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"Problems with staffing levels"

About: Aberdeen Royal Infirmary / Cancer Services (Medical Oncology)

(as a relative),

Sorry that I am posting again, my husband has been admitted for the third time since 9th June and this time it looks like his issues which are complex will be resolved so that he may be discharged I am hoping to a community hospital before he comes home this time to ensure he is well and stable and does not have to go through all the anguish that he has.

As usual communication with the ward is difficult as you have to phone and phone to get an answer as the staff do not have enough time to look after patients and answer the phone.  I am upset tonight as I get a call from my husband who is 70 and he is sat in just underpants on a bed with just a sheet and is very cold. he has been treated for a tumour in his throat and has on going issues, he is Peg fed and currently has a chest infection/pneumonia right side, he had issues with a build up of toxins in his system. He has a catheter at the moment again and hopefully it will be left in long enough this time to resolve his issues, anyway he has a number of things to contend with.

My issue is that he rang his buzzer as he needed the commode as he has an upset tummy due to feed and anti-biotics. He got no answer so phoned me at home as he was in great need and cannot make it to the toilet. By the time I managed to get through to the ward by phone and they get someone in to him the poor man has soiled himself. He is cleaned up and left in bed in just underpants and a sheet. He suffers from the cold as the best of times and he needed to have some clothing. So he phones me again and by now time has elapsed and it's coming onto half an hour he is like this. I tell him to buzz for a nurse again whilst I am on the phone after a while we get a staff member who I speak to, stating that he has been left like this for over half an hour now and he's cold, I get told that they are short staffed and cannot get around to patients as quickly as they need to.

I am really not happy at this and request that they get him some clothes straight away and blankets. The staff member goes off to get drugs for him and to arrange this, another 15/20 mins pass and I have stayed on the phone with my husband as he is upset and getting agitated not surprisingly. I told him ring your buzzer again and he did, we get someone back after 5 mins, I say he is still waiting for some clothes and blankets. This time I am told that assistants were told but are in with another patient who had soiled themselves and could not leave them!

Now I am getting a tad irritated not at the staff member directly but at the way they are meant to work, they have told me they are way understaffed and cannot look after the patients as they should be. He is on a medical ward, what if he was buzzing as it WAS a medical emergency? It seems he would get NO response in a timely manner and could come to harm! I said I expect him to be dressed now and given blankets. Also he had his mobile taken away the night before and was told he could not call me through the night or have his tv on. He is in a room on his own so having the tv on should not be an issue and he knows he can phone me at anytime during the night if he wants to and I have told the staff this.

He is feeling degraded and spoken down to abruptly by staff and even though they not be doing so it is coming across that way as they are in a rush all the time and cannot spend time with him to explain things, which he needs as due to the infections he has suffered confusion and also prior to admission he suffers panic attacks, anxiety and depression for which he is being treated for by his GP. 

He needs some reassurance which I feel he is not getting, when I am on the phone with him I hear how he is spoken to and see why he feels that way. The staff are under pressure and seemingly cannot deliver the level of care they should be able to and indeed want to. Also, I asked why he had both side bed guards up as he felt trapped, they did not know why and would have to look into it, he does not need them up and I asked for them to be taken down.

With not being able to visit he feels scared and abandoned not just by me but by the staff as well and I feel helpless being so far from him and not being able to see him to reassure him. This cannot be right can it??

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Responses

Response from Yvonne Wright, Chief Nurse, Clinical Support Services Division, NHS Grampian 3 years ago
Yvonne Wright
Chief Nurse, Clinical Support Services Division,
NHS Grampian
Submitted on 14/07/2020 at 13:14
Published on Care Opinion at 13:14


Dear KJD

I was really saddened and very sorry to read your post about you and your husband's recent experience. All areas are busy however there is no excuse around staff attitude and how your husband was cared for or made to feel- please accept my sincere apology

I am pleased that you have taken up my previous offer to contact me by e mail and hopefully you can either discuss the issues with me or Lisa Forbes (Nurse Manager) who has spoken with you and your husband today and she will be back in touch with you

Please do not hesitate to contact me if I can be of further assistance

Kindest Regards

Yvonne Wright

Chief Nurse

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Update posted by kjd (a relative)

Thank you so much Yvonne for your contact and I have sent you a reply, it is greatly appreciated and reassuring that concerns like this are taken seriously and looked at.

I do thank the nursing team for looking after my husband as they do, do a good job just sometimes they are faced with circumstances beyond their control which make it difficult for them to provide the care they want to.

I am super happy that I will be able to visit my husband on Thursday and thank all involved in this that have made it possible.

Response from Yvonne Wright, Chief Nurse, Clinical Support Services Division, NHS Grampian 3 years ago
Yvonne Wright
Chief Nurse, Clinical Support Services Division,
NHS Grampian
Submitted on 15/07/2020 at 11:20
Published on Care Opinion at 11:20


Dear KJD

Thanks for your response and e mails with both Lisa (Nurse Manager) and I.

I am really pleased you will be able to see your husband on Thursday.

Now that you have direct contacts within the hospital I hope this will help your situation regarding communication and in addressing any issues as they arise

Kindest Regards

Yvonne

Yvonne Wright

Chief Nurse

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Update posted by kjd (a relative)

I just wanted to do an update on my husbands recent admission experience, firstly thank you from myself for allowing the visits, they were appreciated and a special thank you to Paddy and Beverly for their help on the evening of his discharge, they know why. They showed the good on the ward and the extra lengths gone in caring not only for the patient but for the relative, in this case myself.

The downside of the admission continued to be the time staff were able to respond to his buzzer when he needed pain relief, he was due every two hours but sometimes it took an extra 40/60 mins to obtain it. They were measuring how often he required a top up to gage his pain relief, so it did not show a true reflection of the situation. I also noticed when he rang his buzzer and it had been going off for 15/20 mins with no sight of anyone, a number of staff, nurses, care assistants walked by his room, but none popped their heads in to say are you ok? Thats where he felt abandoned, not a good feeling when you are poorly in an alien enviroment.

Before his discharge, I asked about items of clothing that were missing, I had already taken a bag of soiled items back to Clan where I was staying and none were amongst these items, and they were not in his case that he had with him. I asked more than one nurse about this and was told they would look into it but I never received an answer, I realise hospital policy is that it holds no responsibility for items kept in the care of the patient, but somehow these items have gone missing during his admission and to be honest money does not grow on trees. The items missing are 1 x dressing gown, 1 x navy jogger bottoms, 2 x cotton pyjama bottoms and 1 x blue pair of trousers. As you can see these are not small items and cannot surely just disappear!

His discharge was more orderly this time which I thank the staff for, though one thing I have noticed with each discharge, no actual handover has been given as to the changes in medication, when last doses of each were given, when due etc. No instruction re catheter was given, its things like these that would really assist in the discharge and taking home of a patient.

Once again, thank you for taking on board a lot of what I have said and resolving it for us, I realise your staff are working under difficult circumstances and they give the best care they can at the time.

Response from Yvonne Wright, Chief Nurse, Clinical Support Services Division, NHS Grampian 3 years ago
Yvonne Wright
Chief Nurse, Clinical Support Services Division,
NHS Grampian
Submitted on 22/07/2020 at 17:44
Published on Care Opinion at 17:44


Dear KJD

I am sorry to read about your recent experience and challenges around your husband's discharge and also his belongings.

Please can I encourage you to make contact with the nurse in charge if your husband is admitted again regarding belongings etc.

We take all feedback very seriously and saddened to read about your ongoing experiences. Lisa Forbes (Nurse Manager) and I, are very happy to talk to you about this as you already have our contact details - please get in touch if we can help further

Kindest Regards

Yvonne

Yvonne Wright

Chief Nurse

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