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"Lack of nursing staff"

About: Perth Children's Hospital / Ward 4B - Long Stay Surgical

(as a parent/guardian),

My child is a special needs kid that was first admitted to PCH when they had a chest infection. My child stayed in ICU for about 4 days before they were transferred down to the wards and a day later they deteriorated and went back to the ICU which few days they were diagnosed with pancreatitis, and spent three weeks in the ICU. 

After slightly recovering and being able to breath without ventilation, my child was transferred back to the wards where the nursing support being 1 nurse to 4 patients. My child was and is (at the time of writing this story) still going through rough withdrawals from the opioids. They were shaking and crying and we raised our concern that we needed to at least have a 2 to 1 ratio of patients to nurses.

Last week we stepped out of our child’s room and came back shortly after to find them blue in the face, oxygen saturation levels at 23%, monitors blaring and no one was the wiser. I started screaming for help and that's when they all rushed in. As I understand it, the nurse looking after my child was on break and the one taking over was busy and no one was on the central monitor. They took our concern and made the care 3:1. 

This happened again when my parent was with my child and they had a major seizure that lasted 1.5 minutes and their oxygen levels went down to 30%. Same scenario, nurse was busy and no one at central monitor. 

We raised the concern with the doctor on shift that day and they promised they will make it to 2:1 ratio but the nurse told us that sorry we don't have enough people to cover shifts. 

We cannot guarantee as parents and carers being in our child's room 24/7 and the medical team should not rely on us to be in the room to cover their apparent shortage in staff and lack of monitoring. 

We are fearful to leave our child alone in case they are not monitored properly, and ends up suffocating as a result and dies from absence of monitoring caused by lack of nurses.

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Responses

Response from Dr Simon Wood, Executive Director, Medical Services, Child and Adolescent Health Service 2 years ago
Dr Simon Wood
Executive Director, Medical Services,
Child and Adolescent Health Service
Submitted on 24/09/2021 at 2:45 PM
Published on Care Opinion at 2:45 PM


Dear venusqw47,

Thank you for taking the time to share your experience at Perth Children’s Hospital (PCH) recently. I sincerely apologise for this distressing situation; it must have been a very frightening experience for you.

I apologise that you felt there was insufficient nursing observation of your child and acknowledge this would have added to your stressful experience. Nursing care on the ward is determined by patients’ clinical needs, and allocation is planned for the ward at the commencement of each shift. A patient’s condition is assessed on an ongoing basis, and nurses can be re-allocated according to any changes to patients’ needs.

The centralised monitoring system you have referred to has audible alarms with the intention that the alarms can be heard by all staff on the ward. In addition, there are monitors that provide a visual display of each child’s vital signs including oxygen saturations, at the staff stations.

PCH also has an escalation system for families and carers in ward areas known as a “Care Call”. We encourage parents and carers to use this avenue if their child’s condition changes or deteriorates on the ward and feel any concerns have not been adequately responded to by the nursing and medical staff.

I would be grateful if you would take the time to contact our Consumer Engagement Team, so a one-to-one confidential conversation can be arranged to discuss yours and your child’s experiences. This will also enable your concerns to be investigated.

Whilst I regret what has occurred, I am very keen to understand your perspective to ensure your experience is both heard and reflected in our service delivery. Please contact our Consumer Engagement team on (08) 64560032 or at CAHSFeedback@health.wa.gov.au.

Kind regards,

Dr Simon Wood,

Executive Director of Medical Services,

Perth Children's Hospital, Child and Adolescent Health Service

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