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"Unsafe discharge of the elderly late at night."

About: Forth Valley Royal Hospital / Accident & emergency NHS 24 / NHS 24 (111 service)

(as a relative),

Last night my elderly husband was taken into hospital by ambulance sent by NHS 24. He has a perineal abscess which is being dressed daily by the district nurses. He has been bedridden for the past seven weeks because of this his legs are now very weak. He had a stroke just over two years ago which left him unable to use his left arm and very weak left leg. His abscess started to bleed heavily when his carer was getting him ready for bed last night and she advised me to phone nhs 24 for advice. They were very helpful, as usual, but were concerned that, as he takes blood thinning medication, he was in danger of a continuous overnight bleeding. They sent an ambulance to take him to Forth Valley Royal hospital. This was about 8. 30 in the evening. I was very tired that night and we decided there was no need for me to accompany my husband and I would probably collect him in the morning once the bleeding had stopped.

I went to bed only to be woken up about an hour later by A & E phoning to say my husband was being discharged and could I come to collect him. When I said I was in bed, the staff nurse said they would send him home in a taxi! I was astonished that they could even contemplate sending an elderly man who had no clothes on apart from a T shirt and socks and slippers in a taxi. She said they would put pyjama trousers on him. It was raining heavily, he had no coat, and is unable to walk up the drive to our home as it is uphill. He hasn't been out of bed for seven weeks, and they were throwing him out of hospital, late at night in unappropriate clothing. When I asked why they could not send him home in an ambulance, she told me there would be a four hour wait. That would have made it about three oclock in the morning! ! ! ! !

I had to get dressed and drive to the hospital for him. I am in my seventies and was very tired and is was a very stressful journey.

He was unable to walk and had to be brought out to my car in a wheelchair. The young nurse had to push him into the passenger seat with me pulling him from the driver's side. When we got home I had a terrible job trying to get him out of the car. When he did manage it, he was so unsteady on his feet, I thought he was going to fall. We eventually got home shortly before midnight.

What is going on at this hospital? Could they not have kept him in overnight and I would have collected him in the morning in the daylight, not late at night in the dark. My husband is in and out of hospital many times and I don't feel that he is ever properly looked after. If he has bother with the abscess bleeding again at night, I will certainly not allow him to be taken into hospital. If necessary I will clean him and try to dress it at home until the nurses come in the morning.

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Responses

Response from Dawn Orr, Nurse Consultant - Telehealth and Telecare, Nursing and Care, NHS 24 6 years ago
Dawn Orr
Nurse Consultant - Telehealth and Telecare, Nursing and Care,
NHS 24
Submitted on 21/08/2017 at 13:54
Published on Care Opinion at 14:52


picture of Dawn Orr

Dear Stressed Wife

Thanks for sharing your experience on Care Opinion. I understand that this will be such a worrying time for you and your husband.

Your story was tagged to NHS 24 by the Care Opinion Team as you mentioned a call to our service, which resulted in your husband being referred to A&E via ambulance. We do appreciate that persons calling our service are normally worried or upset about their health or that of a loved one and I do hope that you feel your call was managed satisfactorily.

I do wish you well and I am sure my colleagues within NHS Forth Valley will wish to explore your husbands care further.

The NHS 24 Patient Affairs Team can be contacted on 0141 337 459 or by email at patientaffairs@nhs24.scot.nhs.uk

With kind regards


Dawn

Dawn Orr

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Response from Pauline Donnelly, Person Centred Manager, Department of Nursing, NHS Forth Valley 6 years ago
Pauline Donnelly
Person Centred Manager, Department of Nursing,
NHS Forth Valley
Submitted on 22/08/2017 at 15:12
Published on Care Opinion at 16:57


picture of Pauline Donnelly

Dear Stressed wife

Thank you for getting in touch to leave feedback about both you and your husbands recent experience at our Emergency Department.

I was very sorry to hear that your experience was so stressful, and can't begin to imagine how difficult this must have been for you both. I would really appreciate the opportunity to investigate your recent visit to our Emergency Department, you also mention that on previous visits to hospital you feel that your husband has not been looked after properly, I would really like to discus this too.

It is important to us that we deliver a high standard of care to all our patients, and to help us achieve this we encourage our patients, family members and carers to give us feedback of their experiences, can I please ask you to contact me, Pauline Marland, Person Centred, Patient Experience Coordinator, or 01324 566523 or email p.marland@nhs.net

I look forward to hearing from you.

Kindest regards

Pauline Marland

Person Centred Patient Experience Coordinator

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