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"Disappointed with ED care"

About: Karratha Health Campus / Emergency Department

(as a parent/guardian),

A few weeks ago, my child came home from daycare with a horrible cough. I watched and monitored it over the coming days and was not concerned as it was just a cough, however, it was getting worse by that weekend. My child started developing fevers low grade, however, still fevers. I monitored them again and started giving 4 hourly Panadol. The fever would come down, however, spike back again when Panadol had worn off.

The next day, my child's fevers started spiking to 40+ degrees. I recall the highest it got was 40.2 - again Panadol would bring down but spike straight back up. By the start of the next week, I rang multiple doctors in town who advised me I couldn't bring my child to the clinic due to covid-19 and I would have to attend the hospital. I phoned health direct as I couldn't even get a telehealth call because of my child's age and symptoms. Health direct advised me to take them to the hospital.

I presented early in the morning and was advised both myself and my young child had to wear a mask. The triage nurse triaged us and although my child was presenting fine due to the pain relief. I had told them why we had come and what had been happening and it was starting to become a bit scary given their fevers were so high. We were then left in the waiting room of the emergency for 5 hours I believe. I had to go and ask for my child to have more Panadol as their fever started to spike again because the Panadol was wearing off. Their temp/obs were not taken again at this time.

After being told twice on two different occasions that my child was next we finally got seen by a doctor for what felt like all of 2 minutes. They looked at my child's breathing and listened to their chest and told me it's a virus, nothing we can do, thank you for coming. I advised the doctor that my child had been complaining of sore ears and sore arms and legs and their response as I recalled was, it's a viral infection it needs to run its course. The doctor did not take my child's temperature, do a set of obs, nothing. They told me to go back to my GP and get bloods if I am concerned with my child being unwell all the time. I would have thought after the mistreatment of Aishwarya, I believe doctors would be a little bit more thorough with children.

My child is still ill at the time of writing this story, and still have high fevers of 39+, surely Panadol 4 hourly since that weekend cannot be maintained. The last two times I have presented with my young child, the doctor was amazing. I felt they were thorough and very caring, explained everything to me and my child and I cannot believe the vast difference in the care we got this time. If that was all the doctor was going to do why could they not and come and complete their 2-minute visual assessment of my child in the waiting room and save me and an unwell child having to wait in emergency for 5 hours. I understand that the department was busy and there were other more important cases but to be made to feel like the way I felt that day was horrible. I tried my GP and health direct and as advised presented to the hospital due to my child's high fevers.

My child ended up representing to a doctor days later with no improvement, still high fevers and was diagnosed with a nasty chest infection and put on antibiotics and steroids.

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Responses

Response from Liam Avery, Operations Manager, West Pilbara, WA Country Health Service (WACHS) Pilbara 2 years ago
Liam Avery
Operations Manager, West Pilbara,
WA Country Health Service (WACHS) Pilbara

Operational Management of the West Pilbara Health Services

Submitted on 30/11/2021 at 3:28 PM
Published on Care Opinion at 3:28 PM


picture of Liam Avery

Dear paprikayz54,

Thank you for taking the time in providing your feedback regarding your recent experience at the Karratha Health Campus Emergency Department when you presented with your unwell child. I’m very sorry to hear of your experience, and I note in your feedback that your child was still unwell at the time of writing and has since been prescribed antibiotics and steroids. I hope that they are now recovering well? However if you still have continuing concerns with their symptoms I encourage you to please re-present at the emergency department, or you may also call me directly if you would like, so that I can support you and your family to ensure that your child continues to receive the care they require.

I can appreciate how frightening it is when your child’s temperature becomes unmanageable and it must have been very frustrating explaining to the triage nurse that your child’s symptoms and temperature were presenting as normal due to the pain relief. I’m sorry that you then had to wait for such a significant period of time that your child required another dose of Panadol whilst in the waiting area. The Emergency Department use the triage system to ensure any life-threatening conditions are dealt with as a priority. However, we would expect that any significant waits are communicated with you, and that you are encouraged to share any changes in your child’s symptoms to ensure that we reassess this triage level if necessary.

The WA Country Health Service has clear policies and expectations in relation to clinical observation and assessment, and I am very concerned to hear the treating doctor at the time did not take your child’s temperature or observations. I would like to further investigate the circumstances at the time you presented to the ED and I want to assure you that I will be reviewing your experience with our Senior Medical Officer, so that your concerns are heard, investigated and actioned where appropriate. We will be able to do this better if you do contact me directly to discuss your concerns so that we can determine what we can do better, particularly when the emergency department becomes very busy.

We know how important it is to listen to parents, who have a unique insight into their children’s health and wellbeing. You may already be aware of the service called Aishwarya’s Care Call. This provides patients and their families a way to receive or call for assistance when they feel the healthcare team has not fully recognized the changing health condition that you as a parent are concerned for. You can find more information about Aishwarya’s Care Call by visiting WA Country Health Service - Aishwarya’s CARE Call. I would also like you to know that we have recently displayed posters promoting Aishwarya’s Care Call at the Karratha Health Campus. These posters are displayed in the emergency department waiting area and include the steps to escalate your concerns for your child. I will review the location of these posters to ensure that we have placed them appropriately to optimize the visual impact on our patients and families.

I’m happy to hear that at your prior two presentations for your child you had a vastly better experience, with the doctors providing thorough and caring health care, and effectively communicating with you about your child’s health concerns. That is the standard and reflects the organisation’s values and our expectations from our health professionals.

My name is Liam Avery and I am the acting Operations Manager, West Pilbara. You can contact me on 08 9144 7639, or alternatively, send me an email – Liam.Avery@health.wa.gov.au

Again, thank you for taking the time to share your experience via Care Opinion, and I look forward to hearing from you shortly. Your child’s welfare and care are our number one priority, and we aim to provide a compassionate, respectful and supporting environment to all of our consumers.

Kind regards,

Liam Avery

A/Operations Manager West Pilbara

WA Country Health Services (WACHS) Pilbara

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