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"Doctor and nurse care for other patient"

About: Swan Hill District Hospital / Emergency Department

(as a service user),

I have thought about writing this story for the last few days, discussed it with my family and wouldn't want this kind of incident to happen to any of us. I have sought help from contacting the hospital itself in which I was told they cannot discuss another patient’s care. Which is not why I rang. I wanted the doctor and nurses involved to be held accountable for their actions. Hence why I am escalating this to here.

I attended the Swan Hill Emergency Department recently and whilst I received okay care and treatment, I was appalled by what I observed. Whilst I understand doctors and nurses are overworked and possibly run down. It is never acceptable nor professional to treat someone so vulnerable. A young patient in the bed next to me appeared quite unwell, when I walked into my cubicle my child literally pointed it out to me that they were pale and sweating.

I saw many nurses go in and out of their room. My family and I actually know quite a lot about this young patient. Reason for that. The Emergency dr was on the phone to I assume their treating team at another hospital. The phone was on speaker for what reason, I can only assume the ED dr is partially deaf, fatigued, or deliberating wanting the patient they are treating to hear the God awful things they were discussing. These doctors were laughing and joking about this patient’s medical history. What shocked me to the core was the Swan Hill ED doctor started their phone call by saying, I recall, that this might be the most craziest handover they get to that day and it's likely full of lies but. I believe the Swan Hill Dr went back and forth laughing and making snide remarks saying they thought that would be case, or, knew it was unlikely to be true. From what my family and I overheard the patient’s treating team at a metro hospital and this hospital all assumed they are faking it. They proceeded to pick apart their entire medical history laughing and saying they don't actually require specialist intervention they are just rebooking it to look good in case of a law suit. This all took place on speaker call! Whilst the placement of medical drs is within the ED cubicles itself. It appears nothing is private and confidential like they have plastered over their walls. This was a private matter and didn't need an audience. Swan Hill were preparing to transfer the patient for a procedure that the hospital is not equipped for, both drs said were unnecessary and a waste of tax payers money. I for one a tax paying citizen would much rather waste my money on this procedure then fund seemingly incompetent doctors. As I recall the Swan Hill doctor said, they don't want to waste their time and energy on something that's not real, if the metro doctor doesn't want the young patient transferred there they can transfer to another hospital and not tell them that the patient is faking it. Then the patient's out of their hands. The metro hospital agreed and said they are young and it's not likely to be anything but anxiety. Swan Hill dr agreed and said that was their plan also. The phone call was then taken off from speaker and further conversation occurred.

Whilst absolutely appalled by this I overheard a nurse next door with the young patient. The nurse went to the dr and said its 3.6. Dr looked frustrated, nurse said the young patient’s asleep though so not concerned. Dr responded saying finally and said to not intervene.

I was out of my cubicle but my family remained. My partner told me the patient was wanting to change their clothes because they were sweaty and felt gross. A nurse removed some things from them and they proceeded to bathroom. The nurse asked the patient several times if they felt dizzy or unwell. The patient said they feel the same.

I was released from hospital and was back in my car parked out front of ED. We observed the same young patient leaving the hospital. They were disorientated, struggling to walk and didn't appear well. They had walked past several hospital staff dressed in suits. I believe not one person said anything to them. No nurse followed them out. I went and offered them a ride home, they were sweating and pale, their speech seemed off and she was unbalanced. I asked if they discharged them, the patient looked so out of it. They didn't want a ride but we gave them some candy from the car. We actually waited to see if nurses or security would come out. No one did. We then proceeded to follow them for a little while just to make sure they were okay. I wanted to call them an ambulance but I could understand they probably wouldn't want to go back to the hospital since it didn't seem like they cared for the patient.

The guilt was eating me alive once I got home. I rang the hospital to say what I observed, the switch put me through to ED. A nurse answered and I felt they acted far from the empathetic nurse you'd expect. Ignored my concerns and hung up on me.

In my opinion, this hospital is a disgrace. Based on my experience, I vow to never, ever attend here again. I will be telling everyone I know about the treatment I recall this young patient encountered.

I sincerely hope this young patient hasn't died at the hands of this unprofessional dr.

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Responses

Response from Chloe Keogh, Executive Director of Clinical Care, Executive Offices, Swan Hill District Health 4 months ago
Chloe Keogh
Executive Director of Clinical Care, Executive Offices,
Swan Hill District Health

Overall responsibility for the running of the health service, reports to the Board of Management. Acting for 3.5 months to replace Long Service Leave.

Submitted on 11/12/2023 at 3:58 PM
Published on Care Opinion at 3:58 PM


picture of Chloe Keogh

Dear whisperyk95,

Thank you so much for taking the time to write about what your family witnessed in our Emergency Department involving the care of another person within our community. This must have been a terrible event for you all, and I would like to apologise to you all, and to the young person at the receiving end of the situation.

It is deeply shocking that anyone had to receive, and in turn witness such lack of compassion, and unconcerned care of another person who was seeking help. I am also really shocked that any conversation between health professionals was had on speaker phone, and with insinuated comments, and reference to lies and “faking” symptoms- that this was spoken to another health professional in ear shot of other people at all.

One of our values is compassion, and our vision is “Connected Care, Best Experience” and I feel that we failed this young person, and by association and because of what you witnessed we failed yourself and your family too, which is really disgraceful. We are in the process of building a brand new Emergency Department for the community to have state of the art service into the future- and I am very keen to address this matter to ensure that we provide a service to the community that is of high standard, safe and appropriate.

What you witnessed is not at all acceptable behaviour or of any work standard that is acceptable at Swan Hill District Health in any area, and I would be very welcoming of a further conversation with you about this matter. I can be contacted by phone (50339250, or by email ckeogh@shdh.org.au). I look forward to speaking to you about this.

Kind Regards

Chloe

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Response from Rex Prabhu, Director of Medical Services, Medical Services, Swan Hill District Health 4 months ago
Rex Prabhu
Director of Medical Services, Medical Services,
Swan Hill District Health
Submitted on 18/12/2023 at 9:43 AM
Published on Care Opinion at 9:59 AM


picture of Rex Prabhu

Dear whisperyk95,

I want to express my disappointment and concern regarding the experience you've described during your recent visit to the Swan Hill Emergency Department. Your account highlights some deeply troubling behaviors that are unacceptable and do not align with our commitment to providing connected care, best experience to our patients.

As the Medical Director of Swan Hill District Hospital, I take this matter seriously, and I assure you that we will conduct a thorough investigation into the incidents you've described. Patient privacy, confidentiality, and respectful treatment are fundamental principles of our healthcare services, and any deviation from these standards is deeply regrettable.

To aid in our investigation, I kindly request that you contact me directly to provide further details and context regarding the events you witnessed. You can reach me by phone at 03 5033 9394 or by email at rprabhu@shdh.org.au. Your input is invaluable in helping us understand the full scope of the situation and take appropriate actions to address it.

I want to assure you that we are committed to addressing any lapses in professionalism and ensuring that all members of our healthcare team uphold the highest standards of care, respect, and confidentiality. We take your feedback seriously and will work diligently to make the necessary improvements.

Once again, I apologize for the distressing experience you've had, and I thank you for bringing it to our attention. We are determined to rectify any issues and regain your trust in our hospital.

Cordially Yours,

Rex

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Update posted by whisperyk95 (a service user)

Whilst I appreciate the swift reply I received from both of the Executive Directors of the hospital.

I sincerely do hope that this ED doctor in question is addressed and appropriate actions are taken to further prevent this occurring to anyone else. As you have both stated, this does not align with your hospitals values. From what I witnessed that day this ED doctor treats people only as a number.

I will follow up with you via email.

Regards,

whisperyk95

Response from Chloe Keogh, Executive Director of Clinical Care, Executive Offices, Swan Hill District Health 4 months ago
Chloe Keogh
Executive Director of Clinical Care, Executive Offices,
Swan Hill District Health

Overall responsibility for the running of the health service, reports to the Board of Management. Acting for 3.5 months to replace Long Service Leave.

Submitted on 29/12/2023 at 1:44 PM
Published on Care Opinion at 2:08 PM


picture of Chloe Keogh

Dear whisperyk95,

Thank you for your email. This has provided a little more detail for us to be able to cross reference the day you visited our ED, and to determine the patients and staff within the ED at this time. The Acting Executive Director of Medical Services and I are now going through the process of investigating the matter.

Situations where staff are not practicing in a way that aligns with the hospital values ( accountability, progressive, inclusive and compassionate) are investigated in a manner that is highly confidential.

We are planning to be back in touch with a further update on this matter within a fortnight.

I thank you for your patience while we undertake conversations, and hope that you understand that we cannot publish a full account of all the steps we will be taking to review this issue.

Kind Regards

Chloe

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Response from Chloe Keogh, Executive Director of Clinical Care, Executive Offices, Swan Hill District Health 3 months ago
Chloe Keogh
Executive Director of Clinical Care, Executive Offices,
Swan Hill District Health

Overall responsibility for the running of the health service, reports to the Board of Management. Acting for 3.5 months to replace Long Service Leave.

Submitted on 12/01/2024 at 9:51 AM
Published on Care Opinion at 10:04 AM


picture of Chloe Keogh

Dear whisperyk95,

We have to the best of our ability (with what information you implied in your email) investigated the matter that you spoke about witnessing within our Emergency Department.

We are very firm in our expectation that staff here always try to give patients “Connected Care, Best Experience”, and show compassion in their care. All of the staff who work within the Emergency Department have had some reflections about the observations that you and your family witnessed. Particular staff who were more closely connected with the care episodes most similar to what you describe in recent times have had follow up meetings with their managers. It is very well understood that using a phone on speaker phone in our tightly laid our Emergency Department is not appropriate, and this is not a practice that is used by our clinical team. Making non clinical judgements about a patient during a clinical handover (in person or by phone) is considered not acceptable- and all staff are aware of this. Clinical handover follows a predetermined script of what information is to be shared, and so can at times appear to lack compassion (if a clinical handover was ever witnessed by a lay person) as it is a collection of the known facts.

I am so sorry that you and your family witnessed an episode of care that you felt to be so lacking in compassion and care, and please accept my sincere and deepest apology for that which you perceived during, and as you were leaving our Emergency Department. I leave open the invitation for you to connect with us more directly so that we can investigate a particular day or point in time. I do hope that your family member is improved from their ED visit.

Kind Regards

Chloe

Acting Chief Executive Officer

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