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PEG reinsertion

Posted By Bonnie46

"PEG reinsertion"

About: Aberdeen Health and Care Village / GMED Aberdeen Royal Infirmary / Emergency Medicine Aberdeen Royal Infirmary / Gastroenterology (Stomach and Gut) NHS 24 / NHS 24 (111 service)

(as a service user),

I am very thankfully for the great care that I received from the gastro ward over the Christmas period.

I fell at home and phoned NHS 24 to arrange treatment around 7:30pm.

I alerted the clinical staff that I had a balloon PEG that was dislodged and due to over granulation I was unable to reinsert the PEG despite trying. I had however inserted a spare NG tube which is smaller into the site to try and keep the track open. I alerted the clinician to my concern that the site will close very quickly and that I needed to be seen as soon as possible.

At midnight (over 4.5 hours later) I still hadn’t received any information or phone call back from out of hours, despite clinician saying that my case was urgent and I would be contacted very soon.

At 1am, I become increasingly worried and went to A+E to seek advice and was informed that I could have a lengthy wait.

Thankfully a nurse from A+E saw me quickly and agreed that my case was urgent.

She called Ward 104 and arranged for me to be seen. Within 20 minutes I was up in the gastro ward and I received outstanding care.

I was seen by a doctor who although didn’t know much about a PEG tube, clarified that I had done the right thing but trying to keep the site open and coming to A+E. The nurse offered to try and reinsert the tube if I was willing for this to be attempted as this may result in less invasive treatment being needed by morning.

I was very thankfully to the gastro nurse (Maureen) that was reassuring and was able to reinsert the PEG into the site. It wasn’t an easy insertion as the site was closing, my site is also at an unusual angle . Although the site is sore, I am grateful that the PEG was able to be reinserted on the ward. This was much better than needing to get a gastroscope in the morning. I was thankful for the treatment on the gastro ward and was fit to go home within 90 minutes. Outstanding care from the ward 104.

Worryingly out of hours called at 5am to discuss follow up treatment. This was 9.5 hours after I called NHS 24.

I am very thankfully for ward 104 as if I had waited for out of hours I would have certainly needed the more invasive treatment. I was following NHS advice that is often shared in the media about not attending A+E unless an emergency. I completely understand the pressures on the service but I find this quite a stressful experience when I knew that I needed to be treated quickly.

I am just very grateful that A+E and ward 104 were aware that the issue needed to dealt with quickly.

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Responses

Response from Fiona Mitchell, Nurse Manager, Renal, Dialysis and Gastroenterology, Respiratory, NHS Grampian about a year and a half ago
Fiona Mitchell
Nurse Manager, Renal, Dialysis and Gastroenterology, Respiratory,
NHS Grampian

Submitted on 27/12/2023 at 13:01
Published on Care Opinion at 16:28

Thank you very much for taking the time to provide feedback to the Gastroenterology team. I am delighted to hear you had a positive experience and that you were able to have your PEG tube reinserted successfully on the ward. I will ensure your feedback is shared with the team who I know will appreciate this very much.

It is great to hear that you got discharged so quickly and are now in the comfort of your own home. Once again, thank you for providing feedback, it is very much appreciated.

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Response from Julie Wattie, Nurse Manager, Medicine 1 (Medicine and Unscheduled Care Division), NHS Grampian about a year and a half ago
Julie Wattie
Nurse Manager, Medicine 1 (Medicine and Unscheduled Care Division),
NHS Grampian

Submitted on 27/12/2023 at 13:11
Published on Care Opinion at 13:11

Dear Bonnie46,

Many thanks for taking the time to write in about your experience in the Emergency Department. I will ensure it is shared with the team and know how much it will mean to them.

I hope you are recovering well and had a lovely Christmas

Julie

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Response from Dawn Orr, Nurse Consultant - Telehealth and Telecare, Nursing and Care, NHS 24 about a year and a half ago
Dawn Orr
Nurse Consultant - Telehealth and Telecare, Nursing and Care,
NHS 24

Submitted on 27/12/2023 at 14:46
Published on Care Opinion at 14:46

picture of Dawn Orr

Dear Bonnie46,

Thank you for sharing your story on Care Opinion. I was sorry to read about the issues you had with your PEG tube. I am glad to hear you and now received treatment and have returned home. I hope you are recovering well and have managed some festive celebrations.

I reply on behalf of NHS 24, If you wish to share any more information with me in relation to your contact with our service, you can contact me by email at Patient.Experience@nhs24.scot.nhs.uk.

Thank you again for sharing your experience.

Dawn Orr

Nurse Consultant, Telehealth and Telecare

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Response from Osi Elegon, Operations Manager, Out of Hours Primary Care (GMED), NHS Grampian about a year and a half ago
Osi Elegon
Operations Manager, Out of Hours Primary Care (GMED),
NHS Grampian

Submitted on 27/12/2023 at 16:32
Published on Care Opinion at 16:32

Dear Bonnie46,

I am sorry to hear about your PEG tube and the long wait you experienced to be contacted by the Out of Hours Primary Care Service (GMED). However, I am happy to see that you received the necessary care in Ward 104, and hope you are recovering well.

Regarding the waiting time your experienced between contacting NHS 24 and when you received a call back from GMED, I wonder if you will be willing to provide me with more information to further investigate your circumstance. I would like to review your concerns by looking at the timeline of events that is held within medical record to obtain the necessary explanation as to why you had to wait for a call back from GMED. If you would like me to explore this further, please kindly email me at gram.gmedurgent@nhs.scot

Once again, I would like to apologise for your wait and thank you for taking the time to post your experience on Care Opinion. Your feedback is greatly received and it helps us understand how to improve going forward.

Osi

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