"I wanted out sooner rather than later"

About: Royal Infirmary of Edinburgh at Little France / Accident & Emergency Royal Infirmary of Edinburgh at Little France / High Dependency Unit & Intensive Care Unit Royal Infirmary of Edinburgh at Little France / Vascular Surgery

(as a service user),

This was my second admission into the Royal. First was early this year with a heart attack. Was looked after incredibly well from the paramedics who first attended, a&e staff, CCU and the ward before discharge.

My second admission was to vascular in February.  I was diagnosed with an aortic dissection after presenting at a&e with severe back pain. The treatment I received there was incredible before being moved to MAU. From there I was transferred to ICU, then HDU. My experience up to this point could not be faulted. The staff were delightful, professional and took very good care of me.

What a shock to the system it was when I was moved to ward 105. To begin with, I was moved late on, after lights were out and night staff on. I was left for what seemed like an age in a ward that I didn't know. It felt like I had been abandoned. Things were only to get worse. The ward appeared to be desperately understaffed. Patients who were unable to move pressing buzzers for assistance and waiting more than 30 minutes before a member of staff attended. On numerous occasions staff came across as being rude and impatient with some of the older ladies on my ward. I was made to feel like an inconvenience more than once. We had a lot of bank staff on the ward so not sure if this impacted on service delivery. The cleaning pads were not bagged at the bedside, instead carried through the ward and up the corridor to be bagged elsewhere. There were staff members exchanging comments that I found to be inappropriate, also one raising their voice to patients who were struggling to get out of bed, may have thought this was encouraging them but it seemingly wasn't received that way.

It was a ward I wanted out of sooner rather than later. On one occasion I had to ask a member of staff to remove a used sick bowl from my bedside. It had been left all day and all night. I would have moved it myself but was unsure where body fluids were disposed of. I was sick most days but never felt the staff had the time to check I was ok. Invariably they drew the curtain around me and it seemed just forgot about me. With hindsight I should never have gone home when I did, but I was so desperate to get out of the ward I said I was well enough to go home. I'm not sure the doctors were aware of the extent of my sickness and not eating.  I was readmitted again within the space of 2 weeks and spent a further 2 weeks in a different hospital.

It is out of character for me to complain like this and I feel bad doing it but if this can help with improving patient care and get more staff on the wards then it will be worth it.

As I stated at the very beginning the care I received before my admission to ward 105 was second to none and I have the utmost of respect and gratitude for each and every one of the staff who looked after me. I should also say that not all staff on ward 105 fall into the description I have taken time to write about but there were certainly enough to merit me putting this in writing.

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Responses

Response from David Briody, Senior Charge Nurse, High Dependency Unit and Intensive Care Unit, Royal Infirmary of Edinburgh, NHS Lothian 5 years ago
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David Briody
Senior Charge Nurse, High Dependency Unit and Intensive Care Unit,
Royal Infirmary of Edinburgh, NHS Lothian
Submitted on 19/07/2019 at 18:10
Published on Care Opinion on 23/07/2019 at 09:00


Hello,

Thank you for taking the time to write to us about your stay in the Royal Infirmary. While we are pleased that you were happy with your stay in the ICU, we are sorry that your discharge from critical care fell below the high standards we aim to maintain.

We aim not to transfer from ICU/HDU to the wards out of hours where possible. However, on the night of your transfer, the department was exceptionally busy and the team had to transfer you to the ward to continue your care.

Taking on board your feedback, when we transfer someone out of hours from the ICU in future, we will aim to have a member of the ICU team to follow up with them during the day to ensure that all is well and there are no ongoing concerns.

On behalf of the ICU, we wish you well with your continued recovery and if you would like to discuss your Intensive Care stay further please do not hesitate to get in touch with us.

Yours sincerely,

David Briody

Senior Charge Nurse

Ward 116&118 ICU/HDU

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Update posted by Disgruntled two (a service user)

Dear David

Thank you for taking the time to respond.

. I would like to let you know that I was well looked after in CCU/hdu and have nothing but praise for the staff in CCU/HDU and the cardiac wards.

My dissatisfaction was with ward 105.

I totally understand the need to move patients when the CCU/HDU beds are needed and patients who are less dependent can and should be moved. I had no issue with being moved out of hours, that was a positive move for me as it was confirming I was on the road to recovery.

Staff from HDU did the handover with staff at 105. I am guessing HDU staff thought 105 would follow up with me once they had left.

I am also guessing that staff in 105 were also very busy and not enough staff on the ward to deal with everything.

Response from Jeannette Morrison, Head of Patient Experience, NHS Lothian 5 years ago
Jeannette Morrison
Head of Patient Experience,
NHS Lothian
Submitted on 24/07/2019 at 14:35
Published on Care Opinion at 14:35


Dear Disgruntled two

Thank you very much for sharing your feedback with us and please accept my apologies for the delay with my response.

Like David, I was pleased to read that you were happy with the care that you received from the staff in ITU / HDU but I was so sorry to read of your experiences when you were transferred to ward 105. It certainly dose not sound as though you received the level of care that we would want for our patients. Please accept my sincere apologies for your experiences.

I would like to look into this further and grateful if you can please contact the Patient Experience Team so that we can get some additional details from you. They can be contacted on:

Email: feedback@nhslothian.scot.nhs.uk

Tel: 0131 536 3370

I have shared your feedback with the vascular team who I am sure will be disappointed to read of your experiences and once again please can l apologise.

I do hope that you are recovering well now that you are back at home.

With best wishes

Jeannette

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