"Caring, compassion, commitment, courage, competence, communication and infection prevention and control"

About: Royal Preston Hospital / Accident and emergency

(as the patient),

Last year I was treated at Royal Preston Hospital as an emergency admission for a laceration to my leg. My foot had been trapped in a door and there was a blow to my achilles heel. My partner wrapped a clean T-Shirt around my leg as I was bleeding profusely and unable to walk, he drove me quickly to A&E.

We arrived at the entrance and he assisted me out of the car, I could not walk and the T-Shirt was now very bloody. He turned and asked a nurse for help, she told him to move the car, he said he needed a wheelchair for me, she ignored me and his plea for assistance and walked away chastising him for parking at the A&E entrance. Fortunately an ambulance crew saw my plight and got me a chair and assisted me into A&E whilst my partner moved the car.

I was clearly in a state of shock but this nurse showed no compassion. When I was eventually triaged and sent for treatment I was concerned when being asked to climb onto a trolley with no sheet on with my gaping wound. I was worried about the risk of infection. I requested that a clean sheet be provided. The doctor fetched a sheet, my confidence was by this time undermined and I felt very nervous. I asked my partner to observe the procedure and that if aseptic technique was not followed to highlight this to the doctor. Whilst I recognised there was a risk of infection due to the nature of the injury, I wanted to ensure that no additional risk was posed from the environment or the doctor's hands.

I thanked the doctor for his skill and treatment, as I made a good recovery and did not get an infection. However, no after care advice was given, I couldn't walk and no crutches were offered. I received the triple booster for tetanus from a nurse who sat on the trolley where my leg had been treated - patients and visitors are advised not to sit on the bed so this was a poor example to set in terms of infection control.

Caring, compassion, commitment, courage, competence, communication - the 6Cs, on this occasion could have been better from some of the staff.

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Response from Lancashire Teaching Hospitals NHS Foundation Trust

Thank you for providing feedback about the care and treatment we provide. Your comments have been noted and will be reviewed to identify opportunities for improvement and any actions that may be necessary and this matter has been raised with our Emergency Department.

If you would like to provide further details, or would like a personal response, please email customer.care@lthtr.nhs.uk, or you can speak with our PALS team on 01772 522972.

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