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"No support for patients"

About: Ninewells Hospital / Acute Medical Unit (AMU) Scottish Ambulance Service / Emergency Ambulance

(as a relative),

We had a lovely supportive experience from the ambulance service and paramedic who called ahead to get my mother admitted directly to AMU and bypass the admissions as she was just home a week and shouldn't have been sent home so early. She is in her 80s, diabetic (insulin dependant), has a paralysis down right leg and has a catheter, has hearing aids but is still very hard of hearing. She has osteoarthritis and is sensitive to pain medication. Great she has been accepted for direct admission!!

Not taken on a wheelchair to the AMU and sat in corridor for 4 and half hours watching beds coming up from admissions and being given beds. We were third in line for the next available bed apparently, but that never happened, more patients coming up from admissions. I was advised it could be a few hours you would be better to leave her and go home!  Oh really!!

Her blood sugar check on arrival was low but she was due her tea and toast as usual before bed which would bring it up. She had been vomiting and not eaten much that day so concern on her sugar levels. I asked if she could have tea and toast from tea trolley...not tea incase she burnt herself but help yourself to toast. Got a glass of water instead. I asked if they could give her pain relief as she was in a lot of pain. No she is not under a doctor on the ward yet until she is in a bed and she is not under admissions doctors as she didn't come through admissions. Limbo land.

We had a new pain relief option from GP collect that day in patch form, can I put that on her then? No! Her catheter bag was full, I had to go ask if I could get her into the toilet with a bottle to empty it and was told give me a few minutes I will do it for you.

Eventually got her into a bed at 1am in the morning after sitting in the most uncomfortable chair in a corridor. She kept saying just take me home, I am tired and let me die and be with Dad, I can't sit here anymore. Absolutely atrocious treatment of anyone and more so an elderly lady.  If ward accepts and agrees an admission from paramedics, why are they just left hanging around in corridors with no support or anyone looking out for them? Pity anyone without family to sit with them.

All the information passed to the ward on admission after I got her dressed and into the bed prompting heart trace as that was another thing paramedics weren't happy with and asking for a night bag to be attached for her was not passed on. Including the pain relief patch which they finally said ok you put it on her as we can't unless doctor says it's ok. But we will note it.

Vomiting started next day with this medication we think and advised again maybe it's codeine/morphine in it which makes her sick ... what patch! For goodness sake, is anyone taking responsibility for these patients and taking the time to record very relevant information? They could have given her more pain relief medicine and overdosed her!  Please sort out this limbo land admission.

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Responses

Response from Linda Nicol, Senior Nurse, Acute Medical Unit / Short Stay Medicine, Ninewells Hospital, NHS Tayside yesterday
Linda Nicol
Senior Nurse, Acute Medical Unit / Short Stay Medicine,
Ninewells Hospital, NHS Tayside
Submitted on 05/10/2025 at 19:19
Published on Care Opinion at 19:19


Dear DMCN

I am very sorry to hear of your mothers experience. We are working hard to avoid these scenario's when patient's have a lengthy wait for a bed. Unfortunately the unpredictable demand from the emergency department and trying to manage ambulance service referrals can be very challenging and not what any member of the team wants for our patients.

The team try their best to minimise waits and ensure patients are made comfortable as quickly as possible but agree we did not manage this in your mothers case. We do our best to prioritise beds for patients most in need however this can change depending on the condition of patients as they come in.

We also try to ensure a member of staff can care for those patients awaiting a bed however it sounds like on this occasion there was not the support available.

I am sorry that we failed to pass on the relevant information about the patch. Unfortunately it sounds like this was not prescribed on the drug record chart which the medical team would have needed to do.

I would be happy to look into your mothers case and if you would like to contact the tay.feedback@nhs.scot with relevant information I could investigate further however I will pass onto the team about the importance of record keeping, documentation and communication even with high clinical activity.

On a positive note, over the coming weeks we are hoping to introduce an assessment area for patients coming in from the community from AMU. This should very much help to address some of the concerns you have raised and hopefully will improve patients experience with us.

I hope your mother is feeling better and please pass on our deepest apologies to her for her poor care experience whilst in AMU.

Kind Regards

Linda Nicol

Senior Nurse

AMU/SSM/AFU

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