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"K wire removal on a child"

About: Outpatients Department / Fracture Clinic

(as a parent/guardian),

My daughter fell at school and had a bad break to her arm at the elbow. She required surgery and 3 wires were fitted to stabilise it. After 3.5 weeks the cast and wires needed removal.

I was given an information leaflet saying this was a simple outpatient appointment and equivalent to getting a blood sample taken. I was advised to give my child calpol 1 hour prior to surgery. My child (6 years old) and I were totally unprepared for the trauma she experienced.

In my opinion this was not a simple procedure, and nowhere near on par with a blood sample. The removal of the cast was painful enough as it had caught around the pins and she felt the tugging. The pins were then yanked out with what looked like pliers, with no further pain relief nor anaesthetic. I was in tears and my child was screaming in pain.

There has to be a less traumatic way of removing these wires on a young child. I hate the thought of other children having to go through this process. It has been 1.5 weeks since this procedure and my child won't let anyone near her arm. I wasn't able to change her clothes for 2 days as she was so scared of me touching her arm.

The very thought of having to go back to her next appointment in a few weeks is filling her with anxiety. I'm scared that she will forever fear hospitals and doctors.

I cannot fault the staff. They were professional and very kind and sympathetic. I am just very upset with a system that allows this procedure to take place in such a traumatic way. There has to be a better solution.

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Responses

Response from Cathy Glass, Nursing Services Manager for Trauma and Orthopedics, Acute Services, Western Health & Social Care Trust about a year and a half ago
Cathy Glass
Nursing Services Manager for Trauma and Orthopedics, Acute Services,
Western Health & Social Care Trust
Submitted on 20/11/2023 at 17:18
Published on Care Opinion on 21/11/2023 at 08:06


hello Worriedmum54

my name is Cathy Glass and I am the nursing services manager for trauma and orthopaedic services in the Trust.

I appreciate you taking the time to share your experience with us, and I'm really sorry that it was not a good experience for you and your daughter.

Removing wires in outpatients is a procedure that is carried out quite often. However for every child and parent it can be anxiety inducing. There are a few aspects of your daughters pathway, such as not having her cast off previous to the wire removal etc, that we would really like to discuss with you.

We would also be keen to know when you are coming back for review to ensure you and your daughter receive the support you need.

To help with this- could you please contact the nurse in charge at the fracture clinic at Altnagelvin? Their direct line number is 028 71611166. They are very keen to speak with you and support you and your daughter. they will speak with your consultant and ensure that your feedback is taken on board and any learning for the service acted upon.

kind regards

Cathy

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