Brilliant doctor – patient care ruined by nurse attitudes and lack of bedside manner

After 3 wks of abdo pain I was instructed by my GP, that if my complaint worsened to go to A&E. 2 wks after that it did, so as instructed I went where I managed to tell the triage nurse “abdo pain & diarrhoea” (perhaps I should have said change in bowel habits). Immediately she threw her head in her hands and seemed to be berating me for going there, “we don’t want you here, we don’t like diarrhoea, this is ridiculous etc”. My GP had told me to do this so I didn’t appreciate this apparent level of unprofessionalism when I was worried about my condition anyway.

I was immediately whisked into a barrier room, with no explanation as to what was happening and no chance to ask if someone could tell my dad who came with me where I was. I had to text him. Nobody asked if I came with anyone. I texted dad to knock on the A&E door where the staff then told him I wasn’t in A & E and that I should be in the waiting room.

Unsurprisingly they seemed to forget about me. They had parked a cleaning trolley in front of the door with no window that had to stay shut. It felt like I was literally put in that room and forgotten about. When dad finally found me, I was so upset and overwhelmed I burst into tears and when he asked the nurse what was happening, she said in what I found an impatient and abrupt way “I did tell you it would be a 2-3 hour wait for a consultant”. Which she definitely did not and if I was that contagious like they must have thought, 2-3 hours seems a ridiculous time to keep me in isolation with my dad being allowed to come and go as he liked. He had to remove his coat but was allowed to bring it into the barrier room with me – is this ‘containment’?

I wasn’t even allowed to the toilet. I had a commode wheeled in, with no toilet paper and had to hold the doors shut while I was using it because the various nurses didn’t knock when coming in. How many nurses were working on my case I don’t kow because there were so many faces peeking in the door I felt like a circus show.

Nurses snapped at me and I felt like an inconvenience to them. One nurse was very rough when removing the cannula from my hand I couldn’t wait to get out of there to be honest even though my case is ongoing.

The doctor was fabulous, can’t fault her one bit. The nurses I met however need to sort their attitudes to patients out. I was worried and upset anyway, fine put your gown and gloves on but you won’t catch anything from talking to me. I won’t bite. I felt like an experiment to be honest. The doc was brilliant but the nurses did nothing to attempt to explain what was happening despite me being on the verge of tears from frustration.

Bedside manner was lacking among the nurses I met. I appreciate they work long hours in a stressful environment but if they can’t hack it they shouldn’t be in A&E. You can know everything about procedures and infection control but if you make patients feel rubbish in the meantime, you are not a good practitioner.

challenger23

Issues with cancer care at St Thomas’

My friend had colon cancer. She had major surgery and a stoma.

She was vegetarian. It was impossible to find anything that she could eat from the hospital cafes etc. She was not allowed many vegetables, brown or granary bread and did not eat meat. There seemed to be no awareness of the needs of people in her position.

When she was an in-patient she was only once admitted to a cancer ward, the other admissions were to medical wards where she was nursed in isolation. There were repeated occasions when she was not offered the menu and therefore did not receive any food. When she was given food no-one appeared to notice whether or not she had eaten it, she often did not in fact. Because of her dietary problems we asked for a dietician to visit her but this did not happen.

Another point about her in-patient stays is that when she was given medication in pill form the staff did not check whether or not she had taken it. On many occasions when I visited her I found pills on her table. She did not like taking pills, but this meant that she, and the staff, were not complying with what was prescribed by the Drs and not complying with her care plan.

All this was happening throughout 2010 / the early part of 2011. She died in early 2011.

Sylvy

An elderly lady of 102 with a serious rectal bleed.

My friend is a lady of 102 who lives in a residential home.

In Dec last year she had a very serious episode of bleeding and was taken to the RD&E for treatment.

I was very sceptical as having had family and friends cared for on specific elderly care wards, I had found the care quite truthfully dreadful and lacking compassion.

This lady who i have known for 18 years was admitted to HDU, the treatment was ok. Then she was going to be transferred and she was sent to Okement.

What can i say? The care for the next 10 days was fit for a queen in every respect and the staff were absolutely superb and professional. The Consultant Dr Reuben Ayres was kind considerate and really helpful. Communication is difficult as my friend is totally deaf. He first wrote what he wanted to ask her down and then because she could not read it he typed it on the computer and printed it off so that she could read it clearly.. I felt that was just so thoughtful.

Everyone from Manager to ward orderly / cleaners were special and the ward was spotless.

To add to things the ward was being used as an isolation ward for Norwalk and it was contained successfully.. Good nursing deserving of real praise.

My friend is now nearly 103 in November and is home in the residential care placement and is walking and back to her former level of health and fitness.

Thank you for looking after her Okement staff.

Syd

Father left alone

My father was transferred from Hull Royal to Castlehill and I think the care he has, hasn’t received is disappointing. He was admitted in March, he had a terrible itch to his arms so was put in isolation. Cream was prescribed but it took 9 hrs to be delivered. He is scratching so much he is bleeding. He also washed his arms in bleach for some relief. He tells me that no-one has tested this or seem to care what it is. My fathers heart is working at 20 percent and his lungs are bad.

Like I said he is isolation, and my dad has told me that some of the nurses ask him to bring his tray to the door and he thinks this is because they have to put a gown on when they enter his room.

We feel like we have had no answers about my father’s care, a scan has been cancelled 3 times and he is ill. This incident is not a one off as he had a similar experience last year too.

PhilipR

Summer Hols in Ward 24

Daughter rang hospital to say I wasn’t well. Immediately put into Bio-isolation (supposed it was a precaution) But never have received better treatment Xray, MRI Colonostomy . Only to be diagnosed with IBD, Croyns disease, Colitis.

Drips possibly 10x2litres +all the steroids that could be taken! currently at home recovering and building up my strength, believe me it knocks the stuffing out of you.

My best wishes to the staff (all of them) although the Low Fibre Diet leaves a lot to be desired although seemingly was made for me specially.

xxxx to you all

Sorry cannot score same sex accommodation!

SteveS

My son’s bad hospital experience

In December my son was suddenly taken ill, so bad that his mates took him to Lincoln Hospital, this unfortunately being on a Saturday.

He was admitted and diagnosed as having severe asthma and admitted to an intensive care ward, kitted out with oxygen and a nebuliser.

The nebuliser eased his symptoms somewhat but he was in dire straits as the nebuliser started to run out. He buzzed for assistance to get the nebuliser recharged. In spite of buzzing no one came to his aid. Getting desperate after about 20 minutes he tried to get out of bed to go to the nursing station himself but could only get so far out before collapsing half in and half out of the bed. Still no one answered his buzzer.

After about 30 minutes his wife and my daughter entered the ward and found him in dire straits, dangling from the bed. On informing the nurses what was happening they sorted him out and recharged the nebuliser. They had heard the buzzer but on looking down the ward and seeing no light on above any beds they just let the buzzer keep on, this instead of checking down the ward to see what the problem was. My son had been drowning in his own bodily fluids and on thinking he was about to die he made peace with himself and world and awaited his demise, this in his own words.

Eventually on the Monday he was seen by someone who knew what they were doing and was deemed to instead be suffering from pneumonia and treatment was commenced for that. Samples were taken and sent to the lab.

Having been bedridden for a couple of days he was then prescribed injections to aleviate DVT. He received his injection, so far so good. An hour later at 1500 a nurse entered the room (by this time he was in an isolation room, having picked up a vomiting bug) and proceded to prepare another injection.

When he told her that he had already had it she checked the documentation and apparently the first injection had not been noted on his docs. This being a blood thinning injection I would assume that another additional jab so soon after the first would have caused some sort of complication.

It was now decided, probably the lab results were back, that he would need another kind of antibiotic and so received the first treatment of this. When a nurse later gave him his routine dosages she was about to leave the room and he asked about his new medication she checked and realised she had missed it out, having not checked his docs in the first place.

I drove across from the other side of the country, 2 and a half hours drive, to see him. Rang the hospital and checked that it was ok to visit our of hours and was given an affirmative. On entering the ward I was quizzed by what I could only take to be a cleaner as to what I was doing visiting out of hours. The nurses stood around listening to this and did not interject.

Whilst I was in the room there was a pile of dirty linen on top of the waste disposal containers, this had been brought in from outside the “Isolation Room” by a nurse and obviously forgotten about and left there. What was the “Isolation Room” all about, where we as visitors had to gown up and scrub?

This sad episode leads me to think that Lincoln Hospital had 3 goes, 4 if you count the 2 days misdiagnosing his illness, at bringing about his demise.

On discharge, after a 10 day sojourn, he brought these occurrences to the attention of the “Charge Nurse” and was told that these could not have happened.

I am reporting this because it still rankles and if anyone from that Hospital does die from neglect and I hear about it I am quite willing to give this sorry tale as evidence of poor medical practices. I also feel better about getting it off my chest because it still rankles that they could have taken my son away from me.

Scousepie

Biggest praise ever

I was rushed into A&E with stomach cramps and severe diarrhea. The staff were efficient, repinsive and when examining me were soft. I was quickly given a ward and was taken up to the SRU ward. They quicklyput me in an isolation room and the nurse kindly got me a freezing cold cup of water. From the moment I arrived to the moment I left I was met with smiles from the whole team. From the cleaners who really scrubbed my room to their manager who was so lovely, to the person who bought my tea lunches and dinners. The nursing staff who dealt with me were the nicest I’ve ever come across. When changing my bed covers with there friendly chat to the poor ones that had to check my stools and not once made me feel embarrassed. The nurses always arrived without fail when I needed my medication. One nurse was especially attentive on my first day but all were excellent. The sister was very informative always kept me informed and was gently when examining. And was very patient at listening which was very reassuring especially when I could see how many people they had to get through. And another nurse kept reassuring my poo was looking better and made it easier to leave a stool sample without wanting to hide under the table. Is an asset and made me feel like a human being if when my body was making me do inhumane things. Please whoever reads this pass on my huge thanks. And a masssive thank you to the lovely nurse who was on thedischarge ward who went out of their way to get me my discharge papers when I forgot. They are on duty still til 8tonight but made a point of ringing me at home and allowing my daughter to pick them up. What a lovely person. I even rang the ward again in a panic and spoke to ext 1660 and spoke to a lovely person who reassured me about DVT. Top class.They won’t remember me but I will never forget them. X

annette sonnet

Appalling care in stroke unit

My mother in law was transferred to the ‘specialist’ stroke unit from the conquest in March, after suffering from a bleed on the brain She was initially admitted to East Dean Ward. It was several days before a doctor was available to speak to and we were still kept waiting in excess of half an hour whilst she was doing paperwork 10 feet away. She eventually took us to a private room to discuss what was going to happen, short and long term. She was then moved to Sovereign Ward, where the level of care diminished with every passing week of her stay. The stroke left her doubley incontinent and on more than one occasion we arrived to find her laying in a soiled pad and had to inform staff, who still didn’t come to attend to her. She was moved to isolation during one of our visits. We were informed at the time this was due to a loose stool that morning. This was then contradicted the following day. A member of staff then came in without an apron or gloves. Infection control, what a joke, the only infection control I saw was being told of for sitting on the bed because I didn’t have a clue where to get a chair from. The protective glove that she was sick on was still being used over a week later and only removed because we pointed it out. On another visit we found her laying in her own vomit. We informed staff who then came and removed the pillowcase, leaving us to put a clean one on ourselves, and placed a towel on the wet area of the bed. Is this acceptable??? We arrived on a Friday to find her bags all packed. I enquired why, to be told she was due to be discharged. Although this didn’t happen because she was still being sick, I am flabbergasted that the family were not informed of their intentions. The day before her dischsrge, we arrived to find her soiled night wear on the chair with her packed bag. This is appalling!!! It is a relief she is no longer in your care.

Anonymous

Personal hygiene and cleanliness of bedding.

After being taken to A and E at 3.30am on a Sunday morning with a bladder infection and urine retention I was fitted with a catheter. I was dressed in a robe and I was literally soaked with sweat all over my body, My wife of 61 had to sit in an uncomfortable chair for 4.5 hrs and suffers with her back. I was moved to the McGill Acute Medical Unit at 8am. and was put in an isolation room because of my infection. I had no control over my bowels and could not make the toilet as had intravenous drips etc. Pressing the buzzer for assistance is ignored. Subsequently my person and bedding was soiled. I was not washed in the morning of Sunday or Monday or at any time. My wife came to visit with a friend on Monday afternoon and said I did not smell very good! She attempted to wipe my face and underarms with a wet wipe and then sprayed me with deodorant. We were very angry that no attempt had been made to clean me up or change the bedding on the Sunday or the Monday. Considering I was in an isolation room where the door was left open on the Sunday I find this lack of hygiene to the patient and bedding disturbing for a hospital. By 10pm on the Monday night I had had enough, got up, washed, dressed and rang my wife to come and collect me and discharged myself. I also needed to have a good nights sleep as the previous night I was very cold, the window was wide open and I had 2 thin covers over me, and the emergency beeper kept going off every time I moved. Consequently my experience of my admittance to your hospital for a short time was not a good one.

Ralph F B Andrews

Awful. Please take the time to be more…

Sorry, but I didn’t really like anything. My mother was admitted to this hospital twice as an emergency. Both times she was placed in isolation, when there was no need for her to be there; she missed out on fluids and was only offered basic food. If she had been on a main ward, she may not have wanted to come home so quickly, and her condition would not have deteriorated so rapidly. And, when the staff nurse told me, at the end of our phone conversation, that she needed to attend to a serious patient…

On her first admittance, the consultant treating her she she should not be in isolation, yet there she was again, the second time. It seems as if no-one even to bothered to read her notes… I am disgusted…

What could be improved

Take the time to read the notes, ask the patient about her condition, not put her in isolation, make sure she had all the fluids and food she needed- shall I go on?

As much as I know how much staff are under pressure to attend to everyone, etc, there should have been more care, more respect. I admire the work done by the nursing profession, but all this was detrimental to my mother’s well being.

Anonymous