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"Unsatisfactory treatment received"

About: Denmark Health Service / Emergency Department

(as the patient),

Doing stretches at the end of an exercise class. I dislocated my hip replacement.

I was in great pain, which was immediately relieved on receiving "The Green Whistle" from the ambulance staff.

Arrived at Denmark Hospital. Obs taken. There appeared to be no structure or cohesive communication between the 'nurses'. Asked who the Dr on call was - was told there was no doctor that day. Pain relief no longer working. Given 2 paracetamol.

It seemed to be a nurse who tried to contact a ‘conferencing Dr’ for advice and authority. (This was a slow procedure because the Dr was busy and had to call back after the co-ordinator had been consulted).

The nurse tried to find a vein, thought they had and inserted 20ml Fentanyl. No relief. This procedure happened twice more unsuccessfully and another nurse attempted to put a cannula in - this 'blew out'. They gave up and passed the job to a 3rd one, who put a fine needle into the other arm. Tried to give more Fentanyl and after no relief contacted the Dr - and I called out "what about Morphine?" I believe the Dr heard me and said go ahead. This too did not work! After 2 hours the ambulance was finally called for the trip to another hospital. My Partner requested ‘the green whistle’ this gave relief and I was then transferred by ambulance to the other hospital.

(During this apparent charade, I recall a student nurse was given the opportunity to learn how to inject an anti-inflammatory into my shoulder!)

In summary: 3 vein cannula failures. No pain relief received for the entire time in my opinion. There seemed to be no leadership. At least 5 conference calls were made, in my opinion, a lot of time was wasted.

I believe the decision to transport to another hospital should not have taken in excess of 2 hours.

During the entire time I was under great pain.

On arrival in the other hospital there were people waiting for my arrival and I found from then on everything was extremely professional and done in a timely manner.

I was badly affected by this traumatic and painful experience. I have had to visit my GP for help in coping.

Thank you.

Staff skills

Staff skills


Treatment

Treatment


Pain relief

Pain relief

Team work

Team work


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Responses

Response from Silvie Miczkova, MPS Operations Manager, WA Country Health Service (WACHS) nearly 2 years ago
Silvie Miczkova
MPS Operations Manager,
WA Country Health Service (WACHS)
Submitted on 3/08/2022 at 5:52 PM
Published on Care Opinion on 4/08/2022 at 8:31 AM


Dear Daisydog

Thank you for taking the time to share your story on Care Opinion. We view all feedback as an opportunity to improve our service to our community. I am very sorry to hear that your pain was not well managed and that you feel that the care you received was disorganised.

Since 2007 the smaller hospitals in the WA Country Health Service have routinely used the emergency telehealth service or ETS to manage people presenting to our emergency departments. The ETS is provided by Emergency Medicine Specialists and aims to improve access to emergency medicine services for rural and remote patients.

I believe that you have already been in contact with the hospital and I am working with the hospital’s Director of Nursing and the regional safety and quality team to gain a better understanding of what occurred to you. Once that investigation is complete we will respond directly to you and your family with our findings and any opportunities for improvement.

I am sorry to hear that you are continuing to suffer as a result of your injury and I hope that you are being well supported by your GP.

Please do not hesitate to contact me directly on 0429 103 370 if you have any further queries or require further assistance.

Yours sincerely,

Silvie Miczkova

MPS Operations Manager

WA Country Health Service Great Southern

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