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"Triage wait times not in line with clinical recommendations"

About: Royal Perth Hospital / Emergency Department

(as the patient),

Despite being a category 3 triage, with symptoms, 3.5 hours passed by and I wasn’t reviewed by a Doctor or assessed. Waiting for an initial triage took 1 hour, and a further 2.5 hours had passed and I still hadn’t been reviewed by a clinician/doctor.

I felt my triage experience was blunt and didn’t assess my symptoms. My pulse was documented as “regular” despite the CN not even palpating my pulse character. Instead of listening to my clinical signs, the nurse looked at the computer while I spoke. I wasn’t asked about my concerns or clinical pertinent history. 

In the waiting room, over the course of 3.5 hours I saw one doctor call a patient through to be treated. There were no floating nurses regularly assessing vital signs or checking in with patients who I felt looked visibly unwell. 

Despite my high risk symptoms, it felt clear to me that I wouldn’t receive any clinical assessment for a prolonged period of time, and I believed I’d be at higher risk of getting sick or assaulted by agitated drunk patients waiting nearby. I was scared that my condition would deteriorate further on my way home, or be exacerbated at home, I believe heightening my risk of death or severe complications.


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Responses

Response from Ben Noteboom, Executive Director, Royal Perth Bentley Group 4 months ago
Ben Noteboom
Executive Director,
Royal Perth Bentley Group
Submitted on 3/01/2024 at 2:39 PM
Published on Care Opinion at 3:14 PM


picture of Ben Noteboom

Dear polarisbt63

I was sorry to hear about the delays you experienced at the Royal Perth Hospital (RPH) Emergency Department (ED) and that you felt your triage experience was blunt and did not assess your symptoms. I sincerely apologise if you were not asked about your concerns or pertinent clinical history.

I want to assure you that the dedicated staff at RPH work diligently to provide timely and high-quality care to all patients. I apologise if your experience fell short of these expectations. It was disappointing to read that you felt there were no nurses regularly assessing patient’s vital signs or checking on patients you thought looked visibly unwell. While I cannot make specific comments without more details, I would like to share some information about our ED operations.

RPH ED has a waiting room nurse 24 hours a day, 7 days a week that reviews patients and checks their observations. We also have a volunteer concierge service however as they are volunteers their times fluctuate. When possible, we do try to cover the ED with this concierge service from mid-morning to around 1700hrs.

If you would like to discuss your concerns further, I encourage you to contact our Patient Experience Team on (08) 9224 1637, 8am to 4pm or email: RPBG.feedback@health.wa.gov.au

Thank you for sharing your story on Care Opinion and I wish you well.

Kind regards

Ben Noteboom

A/Executive Director

Royal Perth Bentley Group

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