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"Treatment for neck and back fractures"

About: Royal Perth Hospital / Emergency Department

(as the patient),

I went to the emergency department in a hard neck collar after having a fall overseas and returning to Perth my gp advised to go to the ED. I was put on a hard trolley at midday and asked to lay down flat on my back on a trolley against the wall in the hallway near where the ambulance officers enter. They asked me to swap the hard collar to a soft collar so the trainee nurse got this from my partner as we had one.

Half an hour later I asked if they could get it and put it on because I was so uncomfortable. The trainee said they have it but needed a nurse to do it and disappeared. Half an hour later I sat up and swapped it myself. It wasn't until around 3.30 a dr came and saw me and I said I was in a lot of pain and needed pain relief, as all the pain relief (Tramadol and anti-inflammatories I had from overseas had run out that morning) and I needed to use the bathroom. They wrote out the pain relief I needed and  said they would see about a room - they never returned.

After half an hour I called out for help and a different nurse saw me and said it looked like I had been forgotten about and immediately got me some tramadol. They checked in half an hr I still needed more relief. I was in a lot of pain I had also asked to go to the toilet again. It wasn't until I had been laying there in tears from 5-6pm when finally I was taken to a room to use a bed pan. This wasn't placed correctly so my top and undies and bed were all covered in urine.

A different nurse asked why I was in a soft collar and not a hard one, I advised them that is what I had been told to do and they asked by who and I said I didn't know as not one person has told me their name. I had a ct which showed 3 fractures in my neck and back - c2 and t4 and t5. At which point they gave me better pain relief and a long aspen collar. I was woken at 11.30 by my dr for checks.

I was then woken at 2am by two young nurses to put in a catheter which took them about 45 mins because they couldn't do it right. Why they didn't do it at 11.30 under Dr supervision is beyond me. I now have a UTI 5 days later which I'm confident is because of that.

They checked me out the next day with no dr seeing me and checking me out, just a Physio. The pain relief provided for home was just Tramadol and did absolutely nothing and I spent my first night at home in excruciating pain and was considering being taken to another hospital. The next morning we had a Telehealth consult with my GP who prescribed slow release anti inflammatory, stronger tramadol and diazepam. I said to my spouse they must be short staffed but they said they could see all the nurses standing at a station talking about personal things and whenever a patient pressed their buzzer for help it buzzed about 7-9 times before a nurse arrived. I will never go to this hospital again and would prefer to pay anything to go private not to have to be treated like just a number. It was such a traumatic and lonely experience.

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Responses

Response from Ben Noteboom, Executive Director, Royal Perth Bentley Group 8 months ago
Ben Noteboom
Executive Director,
Royal Perth Bentley Group
Submitted on 14/10/2024 at 12:53 PM
Published on Care Opinion Australia at 2:59 PM


picture of Ben Noteboom

Dear Rocket78,

Thank you for taking the time to share your story on Care Opinion regarding your recent admission to Royal Perth Hospital (RPH). I was very sorry to read about your negative experience as this is certainly not the high standard of care and treatment we strive to provide.

I have consulted with the Head of Spinal Surgery at RPH who advises that treatment in the Emergency Department (ED) appears to have been reasonable and would have been based on assessment and tests to ensure comfort and safety. I do apologise for the delay which occurred in having your spinal collar fitted and any distress this caused.

The Head of Spinal Surgery would like to reassure you that the spinal care you have described appears appropriate for your presentation and diagnosis.

I am very sorry that you did not receive stronger pain relief in a timely manner, and you feel your nursing care was suboptimal. I have referred your comments to the senior staff in ED who will review your points to improve the services that we provide. Again, please accept a sincere apology for falling short of your expectations at such a stressful time.

If you would like us to investigate further, I encourage you to contact our Patient Experience team on (08) 9224 1637 or via email: RPBG.feedback@health.wa.gov.au to provide additional details.

I truly wish you all the best in your journey to recovery.

Kind Regards,

Ben Noteboom

Executive Director

Royal Perth Bentley Group.

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

Update posted by Rocket78 (the patient)

Thank you for your response however I did not feel my treatment was just. Being left in agony flat on my back with no one checking on me and giving me pain relief for 4 hours was very traumatic. Also since the traumatic catheter experience at 2am I then developed a UTI which was only gone after a course of antibiotics. I feel like with traumatic injuries such as a fractured C2 and fractured spinal that training nurses should be watching not treating. I believe that if they are treating, they should be under the direct supervision of a doctor not another nurse who seems to also be in training themself. I did not feel cared for, respected or listened to by the majority. If this is the usual standard of care and is seen as ok, I would have been less traumatised by being referred by my GP for scans and then my GP writing out scripts accordingly or a referral to a specialist if need be.

I would have thought being in a hospital you'd get urgent care or at least kept an eye on, whereas prior to that point I'd been taking better care of myself with pain relief in Bali and wasn't in anywhere near as much pain until I'd been laying on a hard trolley with no pain relief whatsoever in the ED hallway. Meanwhile nurses and ambulance officers were chatting over me about the weekend while I felt simply ignored. This did not feel like hospital care in my eyes and I still feel upset when o talk about it.

Response from Ben Noteboom, Executive Director, Royal Perth Bentley Group 8 months ago
Ben Noteboom
Executive Director,
Royal Perth Bentley Group
Submitted on 21/10/2024 at 4:43 PM
Published on Care Opinion Australia at 5:50 PM


picture of Ben Noteboom

Dear Rocket78,

Thank you for contacting me again through the Care Opinion platform.

I am truly sorry that your experience continues to affect you so significantly.

It is difficult to comment further on the way you were cared for without further information, however I reiterate that what you have described does not sound like the standard of care that we aim for. I am very keen for my team to investigate further, and encourage you to contact the Patient Experience department on (08) 9224 1637 so that we can investigate your treatment and care plan more comprehensively and address your concerns.

If you are continuing to experience distress from this event that is impacting on your daily life, I would also encourage you to seek support such as from your General Practitioner for ongoing care.

Kind regards,

Ben Noteboom

Executive Director

Royal Perth Bentley Group

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