"Experience as patient and relative"

About: Altnagelvin Area Hospital / Gynaecology FAU (Ward 43)

(as a service user),

I was a patient recently in ward 43 for medical management of a miscarriage. I feel the communication was extremely poor between staff to staff and myself as the patient.  The staff gave the impression of being quite new/inexperienced to the ward, unable to answer questions, nor did they offer to find out answers. If communication and listening  was a higher priority my plan of care would have been different, however I must say the consultant was excellent when I seen them 24 hrs after admission. Their explanations were very informative and clear. They acknowledged the oversight on the management of care leading up to then.  At the time I didn’t say anything but felt my experience in the ward was very unorganised / unprofessional. I felt maybe I was emotional and maybe too sensitive to what was happening under my circumstances 

However, I’ve recently had a family member admitted to the ward for a surgery and overnight stay and I still feel the communication is a serious issue. On admission the patient was seen by two different anaesthetist within 10 mins of each other, who both asked same questions, did same exam, then bloods were taken by another member of a team (HCA) and was seen was by consultant and examined. 15 mins after this another team member possibly a doctor but no introduction given examined again, explained they would take bloods. I stated these had been taken which they weren't aware of. I can understand the repeating of questions due to paper work and ensuring safety standards, also the need for various disciplines to review but this was just bad management. I think the general communication between the team or the general structure needs worked on. No one was aware of each other's work, is note taking or reading lacking??

I rang to enquire how patient was 6.5 hours after surgery to be told they they would assume they are how you would expect after surgery.  I tried to get some clarity if they were awake, had ate etc. I was then asked do they not have a mobile, ring them and see. I understand they may not have been directly caring for patient but could have made more effort to find out or had a better phone manner. This staff member gave no name or job title when answering the phone. I’m aware wards are busy and have staffing problems but general courtesy goes a long way. I did not ask for any personal medical information, I explained I was NOK. To be told they assumed how my family member was does not give great faith in the service being provided. 

One on one with staff they are kind and caring. I believe it’s the structure/management of ward communication and protocols that need reviewed. 

I've seen from a patient and relative's point of view and neither came up to a standard I would expect. 

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Responses

Response from Leanne Hughes, Lead Nurse for Gynaecology Services WHSCT, Women and Children Service Altnagelvin, Western Health & Social Care Trust 16 months ago
We are preparing to make a change
Leanne Hughes
Lead Nurse for Gynaecology Services WHSCT, Women and Children Service Altnagelvin,
Western Health & Social Care Trust

Service Manager for Gynaecology

Submitted on 04/12/2023 at 12:09
Published on Care Opinion on 05/12/2023 at 09:59


Thank you for highlighting your concerns when an inpatient in Ward 43. Let me apologise firstly for the delay in my response to you and secondly that that you felt the communication and level of organisation between staff at ward level did not meet your expectations, at a very difficult time for you.

This is not the usual high standard of care that is promoted and encouraged within ward 43, and your concerns have been shared with staff. I am heartened to hear that on an individual basis with staff, you found staff to be kind and caring.

I would like to acknowledge the concerns you raised regarding the anaesthetic team and will pass them onto them.

Unfortunately hospital policy does not allow for patient information to be shared over the telephone for confidentiality reasons. However I would like to apologise that the staff member did not identify themselves when speaking with you. I will encourage staff to clearly identify themselves when answering the phone, in a bid to reduce this happening again.

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