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"Positives and Negatives"

About: Royal Cornwall Hospital (Treliske) / Acute Medical Unit (AMU) 1 & 2 Royal Cornwall Hospital (Treliske) / Emergency Department Royal Cornwall Hospital (Treliske) / Wheal Coates Ward Royal Cornwall Hospital (Treliske) / Wheal Prosper Ward

(as the patient),

I was in Treliske Hospital for nearly exactly 2 weeks, albeit in a number of different wards and sections. My experience was generally very good at least in terms of the care that I received. 

With only a few exceptions all the many nurses, doctors and other staff that I came across were pleasant and caring. I would like though to commend those staff that I met who I felt went 'above and beyond' what was necessary and made my life more bearable. They were - in order of the wards I was in : Amy in ED, Sri in AMU 1 Section D, Dane and Bernice in AMU 1 Section B, DJ in Wheal Coates, plus Neeka, Laura and Betty in Wheal Prosper where I spent the most amount of time. To that list I would also like to add Nurse Tamara and her assistant Kate in Wheal Coates who I felt were not only caring and helpful but were highly efficient, informative, knowledgeable and encouraging, in fact everything that, as a patient, one could possibly ask for from a nurse. They are a true credit to their profession and I would probably say that they are probably the best nurses that I have ever had in over a dozen or so hospital stays, in different hospitals, over the past 8 years. Well done indeed.

I am unable to comment much on the quality of the food etc as except for the last 2 days or so I was 'nil by mouth' and just had nutrients from a drip in both arms. However the 2 days that I did eat I would say that i was disappointed at the standard food which was extremely bland and uninspiring and did little to encourage appetite. The inclusion of some herbs and spices would improve the quality of the food no end at very little cost. I did like though that pre-prepared Asian food was available as long as you ask the staff before you fill out the menu requests. I did try that food and that was considerably better than the standard food available. I am not Asian but my experience at other in-hospital stays had alerted me to the necessity of asking about what 'other' food was available.

Now a plea. Could I request the 'powers that be' to ban the insertion of cannulas in both elbows at the same time. I appreciate that the elbow is, for many nurses/doctors, by far the easiest place to insert a canula, which of course is why it is so popular with staff as the job can then be finished quickly and the staff can 'tick the box' and move on to the next job. However, in my experience, it can cause the patient no end of problems, not least being unable to properly, or even at all, at times, move either arm. Plus because of involuntary arm movements the needles can become very distorted and the cannulas very quickly stop working, usually within a day and a new one needs to be inserted. It is extremely inconvenient for the patient, as well as causing blood to leak out, and makes their stay in hospital far harder than it need be. Just because something is easier does not make it better, so please, please, consider banning any cannulas in the elbow area, or at least no more than one. Alternative veins might be harder to find but can surely nearly always be found, especially with the help of modern technology. This is not just an issue at Treliske but at most hospitals I have been in it is an issue and I feel the practice really does need to be stopped!

One final plea, when the time for replacement comes, can the patient chairs be changed to ones with better ergonomic designs. According to modern research, the best chairs are ones with a back at an angle of around 45 degrees, and certainly not upright, which makes the chairs extremely uncomfortable to sit in for any length of time and certainly they act as a disincentive to get out of bed where at least one can recline to the correct angle. I feel it could definitely improve the patient experience if this was done.

In general though, well done Treliske.

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Responses

Response from Natalie Keogh, Clinical Matron of AMU , SDMA and Discharge lounge, Acute Medical Unit, Royal Cornwall Hospitals NHS Trust 8 months ago
Natalie Keogh
Clinical Matron of AMU , SDMA and Discharge lounge, Acute Medical Unit,
Royal Cornwall Hospitals NHS Trust
Submitted on 04/09/2024 at 16:53
Published on Care Opinion on 05/09/2024 at 07:52


Thank you so much for your kinds words for the staff on AMU, it means so much. I am so proud to work with so many kind people, and thank you for you time. I will look at chairs on the unit and compllety agree with you about the cannulas. Something I weill share with the staff on AMU.

We wish you all the best in your recovery.

Many thanks

Natalie Keogh, Clinical Matron of Acute medicine. AMU/SDMA and the DCL

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Response from Robyn Jones, Sister, Emergency Department, Royal Cornwall Hospitals NHS Trust 8 months ago
Robyn Jones
Sister, Emergency Department,
Royal Cornwall Hospitals NHS Trust

I work in the Emergency Department as a Sister. I support a team of nurses and doctors in delivering emergency care. I co-manage performance and conduct with the ED senior team in line with local and national policies. I believe that maintaining contact post attendance with our services users is really beneficial. Gaining your valuable feedback can help us create changes so we can deliver the best service we can.

Submitted on 18/09/2024 at 10:51
Published on Care Opinion at 10:51


picture of Robyn Jones

Dear ARTH

Thank you for taking your time in sending your feedback. It does go a long way.

I will pass on your gratitude to Amy.

I have no doubt the cannulas were inserted in ED at the start of your journey. You are absolutely right, just because it is easier for us, does not mean it is more comfortable or kinder to the you as a patient who has to live with for days on end. I understand cannulas can get in the way, be knocked out and cause discomfort anywhere on the body. I am a cannula trainer in the department and we do teach to start at the hand and work up the arm is no veins are found. I cannot comment on your case specifically, but I can send a reminder to staff to be more selective and not to forget the hand or forearm if the patient is not very sick. Unfortunately we cannot ban ACF (elbow) insertion as during resuscitation this is the evidenced and taught practice to gain access, it allows the fastest way to deliver fluids and medication before considering intraosseous access.

Pleas may I ask that if you are unfortunate enough to have to to return to hospital and are well enough to talk, that you request the staff to try and find a vein in your hand or forearm first?

I hope you are recovering well.

Best wishes

Robyn Jones

ED, Sister

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