"Standard of care"

About: Royal Alexandra Hospital / Accident & Emergency

(as a relative),

My mother was admitted to ward 23 of the RAH in mid March with a diagnosis of Septic Arthritis. Subsequently, she was treated with IV Gentamycin; developed Acute Renal Failure; and, was emergently transferred to Glasgow Western Infirmary, three days later (late evening).

I am concerned that this was allowed to happen when Gentamycin is known to be Nephrotoxic, and requires close monitoring of Creatinine clearance (a measure of Renal function). In addition, the fact that she had not passed urine should have clued the Medical/ Nursing staff to the fact that her Renal function was compromised.

Moreover, on Sunday afternoon, when I called (from the USA) to enquire about her condition, I was informed by the medical resident that my mother was doing well; receiving IV Fluids; passing @ 200 cc's of urine/ hour; and, that they were following the advice of the Renal team at the Western.

Accordingly, I was horrified, when a couple of hours later my sister informed me that my mother was being transferred emergently; whilst, the ward doctor suggested I call the Western for an update on my mums' status, when in fact, she was still in the RAH awaiting transfer.

I am appalled at the (lack of) a standard of care of the medical/ nursing professionals looking after my mother; and, worry that this incident will be swept under the carpet to the detriment of others.

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Response from Lorna Gray, Patient Experience, Public Involvement Project Manager, NHS Greater Glasgow and Clyde

Dear Xymox,

Your concern for your mother is clear from your posting, and I know how distressing it can be for relatives when a loved one is in hospital, particularly when they are far away, as you are.

You have given some detailed information about your mother's care, however without more information on the specifics of your mother's case, I am unable to comment on the professional care provided by our staff. NHS Greater Glasgow and Clyde has a policy of encouraging feedback and dialogue with patients and their family members and carers, and so I would strongly encourage you or your sister to raise any concerns you have about your mother's care in the first instance with the medical team at either the Western Infirmary or the Royal Alexandra Hospital, if you have not done so already. This will enable you to discuss fully any worries you have and hopefully be able to take them forward in a more meaningful way. Alternatively, if you would like me to look into this in more detail for you, it would be really helpful if you could contact me directly with some more information. My email address is lorna.gray@ggc.scot.nhs.uk.

In the meantime, I will pass on your comments to the General Manager for this service, and would like to assure you that the feedback we receive is always taken very seriously, whether to share good practice in the things we do well, or to make changes when there are things we need to improve. I would therefore like to thank you for taking the time to share your experience so far.

I wish your mother all the best for her future treatment,

Kind Regards,


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