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"There was no history taken from me at all"

About: Crosshouse Hospital / Accident & Emergency

(as the patient),

Attended A&E after feeling I was becoming more short of breath due to severe asthma. I had already attended my GP earlier in the week who changed some of my medications but advised if I felt any worse to go to A&E. 

Now I do not head to A&E lightly as I know the current pressures on the system as I currently work in an A&E department myself. The triage nurse was very dismissive and told me that I should have called and been seen by OOH GP service and that A&E was not where I should have been attending. Now if people who are asthmatic and feeling short of breath is not a reason for attending A&E then I am not sure what is! 

There was no history taken from me at all and was then sent back out to the waiting room and told that seen as I was already here I could wait and be seen. Now I understand how the triage system works but I have a history of deteriorating very quickly and have multiple Critical care admissions. 

I was then seen by a doctor who was also just as dismissive again no proper history was taken and both the doctor and the nurse would not listen to me when I kept repeatedly telling them that I am an unusual Asthmatic as I do not wheeze but get a very barky cough and that my saturation level can appear normal on the machine. I was then sent home after 1 nebulizer with a PF of only 50% because I was already on steroid and have home nebulizers. 

I still could not talk in full sentences and no one checked if I had anyone at home so I was discharged to an empty house at around midnight unable to talk in full sentences and with a peak flow of 50%. 

People die of asthma every year and it's quite understandable why when treatment is like this. It has also completely put me off ever attending A&E at Crosshouse again and as a health professional, it has left me feeling sad for other patients if they are treated this way and made to feel like they have done something wrong by following there asthma action plan and attending A&e. 

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Responses

Response from Claire Gilroy, Specialty Doctor, Emergency Department, University Hospital Crosshouse, NHS Ayrshire and Arran 4 years ago
Claire Gilroy
Specialty Doctor, Emergency Department, University Hospital Crosshouse,
NHS Ayrshire and Arran

Emergency

Submitted on 18/06/2019 at 12:00
Published on Care Opinion at 12:00


picture of Claire Gilroy

Dear Ralph123,

First of all I would like to apologise for the delay in my response as I have been off on annual leave. Thank you for taking the time to leave feedback on Care Opinion.

I was sorry to read that you felt the triage nurse and doctor were dismissive of you. As you will be aware from working in an A&E department, the purpose of triage is not to take a detailed history and examination but rather to sort patients into categories to be seen. Asthma is not a category that would automatically place you into a prioritised category but rather it would be a combination of this and your observations e.g. heart rate, oxygen saturations, blood pressure.

I understand that you present unusually for someone with asthma. However, the doctors and nurses have to use their clinical judgement to assess whether someone with asthma requires hospital admission. Thankfully, we can protect asthma patients from the dangers of hospitalisation by using more advanced home treatments. If deemed fit for discharged home circumstances would not be explored.

I will ensure that your feedback is shared with the team at the morning huddle tomorrow and I will email also email it to all of our staff this afternoon. I hope you have made a full recovery.

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