"Anti-D jab process"

About: South West Acute Hospital / Early Pregnancy Clinic South West Acute Hospital / Emergency Care and Medicine Services

(as a service user),

At the time I was 12 weeks pregnant and I got a bump to the tummy (toddler elbow) which required me to get the anti d jab as I'm Resus negative.

I called the maternity ward as advised, they advised I go to A&E as I wasn't far enough along for them to deal with.  I made my way into A&E and arrived around 1.15pm.  I was put on the system and waited 1hour to be triaged.  I explained I didn't need triage, that the gynae doc would come down, assess me and give the jab.  They done their triage anyway which was fine.  Around 1 hour later I was called in for bloods to be done and a cannula put in my arm.  I asked why I was getting that and the nurse said in case I needed fluids.  Not usually what happens but went along with it.  Called in a while later by 2 gynae doctors.  They wanted to scan my belly to make sure all was ok, couldn't get a room or a scanner in A&E.  The 3 of us walked around aimlessly until one of the consultants in A&E helped the ladies out.  Got the scan done at 4.45pm, doc said she was happy for me to be discharged after the jab was complete. 

I thought I couldn't be far away from getting the jab at this point.  Went back to the waiting area until 5.30pm the porter came and took me to the maternity ward waiting area.  I thought the jab must be on its way.  Nothing to eat since 1pm I was starving.  I then had more bloods taken because the bloods taken in A&E aren't what the lab look for.  Cannula was removed because there was no need for it.  Bloods were sent to the lab and 1 of the midwives told me the canteen was still open if I wanted something to eat.  Got there just in time at 6.30pm.  1st food since I came in.  I was told at 7pm I'd have around another 30 mins to wait on the jab.  I waited and was told a few more times it was on its way.  At 9pm I complained to one of the midwives, I was there from after 1pm and waiting on the jab, was told hours ago it was on its way and was told it had arrived around 8.30 I was fed up waiting at that stage.  She spoke to the doctor who shortly after brought me in and administered the jab.  She hadn't realised how long I had been waiting. 

I've never complained about services in the SWAH before but as someone who has been in for the Anti d jab a number of times I'm fed up of the staff not knowing the process, of having pointless bloods taken to have to get more taken and having to wait a whole day on 1 injection.  Its exhausting for someone who's pregnant sitting there and not able to move to get something to eat for fear of missing an update.  The whole process needs looked at. 

The A&E staff need to be trained on what to do for the anti d jab as in my experience they don't know.  They need to know what bloods to take and the gynae doc's need to bring you up to maternity to scan and not waste everyone's time walking round for 40 mins looking for a scanner.  Its a disgrace that I have to do this every time I need the jab (3 times recently).  Some of the maternity staff don't even seem to know the process as I've had to tell them typically what happened when I was in previously.  Please train your staff on this process and fix what is clearly a broken process.

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Responses

Response from Ali Ferguson, Community Midwife Team Lead for SWAH/OHPCC, Maternity, WHSCT 2 weeks ago
Ali Ferguson
Community Midwife Team Lead for SWAH/OHPCC, Maternity,
WHSCT
Submitted on 25/02/2025 at 16:55
Published on Care Opinion at 16:55


picture of Ali Ferguson

Good Afternoon starbk84,

Thank you for taking the time to share your feedback regarding your recent attendance to SWAH. I am sorry to read that you did not have a good experience and would like to offer to discuss this further with you, so that we can improve our services.

If you would like to give me a call at a time that suits you, my telephone number is 07525771502.

Kind Regards

Ali Ferguson

Community Midwife Team Lead

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Response from John Kerr, Emergency Nurse Practitioner SWAH ED, Acute Services Emergency Care, WHSCT 2 weeks ago
We are preparing to make a change
John Kerr
Emergency Nurse Practitioner SWAH ED, Acute Services Emergency Care,
WHSCT

assess and treat

Submitted on 01/03/2025 at 10:20
Published on Care Opinion on 03/03/2025 at 09:17


Dear starbk84

My name is John Kerr, an Emergency Nurse Practitioner (ENP) based here in the SWAH ED. I shall be responding on behalf of our department about your recent experiences, while patient in out unit. Firstly, I would like to thank you, for using the Care opinion platform, to share your experiences, so we can gauge on how well, we as a department is performing. I shall be responding initially to acknowledge and apologise, pending further investigation and fact finding.

I would like to apologise for how you were made feel, throughout and after your journey while a patient in out department. I have requested Consultant input, to ascertain if there is a local policy for anti D and to gauge if there is an educational need in relation to management.

It is my intention to feedback to you further in the near future, once I have further details in relation to your concerns.

Finally I hope this response finds you well

kind regards

John Kerr

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Response from Michelle Scott, Patient Client Experience Lead, Professional Nursing and AHP, Western Health and Social Care Trust last week
Michelle Scott
Patient Client Experience Lead, Professional Nursing and AHP,
Western Health and Social Care Trust

I am the gatekeeper of Care Opinion and 10,000 voices quality improvement initiative for the Western Health and Social Care Trust

Submitted on 04/03/2025 at 12:26
Published on Care Opinion on 06/03/2025 at 13:25


picture of Michelle Scott

Hello starbk84,

My name is Michelle Scott Patient Client Experience Lead for the Trust. I would like to also echo what my colleagues Ali and John have said. Thank you for taking the time to leave feedback and I am so sorry to hear of your recent experience.

I have spoken at length with maternity leads and liaised with staff in ED regarding your feedback and I would encourage you to contact Ali to discuss your specific experience or please feel free to speak with me in confidence.

We are very dedicated to give all patients the best care whilst within our care and we constantly strive to communicate and resolve any matters that arise. There are processes in place for treating pregnant ladies under similar circumstances for example, some ladies would be advised to attend women's health or the ward, however without knowing a little more information it is difficult to explain why you were advised to attend ED.

Your story has been shared with all staff including obstetric staff in the maternity ward highlighting treatment processes for ladies with similar circumstances which I hope you will find reassuring for future proofing.

I wish you all the very best during the rest of your pregnancy

kind regards

Michelle Scott

Patient Client Experience Lead

Ext 214486 (02871345171)

Mobile: 07833402847

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