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"Discharge procedure"

About: Aberdeen Royal Infirmary / General Surgery

(as a relative),

From a relatives perspective - 

My husband was admitted to the emergency surgery Ward. His initial care was very good and the team involved were very supportive, however come the next day it was clear that they wanted him out of the bed to make way for other patients. It is understandable that it is a busy Ward and there needs to be a good discharge rate daily to make way for coming patients however the way in which this was executed was extremely distressing to watch. My husband was made to move from his bed to a day room which had chairs and a small sofa only and was extemely warm. Because of the nature of his surgery he was unable to sit on the chairs and ended up in a very awkward position on the small sofa, where he was to spend the next 4 hours. He was clearly in a lot of discomfort and not ready to have been moved from a bed. In this room there would have been no way for him to buzz for help (given that the only buzzer is by the door) and when I asked for a fan for him one did not materialise (in fact I was told the nurse would ‘have to search’ for one). It was extremely distressing that my husband was held in this room and not offered a more comfortable place to wait until he was well enough to leave. I understand that the beds on that Ward were needed by others but there has to be a better way than effectively ‘dumping’ patients in a room all together until you’re ready to discharge them. Very disappointed after initially being pleased with the care given. Communication between doctors/nurses/patients seems to be a real issue, often it seemed that medicines were given or not given without any explanation at all (for example a nurse handed him a cup with a pill in it and said it was the antibiotic... we hadn’t even been told he was getting one or what it was for!).

From a relatives point of view it has been an upsetting experience and one which I hope will not be repeated.

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Responses

Response from Linda Oldroyd, Chief Nurse for Surgery, NHS Grampian 6 years ago
Linda Oldroyd
Chief Nurse for Surgery,
NHS Grampian
Submitted on 18/01/2018 at 19:35
Published on Care Opinion on 19/01/2018 at 06:19


picture of Linda Oldroyd

Dear Relative 123

Thank you for taking the time to share your feedback on Care Opinion. I am glad to hear that some aspects of your husband’s care were good, however the situation you describe, is, I agree, unacceptable.

You are quite correct in saying that we always need to have patients discharged to make space for new patients but this should not be to the detriment of good care. I can understand why you felt so upset by this situation. Bed pressures are always in the news and are not a new thing but we need to find ways of managing this that do not adversely affect patients or make them feel uncomfortable in anyway. I do apologise for what happened and will discuss this with the staff in the surgical wards.

The hospital can be very warm at times but a fan should have been provided. I again, apologise.

All nurses giving out medicines should explain when a new drug is added to patient’s regime and you are right to question why your husband was not told that he was to have an antibiotic. There is no excuse for poor communication which costs nothing. I am sorry this was your husband’s experience.

We do try to get things right for every patient every time but we can and do recognise that things go wrong. In this case there is much learning and improvement we can aim for as a result of you sharing your husband’s story.

Thank you again for your feedback. We aim to do better.

Kindest regards,

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