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"Overnight stay at Antrim Area Hospital"

About: Antrim Area Hospital / Accidents & Emergency Antrim Area Hospital / Ward C4 Male Surgical

(as the patient),

I was taken to hospital by my wife to the emergency department re suspected appendicitis. I was seen very quickly by the triage nurse who sent me through to the observation unit at the back of the emergency department. This was a very busy space and I was put into a bed and a cannula was inserted. I was then left for a number of hours with no one speaking to me or letting me know what has happening. Eventually a Doctor came and examined me and left again. I was told very little, and what little I was told gave me the impression that I was staying in overnight with possible surgery in the morning. This concerned me somewhat. Due to the fact that I was not told anything and that I had no idea what was happening it caused me to become worried. I didn't know whether my wife would have to come and collect me or to bring me an overnight bag. This not only impacted my wife but also our neighbours as we had two young children at home who needed to be cared for should she be required to come to the hospital. 

One nurse, Arlene, spoke to me in a very kind and reassuring manner, she gave me pain killers and explained what I had to do to take them - (suppository), she answered a few questions and it was very nice to have a human touch and a feeling that she actually cared. I appreciate that the department was busy but the lack of communication from anyone was very frustrating. They didn't tell me anything, they didn't speak to me regarding what they thought was wrong with me or if I required surgery what it would be. I also had to have the COVID-19 test and again it felt rushed, impersonal and was not properly explained to me what this would involve. I asked the nurse what was happening with me and possible time frame and she said she would get back to me but never did. This was very frustrating. 

Eventually someone came and spoke to me around 6 hours after I arrived and asked me to go and sit in the corridor as they were moving me at some point to the Emergency Surgery Unit - one of the wards. They said I would be staying overnight - it was at this point I could ring my wife to bring me an overnight bag.

On arrival to the ward a nurse spoke to me and did some checks but then left me. I wasn't sure whether I was allowed to get in to bed, go to sleep etc but eventually I did anyway as I was so tired. I tried to sleep but it was all but impossible due to the noise. 

My pain medication was renewed and I was told that the consultant would be with me shortly. I was still under the impression that I was going for surgery in the morning but no one had explained any of this to me or what I was being kept in for. Eventually around 8am in the morning a Dr came who spoke to me and then physically examined me. A nurse was there due to the nature of the examination and I have to say that was the first time someone spoke to me and explained what was going on and what they were looking for. The nurse was very reassuring and I very much appreciated her approach.  The Doctor advised that I was to go for a cat scan and the result of that would determine whether or not I was to require surgery.

A nurse came at 11am to take me for my scan and she was lovely, She spoke to me, answered any questions I had and was a very pleasant change. I arrived for my scan and the nurse and Doctor there took time to explain to me what was happening and what they were looking for - they answered any questions I had and addressed any concerns that I had. 

I was then taken back to the ward and eventually a Doctor told me that my scan indicated a slight swelling of the appendix and blocking of the upper colon. That was it. They never said I could go home, or whether I was to stay. They told me I needed no surgery. I was then given something to eat and eventually I had to phone my wife to tell her what I was told. She was a nurse and advised me to speak directly to the consultant and to ask a number of questions re my care, results and reason for staying in the hospital. This eventually happened after a number of my questions were not answered by the staff on the ward.

I also felt that patient confidentiality was non existent on the ward. The doctors and nurses openly discussed each patient, their history, current medical issues and personal details at the nurses station in full hearing of everyone on the ward. There was one particular female patient who had a number of very personal medical issues that every other patient on the ward could hear - all male. 

Eventually I was advised that they wished to keep me in for observation but I felt that my wife could do that at home and after raising issues advised by my wife I was finally discharged after speaking again with the consultant who at this stage was a little more forthcoming with information.

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Responses

Response from Mary Donaghy, Divisional Nurse - Surgery, Northern Health and Social Care Trust 3 years ago
Mary Donaghy
Divisional Nurse - Surgery,
Northern Health and Social Care Trust
Submitted on 10/08/2020 at 11:53
Published on Care Opinion at 13:27


Hello my name is Mary Donaghy, General Manager for Surgery.

Thank you for your feedback and I wish to apologise for your poor experience in EmSU, however be reassured that this provides us with the opportunity to improve and learn from your experience. From your feedback, the main areas of concerns raised appear to be with lack of communication from medical and nursing staff, level of noise experienced and lack of confidentiality.

The feedback received will be shared with the medical and nursing teams to highlight their lack of communication and assurance provided to yourself during your time in the Ward, and will be reminded of the utmost important of effective communication with patients and the need to reassure.

In relation to the level of noise, I acknowledge at times this can be a challenge though recognising the need for noise levels to be reduced to provide patients with a quiet and restful environment. I will liaise with the Ward Sister to source equipment that can be utilised to highlight to staff when noise levels increase within the area which increases their awareness of this at the time and can action immediately.

I will reiterate with the medical and nursing teams of the need to maintain confidentiality and to ensure that such discussions are held in a suitable area and not at the nurses station. Thank you for taking the time to provide such valuable feedback to the Trust so we can improve our delivery of care to all our patients.

If you wish to speak to me to discuss further please do not hesitate to contact me on 07718807611

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Update posted by Clementoni (the patient)

Mary

thank you so much for taking the time to reply to my story. I very much appreciate it. I also am grateful that you have taken on board the issues raised and the steps that you are taking to address them.

I would however like to point out that my stay in ESU was only part of my experience at Antrim Hospital and I initially went in through the emergency department where I spent nearly 6-7 hours. In my story I raised a number of issues and concerns regarding that part of my hospital stay and would very much appreciate a response from staff in the emergency department Re issues highlighted.

Thank you again.

Response from Mark McCrudden, Assistant Director, Emergency and Urgent Pathways, Northern Health and Social Care Trust 3 years ago
We are preparing to make a change
Mark McCrudden
Assistant Director, Emergency and Urgent Pathways,
Northern Health and Social Care Trust
Submitted on 10/08/2020 at 21:18
Published on Care Opinion on 11/08/2020 at 16:33


Dear Clementoni,

my name is Mark McCrudden, General Manager for Emergency Medicine.

thank you for your detailed feedback on your experience in the emergency department. I would firstly like to apologise for the lack of communication that you experienced whilst in the department. Your feedback will be shared with the medical and nursing teams and will be discussed at the monthly team meeting to ensure that we improve on our communication with patients.

I understand this was a worrying time for you and apologise that the lack of communication led to unnecessary frustration and the impact on your family.

I also acknowledge the positive feedback about one of our nurses Arlene and I have shared your story with her.

I would like to take this opportunity to thank you again for sharing your experience with us for learning and improvement.

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Update posted by Clementoni (the patient)

Mark

Thank you very much for your response and acknowledging the issues. I also appreciate you passing on my appreciation to Arlene. I hope that the issues are addressed and that the staff take this as intended. They work very hard and I appreciate everything they do.

Response from Mark McCrudden, Assistant Director, Emergency and Urgent Pathways, Northern Health and Social Care Trust 3 years ago
We have made a change
Mark McCrudden
Assistant Director, Emergency and Urgent Pathways,
Northern Health and Social Care Trust
Submitted on 22/09/2020 at 16:30
Published on Care Opinion on 23/09/2020 at 09:00


Dear Clementoni,

Further to my last response we have implemented a communication sheet at the front of the notes so the nurse is aware of what investigations are needed and plan is after the doctor has seen the patient. This means the nurse can see quickly what the status of the patient is and update them if needed.

We will keep this process under review and update as required. Hopefully this will reduce the communication issues that you experienced.

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Update posted by Clementoni (the patient)

Mark. Thank you again for the update. I have no doubt that will save time and more importantly keep the patient in the loop regarding what is actually happening. This was one of the most frustrating issues and anything being done to improve it, will I have no doubt ease what is a very worrying time for patients. Information is key and I really do thank you for continuing to look at this and make improvements.

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