancer-related wound and infection is, in my opinion, unacceptable, especially when it seems other patients with serious conditions were also left untreated for extended periods.

2.Lack of Communication:

It seemed to me that staff were unable to provide clear updates regarding wait times or bed availability. I believe that transparency could have allowed patients to seek care elsewhere if needed.

3.Overcrowding & Staff Burden:

It was evident to me that the hospital was overwhelmed, with patients resting on corridor floors, visibly distressed individuals left unattended, and clinical staff under immense pressure.

4.Systemic Issues:

I believe this experience is reflective of a broader healthcare system crisis. In my opinion, tax-paying Australians deserve timely and humane medical care. I think that allocation of healthcare funding should prioritize emergency and frontline services to ensure no individual, especially the elderly, is subjected to such conditions.

5.Request for Accountability:

Multiple nurses encouraged us to formally submit a complaint via Care Opinion Australia, I recall, acknowledging the unacceptable nature of the situation.

________________________________________

Outcome Sought:

•Formal acknowledgement of this incident.

•Assurance that wait time transparency and triage protocols are reviewed.

•Clarity on plans to improve emergency care resourcing.

•An update on the surgical referral and any follow-up care.

________________________________________

Medications Prescribed:

•OxyContin – for pain management

•Celecoxib – anti-inflammatory

•Advised to return immediately if fever or other symptoms worsen.

________________________________________

Please consider this report a formal request for review of the circumstances experienced and for improvements in patient care delivery, especially for vulnerable and elderly Australians.

Being given time

Being given time


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Responses

Response from Asheila Narang, Executive Director, Rockingham Peel Group, South Metropolitan Health Service last week
Asheila Narang
Executive Director, Rockingham Peel Group,
South Metropolitan Health Service
Submitted on 26/09/2025 at 3:40 PM
Published on Care Opinion Australia on 29/09/2025 at 8:44 AM


picture of Asheila Narang

Dear Disgruntled Carer,

I am sorry to hear that your elderly parent spent an extended time in the Emergency Department (ED), I appreciate this would have been a difficult time for them and hope their condition has improved since this visit.

Although we endeavour to see and treat patients as soon as possible, I acknowledge wait times can be longer than anticipated when there are multiple patients with high clinical needs or the ED becomes overcrowded.

The Department of Health website and a monitor above the clerk’s desk within ED provide an overview of estimated wait times, which are based on Triage category 4 patients. However, these wait times do not anticipate the arrival of patients suffering from life threatening conditions and can result in waiting beyond the estimated times. I recognise this doesn’t lessen the emotional toll of waiting within the ED and I apologise for any distress caused.

To support our focus of providing person-centred care, the ED wait room has allocated nursing staff to assess patients and provide observation checks to ensure any worsening conditions are escalated to the clinical teams. We always encourage patients and carers to advise a member of staff where they have concerns or notice deteriorations. There is also the Aishwarya’s Care Call phone to escalate care if you are worried that your loved one is deteriorating.

I personally thank you for your feedback, it is important to our service and without it we cannot review our processes to identify areas of improvement. I can assure you, that Rockingham General Hospital and our ED are continuously working towards improvements for our patients, We are currently undertaking a review of the ED to assess its capacity against the projected population growth of the area.

As Care Opinion is an anonymous platform, I am unable to review or provide updates about your parent’s treatment or follow-up care. I encourage you to please contact our Consumer Liaison Officers on 9559 4323 or RGH.feedback@health.wa.gov.au who can assist you with gaining further updates.

Thank you for taking the time to reach out and I hope that your parent is recovering well.

Kind Regards,

Asheila Narang

Executive Director Rockingham Peel Group

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