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"Disappointing experience"

About: Bunbury Hospital / Bunbury Paediatric Ward

(as a parent/guardian),

We are the parents of a child who was scheduled to have surgery at Bunbury Hospital, and whose experience was all round disappointing from the time we arrived at Bunbury Hospital. Our child was (initially second, then moved to) first patient on the general surgery list for that day. We spoke to three different paediatric ward clerks on each of the three days leading up to the procedure - thank you to each of them for their excellent communication and professionalism.

Based on our experience and what snippets of information we were provided by various staff on arriving and leaving, my child:

- Did not receive service (surgery) because medical members of theatre staff arrived to the Hospital late to commence theatre for the day;

- Because the staff member arrived late, and subsequently delayed the scheduled start of surgery, an emergency case presented after my child was scheduled to be operated on, however became then the first patient for the day.

- Understanding emergencies do occur, it was not clear why then a clinical decision was made, without any communication throughout the morning nor any consultation, to not treat my child after the emergency case had been seen, and to instead resume the surgery list for the rest of the day. The decision was made to cancel the surgery completely and send my child home without elaboration. Furthermore, while awaiting surgery in what appeared to be a well-staffed shift on the Paediatric ward:

+ I recall not one of the nurses streaming in and out throughout the morning acknowledged or interacted with my child, a waiting (a very nervous, worried, hungry!) patient, beyond our initial arrival, despite an extended delay being immediately obvious. Ignored;

+ It seemed not one of the nurses considered it a necessary courtesy to provide some sort of update as to what was going on (even to say they are finding out, or simply you haven't been forgotten). Our child remarked numerous times they worried they had been forgotten about.

PS - an offer of a glass of water and piece of toast prior to the Hospital sending the fasting child away would not have gone astray (as has been the experience in other public hospitals). While public hospitals reserve the right to (re)prioritise patients based on acuity, patients also have the right to timely access to services, to receive quality care, and to be involved and communicated with on matters as it relates to their care. Given the consequential disadvantage - having been sent away to continue on life indefinitely with chronic pain and infections remedied by a relatively simple surgery, not to mention the need to fast a second time - will not make the task of returning to hospital any easier (... whenever that will be eventually rescheduled to occur). And I do not blame my child for feeling that way - I assured them they would be well cared for, and I do not consider in any aspect that my child actually was. We ask Bunbury Hospital to consider: Would staff arriving late to the subsequent disadvantage of patients meet with Bunbury Hospital's value of respect and quality?

Would failure to involve patients in discussion and decisions related to provision of their care align with Bunbury Hospital's values of respect, quality, and compassion? Would nursing staff who do not acknowledge, communicate with, or even make simple eye contact, with an anxious, hungry, confused child patient, reflect Bunbury Hospital's values of quality care and compassion?

What will Bunbury Hospital do to make this right in the future?

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Responses

Response from Tania Murphy, Acting Clinical Nurse Manager, Paediatric Unit, Bunbury Hospital 13 months ago
Tania Murphy
Acting Clinical Nurse Manager, Paediatric Unit,
Bunbury Hospital

manage the paeditaric ward

Submitted on 23/03/2023 at 4:58 PM
Published on Care Opinion at 5:42 PM


Dear GreenMoose,

Thank you for your feedback regarding your child’s experience at Bunbury Hospital. I sincerely apologise for your negative experience and the lack of communication and care your family received.

We take our patients experience extremely serious and aim to provide every child with the best care possible. It appears on this occasion this was inadequate. You are correct that your child deserves better quality care as well as the right to timely access to services.

I would love to have the opportunity to provide your feedback directly to the Paediatric and Theatre staff involved in your care, enabling them to reflect upon the care they provided. It would also give me the opportunity to identify organisational gaps in services as well as ward and theatre processes. If you are happy to, I would greatly appreciate if you could reach out to us again. My name is Tania Murphy and I am the Clinical Nurse Manager of the Paediatric Ward. Please feel free to call me at a time that is convenient to you on 0447383921 or if you prefer, please contact the hospital consumer feedback team on SWfeedback@health.wa.gov.au.

Kind Regards

Tania Murphy

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Response from Karen Horsley, Co-Director Stream B, Bunbury Hospital, WACHS - South West 11 months ago
Karen Horsley
Co-Director Stream B, Bunbury Hospital,
WACHS - South West

Stream B includes: Surgical, Maternity, Paeds, Theatre, DPU, Waitlist and HSSU

Submitted on 16/05/2023 at 7:00 PM
Published on Care Opinion on 17/05/2023 at 8:51 AM


picture of Karen Horsley

Dear GreenMoose

It was pleasing to see that your son finally got his surgery today. Whist there was a slight delay due to another emergency procedure I was heartened to see that staff did respond rapidly to any concerns you had raised. I was happy to meet with you and ensure that the day went well with you kept informed of progress and I was able to meet your delightful son.

I do hope that his post operative period goes smoothly, and his recovery is quick and painless.

Best Wishes

Karen Horsley

Service Co Director

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Response from Tania Murphy, Acting Clinical Nurse Manager, Paediatric Unit, Bunbury Hospital 11 months ago
Tania Murphy
Acting Clinical Nurse Manager, Paediatric Unit,
Bunbury Hospital

manage the paeditaric ward

Submitted on 18/05/2023 at 5:15 PM
Published on Care Opinion on 19/05/2023 at 8:46 AM


Dear GreenMoose,

I am writing to request you reach out and make contact with myself in regards to the poor communication and negative experience you and your son experienced last month on the paediatric ward.

I was delighted to hear that his surgery was performed and hope he is healing well. Once again I would love to discuss your experience to ensure gaps are addressed. Please feel free to contact me at any time that suits yourself, 0447383921.

Best Wishes

Tania Murphy

Paediatric Clinical Nurse Manager

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