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"Don't get blindsided by COVID"

About: Royal Perth Hospital / Emergency Department

(as a relative),

I brought a family member, suffering shortness of breath & chest tightness, to ED for a second time in two days. I recall at the initial external interrogation, were directed to an alternative entrance. My family member was swabbed for a Covid test (despite being negative two days earlier, not having been to any hotspots & having a positive D-dimer on previous visit), then made to wait in a chair for over 3 hours.

I expressed my concerns to the triage nurse that I felt a Covid diagnosis (less likely to be positive) seemed more concerning than cardiac event (I believe more likely to have taken place), given my family member’s previous history. I recall the nurse told me they would address the nurse in the other entrance point. I believe they never did.

I re-expressed my concerns to the nurse attending to my family member. I was also dismayed that they seemed to make my elderly family member with a cardiac history wait (with unknown turn-around-time for Covid result) in a chair, next to a patient who I recall was admitted for fighting & another projectile vomiting.

A bed was finally found. Several hours after arriving in ED, it was found that my family member had in fact had a heart attack! I believe this delay in diagnosis could well have impacted on their wellbeing & survival. Thankfully, it was mild. 

Based on my experience, please don't let a Covid diagnosis overshadow something I feel is more likely & more sinister & consider previous medical history to guide patient management.

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Responses

Response from Grant Waterer, Acting Executive Director, Royal Perth Bentley Group 2 years ago
Grant Waterer
Acting Executive Director,
Royal Perth Bentley Group
Submitted on 10/02/2022 at 1:11 PM
Published on Care Opinion at 1:11 PM


picture of Grant Waterer

Dear indiafn87,

Thank you for taking the time to share your experiences of the care provided to your family member at Royal Perth Hospital (RPH) Emergency Department (ED). I am disappointed to hear what has occurred and that you feel your loved one was not treated in a timely and appropriate manner or that your concerns were heard

While the COVID protocols have been implemented to protect the wellbeing of patients and staff, they should not prevent the proper triaging and escalation of treatment for other clinical conditions. Regardless of the risk of COVID, patients should be monitored in the waiting area by a senior nurse and should their clinical condition require it, expedited care is initiated. I sincerely apologise that you did not feel listened to. The escalation of care by patients and their loved ones is a priority for RPH and your story will be used for learnings and improved practices in the RPH ED.

I am still troubled by your advice that your family member did not receive timely cardiac care and that a heart attack was confirmed. I would be keen to investigate the matter further.

The Royal Perth Bentley Group is committed to providing the highest quality of care for patients and I truly regret that this was not your experience with our service. If you are comfortable doing so, I encourage you to discuss your concerns with the Consumer Engagement Unit on (08) 9224 1637 during business hours, 8 am to 4 pm Monday to Friday or via email: RPBG.feedback@health.wa.gov.au.

Thank you for bringing this matter to our attention and I wish you all the best in your future health care needs.

Kind Regards,

Dr Grant Waterer

A/Executive Director

Royal Perth Bentley Group

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