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Care Opinion

Better organisation needed to run more efficiently.

Posted By alphadh79

"Better organisation needed to run more efficiently."

About: University Hospital Ayr / Combined Assessment Unit (CAU) University Hospital Hairmyres / Surgical Receiving Unit (Ward 4)

(as a service user),

I was referred by my GP to Surgical ambulatory care at Hairmyres Hospital as I had a UTI which didn't seem to be clearing & she thought the infection might have spread to my pancreas.

I waited around 5 hours for my blood test results & to see a doctor. I then had to return the next day for an ultrasound & to see a doctor again. This involved another 4 hour wait for a medic to attend the surgical ambulatory care unit. There were plenty of nurses around but they did not seem to be able to make any clinical decisions & so every patient had to wait until a doctor became available from another department.   

I know emergency services are very stretched but I wonder if the service was organised better it could run more efficiently. 

I attended the equivalent service at Ayr Hospital a few weeks later with my aunt & the department was run by advanced practice nurses overseen by one doctor although specialists were  also requested as necessary. This reduced the waiting time as the staff were dedicated to the department & not covering various areas which was the case at Hairmyres.

My aunt had a DVT & was assessed, diagnosed & treated within 2 hours without even seeing a doctor. All her care was by very competent & efficient nurses.

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Responses

Response from Danielle Henson, Senior Charge Nurse, Combined Assessment Unit, UHA, NHS Ayrshire & Arran 2 months ago
Danielle Henson
Senior Charge Nurse, Combined Assessment Unit, UHA,
NHS Ayrshire & Arran

Submitted on 12/02/2024 at 15:17
Published on Care Opinion at 15:17

Dear alphadh79

Thank you for you very much for your lovely comments regarding your aunts recent visit to Ayr CAU. We do our very best to provide gold stand care. We train our nurses to the highest standard. I shall share your comments and praise to our team.

Kind regards

Dannii Henson - SCN - CAU Ayr

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Response from Lise Axford, Chief of Nursing, University Hospital Hairmyres, NHS Lanarkshire 2 months ago
Lise Axford
Chief of Nursing, University Hospital Hairmyres,
NHS Lanarkshire

Submitted on 12/02/2024 at 17:08
Published on Care Opinion at 17:08

picture of Lise Axford

Dear alphadh79

Thank you for taking the time to share your feedback following your attendance at surgical ambulatory care. I am sorry to read that you waited so long on each occasion. Our ambulatory care area is staffed with dedicated advanced practitioners, however it is clear from your comments that they required medical staff to make decisions. I will share your feedback with the wider team and will review processes as it is important that we minimise waiting times and ensure prompt assessment and treatment planning.

Again, my apologies for your long waits. I hope that we can learn from your comments to maximise efficiency.

Kind regards

Lise

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Response from Gordon Elliott, Clinical Nurse Manager, Combined Assessment Unit, Surgical/Urology Receiving, NHS Ayrshire and Arran 2 months ago
Gordon Elliott
Clinical Nurse Manager, Combined Assessment Unit, Surgical/Urology Receiving,
NHS Ayrshire and Arran

Submitted on 13/02/2024 at 10:15
Published on Care Opinion at 10:15

Good Morning,

I would like to take this opportunity to thank you for the kind words that you have taken the time to share with regards to your Aunts recent visit to our service. I do hope she is recovering well and please pass our our best wishes to her.

Gordon Elliott

Clinical Lead

CAU

UHA

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