"Emergency Review"

About: Fiona Stanley Hospital / Emergency Department

(as the patient),

A number of weeks ago on a busy Saturday I arrived at your emergency department after a fall with ? both elbows fracture, although I had minimal movement  at that stage,I had pain, but it wasn't too bad.

After x-rays it was confirmed that both elbows were fractured the right being the worse and was discharged with my R) arm placed in a sling for conservative management and follow-up in 7 days.

My concerns about this admission is that I was not seen once by an orthopaedic surgeon at all during this time, although he may have been consulted on treatment, I was assessed by a physio (who was friendly and treated me with respect) and was sent home with no pain relief / let alone asked if I required a script for pain whatsoever and now that it is impossible to buy anything stronger than panadol or ibuprofen over the counter, made for a very painful 3 days, in fact I was in tears with the pain I was experiencing as the swelling increased.

Is this how FSH deals with the 4 hour rule, assessment by physio and then discharged?I think this is poor performance FSH. If you want a physio to do the work of a doctor, at least make sure patients are sent home with the correct pain relief and proper assessment    

Responses

Response from Janet Zagari, Executive Director Transformation, South Metropolitan Health Service, South Metropolitan Health Service

picture of Janet Zagari

Dear winter18

Thank you for sharing your story on Patient Opinion regarding your recent Fiona Stanley Hospital Emergency Department (ED) visit. The Advanced Scope Physiotherapists who care for patients with musculo-skeletal injuries in the ED have advanced level training and evidence demonstrates this is an appropriate model of care to manage the types of injuries you presented with. The physiotherapist is able to refer to the orthopaedic surgeon where this is needed, or to make treatment decisions as in your case, where a surgical review would not change the plan of care.

I am sorry we did not meet your needs in relation to pain management. Pain can increase in the days following an injury and sometimes requires a higher level of pain cover than we first think is appropriate and I apologise that your pain was not adequately controlled.

Kind regards

Janet Zagari, Executive Director, Fiona Stanley Fremantle Hospitals Group

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