"A&E & follow up - great staff but poor overall..."

About: University Hospital Of North Durham

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I attended A&E on Sunday 6th October, being brought by ambulance following a gardening accident. (angle grinder through my fore arm) I arrived at 1130am approximately, thought me & the ambulance crew who brought me were kept waiting in the corridor well over 30 minutes. Having been assessed by a nurse, though wound was never uncovered, I was kept waiting until 3pm to see the doctor. (it was suggested I get up & sit in the waiting area as I'd probably be seen quicker, but due to a reaction to the morphine I'd had in the ambulance - which A&E were unaware of - I wasn't well enough to do this.) The doctor asked if I'd had tetnus at school & said I'd be covered for life. Plastics later said this was incorrect & the implications of it not being up to date were high, given the nature of my injury. The doctor discharged me with a dressing, antibiotics, pain relief & appointment for the plastics clinic the next day. I arrived at 8am the next morning, was assessed, had wound dressed & was waiting for an operation & bed at 910am. The doctor prescribed IV antibiotics. I was still waiting at 630pm, having been nil by mouth from the previous day! About that time I was allocated a bed on the day surgery ward & advised they still hoped to do op. At 8pm I was advised operation would be next day & I could have some toast. Blood pressure was still low & I wasn't given any IV antibiotics. (though I'd mentioned to sister when waiting on plastics, she said not written up) Woken at 545am next morning to have tea & toast prior to vitals being taken. BP still low . Advised nurse that there was heat in my wound & felt it was infected, slight odour. Still didn't get painkillers or antibiotics til I asked again, nearer 9am. Doctor came 9ish & said hoped to operate that day. I got IV antibiotics then. Operation around 3pm. Doctors visited after surgery, Meghan said wound was very dirty & infected - she personally wanted to see it on Saturday morning. Not suprising given that it was left from Sunday to Tuesday!! Spoke to Doctor on Wednesday morning, said I could go home. Ward said I needed to see a physio at plastics from post op notes, earliest time 1150am. Went to plastics but they didn't really need to see me. However dressing was changed & splint applied. I finally left around 130pm. All of the staff I met we great, barring the A&E doctor who gave me the wrong information on tetnus, but you're systems & proceedures leave a lot to be desired & deperately need reviewing. The general consensus from the various paramedics I & other people I spoke to was that your hospital had the worst reputation in the region. I would be very happy to discuss my experiences further should you require additional information.

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Response from University Hospital Of North Durham

Thank you for providing feedback on your visit to the Accident and Emergency department at University Hospital of North Durham. I am very sorry to hear that you were unhappy with your experience on this occasion. We would welcome the opportunity to discuss your concerns with you. If you feel this would be useful please contact the Trust’s Patient Experience Team on 0800 7835774. If you would prefer to contact us by e-mail, our address is patient.experience@cddft.nhs.uk Alternatively, you can write to us at the following address: - Patient Experience Team Darlington Memorial Hospital Hollyhurst Road Darlington County Durham DL3 6HX If you do decide to contact us, please make us aware that you have left comments on the NHS Choices website. The Trust is grateful for all feedback, positive or negative, as it means we can better understand what is important to our patients. Thank you for leaving your comments on NHS Choices. Patient Experience Team County Durham and Darlington NHS Foundation Trust Tel: 0800 7835774

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