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"I was ill when I walked in and I was even worse when I walked out"

About: Forth Valley Royal Hospital / Accident & emergency Forth Valley Royal Hospital / Cardiology Forth Valley Royal Hospital / Clinical assessment unit

(as a service user),

I had undergone open heart surgery for a valve replacement and a partial aorta replacement in March this year and hadn’t felt well since.  It was diagnosed that I had AF which was a result of my surgery which is apparently common.  I had Cardioversion yesterday in Forth Valley Hospital. I was extremely nervous, the nursing team were amazing, so friendly, helpful and understanding.  The whole experience was made so much easier by lovely friendly nurses and the anaesthetists, who explained what was going to happen. I was nervous and they helped to put me at ease. 

 I wasn’t feeling great the next day and phoned them as per the information leaflet given to me, again I received great service, I was invited to go back for another ECG,  my nurse really went above and beyond. I felt truly cared for and listened to. I was however advised to go to A&E for more tests. 

I attended A&E at 12 noon and was advised there was a 3 hour waiting time. I was seen fairly quickly by a triage nurse then returned to the main waiting area. The waiting time increased to 5 hours during the time we were waiting. I finally got called around 5:00pm had bloods taken and was placed in another waiting area,.

My dad had kindly driven me and was waiting with me. Both of us hadn’t had anything to eat, not even a cup of tea, vending machines took our money and gave nothing in return. I was left in a waiting area and didn’t know what was going on.

I went to the nursing station to ask and was advised I needed more bloods taken at 8:00pm and then after sitting waiting not knowing what was happening, I was transferred to the clinical assessment unit just after 9pm to wait on the blood results.

The nurse there advised me, after me going to nurses station and asking, that the results were in, they looked fine but I needed to be seen by a doctor who would then decide if I get home. The doctor finally came to see me and I was sent for a chest X-ray around 11.10pm as he couldn’t believe that A&E hadn’t done this, and then the doctor needed to seek advice from a registrar as he wasn’t confident, at 12.10pm I was advised they couldn’t see anything wrong with me but I had done the right thing attending. 

The worst part of this is everyone that was in the waiting room with me 12 hours before were all in the other waiting area alongside me for the same length of time as me. It felt like everyone was just being shuffled from one waiting area to another.  

The system is a complete shambles, it needs a good overhaul, there must be a more cohesive plan when dealing with sick/unwell patients. The same nurses and doctors walked passed me multiple times each hour. It was utter chaos. I will never attend A&E voluntarily ever again.

I was ill when I walked in and I was even worse when I walked out. The experience has left me exhausted and deflated. The advice I was given after 13 hours in hospital was to see my cardiologist in 4 weeks (that’s when I’m supposed to see her after Cardioversion) and if I feel like I’m breathless especially when lying down and have chest pain go back to A&E.  These were some of the symptoms that led me to attend in the first place.

How can one department get it so right and another get it so wrong. I don’t blame the nursing staff/doctors, they looked like headless chickens running around, I blame the NHS system.   I repeat my earlier sentiment I will never  attend A&E voluntarily ever again.  

My father also said that he had never seen such a chaotic A & E department.

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Responses

Response from Catherine Labinjoh, Consultant Cardiologist & Clinical Lead for Cardiology, Cardiology, NHS Forth Valley 8 months ago
Catherine Labinjoh
Consultant Cardiologist & Clinical Lead for Cardiology, Cardiology,
NHS Forth Valley

Hospital doctor, specialising in Heart Disease

Submitted on 08/08/2023 at 14:38
Published on Care Opinion at 14:38


picture of Catherine Labinjoh

Dear Ushpup

Thanks for your kind words about your experience of cardioversion in Cardiology. I am sorry to hear that things did not go so well for you in the Emergency Department recently and I am sure they will respond to your feedback directly. However, we try our best to work together as a whole service and therefore I would like to take this opportunity to apologise to you about the service you received.

I am aware that when patients attend A&E with concerns about their heart a number of investigations may be needed and these must be spread out over time in order to get a full picture of what may, or may not, be happening. This means we need to keep you in hospital for some hours, and there are sometimes delays as the information is pulled together and discussed with senior staff. I am sorry about the delays you experienced and that you felt you didn't know what was going on. You are right when you identify that our services and systems are under huge pressure at present but we do strive to do better than we did and I know the team in A&E will be very disappointed to have let you down.

Thanks again for your feedback which will be helpful in helping us to improve our services in the future.

Best wishes

Catherine

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

Update posted by ushpup (a service user)

Thanks so much for your quick response and your explanation re A&E keeping me in for 12 hours as a result of my requiring various tests after my recent heart operation and Cardioversion

I think it’s important to say that I didn’t have unrealistic expectations when going to A&E as I am aware that its a very busy service and understandably patients are prioritised as a result of emergencies etc. which I knew meant I could be in for a few hours. However, I think it was ridiculous to have someone with my heart history waiting for 12 hours especially with no communication of what was happening and without offering any food or drink. I had an ECG, 2 blood tests, 1 chest X-ray and my blood pressure and heart rate taken a few times over a 12 hour period. I had absolutely no knowledge of what was happening with my care. I just kept being moved from one waiting area to another.

I feel it would have been far better customer service had the Triage Nurse explained to me the likelihood is you will have to wait a few hours to be seen by a doctor then as we will have to do various tests including taking bloods 3 hours apart, there is a possibility you may be here for another 5+ hours and we may even keep you in

At this point I could have at least asked my 72 year old dad who was waiting with me to go and buy us a sandwich and a cup of tea from the restaurant and then I could have let him go home as there was no point both of us waiting for such a prolonged long time. As a result of that awful experience, I was exhausted for 2 days after and as well as not feeling any better, I had no forward care plan in place.

I really hope my comments go some way to help to improve the service provided in A&E.

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