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"My Mum's recent admission"

About: Queen Elizabeth University Hospital Glasgow / Acute Receiving Unit (Units 1-5) Queen Elizabeth University Hospital Glasgow / Gastroenterology (Stomach and gut problems) Wards 8b, 8c &8d Scottish Ambulance Service / Emergency Ambulance

(as a carer),

I was very wary of an admission to hospital for any loved one during the COVID-19 crisis because of the no visiting policy.

Mum took ill during the night and pressed her emergency buzzer. A carer came out as per procedure and found her in bed vomiting into a bucket. She has long-term GI issues due to radiotherapy for cervical cancer years ago so this is not the first time this has happened. I was called at 4.30 am and asked to make my way to her supported accommodation - the carer said Mum had had two seizures while they were there and that an ambulance had been called.

When I got there the paramedics were there and told me they had witnessed a further seizure and would advise she went to hospital for further investigation of this. Her DNACPR is taped to her fridge as she is adamant that she does not want resuscitating but the paramedics said it was out of date and they couldn't accept it. As I was not allowed in the ambulance to go to hospital with her I found that very distressing and told them so.

Mum then went to hospital - QEUH Glasgow. I waited for a call to ask for some history and let me know where she was. I had to call at 11.30 and go through switchboard and admissions to find out she was in ARU3 and had been since 9am. I phoned there and was told Mum was settled with no further vomiting since admission (which Mum later confirmed was not true).  I asked if the reports of seizures had been passed on and the nurse said the bloods had not shown any seizures. I checked the staff knew my Mum was registered blind and said she needed her hearing aids in. I was asked if Mum was a falls risk and I said she had a history of falls and severe osteoporosis well documented in her history. The nurse seemed happy to tell me everything was fine but I felt they did not have all the information i'd asked for with regards to my Mum. 

I got a call later saying Mum was going to 8D in 15 minutes. The nurse said Mum had asked to call me but had informed her to do it upstairs as they have better reception.

When Mum got to 8D she called and told me she had been vomiting frequently since admission and had anti-sickness medication 3 times. She hadn't seen a doctor there yet so I said I would call the ward in the morning.

I called the ward the following morning and was told Mum still hadn't seen a doctor so I asked if a doctor could call me after she had been seen as I wanted to ask about the seizures.

Mum phoned me about an hour later and said she was being discharged so I called the ward and left a message to say they would need to restart her care package.

10 minutes later I got a call asking me to come and collect Mum and take her home. I asked how that was supposed to work when family are not allowed in - I said I really wasn't happy about being asked to do that given that I couldn't visit when it mattered most to me!  The nurse said they would speak to the charge nurse and then came back and said to meet at the front door.  I got another call after that asking me to reinstate the care package which I refused to do as that is part of the hospital discharge responsibility as its not a private contract but a HSCP responsibility. 

I waited 40 minutes outside to pick Mum up and was then asked to go to the door as the nurse would not come to the drop off area.

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Responses

Response from Alan Martin, Patient Experience Manager, Corporate Affairs and Engagement, Scottish Ambulance Service 3 years ago
Alan Martin
Patient Experience Manager, Corporate Affairs and Engagement,
Scottish Ambulance Service
Submitted on 27/04/2020 at 08:32
Published on Care Opinion at 08:32


picture of Alan Martin

Dear Kags,

Thank you for taking the time to share your feedback on CareOpinion. I am sorry to read that your mother took ill. I hope that since returning home she is feeling better.

I am also sorry to read that the experience was not a positive one for yourself. Due to the current situation in regards to COVID-19, there are many precautions being taken. I can confirm that in line with Health Protection Scotland guidelines and Social Distancing measures, we have guidance to our crews that state family and carers of any suspected cases should not travel with the patient. As this condition has many potential presentations, most patients that our crews come into contact are treated as potential COVID-19 and these guidelines are then followed.

I appreciate that this makes very distressing situations more difficult and I am sorry that this happened to you and your family. I hope that you understand the reasons why.

In reference to the DNACPR, I am not sure of the process when a form is out of date. Whilst a DNACPR will be a factor in the decision making for treatment and transport, it is not a guarantee of no transport to hospital. If you would like, I can have this looked into. All I will need is the date, time and address that we attended as well as your mothers name. If you could email scotamb.feedback@nhs.net the details and reference your CareOpinion username my team will be more than happy to have this done for you.

Again, thanks for highlighting this and I do hope that you are all doing well.

Stay Safe!

Alan

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Response from Rachel Pyle, Patient Experience Project Manager, Patient Experience Team, NHSGGC 3 years ago
Rachel Pyle
Patient Experience Project Manager, Patient Experience Team,
NHSGGC
Submitted on 01/05/2020 at 12:15
Published on Care Opinion at 12:15


picture of Rachel Pyle

Hello Kags,

I’m so sorry to hear that your Mum has been unwell. Having a loved one in hospital is always a worrying time, and it is understandable that it is particularly worrying now.

I would like to apologise sincerely for you and your mum’s experience. It does not reflect our care standards or the person centred approach to care that we strive to deliver to all of our patients. I am very sorry for any additional upset this caused, at what was already a worrying time for you both.

Thank you for taking the time to share this feedback with us on Care Opinion. I note that you have also highlighted your concerns via the Complaints team. This will allow us the opportunity to review your Mum’s care in detail and to learn from her experience, so that it does not happen in future.

All the very best,

Rachel

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