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"nobody had even looked at the wound"

About: Craigavon Area Hospital / Emergency Department Northern Ireland Ambulance Service

(as a service user),

My wife who is physically disabled through neuro surgery manages her way inside our house on a rollator - outside it is wheelchair. She has particularly poor balance and falls would not be uncommon.

On Friday evening she fell backwards and struck the back if her head on the fridge door. I could quickly see that she had burst open the scalp. There was lot of blood and I knew it would need stitched/stapled.

I immediately called the ambulance service but after 1.5 hours I decided to contact STH but was told not to come as they were closing within 30 mins.

My son and I then lifted my wife into the car and drove to CAH with "the code" in my hand. Thinking we would get an easy pass we were told to take a seat and then we were called to triage. Nowadays triage seems to be no more than confirming your name, DOB and whether you have any allergies. The nurse would not even look at the wound. The time was 2 hours since my wife sustained her injury.  

Fast forward to five hours later, and we were called to triage again to have obs taken - then back to the waiting room with no examination of the wound. Meanwhile my wife is sat in the wheel chair the entire time and weary of the whole ordeal.

In the morning, (12 hours after my wife sustained her injury) I had had enough and went to reception to ask who I could speak to. I was sent to the green area where I stated our case (politely). I really couldn't understand how this would take so long and that nobody had even looked at the wound. My wife (on anti convulsant medication) received her morning dose.

An hour later we were called to green area - at this stage my wife was quickly going down hill and I could clearly see her deteriorating in front of me and I feared a seizure.

There was a lovely female Doctor that attended my wife and we were a total of 20 mins in the treatment room!

Mid morning, 13.5 after my wife's injury, we left the hospital to return home. We both spent until the evening in bed trying to catch up on lost sleep.

Its a day later now as I write this and my wife has been unable to do anything other than lie down - she is utterly exhausted.

My complaint here is how does it take 13.5 hours to get 4 staples in a procedure that takes 20 minutes - for me there is something fundamentally wrong for such a simple procedure

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Responses

Response from Paul Smyth, Interim Head of Service Emergency Departments, Acute & Emergency Medicine, Southern Health and Social Care Trust 2 months ago
Paul Smyth
Interim Head of Service Emergency Departments, Acute & Emergency Medicine,
Southern Health and Social Care Trust
Submitted on 07/02/2024 at 17:34
Published on Care Opinion at 17:34


I am sorry to hear that, it sounds like quite an ordeal for you and your wife. You are correct, the triage nurse should have checked the wound on your wife's scalp as part of the assessment. I will feed this back to the Ward Sister to address with her staff.

We certainly would not want our services users to wait that length of time for treatment and I am sure this was quite distressing for you and your wife.

The long waiting times are caused by the emergency department (ED) being blocked with high numbers of medical patients not being able to get up to the wards. This results in having no free cubicles to see new patients attending and it really slows the flow through the department. On Friday last there were 48 patients delayed in the ED, Some delayed for over 24 hours. When capacity in the ED becomes available, it is the ambulance patients who are acutely unwell who are placed first. Unfortunately this is a problem in all the emergency departments in N Ireland and UK. The emergency department team are working with the inpatient wards to improve the flow of patients out of the ED. The Hospital Patient Flow team are working with the wards to get more patients discharged earlier. I am sorry for your experience. I hope your wife is healing and you both are recovering,

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Update posted by Job need the patients of (a service user)

Hi there - thank you for your response. Was this response helpful? Yes and no. I still just don’t understand why there isn’t a small minor injuries unit/ area. It appears that everyone is just poured into the one pot and let’s see how we cope!

Ofcourse it’s easy for me to say but I just feel that if cases were segregated into different needs/requirements then surely there would be a better flow in the Department.

All I can say is that I hope none of us have a need to return to CAH as it was a horrible experience and as I suspected my wife is now paying the price some 4 days later.

Thank you

Response from Neil Gillan, Co-Production & Partnership Lead, Quality, Safety & Improvement, Northern Ireland Ambulance Service 2 months ago
Neil Gillan
Co-Production & Partnership Lead, Quality, Safety & Improvement,
Northern Ireland Ambulance Service
Submitted on 08/02/2024 at 10:05
Published on Care Opinion at 10:05


picture of Neil Gillan

Good morning, Job need the patients of

I would like to begin by thanking you for taking the time to share your experience of the Northern Ireland Ambulance Service. As an organisation we aim to consistently show compassion, professionalism and respect for the patients we care for, we regret that this was not the experience for you and your wife.

With regards to our response times please be assured that we are working closely with the Department of Health and the Strategic Planning and Performance Group to increase our available resources. We are also working with the local Emergency Departments to try to ensure that our patients can be handed over to hospital clinical teams as quickly as possible so that ambulances are able to respond to further emergencies.

I hope your wife is recovering

Best wishes

Neil

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