"Treatment at the hospital"

•The patient presented to the Bunbury Hospital a couple of months ago with 3 cracked ribs, they were admitted. Upon presentation they were given an Intravenous Cannulation in ED. I understand this is likely the cause of an infection of MSRA as that site was identified as forming a lump under the skin and considered by infection after the next admittance a few days later. They were discharged from the first admission on the weekend and they were apparently satisfied of the patient's progress even though they were exhausted and consistently sleeping which seemed to be getting worse. I assume staff thought this may be from the pain.

•The patient presented to the Bunbury Hospital (resulting in their second admission) with right sided multilevel rib#-B/G T1DM on insulin, they had DKA and were struggling with the pain. Upon presentation they were given an Intravenous Cannulation. The patient was admitted to HDU for management of DKA and sepsis. At this point I understand they must have identified the patient's infection. I felt staff were difficult to communicate with and we did not know the extent of what was occurring, and only really found out through the patient's discharge papers. They went from surgical ward to Med ward A and was discharged a little under 2 weeks later. Once again, the patient was very sleepy and unbeknown to us had a lung issue with blood and clots.

•The patient collapsed 3 days later as I was at the hospital picking up their discharge papers when I returned they were on the bathroom floor collapsed. Not really responsive. I managed to get them up and they went to the toilet. I called a neighbour and we managed to get the patient to the bed. I immediately contacted the ambulance of which arrived in a timely manner and another neighbour came over to see if she could help, she is an older person. I tell you this because I feel what occurred with paramedics begged belief. When the two paramedics arrived only one came up the stairs where the patient was and made comments about this is unsafe. I said are you joking. I run up and down it, however, with no assistance by the paramedic and one sitting in the vehicle outside me, and the neighbour managed to get the patient to the top of the stairs. Now this is a person who is quite unresponsive, sort of dizzy behaviours, so we sat at the top of the stairs and the paramedic went down and stood at the front door. The other older neighbour was just in front, and I was sitting behind the patient holding as we bottom-stepped down them sitting the whole time and moving their feet and then moving onto the next step whilst sitting. The paramedics only joined in at the door. Wow.

I felt the nurse that was taking care of the patient in ED was rude as when I was allowed to see them, they were really unwell, and they asked the nurse why they had a red band and the nurse stated because of your allergy. The patient was confused and so they asked what allergy, the nurse said it’s there only, so I look when I go to give you something. We both were confused.

I feel petty for telling you this but if you are struggling to understand what is going on I think its more stressful for aclient when they feel that they might be an inconvenience for the person assigned to you. The patient struggled with this time in hospital as they were not very well, and they were put into Med B till they were discharged 4 days later. The patient's lung was discussed but staff gave them a daily injection to dissipate the clot.

•The patient said they struggled to eat the food at Bunbury regional but did not have the same issue at another metro hospital.

•The patient said they struggled with the confusion with the doctors at Bunbury regional as they would change things but not explain what they were doing or why and half the time they patient didn’t know what was going on.

•The patient was out only till that weekend (2 days later) as they were called in to the hospital after the nurse said their levels were not good, please come back to the hospital. The patient was admitted to ED whilst awaiting a bed at another hospital that evening. They arrived the next day at a metropolitan hospital and they gave the patient an op which put a drip in their back for their lung and removed the clots. They stayed there till they were discharged 10 days later. The patient's discharge papers have not yet arrived. I felt that hospital was better with their communication for the patient, but I could not get anyone as most days they did not answer the phone in the wards. I do believe there should be some service for regional clients to get back to their areas they were taken from though.

•The MSRA infection is still current, and the hospital supplies a nurse daily to change the patient's pump and antibiotics. We do not have an outcome for this event to date, but they are going to do a gallium scan at some stage.