"ENT Surgery"

About: Queen's Medical Centre / General surgery

(as the patient),

A nurse being a patient! - The other side!

Last week I was a patient a role reversal to when I normally go to hospital as I'm a paediatric nurse. I've been a patient before many times, comes with the territory of being born with a cleft lip and palate.

This surgery was phase 3 of making my nose straighter because to me when I look in a mirror I can tell it's not right and I don like it! So I had a cartridge graft from my ear to my tip of the nose and re designed! Can't wait to see the results!

I attended pre op assessment 1st which is normal as I have quite away to travel to the hospital I had my surgery at then up to the ward!

I'll bullet point my observations now and hopefully if you are a nurse reading this it will make you consider How the patient views you and thee care you give -

There were plenty of 'Hello my name is .....' Which is excellent really makes you feel like someone cares to know their name.

Ted stockings warn by all patients - I can understand the risk but if you are a mobile young adult why does every daycase patient need them? ? ? I would have thought some £ could be saved here if needed.

The nurse admitting me was constantly yawning through out which put me off! I was thinking don't you want to be looking after me? - it all felt like a paper excercise not that they were finding things out for their admission.

There wasn't a long wait for surgery but thankfully the hospital had wifi - however the patient has to pay for it! Which I think is general practice but in this day and age I would have thought it could be free.

Very chatty porters took me to surgery then I was given the drugs and off I went!

When waking I felt really nauseated and I think a student nurse ( heard her talking about management placements - unless I was having a post anaesthetic dream! ) was looking after me she was so kind and softly spoken helped me get some anti-emetics.

Back to the reclining chair on the ward and loads of sleeping, I think nurses came to do my obs but I don't recall any pain assessment, and I certainly wasn't given my nurse call bell incase I needed any assistance!

20 mins before discharge I was asked about pain relief for home and I knew I had asked the aneasatist pre op re stronger pain relief for home so I let the nurse know and she said oh but we will have to order that from pharmacy! I thought yes you will! Luckily it came just before I was discharged!

Taking of discharge! ! ! I asked when my head bandage off- I was told the next day! So the next day myself and my wife started to take it off- got fine to my ear where there was iodine cotton wool in my ear and some gauze behind so we tried to get the gauze off - OUCH - wouldn't come off! A call is made to the ward I was on .... S/N continue to take it off as much as you can use gauze afterwards to cover it up ok so that didn't sound quite right so a further phone call to the consultants secretary. We spoke to the consultant who operated who said oh I wanted all that keeping on until when you come back, great advice from the ward there then! But luckily no harm done as I wouldn't have got the gauze behind my ear off as it was a tied dressing! ! ! ! ! No wonder it hurt! ! ! !

I am now still with head bandage until tomorrow then I'll be able to see what they have done!

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Response from Nottingham University Hospitals NHS Trust

Thank you. Really appreciate these comments and your detailed feedback. Seeing things from a patients’ perspective (and putting ourselves in patients’ shoes) is how we learn and improve the experience of our patients and their families/carers. We note the positives you observe. We also note your concerns and will take these on board (which will include discussions with staff). If you would like to discuss your experience with me directly, I would be pleased for you to call me on 0115 9249924 ext. 64127 or emailing keith.knox@nuh.nhs.uk so that we can maximise our learning from your experience.

I hope you are recovering well.

Kind regards,

Keith Knox.

Matron, Head and Neck.