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"Feel so angry and frustrated at the way I was treated"

About: Pilgrim Hospital / Accident and emergency

(as a service user),

Feel so angry and frustrated at the way I was treated at Boston A&E. I am currently having chemotherapy for breast cancer, had only recently been discharged from The Bostonian Ward. I'd had several antibiotic drips as a patient for 24 hours. I was told I had a slight infection, but could go home with antibiotic tablets. 

So extremely upset when my temperature spiked again the next evening. At 9pm I phone the ward to ask if I could take a paracetamol and see how things were in the morning. I was told I had to go to A&E as there were no beds on the ward.

A&E was extremely busy, very uncomfortable having to book in with so many sick people crowded in a small space. I booked in but had to stand outside as I cannot mix with others due to my immune deficiency. I was triaged and went outside again to wait for a cannula to be fitted and bloods taken. Once this was complete we were taken through to an isolated side room where I had an antibiotic and saline drip inserted.

This is where the problems started. Once the drips inserted we did not see another medical professional other than taking my observations twice. We are in our 70s, not told where I could get a drink, or use an isolation toilet. I know it was exceptionally busy, but last time I had to attend A&E at the start of my chemotherapy journey I was told which toilet I could use, and we were offered drinks fairly regularly. Once my drips had run through no medical professional came to unhook me, or tell me when we could go home.

I was told I had to have a chest x-ray, I refused as I only had one the afternoon before, as an asthmatic I am well aware I've had way too many x-rays in my life, I do not have a chest infection so could not see the need to 2 x-ray's in 2 days.

I requested the empty drips were removed when my last observations were taken, and I had checked my temperature had returned to normal. The member of staff said they would ask my nurse to remove the drip. No one came. I rang the call bell about half an hour later, same member of staff came and said they would ask my nurse to unhook me - no nurse came. It was now 1am and both my husband and I were very tired.

We waited another 20 minutes when I told my husband to go and ask for a nurse to unhook my empty drip bags and possibly remove the cannula which was starting to hurt. My husband was told to try and find a nurse. He was walking around trying to find someone to help. He found a nurse but they said they weren't  my nurse. The nurse unhooked the empty drips and said they would send my nurse over to update me. No nurse came.

By now I was extremely tired and just wanted to get home to bed. I had only been discharged the day before, and extremely upset to have to put myself in a very vulnerable position and just left with no information, or told when we could go home.

By 1.30 I told my husband to go and find someone to take out my cannula so we could go home to bed. This is when a nurse came over and asked if I was discharging myself. I said if that was what I was doing because I had to go to bed. The nurse said I had to wait and see a doctor. I had seen an oncologist the day before who had informed me I had a slight infection, I am taking antibiotic tablets, I just wanted to go home to bed.

The nurse went and got a form to say I was discharging myself. I was writing an explanation on the form when they told me just to sign. I told them I wouldn't just sign without saying why we were leaving without waiting any longer.

I found this nurse extremely unpleasant, I know the staff were very busy, but just leaving us for hours, not telling us where we could get a drink, or use a toilet which was slightly isolating and not leaving me open to all the other patients, and illnesses.

I am extremely upset that for the first time in my life I have felt in such a vulnerable situation I had to leave. But I feel very strongly that I did not discharge myself, but so immensely tired we had to go home. My poor husband was sitting in such an uncomfortable chair his legs were getting cramp, which obviously the tiredness didn't help.

Very unhappy patient.
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Responses

Response from Philippa Davies, Matron, Emergency Department, ULHT 11 months ago
Philippa Davies
Matron, Emergency Department,
ULHT
Submitted on 26/07/2024 at 13:07
Published on Care Opinion at 13:47


Dear Pegaso740,

Thank you for taking the time to provide feedback following your attendance to the Emergency Department. I sincerely apologise for the care you received during your stay; this is not what we expect from our department or staff. This is not the care we want to give our most vulnerable patients receiving Oncology treatment. If you would like to contact me directly I can look into this incident further and identify the staff involved.

However, in the meantime whilst I wait for your response, I will feedback this complaint in our Departmental meetings in order to improve our patients care and experience.

philippa.davies@ulh.nhs.uk

  • {{helpful}} {{helpful == 1 ? "person thinks" : "people think"}} this response is helpful

Update posted by Pegaso740 (a service user)

Dear Philippa,

Thank you for your reply.

I personally have never seen A&E as busy as it was on that evening, it was easy for all to see your staff were under immense pressure and doing their best to see people and triage as quickly as possible with every seat taken.

But to someone on a cancer journey this sight just made me extremely anxious, I don't even meet with my family inside my home while I am immune deficient. I only meet with family and friends outside since my chemotherapy treatment started.

I am aware there is currently a COVID spike, plus it is obvious all these people are sick and I don't want to be in this environment. It was stressful just to book in as there was a queue, hence I am stood inside surrounded by sick people.

We stood outside with the smokers waiting to be triaged, then again waiting to have my bloods taken and a cannula fitted.

Your staff did everything possible to keep me as isolated as they could in this very busy and hectic environment.

Once the bloods were taken and the cannula fitted your staff took me back to the individual side sections for me to have an antibiotic drip to get my temperature under control.

The drip was fitted quickly and we were left. The drip took about an hour to run through. This is still very stressful as there are people walking about all the time, we just really want to get out of this environment as quickly as possible. I think this is were the nurse allocated to the area we were in had no idea how we were feeling. Nurse was busy and obviously didn't think we were a priority.

We did wait for approximately 30 minutes after my drip had finished before we started to ask to be unhooked, and to find out when we could leave. It didn't matter how many times we asked to have the drip lines removed we were told our nurse had been asked to come over, but never appeared.

I am sure the nurse had a priority list and we were not very high on it.

But we are in our 70's, I had only been discharged from the Bostonian ward the day before, and at 1am we just wanted to get away from so many sick people and go to bed. But to our nurse it wasn't their priority.

By 1.30 I insisted my husband go and find someone to take my cannula out so we could go home.

Only at this time did our nurse appear, very short telling me I had to sign a self discharge form.

I don't think the nurse understood how vulnerable I felt, how tired and stressed at being in this situation. We had no drink, and didn't know where we could get one, or use toilet which wasn't public.

I completely understand how stressed your staff must have been on that evening. But I am sure our nurse did not understand our situation and vulnerability.

Once again thank you for your reply. I just felt our nurse thought we were disrespectful patients, and treated us with complete disregard.

Kind regards

Pegaso 740

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