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"Some of the care I experienced fell short of what I expected"

About: Victoria Hospital / Admissions Unit 1 (Emergency Medical) Victoria Hospital / Outpatient Parenteral Antibiotic Therapy (OPAT) Victoria Hospital / Trauma & orthopaedics

(as a service user),

I was admitted to the Victoria Hospital Kirkcaldy via AU1 with a severe cellulitis infection. AU1 was extremely busy, the staff were nice enough but clearly overworked. Numerous times I heard a nurse mention that I needed a cannula and IV antibiotics, I eventually got them over 2 hours after they were prescribed. I'd been advised by the doctor to ensure I stay hydrated, I finished the water I'd brought with me and when I asked for more I was given a cup of water, just the one cup, in the middle of the night. I heard the staff talking about how there were no beds in the hospital that night so I was given a bed in AU1 assessment, I slept for 1 hour due to the constant coming and going of staff due to the high workload. 

When I was finally moved to an admissions bay the following afternoon the bed hadn't been changed from the previous occupant, so I was parked in the corridor on a wheelchair while the very flustered nurse stripped and cleaned the bed then wheeled me in beside it to wait for someone else to come along and make it. Nothing else in the bed space was cleaned. I again asked for water which was brought to me by a student nurse and sadly left on the over bed table which was too far away for me to reach from the bed, and I didn't have a buzzer. At this stage the infection in my leg was excruciatingly painful and I struggled to mobilise so this was less than ideal.

A few hours later, just before midnight, I was then moved to Ward 33 as a medical boarder. The care significantly improved, medications were given on time, the consultant and his team were extremely helpful. One nurse in particular, Becky, who was on night shifts, had the best manner of all of them, and she was the only one all that week who flushed my cannula prior to giving antibiotics and then put a flush through afterwards. Having had a total of 5 cannulas during my inpatient stay because they kept tissuing, I feel that if everyone had cared for it properly it maybe wouldn't have had to be replaced so much.

The whole experience was exhausting as there is very little sleep to be had as an inpatient which is not at all conducive to recovering from a severe infection.

I was finally discharged to the OPAT team after a week of inpatient care and I cannot find fault with any part of the team - Emma, Avryl and David the Doctor have all shown me great care, thorough treatment, excellent planning of ongoing care and just a generally fab bedside manner. I was also finally given proper wound care and dressings to the blisters I'd developed on my legs which had been oozing for a few days, and I'd only been given fluffies to put on the beds rather than any actual dressings to the wounds.

As a current NHS Fife employee with many years of healthcare experience it's very hard to be on the other side. I've never needed to be an inpatient, or been as unwell as I was on admission with this infection, but some (not all) of the care I experienced fell short of what I expected and indeed what I would provide to my patients.
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Responses

Response from Lisa Connelly, Senior Charge Nurse, Ward 33 (Ortho/Trauma), NHS Fife 2 weeks ago
Lisa Connelly
Senior Charge Nurse, Ward 33 (Ortho/Trauma),
NHS Fife
Submitted on 14/03/2025 at 13:12
Published on Care Opinion at 13:12


Dear Mama76,

thank you for taking the time to provide feedback regarding your recent hospital admission. I am the SCN of ward 33 and I am sorry to read that your experience was not altogether positive. I note that you felt your care significantly improved after transfer to ward 33, however I also note the inconsistencies with your cannula care. I have shared your feedback with our team in order to learn and improve the care we provide, without this we would be unable to make improvements. I would be happy to discuss this further should you wish to do so.

Becky was very thankful for your feedback.

I wish you a speedy recovery.

Best wishes, Lisa Connelly

SCN Ward 33 VHK

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Response from Christina Fleming, Acting Senior Charge Nurse, Admissions Unit One, NHS Fife last week
Christina Fleming
Acting Senior Charge Nurse, Admissions Unit One,
NHS Fife
Submitted on 20/03/2025 at 15:23
Published on Care Opinion at 16:39


Dear Mama76,

Thank you for taking the time to share your feedback from your recent admission to the Victoria hospital.

I am the senior charge nurse of AU1 and I am sorry to hear that our care fell short of what was expected.

Our GP assessment area can at times be extremely busy. This increase in workload can sometimes cause a delay in treatment times for which I can only apologise for. I want to provide assurance that the organisation does recognise this and is working very hard on a service redesign that should help to reduce the number of patients passing through the GP assessment area of AU1.

Over night the water jugs are collected in for cleaning and then distributed in the morning with fresh water. It is normal practice for patients to be left with 1 cup of water for the overnight period. It is my expectation that staff would replenish this cup on request or provide a jug if required.

I am sorry to hear that the bed space you were later moved to had not received the appropriate cleaning and sanitation it should have. I am confident that all staff in AU1 understand what cleaning procedures and standards are required in-between patients. I regret that in this instance those standards were not met.

It is mine and the organisations expectation that all patients have their call bell handed to them on arrival and shown how to use this to call for help. I sincerely apologise for the pain and distress caused by your table being left at a distance and the call bell not being left to hand.

I will share your feedback to the team and remind them about the correct processes to follow regarding cleanliness and patient safety.

Kind regards,

Christina Fleming

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Response from Valerie Turner, Senior Charge Nurse, ECAS / DVT / OPAT / Ward 51, NHS Fife last week
Valerie Turner
Senior Charge Nurse, ECAS / DVT / OPAT / Ward 51,
NHS Fife
Submitted on 25/03/2025 at 14:31
Published on Care Opinion at 14:31


Dear Mama 76,

Thank You from the team in OPAT for taking the time to share your experience whilst you were under our care. We do strive to deliver good standards of care and its nice to hear our patients recognise this. We hope you are continuing to improve and wish you well.

Valerie Turner

Senior Charge Nurse

OPAT UNIT.

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