"Comparing dialysis treatment"
Posted by Bit519 (as ),
I regularly go to Monklands hospital for dialysis treatment, I also occasionally go to Crosshouse.
At Monklands the treatment I have received and the nurses are all splendid. However there are a few things at Monklands I’d like to raise when I compare this with Crosshouse.
In ward 2 at Monklands there are no auxiliary nurses to undertake some of the support work, nurses have to clear out empty boxes and other bits and pieces. This means that if I need to speak to a nurse they are all tied up and very busy.
At Crosshouse auxiliary staff come and see me as soon as I’m hooked up to the dialysis machine and ask if I’d like a cup of tea and a piece of toast. They will also come again later to see if I’d like a cup of soup – these little touches keep you going during the 4-5 hour treatment. When I’ve asked about this at Monklands I was told they are concerned about salt levels – all I can say is that at Monklands the prospect of a dry sandwich and a coffee at the end of the dialysis means that patients bring their own refreshments in.
In Monklands they give you a recliner chair during the treatment – 90% are broken and have to be ‘reclined’ manually by the nurses. If, during treatment, you want to alter the chair position nurses again have to do this manually. I’m 15 stone so a nurse would be at risk trying to manually alter the position with me in the chair! Again, When I’ve asked about this I was told the chairs are maintained under a contract with a company in the south. All I can say is that I’ve never seen any maintenance work being undertaken. I’m told risk assessments have been carried out – one chair has a jagged broken armrest another has no armrests at all.
The dialysis machines are very sensitive so the smallest problem can prevent the treatment either starting or completing. For example I went for treatment on Tuesday but after several attempts on different machines they did a blood test and sent me home. I then had to go back two days later to have the dialysis. At Crosshouse they use ‘Gambon’ machines which seem to be less sensitive – could these be used at Monklands? Before I left on Tuesday, without any treatment, I asked what would happen on Thursday when I returned. They said I’d be put on a different ward and hooked up to a dialysis machine next to a bed.
Finally, having looked on the internet I understand a doctor should be present when patients are having this treatment. The doctor at Monklands is excellent but so very busy it is difficult to talk to him. All the notes in my file have been explained to me and I am free to see them at any time but this in no way compensates for being able to speak to someone and to share your concerns.