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"Emergency visit"

About: Kalgoorlie Health Campus / Emergency Department

(as a parent/guardian),

My young child, non verbal autistic, I took them yesterday to emergency department after having a fluctuating temperature up to 39 for 48hours, no food or milk and no water all day, they were sleeping all day, limp, lethargic. As they are autistic I can’t get them to take Panadol so I needed help to medicate and hydrate them.

I told staff immediately and often my child is autistic so I’d told my child we were there to check on me to help make the situation less stressful for them. They gave my child an icy pole even though I told them my child would not have it because it’s flavoured, I guess I’m not a credible person. I said we’d need extra people to help take the rats test as I wouldn’t be strong enough to hold them down myself. Of course that was ignored as well they sent one staff member. My child was so violent during the test and I was unable to hold them effectively (like I said) they bit their own lip and was bleeding. That injury was left untended.

When the doctor saw us they said my child was fine even though they were limp and asleep on the waiting room chair at the time. The doctor said there were no signs of dehydration and I needed to take my child home, give them fluids every 15 mins and Panadol. The literal reason for me attending ER was because I’d been unable to do that myself which I stated at least 5 times - because you guessed it, they have autism. The doctor proceeded to seemingly lecture me about giving my child better food as if we had not already been working tirelessly with therapists, OT, dieticians and nutritionist for years! I felt it was patronising and insulting. I know it’s rural but not one paediatrician bothered to look at my child.

The doctor tried themselves to give my child a syringe of Panadol and of course failed because, in my opinion, they had completely failed to understand my child’s autism diagnosis. I’m not even sure the doctor’s heard of it or has the basics because if you don’t understand me when I say no they won’t take it orally then I feel I can only put that down to a complete lack understanding of neurodivergence. It was beyond frustrating that for the second time in presenting my child to ER recently for help with the administration of Panadol I was being sent home without but sternly and condescendingly telling me I must go home and do it -the doctor even gave me the syringe they’d failed to give my child to bring home?

So we left with my child worse off because now they also have a split lip. I understand it’s rural but there must be a disabled protocol surely. It’s not called special needs for nothing. On one final insult to our hospital trip even though I’ve sent the hospital our court guardianship papers stating I have legal custody and I mentioned it in person that was ignored too because on the discharge sheet there was a note child in foster care. It wasn’t busy there was one other person there. I felt not one staff member really listened to me.

Based on my experience, get some special needs training asap! I am horrified and have spent all day having anxiety over the fact we will need to drive 7 hours away to Perth next time for, in my opinion, some professional knowledgeable assistance.

At the time of writing this, my child was still extremely unwell but I continued to put wet cloths on their head because modern medicine can’t be of any assistance to an autistic child when I live in Kalgoorlie apparently!

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Responses

Response from Peter Tredinnick, Executive Director, Regional Office, WACHS Goldfields nearly 2 years ago
We are preparing to make a change
Peter Tredinnick
Executive Director, Regional Office,
WACHS Goldfields

Executive Director WACHS Goldfields

Submitted on 11/08/2022 at 1:35 PM
Published on Care Opinion at 2:47 PM


picture of Peter Tredinnick

Dear jupiterrd58

Thank you for taking the time to reach out and share your experience with the Emergency Department at the Kalgoorlie Health Campus (KHC). I am disappointed to read that you and your child had such a negative experience and that you did not feel listened to or treated with the compassion and the level of care we would expect. No-one chooses to be sick and parents/carers certainly don’t want this for their kids, I apologise for the anxiety this has caused you. Parents/carers are the most important advocates for their children and know them the best, as such when concerns are raised our clinicians should be listening to and working with the parent/carer for the best outcome for the child.

I agree that there are many things that we can do better and that our staff would benefit greatly from education on how to meet the needs of kids and families with different needs. We will explore opportunities for this education with local service providers; one method we have found to be effective in the past is to invite consumers to be involved in this process. This could be through one to one or small group meetings, consumer cafes or groups (when able within the COVID-19 restrictions) or being part of our District Health Advisory Council. I would encourage you to reach out to our Director at the Kalgoorlie Health Campus, Alicia Michalanney on phone 9080 5817 or email Alicia.Michalanney@health.wa.gov.au if you are interested in being a part of any of these options.

I would like to ensure that the required court guardianship paperwork is contained in your child’s medical record should you ever need to present to KHC again. If you feel comfortable to do so please contact Alicia Michalanney, she would be happy to facilitate this happening.

I would implore you not to avoid seeking health care in Kalgoorlie if you or your child need it. I would also like to take the chance to make sure you are aware of an escalation process we have in place at all Public Hospitals, including the 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. 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. 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 or use the direct-dial phone provided in the ED waiting room.

Receiving feedback such as you have given is an important step for us to continually improve our service to be accessible and supportive to all members of our community here in Kalgoorlie; so again, I thank you for sharing your experience with us and I hope you child is now healing.

Kind regards

Peter Tredinnick
Regional Director
WACHS Goldfields

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