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"My parent and continence"

About: Wonthaggi Hospital / Emergency Department

(as a carer),

I noticed my elderly parent had very cloudy and thick urine in their catheter bag. This is a new catheter they have had since discharge from BCH, it was about a week old. The district nurse came and agreed it didn't look right, they then emptied some into a specimen bottle and suggested we go to ED. I took my parent in and was told I was not allowed to come into ED with them. I explained I was their carer and their advocate, but after the triage nurse took a history from me and took the sample I was told I couldn't come in at all. My parent also wanted me to stay with them. I requested the Dr call prior to doing anything so I can help.

About an hour later I was called by the Dr who said they didn't want to do bloods or a urine test because my parent had no fever, and they couldn't get a urine test because the catheter was in. They told me to come and collect my parent to take them without any treatment. I came back to the hospital to get my parent and was really worried because I knew something was really wrong. I was especially concerned because my parent recently had issues with their kidneys.

Upon getting to ED and having this conversation with the Dr, my parent actually collapsed in ED. The Dr said they will now keep them and run some tests. I felt really upset and worried. I then called the Dr to check on my parent a few hours later and was told they had done an ECG and was waiting on bloods, and the Dr stated they finished at in about an hour. I asked who was taking over after them and I recall they simply said the other clinician’s name. I then asked to speak to my parent on the phone who said that they had not eaten anything for lunch at all, and had not eaten for hours.

Around a couple hours later, I received another call from the Dr saying I could now come collect my parent because it looked like a vasovagal and their bloods were good. I was surprised because I thought the Dr had finished for the day but they said that they stayed on.

My parent ended up on oral antibiotics and was feeling a lot better. I am not someone who comes into ED for no reason, but I know my parent and know when something is wrong. This whole situation made me feel shocked and uneasy.

I would like BCH to reconsider their policies around carers coming into ED in special circumstances. My parent is quite elderly and needs reassurance in these sorts of situations. The Dr did bother to ring me and I appreciate that, however I do think they should consider doing tests to check things like urine when carers or patients express concern. I don't even know if they checked the urine sample I provided to the triage nurse.

I also want to mention the security guard because when I left in tears he was so kind and supportive.

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Responses

Response from Jan Child, CEO, Bass Coast Health 2 years ago
Jan Child
CEO,
Bass Coast Health
Submitted on 14/03/2022 at 1:02 PM
Published on Care Opinion at 1:02 PM


picture of Jan Child

Dear scoreboardwd94,

I am hoping that by the time you read my response, that the staff in charge of our ED will have been in touch with you to apologise for the distress that was caused to you and your father throughout his recent presentation.

The doctor looking after your parent on the initial shift recalls talking to you on a few separate occasions over the course of the afternoon. You were rightly worried and he recalls a brief conversation with you, and on reflection, he now recognises that he should have offered for you to come in to be with your parent. At the time of your parent’s presentation, we were being very strict about not allowing visitors into the ED because of the extreme COVID risk and our concerns about transmission. I will tell you that it has been one of the hardest decisions made by our team, to restrict visitation to the extent we did, because we know that if it were our parents, we would want to be with them also. I think over the two years of the Pandemic, we have become better at finding the balance at being safe, and being compassionate, but we clearly didn’t get that balance right with you. Whilst I am so proud to say that we have had no staff members or patients catch COVID in our workplace because of all the restrictions, I also completely understand the pain you will have felt in being separated from your parent. I wouldn’t want to be separated if it were my parent and I am sorry that happened for you.

I would like to thank you for taking the time to share your experience and thank you for talking with our senior ED leaders so that they can take our learnings back to their team.

As to our security guards – bless them! We will make sure they understand how much their kindness matters.

Kind Regards,

Jan

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