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"Waiting to be triaged"

About: Royal Perth Hospital / Emergency Department

(as a carer),

A couple of weeks ago I attended Royal Perth Hospital ED with a work colleague who had had a nasty fall. They were in excruciating pain (suspected broken ribs) and had difficulty not only walking, but also breathing. 

Upon arriving in the ED area, we were both shocked at the way people who were sick and vulnerable are triaged in the ambulance bay area outside the ED. We muddled our way around as we couldn't see any signage telling us where to go and eventually found the right spot. Unfortunately, I felt we were ignored by the one, very busy, triage nurse who was clearly doing their best taking the details of other people who were waiting. I might just say that in my opinion, a quick acknowledgement like 'hi, I won't be long' or even a glance in our direction goes a long way in alleviating the anxiety of being left waiting and not knowing if you've been seen. 

Anyway, we continued to stand - with my colleague in agony - as we were obeying the one sign that was clear, which said 'Please wait here.' Eventually (after about 5 minutes), a security guard ambled over from the ED entrance and told us we could sit down if we wanted. We did just that and then waited for the nurse to see my colleague. During the wait, we watched other people follow us in wheelchairs and on crutches, all having to wait in the cold. The marquee where we sat has a roof, but no side or front protections, so sitting in there really provides little if any protection from the elements. Surely the area can be contained a bit more with some plastic blinds (like restaurants) or outdoor blow heaters or blankets? This area is a wind tunnel and is so cold and uncomfortable.

I work in the health system and understand the significant challenges that Covid has brought and how we have to work differently and adapt to change. However, surely we can do better than have people sitting in the cold, potentially exacerbating their symptoms and creating more problems for staff and an already over stretched system. I find myself becoming increasingly incensed at the rhetoric around how we prioritise person-centred and compassionate care when it seems we're not providing the most basic of human needs (warmth and comfort) for people who need it most.   

I believe on behalf of people who find themselves needing the ED and as the temperature continues to drop, can you please improve this situation for everyone involved?
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Responses

Response from Neil Cowan, Executive Director, Armadale Kalamunda Group, EMHS nearly 2 years ago
Neil Cowan
Executive Director, Armadale Kalamunda Group,
EMHS
Submitted on 14/06/2022 at 3:51 PM
Published on Care Opinion at 4:12 PM


picture of Neil Cowan

Dear Link 55,

Thank you for providing your feedback regarding your presentation at Royal Perth Hospital (RPH) with your colleague a couple of weeks ago.

I am very sorry you felt let down by your experience in the COVID triage tent.

The COVID triage tent is part of Royal Perth Bentley Groups response to the current pandemic and is aimed at early assessment to reduce the potential transmission of COVID for patients, visitors and staff involved in emergency treatment at RPH. A fully trained triage nurse undertakes each assessment.

I would like to assure you that any patient with a life or limb threatening condition will be progressed to treatment immediately.

I am really sorry you felt there did not appear to be a process for triage and I deeply regret any lack of courtesy you felt by staff.

I can assure you that all of our staff are committed to ensuring the wellbeing of every patient that attends.

Whilst the COVID tent is not a fixed structure, maintaining a constant air temperature is important but can be difficult based on prevailing weather conditions. We do have both heating and blankets to help.

Please be reassured that your feedback has been provided to senior staff, as we continue to work hard to improve the services we provide and deliver patient focused care in all areas in our group.

I do sincerely hope your colleague is recovering well.

The Royal Perth Bentley Group is committed to providing the highest quality of care for patients and I would like to sincerely apologise 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,

Neil Cowan

A/Executive Director

Royal Perth Bentley Group

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