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"Poor staff and equipment"

About: Swan Hill District Hospital / Emergency Department

(as a parent/guardian),

I am writing to complain about the treatment of my child, who my parent took into Swan Hill Casualty with possible appendicitis, which my parent told them we were concerned about. Doctors took blood tests and a urine sample and my child was sent home and my parent was told to bring them back for an ultrasound, which I took them in for but the ultrasound was inconclusive due to them not having a full bladder. I believe my child was dehydrated. I recall the doctors continually telling me it was gastro but we felt we knew it was more serious than that and I stated that no one else had gastro at home but then they were telling me that meant nothing and that can happen.

We were there from about midmorning until late afternoon when they decided to do an X-ray and as I understand it, they found fluid near my child's bowel and still continued to tell me it was gastro. It seemed to me it was only questioned and followed up further after someone they were consulting with over the phone felt the fluid that was found should be investigated and they then made arrangements for my child to be flown to another hospital and we were flown by plane where I remember even the doctors onboard were telling me it could be gastro.

Arriving at the other hospital late that night and I remember that even they were saying it could be gastro. The hospital didn’t start their investigations until late the next day with surgery not for 2 days later, I think this was due to Swan Hill filling in ambulance drivers etc.

My complaint is due to what I see as your beliefs and diagnoses that I feel could have cost my child their life. In my opinion, due to poor equipment at the hospital and lack of experienced medical teams.

At one point I recall the doctors told the cleaning staff to clean the cubicle as my child's got gastro, and I was constantly told this the entire day at Swan Hill even after admitting them for observation. Casualty put a line in ready for a drip but my child was then transferred to the ward and it didn’t happen. I became frustrated and very upset as I felt I knew there was something seriously wrong. It seemed to me that all they did there was give my child some hydrolytes in a cup to drink (being for gastro) and did not start to rehydrate them at all after putting the line in.

After presenting to Swan Hill with possible appendicitis which I believe should have been X-rayed that night in case of rupture but there was no staff or after hour staff to carry this out. Then when the ultrasound was done it couldn’t be done properly due to not having a full bladder. I feel it is appalling and I or any of my children will not be attending the Swan Hill Casualty dept again for any medical emergencies, instead we will take our chances and go elsewhere. I believe it is a frightening experience to know that we rely on these services and take risk with our lives to attend the Swan Hill Hospital.

My child’s stomach was a mess and it was an extreme medical emergency due to a perforated appendix. I suggest reading the report from the other hospital for the extent of my child's condition.

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Responses

Response from Rex Prabhu, Director of Medical Services, Medical Services, Swan Hill District Health 2 years ago
Rex Prabhu
Director of Medical Services, Medical Services,
Swan Hill District Health
Submitted on 17/12/2021 at 1:10 PM
Published on Care Opinion at 1:10 PM


picture of Rex Prabhu

Dear earthtt83,

Thank you for sharing your experiences with our treating teams and experience with our care.

At the outset on behalf of all the clinical team, we are really sorry for your experiences. I understand why you were frightened; from what you tell me, it sounds as though you didn't feel as though your concerns were listened to, nor did you have confidence in the medical diagnosis or treatment.

We have instigated an independent review of the care and would very much like to clarify a few matters raised. You have recommended that we read the report from the other hospital you presented to and I agree that this is an important step for us to better understand what has happened. Unfortunately, due to privacy legislation, Swan Hill, as the referring hospital, cannot actually access patient information such as this report unless we have the consent of the patient (or their parent/guardian) or if there is a trigger for inter-hospital review.

To enable us to access this information and to continue our investigation, I would greatly appreciate if you could please contact- April McKenzie, Quality, Experience & Safety Manager on 03 5833 9317 directly or Director of Medical Services, Dr Rex Prabhu on 03 5033 9394 rprabhu@shdh.org.au, so that we can progress towards a thorough investigation and manage a positive outcome. This will also help our staff to learn from, and use your experience to better the care delivered to our community.

It also concerns me that you have been left without the confidence to come to Swan Hill District Hospital in a medical emergency. It is important that you feel supported and more confident to access medical services as and when you need them, and I do hope that you will contact us so that we can work through this with you.

Warm regards,

Dr Rex Prabhu

Director of Medical Services

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Response from Rex Prabhu, Director of Medical Services, Medical Services, Swan Hill District Health 2 years ago
We have made a change
Rex Prabhu
Director of Medical Services, Medical Services,
Swan Hill District Health
Submitted on 13/01/2022 at 3:30 PM
Published on Care Opinion at 3:36 PM


picture of Rex Prabhu

Dear earthtt83,

Thank you for meeting with me and providing me an opportunity to undertake a joint review of the care with the Royal Children's Hospital.

We will share with you the outcome of the review and subsequent actions.

Cordially Yours,

Rex

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