"admission to A&E with injured elbow"

At approx 4.30 pm I entered the A&E dept with a very painfull right elbow injury. At 8 pm I was attended by the doctor (very satisfied) who immediately decided I needed an x ray. This was completed within the next 15 mins by the technician (very satisfied) I then had to chase up getting seen again and it took until 11.45 pm before the x ray was located, and I saw a doctor (satisfied) for the second time, to confirm a fracture of the elbow. I was then given some tablets for pain management. I finally left A&E at about 12.30, after 8 hours of pain. During this time I saw many people admitted later than me, be dealt with and to leave having received treatment while I was still waiting for the x ray to return. I had to request the admissions clerk (satisfied) to find out where my x ray had got to and why the delay in my being seen by a doctor. Allthough all the individuals we dealt with were considerate and helpfull, the organisation and effectiveness of the process left a lot to be desired. An effective triage was completely missing, as was a definite method of co ordinating different facilities. Allthough the general areas I saw appeared clean, the toilets left a huge amount to be desired.