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"HCS disappointment"

About: Geraldton Hospital / Emergency Department Sir Charles Gairdner Hospital / Surgical Services

(as a relative),

Hi 👋🏼 We are a full time travelling family exploring the beauty of our own backyard. Originally from interstate, we left to travel full time.

Recently, we got lucky.

My partner slipped off a cliff at Bilung Pools, WA, 380km inland (SE) from Carnarvon, WA. they fell minimum 2.5m onto the rocks below. They shattered their right wrist (crushed the ends of their ulnar, radius, has a piece of floating bone from being chipped, all the top bones in their hands smashed and the nerve that controls 2.5 fingers are crushed resulting with permanent nerve damage. My partner is a carpenter by trade.

To our luck, a couple from Murchinson were at the pools. They had a satellite phone too! After contacting the Royal Flying Doctor Service (RFDS) we were advised my partner would be flown from Murchinson to Geraldton for treatment. However, based on the extent of the injuries there was discussion about flying my partner to Perth should they require extensive surgery/ies.

I towed the caravan 150km (2hr trip) along dirt, corrugated roads. We reached Murchinson, where my partner was given a green whistle and able to feel less pain. They had gone two hours with Panadol.

The RFDS landed in Murchinson to fly my partner to Geraldton. They landed and my partner was admitted to Geraldton. I wasn’t notified. I had no idea what was happening or where they were.

At this point, it’s evening, I was in Murchinson with the caravan, kids and doggo. The shire put us up for the night which we greatly appreciated. The emotional stress hadn’t fully sunk in at that point, and I hadn’t really stopped since my partner fell. Many tears were shed that day by all of us. On and off. It was a high stress situation. Watching your person, the love of your life fall off a cliff is something that you can’t unsee. We feel lucky that this is the severity of the situation. It could have been a lot worse.

That night my partner had been informed that Geraldton weren’t doing the surgery as they are a regional hospital and the injuries to my partner’s arm were extensive.

Another couple from Murchinson offered to tow the van the following day to Geraldton for us. The road from Murchinson to Geraldton is cast iron territory. This means major road trains and oversized trucks. I didn’t feel confident towing that far, on dirt/ corrugated roads, with the kids in the car. I wasn’t going to risk their lives.

My partner was released from Geraldton that day and instructed to find their own way to Perth for surgery in three days. My partner was released without pain meds as it seemed they were understaffed. And I believe they needed the ward my partner was on for a doctor- nurse function being held. I feel due to this reason, they rushed my partner out. I was able to organise the tow of the van so it worked out logistically. We love the Australian Travel Community. You can’t beat the help of genuine people.

However; we had questions re the Australian Health Care system.

1- Why did a hospital release someone when they were in that medical condition?

2- Why did they release my partner without pain meds for an injury so serious?

3- Why did they not clean out any wounds? Or give them antibiotics?

Being isolated from family, my partner didn’t have anyone there to advocate for them. I called the hospital to organise pain medication for my partner, sent the scripts through and I didn’t receive them until later in the evening when chemists were closed. My partner went overnight again with Panadol! More tears were shed and not much sleep was had. We felt let down by the system for the first time ever.

Do you want to know why I think my partner wasn’t able to be transferred to Perth for the procedure, why I believe my partner was told to make their own way there? Because, in my opinion, we are from interstate and not WA. Fancy that! Apparently, it seems to me Australia isn’t a whole. The segregation really became apparent to me and what is worse, I feel we are paying the price. We are suffering the consequences of what I believe is a messed up system.

Moving forward…

We made our way to Perth and took my partner to Sir Charles Gairdner Hospital. Due to the apparent lack of communication within the Health Care System, the hospital didn’t know if my partner needed day surgery or if they were required for short stay. My partner was bumped further in the surgical line until this was sorted. It took a day to figure this out. At this point in time, my partner had been fasting and waited until the evening to find out that they were actually being bumped to the following day. My partner was offered a vegetarian sandwich for dinner and taken to short stay. Frustration was high again at this point in time. Stress was even higher. The feeling of isolation and vulnerability we felt in that situation was aided by what I feel is the incompetence of the HCS. Imagine if an infection was obtained after leaving Geraldton Regional Hospital? What would happen if the infection lead to sepsis and ultimately death? Do you understand the point I’m trying to emphasise here?

I feel there is a level of neglect evident!

Bringing us to the following day, once the hospital wards re-spoke, it was realised my partner requires a specialist for their surgery and this specialist didn’t work for another two days. This means, my partner’s clogging up the system, using a bed someone else could be in, due to limited communication. Someone else’s surgery has now possibly been bumped. In my opinion, the ripple effect is huge.

Bringing us forward to surgery day. This marks one week from the accident. My partner has been operated on one week after their accident.

I feel it’s not good enough.

There’s more to this story but I only have 1000 words.

Do you have a similar story to tell? Tell your story & make a difference ››

Responses

Response from Jodi Graham, Executive Director, Sir Charles Gairdner Osborne Park Health Care Group 5 months ago
We are preparing to make a change
Jodi Graham
Executive Director,
Sir Charles Gairdner Osborne Park Health Care Group
Submitted on 27/11/2023 at 11:57 AM
Published on Care Opinion at 12:20 PM


picture of Jodi Graham

Dear camelopardalisqp87,

Thank you for reaching out and sharing your story on Care Opinion about the care and treatment your partner received whilst waiting for their surgery at Sir Charles Gairdner Hospital. I was sorry to read of your concerns about the confusion and lack of communication you both experienced within the Health Care System.

I acknowledge how disappointing and frustrating it is, to have been fasted and prepared for surgery, for it to be rescheduled at the last minute until the following day. I can appreciate the distress experienced when you then discovered that the specialist required to undertake the surgery was not available for a further 2 days.

Due to feedback including yours we are making a change. That is for all emergency surgery patients to be enabled to sip water until they are sent for surgery. We will also be moving to put improved liaison services for emergency patients to improve the co-ordination and experience of patients waiting for emergency surgery.

We would like to follow up with you to address any outstanding concerns. I would encourage you to contact the Consumer Liaison Service (phone: 6457 2867 or email CLS@health.wa.gov.au) to provide your partners personal details, which will allow our staff to investigate and provide a more personalised response for you both.

Once again, thank you for taking the time to share your experience of our services. It is important to us that we consistently try and improve the care we provide, and your feedback assists us with that process.

I do hope your partner received the surgery they required and is now on the road to recovery.

Warm regards

Jodi Graham

Executive Director, SCGOPHCG

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Response from Jody Rolston, Operations Manager Midwest Murchison, WA Country Health Service 5 months ago
Jody Rolston
Operations Manager Midwest Murchison,
WA Country Health Service
Submitted on 28/11/2023 at 3:53 PM
Published on Care Opinion at 4:06 PM


picture of Jody Rolston

Dear camelopardalisqp87

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

I was distressed to read of you and your partner’s experience with our health service. Our aim is to provide safe and quality care for all members of our community. It is clear from your feedback you believe we did not successfully achieve this for your partner and I wish to offer our apologies that we didn’t meet those expectations.

I would like to address the three questions you have raised, acknowledging we do not have your specific details and situation, due to the anonymity of Care Opinion.

Why did a hospital release someone when they were in that medical condition? Before any patient is discharged, they are medically assessed to confirm fitness for discharge. Patients occasionally choose to discharge themselves before this assessment occurs, which would be documented in a patient’s medical record.

Why did they release my partner without pain meds for an injury so serious? Patients are usually provided with any scripts they require prior to departure from the hospital. Occasionally there can be situations where a patient must leave before these are ready and we are always happy to make alternative arrangements, which can include texting scripts or sending ahead to an agreed pharmacy.

Why did they not clean out any wounds? Or give them antibiotics? Any wounds would usually be cleaned out, either within the ED or shortly after admission. If that did not occur in your partner’s case, I apologise and will request your feedback is discussed at the relevant team meetings to ensure this happens. A clinician would make an assessment on how superficial or significant a wound is to determine if antibiotics are immediately prescribed, or a more cautious wait and see approach is decided upon.

I would be very grateful if you and your partner would consider contacting me so I can hear your full story and determine the most appropriate actions that require undertaking. With your partner’s consent the Patient Safety and Quality team can coordinate a full investigation of your specific events and make recommendations to our colleagues of any improvements required to communication, policy, practice of workforce training and education. My name is Jody Rolston, I am the Regional Manager of Patient Safety and Quality. I can be contacted on 08 9956 2217 or email jody.rolston@health.wa.gov.au

If at any time a patient or family member feel they are not receiving the care or treatment they need, we have a service at the hospital called Aishwarya’s CARE Call. This is a 3-step process for patients, carers and family members to use if they are worried, or 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 do hope I hear from you or your partner and hope your partner’s injuries are continuing to heal.

Regards

Jody Rolston

Regional Manager Patient Safety and Quality

WA Country Health Service – Midwest

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