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"Advised closure of the wound dressing clinic"

About: Dongara Eneabba Mingenew Health Service / Emergency Department

(as the patient),

I'm a quite frequent flyer of medical centres in general and Dongara Medical Centre in particular as I suffer from oedema and tend to get cellulitis quite often as a result which due to my osteoarthritis and inability to self treat requires medical treatment up to 3 times a week for wound dressings on the sores that appear on my lower legs. The normal procedure at the hospital was to have to visit the emergency department three times for treatment before then being referred to the onsite Wound Dressing Clinic for ongoing follow up treatment for sometimes up to 3 months or so.

Now that I have a new recurrence of my cellulitis and the Wound Dressing Clinic has been closed I will have to make months of emergency room treatments instead of going to fixed appointments at the clinic. every single time, up to three times a week, I will have to visit the emergency room, go through mandatory triage including blood pressure, pulse rate observations and a new chart being started with the of the extra time that entails from having to do paperwork. And when you have one single allergy to a medication from 45 years ago they also have to take the extra time to make up a red allergy wristband for me to wear during my dressing. None of this is required in the Wound Dressing Clinic.

I think whoever seemingly decided to cut funding to save some pennies on staffing of the wound care clinic should consider the large extra amount of time taken to go through the triage and treatment process while having to go through the whole A&E process.

Also, as someone else pointed out in their story, having to sometimes wait for hours, like approximately 4 hours recently, up to three times a week is at best an inconvenience and at worst a massive annoyance.

While I was waiting to be triaged recently for my wounds during quite a busy period, with only two nurses on, I recall there was an elderly patient there with a quite severe burn on their wrist who had been waiting quite a while to get a burn treatment. It seemed they ended up having to leave because they had pressing time sensitive matters on their farm they had to get back to and left with some harsh words being spoken to staff and an untreated wound with possible severe infection risks of an open wound on a very non-sterile farm environment.

In my opinion, throwing the Wound Dressing Clinic patients back into the A&E pool of patients puts added stress and workload on the nurses as well as increasing wait times for all other patients, or else the wound dressing patient gets pushed back to the end of the queue as our issues aren't as emergent as almost any other patient arriving in an ambulance.

It seems that closing the Wound Dressing Clinic for cost cutting reasons, in my opinion, is very short sighted and just adds to the nurse's burdens of too many patients as well as building ill will and impatience in the patients who just want a short and sweet several minutes straightforward dressing applied instead of a multi hour wait.

Please apply some common sense and bring back the Wound Dressing Clinic to the Dongara Health Centre.

Thank you for reading my story and please get behind the fight to restore a much needed clinic at the hospital. No photos are included as no one needs to see gory wound photos and everyone has seen dressings covering them.

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Responses

Response from Di Franklin, Operations Manager, Midwest Murchison, WA Country Health Service Midwest 6 months ago
Di Franklin
Operations Manager, Midwest Murchison,
WA Country Health Service Midwest
Submitted on 4/10/2023 at 5:57 PM
Published on Care Opinion on 5/10/2023 at 9:51 AM


picture of Di Franklin

Dear Texacola

Thank you for reaching out to us and raising your concerns on Care Opinion.

I appreciate the closure of the wound clinic at Dongara has had a significant impact on your ongoing care. I would like to apologise that we were unable to continue operating the clinic, primarily due to workforce challenges, it proved impossible to maintain as an independent service and merging into the Emergency Department operations was the most viable option.

I travelled to Dongara last week to review and discuss some proposed changes to the flow of follow up care patients through the Emergency Department. I am hopeful that once these changes are finalised and implemented, you will notice an improvement in the dressing change process. In the meantime, I would be very happy to speak with you to discuss your concerns in more detail and to share some of the changes being proposed. My name is Di Franklin, I am the Operations Manager Midwest Murchison. You can reach me on 9956 8719, or if you prefer email Di.Franklin@health.wa.gov.au and I would be very happy to hear from you.

Regards

Di Franklin

Operations Manager Midwest Murchison

WA Country Health Service Midwest

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

Update posted by Texacola (the patient)

I was advised to come back to A&E recently to re-dress my cellulitis wounds but had to go back a couple of days before that instead as there was a lot of discharge that the bandages couldn't hold in and it was leaking out down my leg.

I went in around 10am and went through a shortened version of the triage and sat and settled into the waiting room for yet another waiting session as there is no Wound Dressing Clinic there any more. On the way in the receptionist told me that there would be a longish wait as they were quite busy in A&E, just another weekday right? I was told as well that there were only two nurses on shift that morning, which seems too few considering how busy they get. There was another juvenile patient who needed wound dressings on both knees and an ankle. There was one other patient who was invited in for treatment while we waited.

So I waited a couple of hours until around 12.00 noon when a nurse came out to advise us that it would still be quite a while before we were able to be seen and told us that maybe we should/could go find something else to do until around 1.00pm when the nursing shift change started and there would be extra staff. So with fluids seeping from my leg and living 8km's outside of town and being unable to go home for that period I went and got some fuel and then dragged myself through some shopping at the local IGA and returned at 1.00pm and I was finally attended to, cleaned up, and had new dressings applied to my wounds..

So yes this is another story about what I feel is the ill-advised closure of the Wound Dressing Clinic at Dongara Health Centre costing both time and, in my experience, patient patience seemingly for the sake of some money. I would like to know where that funding has gone as it certainly doesn't appear to be going into nursing shortages.

Response from Di Franklin, Operations Manager, Midwest Murchison, WA Country Health Service Midwest 6 months ago
Di Franklin
Operations Manager, Midwest Murchison,
WA Country Health Service Midwest
Submitted on 12/10/2023 at 1:30 PM
Published on Care Opinion at 1:43 PM


picture of Di Franklin

Dear Texacola

Thank you again for following up with us on Care Opinion.

I would like to offer my apologies for the recent delay you encountered and again like to assure you myself and the Dongara team are working together to find solutions to this matter.

Would you consider contacting me to discuss your concerns and our proposed changes in more detail? I would appreciate the opportunity to speak with you and I can be reached on 9956 8719.

Regards

Di Franklin

Operations Manager Midwest Murchison

WA Country Health Service Midwest

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

Update posted by Texacola (the patient)

Thank you, I am all fixed up now with Wound Clinic appointments through My Aged Care as I'm old enough to go through them for these treatments. I should be good for now. Thank you.

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