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"Emergency surgery"

About: Kalgoorlie Health Campus / Surgical Ward

(as the patient),

I arrived to Kalgoorlie ED after traveling 250kms with 10/10 abdominal pain, as I got out of the car, an off duty nurse saw my trouble and assisted me to get to the ED reception. Once there I was treated with respect and listened to, immediately getting assistant as I vomited and nearly passed out. I was processed and given some pain relief, unfortunately I maxed out the protocols quickly and had to wait a significant amount of time for more. Thank you to the ED nurse and Doctor who listened and believed me that something was wrong, after a CT scan I was found to have an internal haemorrhage. The gynaecologists took over my care and were absolutely wonderful (I can't thank Dr Jo enough for listening, thorough explanations and for her gentle words and her senior consultant for helping me take my mind off everything while we waited for the OT to be ready). I was taken into surgery that night. Unfortunately in recovery the staff were unable to give me pain relief prior to transfer to HDU as they were required in maternity for two deliveries, but I did receive it once on the ward.

My care in HDU was great except for one nurse who I found was very rude and dismissive of my pain and fatigue levels, I recall they told me that they thought my pain was in my head, also that my surgery was minor so I shouldn't be in so much pain or require so much pain relief and that even if my haemorrhage meant that I was infertile it wasn't the end of the world. And then to top it off, I recall my cannula had clearly tissued and I required an iron and blood transfusion but it seemed this nurse just wanted to use the bad cannula and when I refused, all the nurses (who I believe also said they don't cannulate but will have a go) had around 13 failed attempts, before I said no more and asked them to ask the medical Dr who was inserting one in the patient opposite me, to which they did and the doctor (very) reluctantly and rudely, in my opinion, inserted a very painful cannula in which required me to hold it in place to be able to run the infusions, but better than no cannula!

I was then moved to the surgical ward where I felt my care took a nose dive. I was put in a single room and left there, I saw a nurse a maximum of twice on their shift and when I rang the bell I recall I waited between 8-25 minutes for assistance. One morning I rang due to increasing and distressing shortness of breath and waited about 25 minutes for the bell to be answered to be told that the day shift will be here in half an hour, they can deal with it. I then waited for the Dr's rounds and was given a chest x-ray and eventually put into Covid isolation but unfortunately nothing was communicated to myself or my partner for hours until they came to do the PCR and even then I believe the staff didn't know how to proceed or what advice to be providing. The following day I was to be discharged home, with a pending PCR test, the nurse rang my room and said my whole household had to isolate and when challenged on this (as per government regulations, I believed they weren't required to) the nurse wasn't sure what the rules were and as I understand it, had to ring public health to confirm. The nurse then rang back and informed me that yes, only I needed to isolate until my result came back and my family were not affected unless positive. I felt the nurse assigned to me that morning reluctantly attended to my surgical wound dressings after I asked them twice and then apparently refused to help my partner push me out to the entrance but instead left a wheelchair outside my room! I grabbed a mask from the caddy at my door as I left and signed some paperwork on my way out and that was it.

I unfortunately did not feel safe in the nursing care in my last few days at Kalgoorlie. From long wait times, to the small things like not having my bed linen changed once, but ultimately the lack of communication with myself, my partner and I found obviously within the team was very noticeable to me.

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Responses

Response from Peter Tredinnick, Executive Director, Regional Office, WACHS Goldfields nearly 2 years ago
Peter Tredinnick
Executive Director, Regional Office,
WACHS Goldfields

Executive Director WACHS Goldfields

Submitted on 1/07/2022 at 12:24 PM
Published on Care Opinion at 12:43 PM


picture of Peter Tredinnick

Dear pictornd66

Thank you for taking the time to share with us your recent experience at the Kalgoorlie Health Campus, both the positive and the negative.

It is through hearing stories such as yours that our staff are reminded why striving to provide patient-centred care on every occasion is so important and provides us with the opportunity to reflect on the areas of our service that need to be improved.

I am pleased that some aspects of your care were very positive, particularly in the Emergency Department; however, I am sorry for the rudeness of the nurse in the High Dependency Unit and the pain and distress this caused. I am especially concerned regarding the time taken to respond to your calls on the surgical ward and the lack of clarity and communication on your care pathways whilst on this ward. As a result I have spoken with the team to ensure we undertake a period of audits in this area to ensure that care is being provided in line with the standards we require and to identify any areas for improvement.

I would also like to let you know about an escalation process we have in place at the Kalgoorlie Health Campus (KHC) that supports patients and their families and carers to call for assistance if they feel that their or their loved one’s healthcare concerns are not being addressed appropriately. This process is called Aishwarya’s CARE Call and it enables you to speak to a senior member of staff who will listen to your concerns and help you or your loved one. Information about Aishwarya’s CARE Call is now in place throughout the KHC so that people are aware of the process. If you are concerned about the care you receive in hospital in the future, I encourage you to make a CARE Call on (08) 9080 5781.

I hope that you are now recovering well. Should you like to discuss this matter any further please make contact with Alicia Michalanney, the Director of the Kalgoorlie Health Campus on 9080 5817 or via email Alicia.Michalanney@health.wa.gov.au.

Kind regards

Peter Tredinnick
Regional Director
WACHS Goldfields

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