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"Pain management before and during day procedure"

About: Karratha Health Campus / Outpatients & Day Treatment

(as the patient),

I went for an operation on my neck, I had a sebaceous cyst that keeps flaring up. They had done a pre-op appointment last week and told me to be in there by quarter to 7 on a Friday morning. I didn’t actually get into theatre until 11 o’clock. I know that emergencies come in to be sorted out first so they move the operating schedule but as I understand it, there were none and they knew I wouldn’t be seen till then.

I sat in the waiting room till quarter to 9 and then I had to go back out to my car to get pain killers for my bad back. I also don’t do operations well to start with, I got up at 4am to get ready, I wanted to make sure I got there on time because I’m really worried about this operation, my back's killing me, I had no sleep because I’m so worried and then I was just waiting. For what? I feel you could have told me that you wont get in till 10 o’clock so if you could be here about 9 o’clock.

I come back from my car after I got my pain killers and a nurse comes out to see me. She says come with us so you can lay down in one of these chairs and I got a heat pack for my back and that was a big help. I waited there from 9-11.

Then the surgeon decided that they're not going to put me under, they're giving me a local. Every time they put the local into the boil on my neck, I would twist around on the table which was hurting my back, it was killing me with every prod. I came out of the operation and they say to me I needed to stay here for an hour and I go, “no I don’t I was just under a local, I don’t have to wait.” I wanted to get out of there as soon as possible.

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Responses

Response from Liam Avery, Operations Manager, West Pilbara, WA Country Health Service (WACHS) Pilbara 11 months ago
Liam Avery
Operations Manager, West Pilbara,
WA Country Health Service (WACHS) Pilbara

Operational Management of the West Pilbara Health Services

Submitted on 8/05/2023 at 3:04 PM
Published on Care Opinion at 3:14 PM


picture of Liam Avery

Dear guidemb88,

Thank you for taking the time to post your patient experience at Karratha Health Campus Outpatients and Day Treatment on Care Opinion, we appreciate the input from such experiences to continually review our service delivery.

We do schedule our patients in the fashion you have noted above; unfortunately theatre lists have some cases which can be more complicated than previously anticipated consequently causing some delays. I do note your acknowledgment of emergency cases; I am sorry that you had been given information to the contrary that there were none, in fact there were multiple interruptions throughout our lists last week that we opened an additional theatre as a result. Unfortunately we have no way of accurately predicting emergency cases and the team do their utmost to prioritise patient safety with respect to acuity and booked procedures.

I appreciate your frustration that the sedation process changed from a general anaesthetic to a localised one; the Anaesthetist will opt for the most clinically safe pathway for each patient, I am more than happy to have the Senior Medical Officer review your individual case to ensure correct governance was undertaken? If so please do not hesitate to contact me on (08) 9144 7777 or alternatively via email Liam.Avery@health.wa.gov.au.

I am sorry that you wanted to leave as soon as possible, please present to the Emergency Department or contact myself if you have any concerns post operatively. I hope that otherwise the procedure for the cyst went well.

Warm regards,

Liam Avery, Operations Manager, WACHS West Pilbara

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