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"Waiting room chaos and long waits"

About: Causeway Hospital / Accident & Emergency

(as a service user),

I was recently sent to A&E by Dalriada Doc service with suspected sepsis post major surgery. I was in a lot of pain and was vomiting. I struggled to walk and had to use a wheelchair.

The waiting room was chaos with patients having up to 4 people there with them taking up all of the seats. There were people eating food and literally having picnics. It was noisy with tablets being used with no head phones. There was almost a party atmosphere. I was struck by how unsupervised the waiting room was with so many people not being the putative patient and by how hard it was to be so ill amidst so many seemingly well people.

It was only when people saw me vomiting and needing the support of my husband that they lifted bags of seats to let him sit down beside my wheelchair. Can they please be some way of limiting the number of support people ill people bring into the A&E waiting room? Also could minor illness patients and very ill patients have different spaces somewhere to wait? It was very difficult being so ill in that party like environment. 

I was triaged within half an hour and taken in for blood and ECG. I was then sent back to the waiting room to wait - I was there for hours before eventually seeing a doctor who told me they thought I had bowel ilias post surgery despite me telling them that I had had this but my bowels were working fine.

My large scar was healing well on the outside but I had a high temperature, was vomiting and in a lot of pain - I was 10 days post major surgery. I eventually got a scan (wonderful care by the radiographer) and then had to wait several hours on a A&E chair badly needing anti sickness meds and pain relief which I had been told I would get several hours before hand. After several requests I got these meds.

The A&E doctor gave me no feedback from my ct scan and 3 hours after it, a surgical doctor examined me and said I needed to be admitted - such relief - but that took from 6 pm to almost 1am. Surely with my history and presentation the surgical doctors should have been called to assess me much earlier? 

I dreaded going back into A&E. It is like an endurance test to survive it until you get to the other side of the doors to the safety of a ward. Yet again chaos seemed to prevail both in the waiting room and in the A&E department. It must be so hard to work there and my heart went out to the overworked staff. 

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Responses

Response from Victoria McCrory, Assistant Clinical Services Manager, Medicine and Emergency Medicine, NHSCT 12 months ago
Victoria McCrory
Assistant Clinical Services Manager, Medicine and Emergency Medicine,
NHSCT
Submitted on 16/05/2024 at 14:33
Published on Care Opinion at 14:33


Hi Nuana

My name is Victoria McCrory and I am the Assistant Clinical Services manager for Causeway ED. I note you have placed a previous review re staff and long waits which I have responded to separately. Thank you for taking the time to leave both reviews, particularly at a time when you have been unwell. All feedback is appreciated as it helps improve standards, enables staff to reflect.

I am sorry to hear re your experience of the main ED waiting area. We do not have staffing available to supervise the waiting area, however we do encourage patients to keep accompanying adults to a minimum, preferably one if required. At times staff do make waiting room announcements and request for this to be the case, I am sorry that during the time of your wait this did not happen.

We do have different ED streams within the department, and following triage people are streamed to various areas depending on their presenting complaint. Only very minor injuries are streamed from the registration desk, as the majority of patients attending ED require nurse triage in the first instance. This can result in a large number of people in our main waiting area.

I apologise for the delay in seeing a clinician, and hope my previous response gives a little insight into the possible reasoning behind this. At times of increased demand and pressures, capacity within the department is over stretched, and we do not always have trolley spaces available for all patients who require these. I apologise that you had to sit in a chair and administration of medications was delayed. This is not the standard of care we aim to deliver, and does not meet trust core values.

The ED environment remains under huge strain with unprecedented pressures, staff continue to work hard, aiming to deliver a high standard of care in a very busy environment. I apologise for your experience and will ensure that your feedback is shared with our senior management and clinical team at our next scheduled meeting.

If you wish for me to review your case in more detail, please contact me on the detail below.

Yours Sincerely

Victoria McCrory

ACSM CAU ED

victoria.mccrory@northerntrust.hscni.net

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

Update posted by Nauna (a service user)

Thank you for taking the time to get back to me. Having worked in the Health service for 35 years ( retired just before I took ill last autumn) I know that it is important to get feedback in the hope that if enough patients remark that more resources are needed someone somewhere might listen. One can always hope!

Kind regards

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