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"Substandard assessment of my toddler"

About: Geraldton Hospital / Emergency Department

(as a parent/guardian),

Presented to Geraldton Emergency department with my toddler child after ETS consult at a nearby hospital advised further investigations and overnight monitoring due to increased respiratory effort and wheeze. My child was triaged on arrival, and we were told to wait in the emergency waiting room with some other patients.

Whilst 4 hours went by, no vital signs were done on my child. After 4 hours; (around midnight) we were brought through to see a Dr, who then listened to my child’s chest and stated that they were well enough to go home. As a healthcare worker, I was in disbelief that no full physical examination or full set of vital signs were taken during my presentation. I then was told they would give me a script for some medication and asked to fill it the next day- on a weekend. I stated this would not be possible as I lived over an hour away and nothing would be open. I also questioned why my child would not be monitored overnight as advised by ETS and was told they weren’t well enough to be admitted and was then offered taxi vouchers instead. I stated that I lived far away from any hospital and would need at least the medication for my child if I was going to d/c them home in my care. I was then given an open bottle of the medication and D/C home after being in with the Doctor for what felt like less than 5 minutes.

I feel that I'm lucky to have had the knowledge of worrying deterioration signs and symptoms to look out for with my child, but I find it concerning for other parents who have and I believe will be in my shoes who do not have this insight and will be seemingly overlooked in the future if vital signs and full assessments are not done when I feel they should be.

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Responses

Response from Ranjit Paul, Director Medical Services, Geraldton Hospital, WA Country Health Service 7 months ago
Ranjit Paul
Director Medical Services, Geraldton Hospital,
WA Country Health Service

Director of Medical Services

Submitted on 21/09/2023 at 2:43 PM
Published on Care Opinion at 4:10 PM


picture of Ranjit Paul

Dear Nurseparent

Thank you for sharing your story with us on Care Opinion.

I was concerned to read of your attendance to Geraldton Emergency Department with your child. Our aim is to provide thorough compassionate care for every presentation, including clear communication to patients or their families in order to address any concerns they may have. I apologise that on this occasion this wasn’t achieved.

I would appreciate if you would consider speaking with me so I can fully understand the events that occurred. From there the medical and nursing teams can thoroughly investigate your child’s presentation in conjunction with our Safety and Quality team. My name is Dr Ranjit Paul, I am the Director Medical Services at Geraldton Hospital. I can be contacted on (08) 9956 8125 or you can email me at WACHS-MidwestMD@health.wa.gov.au

If at any time either yourself or your relative feel they are not receiving the care or treatment they need, we have a service at the hospital called Aishwarya’s CARE Call. You may notice posters about Aishwarya’s CARE Call in our Emergency Department – this is a 3-step process for patients, carers and family members to use if they are worried they, or a person they care for, are getting sicker in hospital. In the Midwest, no matter what hospital you go to this number is 1800 316 729 or you can find out more here at: WA Country Health Service - Aishwarya’s CARE Call

I hope to hear from you soon and wish your child a speedy recovery.

Regards,

Dr Ranjit Paul

Director Medical Service – Geraldton Hospital

WA Country Health Service – Midwest

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Response from Ranjit Paul, Director Medical Services, Geraldton Hospital, WA Country Health Service 6 months ago
Ranjit Paul
Director Medical Services, Geraldton Hospital,
WA Country Health Service

Director of Medical Services

Submitted on 16/10/2023 at 2:21 PM
Published on Care Opinion at 3:21 PM


picture of Ranjit Paul

Dear Nurseparent

I wanted to reach out to you again to offer a discussion with myself if you would like to speak about your concerns in more detail. Your call would be very welcome and I can be reached on (08) 9956 8125 or alternatively you can email me at WACHS-MidwestMD@health.wa.gov.au

Regards,

Dr Ranjit Paul

Director Medical Service – Geraldton Hospital

WA Country Health Service – Midwest

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
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