Ashley Stewart Review of South Birmingham NHS Trust.
I entered the A&E department on Friday at 7.45pm d...
I entered the A&E department on Friday at 7.45pm due to severe leg pain and the inability to walk properly.
What I witnessed was like something out of a war zone, people sat on the floor throwing up because there were not enough seats, patients crying in pain, a man sat underneath the reception desk shouting obscenities for over 20 minutes before he was removed. Truly shocking for what is supposed to be a modern medical system.
At 11pm, after waiting over 3 hours to see a doctor I was finally called in, my initial impression was somewhat optimistic as bloods were taken for suspected cellulitis and an x-ray taken. I was told it would take about an hour for the results to come through. In the meanwhile I was told to wait in the children's area because of how full the waiting room was, here I could clearly hear other patients consults, patients confidentiality was therefore not protected.
At 3am, over 7 hours after entering in the A&E my results finally came back with an inconclusive diagnosis of possible cellulitis or physical trauma, I was prescribed antibiotics, however my severe pain score of 8/10 was not addressed and I was only offered co-codamol and naproxen which I was already taking to no effect, the doctors did not follow best practice and NICE guidelines regarding the pain ladder, tramadol or morphine should have been the drug of choice. Furthermore no walking aids such as crutches were offered so I was discharged in severe pain causing more and more damage to my leg with every step.
When I was back in the waiting room I witnessed medical staff dump a man with a clearly impaired mental status in a wheelchair in the middle of the room. He then attempted to leave his wheelchair, fell over and his pants fell down. Patient dignity was not respected.
Furthermore the toilets were in an unsanitary condition.
So to summarise, the care was inadequate, patient confidentiality was not protected, and patient dignity was not respected. If I were the CQC I would rate this A&E department as inadequate in all areas. Absolute hell on earth.
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