Text size

Theme

Language

"Contrasting experience of A&E and the wards"

About: Causeway Hospital / Accident & Emergency Causeway Hospital / Intensive Care Unit Causeway Hospital / Surgical 1 Causeway Hospital / Surgical 2 Northern Ireland Ambulance Service / Emergency ambulance response

(as a service user),

I recently took very ill suddenly. I called an ambulance as I was in such pain and unable to move and unfortunately there was no ambulance available.

An hour later I was still in excruciating agony and there was still no ambulance available, it was imperative I got to hospital so somehow my husband and friends managed to get me to A&E in Causeway Hospital. I was triaged very quickly in A&E and quickly put on morphine. However unfortunately I lay there for many hours -approximately 14 -before been scanned- and it was discovered I had acute pancreatitis.

I was originally admitted to Surgical Ward 1 for a few hours, however, I was moved to Intensive Care Unit, where I remained for 13 days, and I cannot say enough good things about the medical and nursing care which I received in Causeway Hospital‘s Intensive Care Unit, it was nothing short of excellent. All the nursing staff were superb and treated me with respect and professional care. Those bed baths were so appreciated . There was also a consultant anaesthetist who was kindness personified, and who was a great communicator as well as an excellent practitioner.

I was then moved to Surgical Ward 2, where I remained for 12 days. I was initially very ill on being admitted to the ward, but once again I experienced nothing but excellent care from all of the nursing staff,  healthcare assistants, domestic and medical practitioners attached to Surgical Ward 2  -absolutely superb care. I experienced nurses and healthcare assistants going well beyond the call of duty and I really don’t know how I would’ve come through it without their compassionate care. 

Of course there are things that you notice that are not great: the lack of confidentiality; the desperate need for fresh, cold water and mix ups every day over the menu in that the food that was brought to you was not always what you ordered and what you got. However, the small things were indeed very minor and overall I cannot commend the care of Surgical Ward 2 enough. 

I had two brilliant young nurses. The nurses who treated me knew their craft inside out and back to front. The young trainee doctors were superb and I benefited from the excellent care of the consultants - thank you to them all. When I was taken to theatre for a PICC line, the doctor and nurses were excellent. 

Of course, it helped that the other patients in the ward were very supportive and we became quite a team. Well done to the staff of the Intensive Care Unit. Very well done to the staff of Surgical Ward 2. 

I noticed that there was quite a lot of agency staff employed, and some of the staff were excellent. However, I found some of the agency staff that commit at night time had a very poor attitude and were very abrupt. This  was very different from the care which we received from the vast majority of staff normally employed in Causeway Hospital. 

I have nothing but praise for the staff, however I feel that the A&E department is vastly under resourced and seemed rather disorganised. When you’re lying on the bed writhing in pain and calling to be knocked out because of the pain and your sickness is so severe, and yet staff continually walk past you, it feels demoralising and dehumanising.

This is really not good enough, in my view. This needs to be looked at with a better system of organisation and accountability for each patient in A&E. I dread having to go back through the A&E system again, however I know that if I have to, I will get through it to a better standard of care in the wards. Please note that I am not individually criticising the staff in the A&E unit. I am noticing that they are overworked, under-resourced and perhaps rather disorganised and unconnected at times.

However, the overall tone of my message is that my experience in Causeway Hospital was very positive. But my goodness  all of us patients  yearned for fresh, clean cold water and clean drinking glasses as these  small things make a difference. 

Thank you, thank you, thank you. I am so very glad of such excellent local care that was available to me in Causeway Hospital. 

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

Responses

Response from Neil Gillan, Co-Production & Partnership Lead, Quality, Safety & Improvement, Northern Ireland Ambulance Service about a year and a half ago
Neil Gillan
Co-Production & Partnership Lead, Quality, Safety & Improvement,
Northern Ireland Ambulance Service
Submitted on 16/10/2023 at 16:47
Published on Care Opinion at 16:47


picture of Neil Gillan

Good afternoon Nauna,

I am grateful to you for taking the time to share your experiences of the Northern Ireland Ambulance Service. From the outset, I would like to apologise to you and your husband. As an organisation we are committed to consistently showing compassion, professionalism and respect for the patients we care for and we regret that this was not your experience.

With regards to the availability of ambulances and our response times please be assured that we are working closely with the Department of Health and the Strategic Planning and Performance Group to increase our available resources. We are also working with the local EDs to try to ensure that our patients can be handed over to hospital clinical teams as quickly as possible so that ambulance are able to respond to further emergencies.

I hope you are recovering well.

Best wishes,

Neil

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Deborah Dyson, Ward Manager, Surgical 2, Causeway Hospital, NHSCT about a year and a half ago
Deborah Dyson
Ward Manager, Surgical 2, Causeway Hospital,
NHSCT
Submitted on 16/10/2023 at 17:10
Published on Care Opinion at 17:10


Hello Nauna

My name is Deborah Dyson I am the ward Sr in Surgical 2.

I want to thank you for taking the time to leave us feedback on your stay whilst in Surgical 2.

Being admitted to hospital can be very daunting. I was delighted to read that your experience in Surgical 2 was so positive. We strive to provide the highest standard of care possible. My staff will be delighted to read that the care you received was superb. I will pass on your kind feedback to my whole team.

We wish you well in your recovery

Debbie

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Victoria McCrory, Assistant Clinical Services Manager, Medicine and Emergency Medicine, NHSCT about a year and a half ago
Victoria McCrory
Assistant Clinical Services Manager, Medicine and Emergency Medicine,
NHSCT
Submitted on 17/10/2023 at 10:34
Published on Care Opinion at 10:34


Hi Nauna

My name is Victoria McCrory, I am the Assistant Clinical Services Manager for Causeway ED.

Firstly I am sorry to hear that you have been unwell recently, and I hope you are recovering well. I wish to take this opportunity to apologise for the experience which you encountered within our emergency department. The standard of care which you received and the staff attitudes which you encountered do not align with our trust core values and fall below the standards of care we aim to achieve.

I am pleased to hear that you were triaged promptly; the triage process is one of the most vital processes within the department and helps ensure that patients are given the clinical priority which they require.

Causeway ED remains a very busy department and is under significant pressure daily. Myself and the ED team are always reviewing our processes and continually trying to find more productive ways of working.

I can assure you that I have taken your feedback on board, and will ensure that staff are reminded of not only the trust core values, but also their professional values. I will take your concerns and feedback to my next meeting and ensure this is shared with senior management. I will also share your concerns and feedback with the Bank Management Team, who deal with the Agencies whom we hire staff from.

If you wish for me to review, or discuss with you in more detail the care you received in the ED department, please don't hesitate to contact me via my details below.

Once again I apologise for your experience, and wish you a speedy recovery.

Yours Sincerely

Victoria McCrory

ACSM CAU ED + MUH MIU

Tel; 028 7032 7032 ext 375366

Email; victoria.mccrory@northerntrust.hscni.net

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Response from Louise Boreland, Ward Manager Intensive Care Causeway, Intensive Care Unit, NHSCT about a year and a half ago
Louise Boreland
Ward Manager Intensive Care Causeway, Intensive Care Unit,
NHSCT
Submitted on 17/10/2023 at 16:15
Published on Care Opinion at 16:56


Hi Nuana

Thank you for taking the time to provide us with feedback, I hope you are continuing to feel better.

The staff in ICU are encouraged to have received such positive feedback from you. It is very much a team approach to looking after patients in ICU.

It has highlighted the importance of doing the basics well and I am glad that you had a positive stay in ICU.

The drinking water in ICU is an ongoing challenge that I continue to work on and I am sorry if you did not receive the correct meals while in ICU.

We wish you a speedy recovery.

Regards

Louise

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

Update posted by Nauna (a service user)

Good afternoon Louise

thank you for your response. Please note that my reflections about water and meals were not in relation to ICU but SW2. I was not either eating or drinking whilst I was in ICU as it was IV drips.

Again so many thanks to all of the ICU staff - such skill and kindness were abundant

kind regards

Nauna

Response from Deborah Dyson, Ward Manager, Surgical 2, Causeway Hospital, NHSCT about a year and a half ago
Deborah Dyson
Ward Manager, Surgical 2, Causeway Hospital,
NHSCT
Submitted on 18/10/2023 at 12:56
Published on Care Opinion at 12:56


Hello Nuana

Thankyou for responding to Louise from ICU and highlighting regarding your experience with the meals and the water service in surgical 2. The water should be changed twice a day or as often as needed. There are water coolers in the kitchen which are there to provide water as often as needed I am disappointed and can only apologies that you experience reflected this failing.

With regard to the meals I am glad that you brought this to my attention I am aware that there can be issues with meals and supply and I will highlight this and share your feedback with the catering department.

I will also highlight the issues with my team so that there is not a reoccurrence.

I was delighted with your feedback and can only apologize that some areas did not live up to the standards that is expected.

I am very happy to have a chat with you if you would like

My email is deborah.dyson@northerntrust.hscni.net

I wish you well in your recovery

Debbie

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful
Opinions
Next Response j
Previous Response k