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"ED triage & waiting time for children"

About: Broome Health Campus / Emergency Department

(as a parent/guardian),

Our toddler had an accident at daycare which resulted in a split top lip and a trip to the ED. Due to the time of the accident (late in the afternoon) we were unable to get into any GP before they closed their doors so needed to get to someone medically trained to see if it required any stitches/glue. 

Whilst triage was relatively quick (although the desk was unmanned upon arrival and many times during our wait), we had to wait over 3hrs to be seen by a dr. Whilst the accident was not-life-threatening, and I appreciate there were a number of ambulances that arrived during the course of this time, waiting for over 3hrs with a bleeding, hungry and tired toddler is not fun for any parent.

We did not leave the hospital until over 4 hours later - 20 minutes of which was the total time required for treatment and glue.

Sadly this is not the first incident where we have had an extensive wait with a bleeding toddler in this ED. We have had to previously wait for 4hrs with a bleeding toddler after another accident that saw them bite through their bottom lip.  Again, not life-threatening, but as we couldn't get into any GP for medical treatment, we had to head to the ED to be seen. 

There was also another patient who I believe waited for 3-4hrs to be seen with a heavily bleeding and badly wrapped foot. Surely, in my opinion, it would serve the hospital well to train current nurses to attend to, clean, stitch, staple, or glue bleeding children and adults, this way those bleeding, but not necessarily with life-threatening injuries (especially children), can be attended to immediately. 

I believe this will provide peace of mind for the patient and parent - allowing one parent to return to work or home - whilst the patient can wait to be cleared for discharge by a dr.  Waiting 3-4hrs with a bleeding, upset and hungry child or toddler, in my opinion, is WAY too long for an Emergency Department.  
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Responses

Response from Helen Fullarton, Coordinator of Nursing & Midwifery, Broome Hospital, WACHS KImberley 3 years ago
Helen Fullarton
Coordinator of Nursing & Midwifery, Broome Hospital,
WACHS KImberley

Manages the Nursing and Midwifery Services at Broome Hospital

Submitted on 18/02/2021 at 8:14 PM
Published on Care Opinion on 19/02/2021 at 10:16 AM


Dear oscards48

Thank you for your feedback about your recent visit to the Emergency Department (ED) at Broome Hospital.

I am very sorry to hear that your toddler had an accident and needed to come to the ED. This must have been a very worrying time for you and I apologise if we added to your distress by having a long wait time.

It is essential that the ED triage desk is attended at all times and I would like to assure you that the Clinical Nurse Manager (CNM) will be ensuring that happens as a priority.

In relation to your concerns regarding the ED Nursing staff, the nurses are trained and work within a specific scope of practice. The care and treatment that you mention, such as stitching and stapling, are usually undertaken by nurses who have completed Nurse Practitioner training. Part of my discussion with the CNM of the ED will be around how best we can care for sick and injured children and their families in the ED and waiting room.

I would be very happy to discuss this with your further if you would like to. My name is Helen Fullarton and I am the Coordinator of Nursing & Midwifery at Broome Hospital. You can contact me via email at helen.fullarton@health.wa.gov.au or on my mobile; 0408913638.

I hope that your child is healing well.

Yours sincerely,

Helen

Coordinator of Nursing & Midwifery

Broome Regional Health Campus

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