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"Care for patient with swelling post surgery"

About: Fiona Stanley Hospital / Emergency Department Fiona Stanley Hospital / General Outpatient Clinics Fiona Stanley Hospital / Maxillo-Facial, Dental Surgery & Facial Prosthetic Service Rockingham General Hospital / Emergency Department

(as a relative),

After having mouth surgery, in recovery my parent’s face randomly swelled up and they started bleeding from the wound. We rang the nurse call bell, the nurse came, I felt looked confused and then walked off. The bleeding got worse and I had to go and find someone to help. My parent was still discharged, that evening being told it was fine.

Around 4 hours later, we were at Rockingham ED after my parent’s face began to swell again, where they had another large bleed while being triaged. My parent was told to just take a seat, 5.5 hours later my parent was still there and still bleeding. During that time my parent informed the nurse that they were really worried because they could feel it swelling and it was putting pressure on my parent’s eyeball. To which my parent recalls being told, yeah you’re bleeding internally, that's what that pressure is, so if you can just take a seat. Not long after that, the triage nurse informed us there was really nothing they could do, and they had people that had been waiting 12 hours to be seen.

My parent then went to FSH, arriving an hour later, with another large bleed and one side of their face 3 times its size. My parent was left in the waiting room for another 4 hours, then told to go to the outpatient clinic, which didn't open until the following hour. The surgeon had a look, opened the wound and packed it. My parent was told they would be checked every 10 mins. An hour later my parent hadn't had anybody check or let them know what was happening. By the time my parent saw the surgeon again, it had been 2 hours since they had first packed their wound.

In this whole 12 hours through ED in both hospitals, my parent had no water, was covered in blood, at one point it bled that much they were bleeding on the floor. And was ignored. Having surgery the day before my parent also hadn't eaten for well over 24 hours. Not to mention, before surgery while waiting to go into theatre my parent was informed they had lost all their paperwork. This surgery was a follow up from a surgery a few months ago in the same area, and with that one they had lost all my parent’s results.

Based on our experience, I felt that both hospitals were an absolute disgrace.

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Responses

Response from Kath Smith, Executive Director, Rockingham Peel Group, South Metropolitan Health Service 8 months ago
Kath Smith
Executive Director, Rockingham Peel Group,
South Metropolitan Health Service
Submitted on 23/08/2023 at 11:35 AM
Published on Care Opinion at 11:52 AM


picture of Kath Smith

Dear aurigazm65,

Thank you for taking the time to provide feedback on your parent’s recent experience in the Rockingham General Hospital (RGH) Emergency Department (ED). I am very sorry to hear that they waited a long time to be seen while they were bleeding, this must have been very distressing for you and your parent, and I apologise that they did not feel heard when they raised concerns about their condition. We aim to see and treat all patients as soon as possible, unfortunately at times there may be multiple emergencies occurring at one time and this can lead to longer wait times for patients.

While waiting room patients are monitored closely for deterioration by the waiting room nurse, patients or family members who feel that they are not receiving an adequate response from clinical staff may also escalate any concerns regarding their condition using the Aishwarya’s care call via the dedicated pink phone in the ED waiting room. Aishwarya’s CARE Call is a process available to patients, carers or family members to ensure the nurses and doctors are aware of any changes to the health of the patient whilst in hospital. You know yourself or your loved one best.

We strive as an emergency department to treat everyone with kindness and compassion, and I was sorry to read that this was not your experience. If you would like us to further investigate the details of your parent’s presentation and the delays in their care, please contact our Consumer Liaison officers on 9599 4323.,

Thank you for sharing your story, your feedback is important to us as it helps us understand where we can improve our care.

Kind regards

Kath Smith

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Response from Neil Doverty, Executive Director Fiona Stanley and Fremantle Hospitals Group, South Metropolitan Health Service 8 months ago
Neil Doverty
Executive Director Fiona Stanley and Fremantle Hospitals Group,
South Metropolitan Health Service
Submitted on 23/08/2023 at 1:25 PM
Published on Care Opinion at 1:27 PM


picture of Neil Doverty

Dear aurigazm65,

Thank you for your Care Opinion post, and first and foremost please accept my sincere apologies for your parent’s experience. None of what you have described resembles the type of care we aim to provide to our patients, and to be honest, you have every right to state that the treatment your parent received is a disgrace.

The Emergency Department and Surgical team involved in your parent’s care must complete an investigation. I am positive that there are learnings we can draw from your parent’s treatment to ensure this does not happen to anyone else.

If your parent is up to it, can they please contact either Trish McKinlay (Service Director) or Michael Jacobson (Nurse Director) who cover surgical specialties, and Andrea Hickert (Service Director) or Kerry Wilcox (Nurse Director) who cover the emergency department. These staff members can be contacted via the FSH switchboard: 6152 2222. You can do this on behalf of your parent, but they will need to provide consent for you to discuss their care and treatment on their behalf.

I will be following up with the Directors regarding investigation findings and learnings applied.

Once again, I am sorry for your parent’s experience – I hope they are recovering well now.

Kind regards,

Neil Doverty.

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