"Lack of accessible services for inpatient"

I was a patient in Ward 2K as a voluntary patient. The overall stay was pleasant and was calming however there were moments that I believe that policies could be improved and staff could be better trained at handling situations instead of making ultimatums or threats.

1. I was approved to leave the ward from my registrar for a specified time and my nurse at that time was aware of the leave. However, I believe that there was a miscommunication during handover and the afternoon nurse called me and seemingly demanded that I return to the ward immediately, after I negotiated and explained that won't be possible as (i.e outside of Perth), we managed to negotiate a return time which is still not possible given the travel time was approximately 1-2 hours. This further caused destabilising qualities and caused me to have anxiety.

2. During my admission, I made it clear that I had dietary requirements and was undergoing treatment for and was also taking medications for it. I requested for a specific diet, however during my stay no meal was provided to me that suited my dietary requirement as they said a dietician was not available and wont be able to see me in time and told me to use my leave to buy my own food. I could not eat anything that contains certain food as it will exacerbate my symptoms. I had to leave continuously to buy or prepare my own meals.

3. On the last day of discharge, I spoke to my registrar and they were happy for me to be discharged and said I could take 6 hours to prepare to leave. That was the plan and due to my autism, I needed time to process and follow that plan. However before the 6 hours was up, I recall a nurse came into my room and interrupted my routine and made threats that if I do not leave immediately, they will have to call security and I responded “why do you need to call security" and I believe they said because I’m not leaving - further to add “I haven't been given any discharge paperwork, my discharge medication or medical certificate, my supporting letter". The patient beside me told me that nobody was admitted for a few days and it was left empty, so I don't know why they were using apparent threats to rush me. - This further caused me to have a panic attack because I haven't arranged for transport to be picked up that time or have anyone to safely bring me home.

I would also like to add that I am a private paying patient, I hope I'm not charged for any meals as I didn't have any meals (except for the first day lunch) and the last day.