To complain about A&E not changing my dressing?

(271 Posts)
HarderToKidnap Sun 21-Apr-13 15:15:42

I have an open wound on my abdomen that has a small pack in it. Last Friday my consultant told me I would need to see someone on the Saturday to have the pack removed and changed. I was due to drive 2 hours to stay with my MIL for the weekend, to catch up with the all the inlaws and attend several family events.

On Friday morning after seeing my consultant I called my MILs GP to try and arrange to have the pack changed the following day. GP flatly refused to help or see me the next day but did tell me I could go to a walk-in at the local hospital.

Friday pm I drive 2 hours to MILs. Sat am I get up and head to local hospital. I find the Walk In boarded up and looking deserted. There is no other option to see anyone other than A&E. Receptionist/Triage nurse said they couldn't take the pack out. Just that. They couldn't, and wouldn't do it. It wasn't their dressing to change. Oh, and the walk in had been closed for 3 years!

There followed quite a long Mexican stand off during which she repeatedly told me they wouldn't change the dressing, and where I asked for reassurance that I would not get an infection or the pack would not adhere to the inside of the wound if I didn't get it changed until the Monday. She told me she couldn't assure me of that but that they couldn't do it. She phoned an OOH who wouldn't do it either. In the end I told her I would go to the toilet, remove pack myself and if I experienced a lot of pain/bleeding I would come back and be seen as an Emergency. She then said they would do it "just this once" and let me go through to a deserted waiting room, I was called 2 minutes later and dressing changed by a lovely nurse, back in car 10 minutes later.

Now, I'm a frontline HCP and bolshy with it, so I got seen - but what if you were a vulnerable person who had the temerity to be far from home when you need your dressing changed? Who thought if the receptionist was telling you they wouldn't do it, that you would wait however many days until you were back home, potentially causing problems? There was no "we can't do it, but if you go here/do this they will see you" just a very very flat "no". I'd like to complain to PALS, not about my treatment but about the lack of healthcare options there and the fact I had to throw a hissy fit to get medical treatment I needed. Other people wouldn't have thrown the hissy fit and wouldn't have got seen. WIBU to do so?

justabigdisco Sun 21-Apr-13 15:19:56

Was it:
a) an accident, or
b) an emergency?
No?
Then YWBU. The clue's in the name.

HarderToKidnap Sun 21-Apr-13 15:23:20

I'd gone there on the instruction of a local GP to find the service he'd told me to use had been closed for years, and I needed the dressing changed and there was no facility in the local area for me to have it done. A&E was my ONLY option unless I wanted the pack to become infected or adhere.

Pigsmummy Sun 21-Apr-13 15:23:24

YABU and the visit to a&e cost the NHS in the region of £250

CajaDeLaMemoria Sun 21-Apr-13 15:23:39

Of course you are.

It wasn't an accident or an emergency. Your dressing should have been changed by your own hospital/doctor. You should have had itcchanged on Friday if you needed to travel.

A&E staff are busy enough. The fact you forced them into breaking the rules to change your dressing is nothing to be proud of.

McNewPants2013 Sun 21-Apr-13 15:24:11

Why did you travel over 200 odd miles away when you knew you needed to have the pack changed.

I would have had it done Saturday morning then traveled up.

Euphemia Sun 21-Apr-13 15:24:30

YABU. You wouldn't ask the children's ward to look at your genital warts, so asking A&E to change your dressing was unreasonable. It's not within their remit.

UserError Sun 21-Apr-13 15:25:33

I don't think you were unreasonable. You tried to arrange having the dressings changed at the appropriate level (doctor, OOH) and the only option left was A&E. I agree that the clue is in the name, but when the rest of the system lets you down, sometimes it leaves A&E as the only realistic option. I can see why they'd be reluctant to change a dressing as they'd end up with lots of people going there for their own convenience but you explained the situation, they should have dealt with it with less fuss.

HarderToKidnap Sun 21-Apr-13 15:25:33

I did have it changed on Friday, it needed to be changed again on Sat. Which I was told by the local GP it could be, by the walk in. I wouldn't have driven down there if I knew A&E was only option.

What if I was elderly/vulnerable with daily dressings that needed to be changed and my family lived in the area in question? Could I not visit them?

Euphemia Sun 21-Apr-13 15:25:52

A&E was not your only option. You had the choice to stay at home and get the correct person to change your dressing.

PoppyWearer Sun 21-Apr-13 15:25:54

I had rather the opposite experience to you post-op.

I went to the GP for painkillers and she INSISTED on getting a nurse to change my dressings, without me asking. The nurse was on her lunch break but couldn't have been happier to do it and offer advice.

UserError Sun 21-Apr-13 15:26:13

I missed the bit about travelling, was that essential?

figwit Sun 21-Apr-13 15:26:18

You should have arranged something with your own GP- they may have arranged for a community nurse if it had to be changed on the Sat and you could have started the trip later.
YABU to go to a&e

Euphemia Sun 21-Apr-13 15:26:38

What if I was elderly/vulnerable with daily dressings that needed to be changed and my family lived in the area in question? Could I not visit them?

No.

EduCated Sun 21-Apr-13 15:27:00

YABU, the doctor advised you to visit a walk-in facility. You chose to travel all that distance without checking that there would be adequate facilities at the other end.

thistlelicker Sun 21-Apr-13 15:27:37

I'm sure your in laws would have understood you couldn't visit due to medical reasons and would have been happy to rearrange!!!! Ure selfish you potentially took up a vital nurse time with ure pathetic tantrum!!!! A a n e nurse treats accident and emergency! You are none of themat this moment in time!!!!!!angryangryangry Waiting Nhs resources

CajaDeLaMemoria Sun 21-Apr-13 15:27:57

Well then you need to complain to the doctor who gave you incorrect information.

If you lived in the area, arrangements would have been made in the week for a nurse to visit, or you to go to hospital, and have a prearranged appointment for it to be changed. That didn't happen because you don't live there.

YABU because you travelled, knowing it needed changing, and then demanded A&E change it. The doctor is the only person whodid wrong here, apart from you.

HarderToKidnap Sun 21-Apr-13 15:28:47

He advised me there was a walk in facility at the hospital in question. It wasn't til I actually arrived (200 miles from home) that it became clear that it wasn't open (and hasn't been for years)

thistlelicker Sun 21-Apr-13 15:28:50

Really ure consultant shud have arranged district nurse for adequate dressing change

ImTooHecsyForYourParty Sun 21-Apr-13 15:30:46

I don't think you were being unreasonable. You didn't try A&E as your first option! You tried the GP, who told you to sod off. You tried to find a walk in centre, it was shut down. The out of hours place also refused to do it when phoned by the A&E receptionist!

What were you supposed to do at that point? Realistically? With a large wound that needs regular changing and the risk of infection if it's left on for days?

I think it would not be unreasonable to complain.

here

thistlelicker Sun 21-Apr-13 15:30:55

Not all GPS know what's appending 200 miles away!

Euphemia Sun 21-Apr-13 15:31:08

So the GP gave you incorrect information; that doesn't excuse your non-essential trip to A&E.

HarderToKidnap Sun 21-Apr-13 15:31:18

I didn't demand A&E change it, btw. I would have been happy to go anywhere, see anyone, wait for appt later that day, whatever. But there were no options offered. Just "go away". Which, if I had, could have caused me serious problems!

Euphemia Sun 21-Apr-13 15:32:28

In your shoes, I would not have travelled hundreds of miles. I'd have stayed at home until I was better.

HarderToKidnap Sun 21-Apr-13 15:32:29

The GP was a LOCAL GP to the area I was visiting. It was my MILS GP who I called first to try and arrange something through them.

HumphreyCobbler Sun 21-Apr-13 15:32:30

I don't think you are particularly unreasonable actually. Through no fault of your own you were left in this situation (if a doctor told me there was a walk in facility where I was going then I would believe them, wouldn't everyone?).

The fact is, you WERE in that situation. And A&E was your only help available.

SlimFitWellies Sun 21-Apr-13 15:33:27

I do not think you WBU. As others said upthread... you tried all the options, were given incorrect information, and needed it to be changed. I would complain.

thistlelicker Sun 21-Apr-13 15:33:57

Great .... A poster who doesn't see they are unreasonable and doesn't see they are in wrong

HarderToKidnap Sun 21-Apr-13 15:34:20

This wound has been open six months and counting Euphemia! If I wait til it's better before going anywhere I shall be dead I expect...

ImTooHecsyForYourParty Sun 21-Apr-13 15:34:35

And that point is extremely important. you phoned the GP in that area who said no they wouldn't do it but told you there was a walk in centre!

So you go down, believing that to be the case. It's not your fault that it's been closed for years. The GP who is in that area should have known that.

What should you have done when you found yourself down there, having established (or so you thought!) where you could get the dressing changed only to find that you can't? Driven the 200 miles back?

FFS if you are a HCP you should know to plan travel around your healthcare needs not expect A&E to sort you out.

Your selfishness astounds me.

HumphreyCobbler Sun 21-Apr-13 15:35:10

thistlelicker, the OP is not alone in thinking that she was not unreasonable

HarderToKidnap Sun 21-Apr-13 15:35:29

It's dificult thistlelicker because I agree it's not in A&E's remit - but on the day, in my shoes, what would you have done really? Surely there should be some option to see someone about things like this?

HumphreyCobbler Sun 21-Apr-13 15:35:58

she did plan! She asked a doctor and he told her there would be an appropriate service. FFS

HarderToKidnap Sun 21-Apr-13 15:36:43

I expected the walk-in centre to sort me out, Madame. As advised by the local GP.

greenfolder Sun 21-Apr-13 15:36:55

tbf, i would hope that elderly and or vulnerable people would not choose to travel several hours away from home when in such a state. you say you are a front line hcp so i assume you know what you are doing etc but 99% of the rest of us would not hop in a car with such a wound to drive that far and leave ourselves at the mercy of whatever healthcare there was at the other end.

thistlelicker Sun 21-Apr-13 15:37:18

Simple I would have travelled!!!!! Knowing I had a pack in! I would have let my own gp/ooh/ walk in who is local and not 200 miles away

thistlelicker Sun 21-Apr-13 15:38:36

Wouldn't have travelled! Bloody iPad

ImTooHecsyForYourParty Sun 21-Apr-13 15:38:39

Nope. I don't think she was unreasonable. I think she was let down.

She called her mother in law's gp whose practice is in the area she was visiting. They told her they wouldn't do it but she could use the walk in centre.

So she goes down there. Believing the GP. It's not her GP who told her. It's the GP in the area she's visiting! Was she really unreasonable to trust the GP?

So she's down there. 200 miles away from home. Goes to find this walk in centre and it's closed down.

I don't think it's her fault.

HumphreyCobbler Sun 21-Apr-13 15:38:51

If the op has to have this changed daily for six months I don't think it unreasonable to travel AFTER CHECKING WITH HER GP THERE WOULD BE AN APPROPRIATE SERVICE WHEN SHE GOT THERE.

I think YWBU to make the visit in the first place. You knew that the dressing needed changing so why didn't you postpone the visit? The catch up with your MIL and family events are not so earth shatteringly important that you couldn't miss them, at least for a while.

Both my MIL and DM have recently had medical issues which meant they had to remain near home in order to have regular stuff done (on the lines of a planned dressing change, daily injections etc). They both postponed trips a long way away which they had hoped to go on, because the medical issue was more important.

You knew your dressing would need changing on the Saturday so you chose to visit your MIL a long way away and waste the time in A&E for something that was neither an accident nor an emergency.

HumphreyCobbler Sun 21-Apr-13 15:39:21

gosh, I did shouting

I have pregnancy rage hormones.

HarderToKidnap Sun 21-Apr-13 15:39:47

I've had this wound six months. Most people who live with regular dressing changes have long term open wounds/sores etc and have to get on with life, which may include leaving your home town once in a while.

crashdoll Sun 21-Apr-13 15:40:13

In that situation, I agree there wasn't much to do but you would be VERY unreasonable to complain about A&E. They did you a favour when it was neither an accident nor an emergency.

HarderToKidnap Sun 21-Apr-13 15:41:32

I repeat I would not have gone if I'd have thought A&E would be the only option. I was told, by a local doctor, that there was a walk-in which would happily do it.

bruxeur Sun 21-Apr-13 15:41:43

If you're a frontline HCP with a chronic wound needing regular changes of dressing, why haven't you been doing it yourself?

IneedAsockamnesty Sun 21-Apr-13 15:41:51

Yabu.

You chose to travel on a none emergency basis in the full knowledge that you required a standard medical appointment.

You are also a HCP so know that a & e is for accidents that are also emergencies.

You should be ashamed of yourself.

DolomitesDonkey Sun 21-Apr-13 15:41:54

Yab all sorts of rude and unreasonable.

I'm astounded you were up to a 200 mile journey and an argument to get a packed dressing changed. Having had a couple in my time I've only been able to sleep for a week after.

crashdoll Sun 21-Apr-13 15:41:56

I just saw that you 'threw a hissy fit' so complaining will make you look like a total arsehole. Next time you travel, ensure there is an up and running OOH.

Did your GP look it up on computer whilst you were there or were you trying on his immense knowledge of the doctor to advise you of what services were available around the country?

crashdoll Sun 21-Apr-13 15:43:15

I repeat I would not have gone if I'd have thought A&E would be the only option. I was told, by a local doctor, that there was a walk-in which would happily do it.

Well, complain about him then, not A&E who did you a big favour despite your tantrum.

thistlelicker Sun 21-Apr-13 15:43:47

sad

HarderToKidnap Sun 21-Apr-13 15:43:57

Yes crashdoll, they did do me a huge favour I think, in retrospect. But the flat "no" does worry me. A less savvy person would have wandered off and possibly had huge problems as a result.

MintyyAeroEgg Sun 21-Apr-13 15:44:29

I do wish people wouldn't reply so pompously when they haven't read the op's posts properly!

olgaga Sun 21-Apr-13 15:45:01

It's people like you, OP, that mean people with genuine emergencies have to wait way too long in a&e.

You were absolutely nuts to make that journey with an open wound.

Next time be more sensible.

HumphreyCobbler Sun 21-Apr-13 15:45:16

But WHY should she be ashamed of herself?

She needed healthcare through no fault of her own.

The responses on here are bonkers

OP - know your place. You must not travel with long term health problems. How dare you! How dare you believe the GP who told you there was a walk in centre when you went to arrange the necessary care to enable you to leave your house? You should stay and home for ever ffs.

HarderToKidnap Sun 21-Apr-13 15:45:49

The position it's in, I can't see it. Also it's fucking painful!! Madame it was my MILS GP who told me about the walk in (ie, a GP in the area I was visiting). I have said that several times.

ImTooHecsyForYourParty Sun 21-Apr-13 15:45:51

Madame - it wasn't her GP she spoke to. It was the GP of her mother in law. In the area she is visiting.

The GP in the town she is going to told her that she could use the walk in centre in that town.

That is very different from her own GP telling her. Her own GP did not. She called the local area and spoke to a doctor in that area.

Who surely to god should know what services are available in the area?

olgaga Sun 21-Apr-13 15:45:54

less savvy person would have wandered off and possibly had huge problems as a result

Even a "less savvy person" would have been savvy enough to have looked after themselves a bit better than this.

HumphreyCobbler Sun 21-Apr-13 15:46:00

Me too Mintyy.

My blood pressure will not stand it.

McNewPants2013 Sun 21-Apr-13 15:46:20

I am not a nurse or doctor, but I work in a hospital and I see many dressings.

Would there be more than 1 way to pack a wound which without notes and the patients record mean the nurses may not have known what type of packing dressing to use.

HumphreyCobbler Sun 21-Apr-13 15:46:32

how olgaga?

By NOT asking the GP where she could go when she travelled?

Wabbitty Sun 21-Apr-13 15:48:35

Hold on I don't get it. In your original post you said you had to have the pack changed cos the consultant said so, later you have said you have to have the pack changed daily...? Also who normally does it on a Sunday if it has to be done daily?

IneedAsockamnesty Sun 21-Apr-13 15:49:02

Oh and loads of people with long term wound dressing needs where capable are able to obtain dressings and do it themselves should they need to go elsewhere

BrianCoxandTheTempleofDOOM Sun 21-Apr-13 15:49:06

FFS!

OP, it is so glaringly obvious YANBU, let's look at the facts shall we (what with me reading. understanding and not being an arse due to this being AIBU)

Open wound for 6 months.

Daily dressing - essential to the healing process.

OP checked with MIL's GP who have her incorrect info leaving OP in a potentially difficult situation.

what's not to understand? How is OP being unreasonable?

So, anybody with an ongoing health condition would not leave their home for 6 months to visit family? balls to that.

Am very tetchy sat here with a packed, open, infected, wound, requiring daily dressings - without fail - and its only been 3 weeks. Frankly, OP, I'm behind you 100%.

sarahtigh Sun 21-Apr-13 15:50:34

she rang a GP in the area she was visiting not her own GP it was her MIL's GP so it was reasonable to believe him as he worked in the area, it is also reasonable to believe that when told there is walk in centre/ out of hours service that there is

I think you should have accepted that A&E was wrong place ,surely there is an out of hours/ minor injuries unit it can't really be the case that absolutely every medical problem from 6pm friday to 9am monday goes to A&E

EduCated Sun 21-Apr-13 15:50:39

Apologies, OP, I misread your post. However I would still be concerned at travelling such a long distance without checking for myself the availability of a walk-in centre at the other end, although the GP needs a bit of an earful for giving out wrong information.

AmberLeaf Sun 21-Apr-13 15:50:54

Blimey @ people missing vital info in the OP!

the GP that told her about the walk in centre was local to the area she was visiting

YANBU

However, in your position [and daily dressing changes for months is a position Ive been in] I would have double checked by googling walk in centres for the area I was visiting, you can do this on the NHS website Im sure.

lyndie Sun 21-Apr-13 15:51:25

Actually the GP should have seen her as a temporary resident, but it was perhaps a bit much to phone them on the day and expect to be seen? Even in A&E it's not that unusual a situation, though maybe the ward where the procedure was done or district nurses would have been more appropriate.

HarderToKidnap Sun 21-Apr-13 15:51:43

Sorry, my wound hasn't always required daily dressings, there has been lots of management changes to it and this particular go round involved it being packed on Friday and Saturday, potentially Sunday depending on condition and then back to consultant Monday.

I don't think ywbu to travel given the advice. I don't think ywbu to throw a strop to get the medical attention you needed. I think your first complaint though is with the local gp for poor advice and then with a & e for not helping you work out how you should get treatment when away from home.

To those who say the op shouldn't travel: seriously? Open wounds can be problems for many months. She should move only a few miles from home for all that time? Nhs is paid through national not local taxes, and treatment should be available nationally.

edam Sun 21-Apr-13 15:54:58

Blimey, there seems to be an outbreak of angry, misplaced self-righteousness on MN of late.

Of course OP is not BU, she did everything she could to check she would be able to get her dressing changed.

NHS Choices is all very well, btw, but information is often out of date (I was linked to a group that did some research on this). Fact is, out of hours care of all kinds is a bit of a mess and even local health professionals often don't know what is available or, worse, think they do and are wrong.

EduCated Sun 21-Apr-13 15:54:58

Although I can well believe the lack of walk-in/decent OOH provision. It is only in the past couple of years that my parents city has got a walk-in centre. Before that anything that happened was either A&E or a massively over stretched OOH service where the appointments were like hens teeth made from gold dust.

AmberLeaf Sun 21-Apr-13 15:55:29

Would there be more than 1 way to pack a wound which without notes and the patients record mean the nurses may not have known what type of packing dressing to use

The patient would know what type of dressing to use, if being seen daily they would more than likely have a supply of such dressings for when they go to walk in centres, as they expect the cost of them to be covered by their GPs nurses budget.

When I was having to use the walk in centre at weekends, I was expected to bring dressings given to me by my GPs nurses on the friday, sterile dressing change pack too.

Also who normally does it on a Sunday if it has to be done daily?

I would assume that the OP like me when I was in that position, has to have it done at a walk in centre that is open 7 days a week.

CloudsAndTrees Sun 21-Apr-13 15:56:09

You are already convinced YANBU, so why are you asking?

Complain about the GP giving you false information, but don't complain about an accident and emergency department giving you treatment when it wasn't an accident and it wasn't an emergency. You were lucky they agreed to do it at all, especially of you came across to them as rudely as you are coming across here.

sarahtigh Sun 21-Apr-13 15:56:46

it may well have been reasonable for A&E to refuse to see her it was not reasonable for them not to point her in right direction, they should have said go to x clinic or call this number or drop in is 2-4pm in main street or whatever, would have saved their time too

no-one with chronic problem should expected to stay within 3 miles of home for months

HarderToKidnap Sun 21-Apr-13 15:57:06

Yes, temporary resident was why I called GP in the first place, I could immediately tell I wasn't going to get anywhere with them though. I would have pursued that angle more if I hadn't been told about the walk in! And when I googled the walk in, the entry was there but the info was telling me about the structure of the NHS - I assumed a broken link but because the entry for the walk in existed I though the walk in itself did too!

Well I don't think YABU. What Brian said.

I am a bit shocked at all these open wounds though

poorbuthappy Sun 21-Apr-13 16:00:41

I am aghast at the amount of people who can not read on this thread. wink

IneedAsockamnesty Sun 21-Apr-13 16:00:55

Seeing a gp as a tempory resident is intended to be done if you fall ill whilst away from home.

I still think yabu and I say this as someone's whose child had to have massive dressing changes done sometimes daily for 8 years.

There are so many things you can do and rocking up to a&e is never going to be one of them.

MintyyAeroEgg Sun 21-Apr-13 16:01:02

If the wound hadn't been dressed and had become infected then that could be an emergency?

Salmotrutta Sun 21-Apr-13 16:01:13

I don't think you were unreasonable.

You had been told by a local doctor that there was a walk-in.

You naturally enough would believe a local doctor and assume that a local doctor would know the services in his/her local area.

You were left with no choice really, and, considering the sorts of things that some people pitch up to A&E with I don't think asking for a wound dressing to be changed is such a criminal act.

I also don't think you should have to put your life on hold because of wound dressings.

AmberLeaf Sun 21-Apr-13 16:01:18

Exit re open wounds;

If there is a wound that has had infection in it, it is healed from the 'inside out' as if you were to close a wound with infection, it would soon be in a bad way.

It can take a long time though in some cases.

AmberLeaf Sun 21-Apr-13 16:03:22

There are so many things you can do and rocking up to a&e is never going to be one of them

She didn't really do that though did she?

She went to where she had wrongly been informed a walk in centre would be.

IneedAsockamnesty Sun 21-Apr-13 16:04:58

No what she did was go there due to error ( granted not hers) but them demand to be seen by them

FasterStronger Sun 21-Apr-13 16:06:40

I am sure there was a walkin centre open within 2 hours from your location. after all you could drive for 2 hours for a family event etc.

you just type your postcode in, and out comes a list. easy.

www.nhs.uk/NHSEngland/AboutNHSservices/Emergencyandurgentcareservices/pages/Walk-incentresSummary.aspx

MintyyAeroEgg Sun 21-Apr-13 16:06:57

Sockreturningpixie - what should she have done?

AmberLeaf Sun 21-Apr-13 16:07:33

If I had been in that position and knowing I needed the change done, I think I would have done the same.

Point is, the dressing needed changing and there wasn't any other option [assuming this wasn't a town with another walk in centre a few miles away?]

Can't believe all the people saying YABU. Not the NHS at its best.

HarderToKidnap Sun 21-Apr-13 16:08:20

But what option did I have by that point sock? Also I didn't demand to be seen by them, truthfully I expected them to say "you need OOH, down the corridoor on the right" type of thing. Sorry, i respect the work of A&E greatly but wouldn't risk my own health to avoid causing a fuss and I don't the think the HCPs in A&E would want me to either, really.

HarderToKidnap Sun 21-Apr-13 16:10:16

That's a good idea Faster, I didn't do that actually. Although as that website told me about the walk-in I was supposedly in, possibly I wouldn't have trusted it anyway!

recall Sun 21-Apr-13 16:12:02

YANBU

Very worrying that GP is not aware of walk in centre being closed.

If I had found myself in your situation, rather than being rude to the A&E staff, I would have phoned NHS Direct, and asked them for their advice.

AmberLeaf Sun 21-Apr-13 16:12:04

FasterStronger

Ive just used that search tool and surprisingly it has given me incorrect information relating to walk in centres in my area.

I originally said OP should have googled first, but will concede even that doesn't guarantee anything!

IneedAsockamnesty Sun 21-Apr-13 16:14:21

Any other walk in service.

Or any other gp

Or if it really was impossible to do any of those a private clinic or hospital.

Or just done it before she left.

YANBU.

You asked the local GP and was given incorrect information which you followed- as most people would do.

You then ended up needing to have your dressing changed....with nowhere to go. You went to A&E as a last resort.

They were great to do it, when really they could have instead pointed you in the right direction to another clinic or something, but you did, ultimately, go as a last resort only. So YANBU.

Don't complain as the changing dressing was beyond what they would do but call the GP back to inform them that you were sent to the wrong place, so the GP knows the information is incorrect, but I don't think you need to do anything else.

onedev Sun 21-Apr-13 16:16:02

I don't think YABU & would complain about the general attitude of 'sod off, we can't help!' as that's really worrying. How much more would you have cost the NHS if it had ended up infected & you had to be treated as an Emergency??

Good luck & hope it heals soon.

AmberLeaf Sun 21-Apr-13 16:16:07

GP on a saturday? not all surgeries are open at the weekend, I know mine isn't.

Other walk in service? if there are any and where would she reliably find one?

HarderToKidnap Sun 21-Apr-13 16:17:40

Anyway, I won't complain, I think you've helped me to see that WBU! Might drop the GP a line though.

edam Sun 21-Apr-13 16:19:32

Faster, that does indeed look like a good idea but when I worked with a team of researchers who looked at this, they discovered much of the information about walk-in centres is wrong, out of date, or the service provided varies hugely according to which day/time of day it is/which members of staff are on duty. So even if it says X is available, you may turn up and find there's no-one qualified and trained to do it/the equipment isn't available.

NHS OOHRs is a real mess and needs sorting out. That is not the fault of patients. Even simple things, like signposting - the researchers that I worked with had taken photos at each location to show how difficult it was to find out where the hell you are supposed to go and which service you are supposed to use.

Samu2 Sun 21-Apr-13 16:21:24

Awfully strange responses here. People bored and not reading her OP properly?

OP didn't set off to got to the A&E, she was told that she could go into a clinic where she was. The only thing she is 'guilty' of is not double checking before she left, which is hardly selfish or a crime of the century. She trusted the GP and by the time she found out there was no walk in clinic she had no other options.

Hardly selfish, entitled or any of the other names she has been told she is.

And really, she should be ashamed of herself? ashamed for given the wrong information and asking A&E to help her after there were no other options?

IneedAsockamnesty Sun 21-Apr-13 16:21:41

We are only talking 2 hours away from where she normally is,its not rocket science just because one gp got it wrong does not mean every pharmacy or info service will.

AmberLeaf Sun 21-Apr-13 16:23:42

Well, if they are going by the info on the NHS website, they may very well get it wrong!

pancakedays Sun 21-Apr-13 16:25:07

You were in the wrong.
Firstly, if you were in a car, travelling 200 miles with an open abdominal wound (packed or not) it will not help the healing process. Did you really have to do such a long journey when you require daily dressings?
Your priority should have been sorting this out before your journey, even if this meant getting it redressed on the Saturday morning by your own health care team before travelling. This would also be more consistent in your care.
You were very unreasonable to take up the time of the A&E staff, and even more so by throwing a 'hissy fit' and threatening to cause the wound to bleed by removing the dressing yourself!
As a 'frontline', 'bolshy' 'HCP' you should know better.
They should have made you wait a long time while they saw everyone else with an ACCIDENT and an EMERGENCY!

MintyyAeroEgg Sun 21-Apr-13 16:26:25

Pixie - she had it done on the Friday. She needed it done on the Saturday too. Are you saying she should never stay overnight anywhere? She asked A & E if there was another clinic she could go to. Ooh refused to do it.

Don't worry, I am reading the op so you don't have to ...

ILikeBirds Sun 21-Apr-13 16:27:14

I don't think in these particular circumstances you were being unreasonable.

Out of ours provision is patchy, OH split his head open the other week. We were told (at 9.30pm) to attend the walk in centre and got there to find it closes at 8pm, so we then had to head to A&E. It wasn't what I would term an emergency as the bleeding had just about stopped when we got to A&E but it still needed treating. So we sat and waited and looked at the patronising posters which "Should you really be here? - Minor injuries go to the walk in centre. Who chooses to go to A&E at 11pm on a Friday night if there is another option!

Salmotrutta Sun 21-Apr-13 16:27:30

We certainly don't have access to the GPs surgery on a Saturday!

We do have a Minor Injuries unit at our local cottage hospital BUT, we are advised if we are closer to the nearest A&E than to an MIU then go to the A&E instead.

Well, I say we have an MIU but for all I know that information may be out of date! Thankfully we haven't had to use it!

FasterStronger Sun 21-Apr-13 16:27:47

perhaps you find the first one has been shut down, very annoying, so you call the second before going.

I have had a 2 inch deep abscess and other smaller ones so have a fairly good range of experience of dressing changes.

the NHS is not perfect, but it gets little praise or thanks when it gets things right.

MintyyAeroEgg Sun 21-Apr-13 16:27:52

FFS! It wasn't 200 miles!!

MintyyAeroEgg Sun 21-Apr-13 16:28:44

People read what they want to ...

IneedAsockamnesty Sun 21-Apr-13 16:29:46

I wonder how people got information before google existed?

Ask a pharmacist and perhaps ask them to either phone and check its still open or give you the number so you can,dependant on the number being available to the public or not.

This thread is a perfect illustration of why I can't be arsed with MN much these days.

OP - YANBU to think you should have been correctly advised. To be fair it wasn't A&E's fault and it wasn't really their job to change it but under the circumstances they should have done it without the need for you to be stroppy.

olgaga Sun 21-Apr-13 16:30:30

^how olgaga?

By NOT asking the GP where she could go when she travelled?^

No - it's quite simple really. You don't travel.

crashdoll Sun 21-Apr-13 16:30:35

I'm not sure why people are saying some people can't read because they said YABU. The OP discussed compaining about A&E. They did nothing wrong, complain about the GP but not A&E. I would not normally be so rude as to say "can people not read?" but if it cap fits....

HarderToKidnap Sun 21-Apr-13 16:30:45

I had to go up on the Friday as MIL had left earlier with DS, who is BF at night still. She came to me Thurs and stayed overnight, then left Friday morning with him leaving me free to go to consultant without dragging him with. At that point I didn't know about having to have the dressing changed on Sat too (as daily dressings hadn't been part of the plan until then). So I had to follow up on the Friday, in a pinch I suppose he could have been left Friday night but as we hadn't prepared for that at all I didn't feel able to do so. MIL has MS too so would have been worried about her coping with him overnight if he was unsettled.

yaimee Sun 21-Apr-13 16:31:14

I'm unsure to be honest.
I think you made every effort you possibly could to make suitable arrangements to have your dressing changed and travelled under the belief that there would be an appropriate facility for you to have your dressing changed while away.
I would probably have asked in a&e too, since you were there anyway, but after being told no, i would have left without arguing and either phoned 111 or tried to get through to an out of hours gp or clinic, chances are that there would have been one fairly near by.
The person I would complain about is the gp who misinformed you.

edam Sun 21-Apr-13 16:31:33

Wow, amazing how people just make up stuff that isn't in the OP and then attack the OP with it... unless someone is now imagining she managed to drive at a consistent 100 miles an hour?

IneedAsockamnesty Sun 21-Apr-13 16:31:39

Minty no ooh didn't refuse the crap gp didn't give out the correct ooh or walk in info.

Salmotrutta Sun 21-Apr-13 16:32:30

The OP did also mention that the waiting room was deserted at A&E so at least she wasn't delaying other people.

Although there would have been triage anyway if it was busy, I suppose.

If the staff are there, not particularly busy (and it was early morning too by the sound of it) and its a quick job I really don't think there is a problem helping someone out in a bind!

IneedAsockamnesty Sun 21-Apr-13 16:32:35

Sorry I missed the phone to the ooh line.

AmberLeaf Sun 21-Apr-13 16:33:28

Don't travel? ha!

You know that lots of people have these sorts of needs for months or years at a time? should they really never go further than 3 miles from home?

Really?

olgaga Sun 21-Apr-13 16:34:20

This gets worse! For something like this, check and double check.

I would have rung the walk-in centre and made arrangements beforehand to make sure it was ok. Before allowing my BF DS to go on ahead with my MS suffering MIL.

If you'd done that you would have known there was a problem.

Lesson learned I hope.

Unfortunate, but these things happen - and I don't think anyone was particularly to blame.

pancakedays Sun 21-Apr-13 16:34:39

MintyyAeroEgg, I have read the post. Op states it was 200 miles on the first page, 18 posts down.

MintyyAeroEgg Sun 21-Apr-13 16:34:50

"She told me she couldn't assure me of that but that they couldn't do it. She phoned an OOH who wouldn't do it either."

Fyi Pixie

AmberLeaf Sun 21-Apr-13 16:34:58

The OP has already said that she would be unreasonable to complain about the A&E, just in case anyone missed that.

pancakedays Sun 21-Apr-13 16:36:00

Actually, 200 miles in 2 hours is pretty impressive!

AmberLeaf Sun 21-Apr-13 16:36:01

olaga, she didnt know she would need seeing on the saturday until after her MIL had taken her baby with her.

MintyyAeroEgg Sun 21-Apr-13 16:36:06

"She told me she couldn't assure me of that but that they couldn't do it. She phoned an OOH who wouldn't do it either."

Fyi Pixie

HarderToKidnap Sun 21-Apr-13 16:36:21

Sorry I was 2 hours from home! Not 200 miles. I mistyped.

crashdoll Sun 21-Apr-13 16:36:25

OP if you do travel again with an open wound, take a letter from your consultant in case a similar situation occurs. Also, it would be wise to ensure you know where OOH is and make sure it's open. There is no excuse for that GP.

Salmotrutta Sun 21-Apr-13 16:36:53

Oh, and the OP did say that the A&E triage nurse phoned the OOH and they wouldn't do it either

It's in the first post.

IneedAsockamnesty Sun 21-Apr-13 16:38:06

Minty can you not read? I already apologised and acknowledged that I had missed that line.

Salmotrutta Sun 21-Apr-13 16:38:28

Oops. X-post with Mintyy.

I think the OP is getting a hard time here for a set of circumstances that aren't her fault!

yaimee Sun 21-Apr-13 16:38:49

To the people saying that the op shouldn't travel...
Op has stated that her wound has been open for 6months, it is unrealistic to expect anyone to not go anywhere for 6months.
If she feels able to travel then she should, she can't put her life on hold indefinitely.
She had done her best to make appropriate arrangements, including seeking advice from a gp in the local area.
I don't agree with her behaviour in a&e but up until that point I don't think she had been unreasonable at all!

MintyyAeroEgg Sun 21-Apr-13 16:42:28

Pixie, fortunately I can read but it also took me a minute and a half to type my post because I wanted to be accurate with it smile.

olgaga Sun 21-Apr-13 16:44:18

Don't travel? ha! You know that lots of people have these sorts of needs for months or years at a time? should they really never go further than 3 miles from home?

Yes, and how do they manage it? The make arrangements. Which they ensure are going to be ok.

That's how.

In this case, the GP was wrong with the information, but the OP could easily have checked by telephoning the (non-existent) walk-in centre.

She should not expect to turn up to A&E and then complain that getting treatment was difficult - even though she had not had an accident, and it was not an emergency.

OP write to the GP, by all means, and have a moan that their information was out of date. But this is hardly the kind of thing to make a formal complaint about - especially when you could have found this out yourself before you went.

pancakedays Sun 21-Apr-13 16:46:04

Agree with Olgaga

olgaga Sun 21-Apr-13 16:46:32

olaga, she didnt know she would need seeing on the saturday until after her MIL had taken her baby with her.

Yes - she made an erroneous assumption.

That's a pity.

AmberLeaf Sun 21-Apr-13 16:50:11

olaga, but you can't make arrangements in regard to walk in centres, you can only find out where to go, short of getting an appointment [which isn't possible at a walk in] nothing is set in stone, so an individual can't really ensure anything that relies on others.

I know that the OP isn't the first person to turn up at a no longer existent NHS service.

IneedAsockamnesty Sun 21-Apr-13 16:57:19

But you can check that they do still exist and have the details of any within a reasonable travelling time and find out what one is still open.

You can get your own consultant or their dept to see if a one off appointment can be made at the same dept in a different hospital ( granted this is quite hard to do unless your talking dressing over years and its a couple of appointments whilst on holiday).

Or you can make a private appointment with a dressings nurse at a private hospital in advance.

higgle Sun 21-Apr-13 17:03:14

YANBU - someone had to change it - does it matter who ? NHS responsibility. Rigid adherence to "jobsworth" attitude is why the whole system doesn't work anyway. I would have thought that the local GP should have assisted you, but you were certainly not unreasobable in going to A & E. If more people who couldn't get satisfaction in the rest of teh system pitched up at A&E someone would take some action to ensure that we got proper service. NHS is like British Rail used to be, and needs a real shake up to be customer friendly.

AmberLeaf Sun 21-Apr-13 17:04:15

I don't think it is fair to criticise the OP for taking the word of a local GP tbh, I think it's pretty shit that the GP didn't know it had been shut for 3 years.

OP had less than 24 hrs notice though, so not much time to get an appointment in a private hospital, that's if there is one where she was or if she could afford to do that.

Yes, getting an appt through her consultant in another hospital, on a saturday would be pretty hard to do.

pancakedays Sun 21-Apr-13 17:04:37

You can however ensure there is a walk in centre and find out the opening times.
If you have a chronic wound that requires daily/alternative dressing changes, surely it is common sense to look into this?
Op, perhaps next time you travel you can ask your consultant/Gp/Dn for a letter and a supply of dressings. It may also be useful to know that if the Gp practice is closed where you are visiting, you can always see the District Nursing team as a one off patient.
I really don't think you have a right to complain to PALS about A&E. If anything you should apologise for throwing a 'hissy fit' and threatening to remove your dressings.
You could always write to the GP to tell them that the walk in centre is now closed!

ILikeBirds Sun 21-Apr-13 17:08:06

"It may also be useful to know that if the Gp practice is closed where you are visiting, you can always see the District Nursing team as a one off patient."

If this is the case why didn't A&E advise her of that? I think it's unreasonable to expect members of the public to be better informed than healthcare professionals

happyyonisleepyyoni Sun 21-Apr-13 17:12:54

How the hell did the GP not know the walk in centre had been shut for 3 years?

GGiven this duff information it sounds to me the OP was in an emergency situation!

middleagedspread Sun 21-Apr-13 17:13:31

I think you're being unfair on the Op.
She took Consultants advice, rang MIL GP who said Walk in Clinic (which would suggest no appointment). If the local GP said walk in, why would the Op presume to check the info is correct?
So Walk in is closed & she has no other option but go to A&E. What do you suggest, she drives home again?
I think A&E should have seen her without a fuss.

AmberLeaf Sun 21-Apr-13 17:14:24

It may also be useful to know that if the Gp practice is closed where you are visiting, you can always see the District Nursing team as a one off patient

Highly unlikely you would be seen by the district nurse team.

Selks Sun 21-Apr-13 17:14:29

Too many typical knee jerk AIBU responses from people who can't be bothered to properly read the OP's posts. Some people just love to have a go at someone; sad really.

OP, YANBU

fallon8 Sun 21-Apr-13 17:21:42

You are a temporary resident then,,they could have charged you for it...lesson learned then,,stay at home in future..

EduCated Sun 21-Apr-13 17:24:37

'If the local GP said walk in, why would the Op presume to check the info is correct?'

Of course the OP should be able to rust the info provided by the GP, however if I was to travel so far from home knowing that I needed specific medical care, I would want to speak to the place providing that care myself.

EduCated Sun 21-Apr-13 17:26:06

fallon As far as I'm aware you aren't charged for treatment as a temporary resident? That's never been mentioned whenever I've been treated as a temp resident confused

imour Sun 21-Apr-13 17:28:53

yabu a&e is for exactly what it says accident or emergency , your problem was neither !

fallon8 Sun 21-Apr-13 17:31:16

Educated...I ,I've in s Outland,maybe different here,
Op...if you aren't medical,how come you have seen dressings? What access do you have?

Cuddlydragon Sun 21-Apr-13 17:32:17

I'm actually surprised at how many people say YABU to be honest. You did your best to locate appropriate treatment. Advice you should have been able to rely on was crap and you found yourself needing treatment in an emergency. I think it's rubbish they weren't willing to change it tbh in those specific circumstances. I was in A&E recently with my DH and a suspected broken ankle. The porters were in a side room/ staff room area eating pizza which had just been delivered. A Dr came out and asked for a sample to be rushed to a lab, he explained it couldn't sit or wait and had to be taken immediately. The porters assured him it would be. They then chucked it on a table after the Dr went back into the treatment rooms, loudly laughing at the DR and saying that it would have to wait til the pizza was finished. 20 mins later it was still sitting. I pointed this out to a triage nurse who just shrugged her shoulders. There were a lot of jobs worths in A&E that night.

AmberLeaf Sun 21-Apr-13 17:32:20

You aren't charged for treatment as a temp resident and A&E and walk in centre treatment is free for everyone.

AmberLeaf Sun 21-Apr-13 17:38:30

Treatment in A&E is free for everyone in Scotland too.

OP didn't register as a temp resident at a GP either way so would make no difference.

Callofthefishwife Sun 21-Apr-13 17:39:18

This thread is hilarious. I gave up half way down page 5 when people were still not getting the original facts straight despite them being explained several times.

HintofBream Sun 21-Apr-13 17:40:12

How did the OP cost the NHS £250? The nurses and other staff would have been at work being paid regardless of whether they did or did not change the dressing. She actually cost them the price of the dressing and the phone call they made.

Weegiemum Sun 21-Apr-13 17:40:16

The GP wasn't right to give you out of date information, but you are bu to moan in your 2nd para where you commented the GP "flatly refused to help or see" yourself on the Saturday. GP surgeries aren't open as a matter of course on a Saturday these days. If you expected the GP to see you, I'm really rather surprised!

saintmerryweather Sun 21-Apr-13 17:40:30

I really think that some people on mn read the thread title, do eeny meeny to choose an answer and stick to it no matter what.

Yadnbu op you did everything you could to make sure you would have provision to get your dressing changed.

happyyonisleepyyoni Sun 21-Apr-13 17:42:25

Yes AIBU seems to have become "Slate me regardless of the facts"

HarderToKidnap Sun 21-Apr-13 17:44:37

I thought they might refer me to district nurses or OOH, Weegie. Got stonewalled though. Thanks to those who've seen my POV. TBH I was wondering whether I WBU to complain, rather than to seek treatment for A&E in the first place - it never occurred to me that THAT was the part that could have been unreasonable! (In my particular circs, going straight to A&E would have been)

IneedAsockamnesty Sun 21-Apr-13 17:49:06

Amber my daughter has been seen for dressing wounds (where an actual HCP was required as opposed to me doing it) by both district nursing teams and same depts in different hospitals. In about 5 different areas of the UK all times it was arranged in advance due to holidays.

olgaga Sun 21-Apr-13 18:00:59

But A&E don't refer to OOH or district nurses - why would you expect them to?

A&E are there for accidents and emergencies - nothing else.

I know you did your best OP but there's no point fuming at A&E about this. Fume at the GP who gave you out of date information by all means - but you could have saved yourself a lot of hassle if you'd just checked it yourself on the internet.

olaga, but you can't make arrangements in regard to walk in centres, you can only find out where to go, short of getting an appointment [which isn't possible at a walk in] nothing is set in stone, so an individual can't really ensure anything that relies on others.

When I took DD to our local walk-in centre I found it on the internet, rang ahead just to make sure it was appropriate to go there and got information about their busy times to avoid.

Not exactly difficult!

AmberLeaf Sun 21-Apr-13 18:02:46

Sock, yes but your daughters circs were very different to the OPs, someone in the OPs position would be highly unlikely to get the same treatment.

I know things like that can be possible, I know dialysis patients can get 2 dialysis appointments in another area to accomodate holidays.

IneedAsockamnesty Sun 21-Apr-13 18:06:14

Everybody's circumstances are different but it does show its possible.

crashdoll Sun 21-Apr-13 18:09:17

How did the OP cost the NHS £250? The nurses and other staff would have been at work being paid regardless of whether they did or did not change the dressing. She actually cost them the price of the dressing and the phone call they made.

I think GPs get charged if their patients visit A&E but I thought that was during GP opening hours? Although OP wasn't registered with a GP, so I'm not sure if anyone would be charged at all.

edam Sun 21-Apr-13 18:12:47

A&E do indeed send patients to OOH where appropriate - I don't know where someone has got the idea that they don't.

It is not the OP's fault that she was given the wrong information. It is not the OP's fault that OOH care can be politely described as patchy at best. The NHS has started to notice this but it is very far from sorting it out.

cocolepew Sun 21-Apr-13 18:13:44

YANBU.

'I know dialysis patients can get 2 dialysis appointments in another area to accomodate holidays.'

Only if there is NHS capacity. You can have more then two actually - I regularly deal with bookings for a week or a fortnight - but it's dependent on NHS space or your Trust being prpeared to pay private unit fees. This means that for popular areas you need to book months in advance and some areas are very had to get. Dialysis in North Devon or the West Coast of Scotland is not easy to find. You also run the risk of your dialysis being cancelled at the last minute due to NHS capacity issues.

olgaga Sun 21-Apr-13 18:15:14

A&E do indeed send patients to OOH where appropriate - I don't know where someone has got the idea that they don't.

They will tell you to go to the OOH service provided by your GP. It won't happen if you're not in your local area.

featherbag Sun 21-Apr-13 18:15:51

If you really are a frontline HCP you should bloody well know better, and yes, of course YABU! I wouldn't change a dressing that required packing, simply because I'm not trained to do it and I'd be worried about getting it wrong and making it worse. All the hissy fit foot stamping in the world wouldn't have made a difference. You shouldn't have travelled.

Idocrazythings Sun 21-Apr-13 18:16:07

YANBU. The GP was for not allowing you to have it done at their clinic. Why can't a different GP clinic pick up the slack?

olgaga Sun 21-Apr-13 18:22:40

Why can't a different GP clinic pick up the slack?

They're not employed by the NHS. GPs are self-employed. They're not going to provide a service they don't get paid for.

HintofBream Sun 21-Apr-13 18:22:58

Crashdoll, even if a GP gets charged if a patient attends A&E, that is not a cost, it is funds being moved from one part of the NHS to another.

higgle Sun 21-Apr-13 18:27:03

Olgaga, surely if GPs did this it would be swings and roundabouts? less work if your patient went elsewhere and to compensate you treat someone elses?

BoulevardOfBrokenSleep Sun 21-Apr-13 18:32:53

A&E have definitely sent us on to an OOH that wasn't ours before. (Birmingham/Solihull so different trusts but geographically close obviously)

I assume they charge your GP after the fact as per usual.

nenevomito Sun 21-Apr-13 18:33:28

I had to check I wasn't in the food topic reading this thread due to some of the thick as mince responses.

No OP, you weren't being unreasonable. Its also not unreasonable not to put your whole life on hold while you wait for your wound to heal as life isn't like that.

nenevomito Sun 21-Apr-13 18:34:36

Out of interest, our local dressings clinic is in our A&E dept...

olgaga Sun 21-Apr-13 18:38:17

Olgaga, surely if GPs did this it would be swings and roundabouts? less work if your patient went elsewhere and to compensate you treat someone elses?

No it doesn't work like that.

Nerfmother Sun 21-Apr-13 18:39:26

Some one earlier posted that people like the pp mean real emergencies have to wait. Get a grip! As if the staff would say okay, we'll just get the (insert emergency) to wait while we take your Elastoplast off.
Op, not unreasonable at all , best in unfortunate circs

IneedAsockamnesty Sun 21-Apr-13 18:42:38

Some areas do hold dressing clinics in the same area as a&e but its not a drop in service and they don't tend to use a&e staff.

EduCated Sun 21-Apr-13 18:45:30

I feel I need to apologise again for misreading, although it seems like I wasn't the only one by far and it certainly wasn't intentional hmm

AIBU can move so fast that by the time I had read and replied to the thread I had x-posted with a lot of the posts highlighting the bit I had misread (where I missed that you had spoken to a GP local to the A&E, rather than local to you)

crashdoll Sun 21-Apr-13 18:49:26

Even if a GP gets charged if a patient attends A&E, that is not a cost, it is funds being moved from one part of the NHS to another.

I know it's not relevant to the OP but I don't think it works like that. The money doesn't move patient care and that's where we want it really. GPs have to manage budgets.

ginmakesitallok Sun 21-Apr-13 18:55:34

ffs - Id just written a big long response and it got deleted.

In short - OP YWNBU at all! I hope you have complained to MILs GP who is giving out incorrect information

FanjoForTheMammaries Sun 21-Apr-13 18:59:46

YANBU.

Some people just love a chance to act holier than thou in AIBU.

IneedAsockamnesty Sun 21-Apr-13 18:59:53

Ohh its so frustrating when the forum eats a long post.

featherbag Sun 21-Apr-13 19:01:59

But someone else would have to wait longer - once she's booked in they have to get her out within 4 hours or get fined. So if thanks to a hissy fit someone has to do the dressing, there's a time limit on actually getting it done. The breach can't be explained away by saying 'well, she didn't really need to be here but refused to leave, we agreed to do the dressing but had to see all the people who attended appropriately first, so didn't get her out until 5 hours had passed'. It doesn't work like that. Do you have any idea how under pressure these services are? Or how much of an impact there'd be on real emergencies if people like the OP weren't turned away?

mrsmindcontrol Sun 21-Apr-13 19:03:57

Why could you not have investigated where the nearest walk in centre was before going to A&E?

She did!!!!
This thread is driving me bonkers!

Salmotrutta Sun 21-Apr-13 19:10:38

Err, the OP was sent to the non-existent walk-in by her MILs GP. mrsmindcontrol.

Who should have known it didn't exist anymore.

That, apparently, was the nearest walk-in. Only it wasn't. Because it had closed a couple of years earlier.

Salmotrutta Sun 21-Apr-13 19:11:27

Hahahahaha!

X-post with OhyouBad!

<rofl>

ChestyNut Sun 21-Apr-13 19:19:02

Perhaps drop a letter to GP about the difficulties his incorrect info caused.

YWNBU to want to go away with a chronic wound and believe GPs info

But

A+E WNBU in that its not an A+E role and will have been unaware of your treatment plan/dressings/ history.

Chronic wounds can be complex to treat.

sneezecakesmum Sun 21-Apr-13 19:34:59

There had to be SOME facility for dressings if they were urgent. A&E is NOT appropriate.

Next time call your MILs GP number and ask for the district nurse service. To the best of my knowledge they are the official people to do out of hours dressings.

(ex A&E nurse, ex out of hours call centre nurse!) So I know what I'm talking about grin

dollywobbles Sun 21-Apr-13 19:42:59

DH had to have dressings changed every day for about 7-8 months. The District Nurses used to come out at first, then, when he could walk a bit more, he'd go to surgery to see them. At weekends/bank holidays, they'd come to the house.
Honestly, never occurred to us that we might try and arrange for the dressing to be changed somewhere else.
I don't think it's the A&E you need to complain about, it's the GP who gave duff advice.

But the a&e could have had some compassion as there really was no where else to do it. Sometimes it's just not appropriate to have 'rulez is rulez'

lougle Sun 21-Apr-13 19:53:06

Ex outpatients nurse here, if we're talking about why we know what we know...

I once had a lady who needed frequent dressings through clinic, just before a national holiday. She was booked to spend the time with family, but needed daily dressings. She was crestfallen, but as is typical of her generation, accepted that she shouldn't go away because of her dressings. I took her relative's address, contacted the GP and arranged for the DN services while she was away, as a temporary patient. She was incredibly grateful.

The OP couldn't do this. How exactly was she to contact the GP on a Saturday? Once she had followed the advice of the GP and that advice was wrong, she had no choice but to access the medical service which was open.

I'd argue that at the point she found that her recommended health care provider was unavailable, yet had clear instructions from her Consultant for daily dressing, it became an emergency and she was entitled to access A&E.

OP, YANBU.

To use the example of dialysis again though - patients need it to stay alive but they are expected to make arrangements before travelling and any dialysis unit which had a patient who just went away on spec and turned up at a unit expecting to be treated would find themselves on the end of a shirty phone call from the unit thus lumbered. Not just because of capacity but because we need to know a patient is negative for various infections before dialysing them and we need to know what sort of dialysis they need.
The harsh reality of being on haemodialysis is that if we can't arrange dialysis for you in advance you can't go away. In the case of the OP I think she should have stayed at home.

AmberLeaf Sun 21-Apr-13 20:15:05

That is ridiculous Northern.

You can't compare dialysis to dressing changes, of course in the case of dialysis it would be silly to just turn up, dialysis is very different to dressing change in the level of skill required to do it and equipment.

Some people need daily dressing changes for extended periods of time, are you really suggesting someone in that position never leaves home?

Lougles post is very sensible.

I think you're under estimating the skill involved in getting difficult wounds to heal. The OP didn't have any old surgical wound. It's open and packed. Continuity of care is very important. The time involved is less than dialysis but the skill and need for the patient's history is to some degree comparable.

firesideskirt Sun 21-Apr-13 20:26:59

YANBU - as if we still had a decent GP out of hours service you could have gone to that. We don't, so you couldn't.

evansthebread Sun 21-Apr-13 20:31:13

As ex NHS hospital employee, I'm pretty sure they could have slotted OP in somewhere for a simple dressing change - or she's gonna end up there somewhere along the line being treated for septicaemia or something equally unpleasant, costing a lot more.

I turned up at 9am at my A&E with a broken leg. It was just after shift change, fresh staff (I'd waited for this as I refuse to attend A&E on a Friday night with all the drunks - now there's time and money wasting!). Several staff hanging round station having coffee and a nice little gossip, I eventually got seen by a nurse who didn't lay a hand on me or ask me to stand and try to bear weight. Was sent home with an exercise sheet and told to use it or risk damage by not exercising. A fortnight later, still in agony after trying the sheet several times, I returned to see different staff and being given an x-ray - broken leg - could've knocked me down with a feather! No apology, just a telling off for leaving it so long and "risking the break getting worse with pressure and ultimately costing the NHS a lot more" - I kid you not!

Going back to me being ex-nursing staff, Most of my age group noticed the younger staff developing a mini God complex towards their importance at about the time nursing pay started to increase. All of a sudden, nursing became just a job to most and no care was being shown by an awful lot of new-joining staff.

The most disturbing aspect noticed by myself and the older staff was the "punishments" being meted out by some staff if any patients dared to complain (or sound like they might). It may not sound like much, but some would actively ignore patients, especially the bed-bound, and then be sickeningly sweet when those patients had visitors. Some poor patients were, I would say, emotionally tortured. The lucky ones were the ones I felt sorry for when they were being ignored!

It was an awful situation for the genuinely caring staff to have to put up with as they were being bullied themselves by the younger, nastier staff. If whistle-blowing had been around then (and changes made) I would probably would have stayed nursing.

The last straw for me, however, was one male staff "dosing" a "difficult" mental patient before he was discharged. He was left completely out of it outside the main doors, having lost control of his bladder (side effect of the drug he was dosed with). The police eventually removed him and charged him with being drunk & disorderly.

olgaga Sun 21-Apr-13 20:33:59

are you really suggesting someone in that position never leaves home?

This point has been made before. No-one is suggesting that.

The OP is hardly confined to home if she can drive 2 hours to her MILs.

The point is she expected a service that wasn't available. I still don't understand why she didn't even bother to even google the walk-in centre to check exactly where it is, opening hours, and whether she could be seen for it.

The GP was wrong to give her out of date information, but OP is hardly the GP's responsibility and she could easily have checked the information she was given.

saintmerryweather Sun 21-Apr-13 20:34:22

Oh will you RTFT people for fucks sake

saintmerryweather Sun 21-Apr-13 20:36:02

If a doctor told me about a service in their local area i dont then google to check theyre not lying to me! i trust them to know what theyre talking about and not to deliberately mislead me!

nenevomito Sun 21-Apr-13 20:38:49

Really? olgaga - do you google everything your GP tells you just to make sure its right before you believe them?

AmberLeaf Sun 21-Apr-13 20:40:40

Northern, you may have missed my previous posts, but I wrote that I have myself had personal experience of a packed wound that needed daily dressing for months on end.

I'm not underestimating anything.

I also know from my own experience that the patient will know as much about their own case history as would be read from notes.

When I had to see different HCPs over the weekend, they would often ask me which packing dressings to use and I on a few occasions had to correct them when they were about to use the wrong ones, or put the wrong covering dressing on top.

Continuity of care isn't always possible, which is one reason why it is beneficial for a patient to have an understanding of their treatment.

olgaga Sun 21-Apr-13 20:47:00

olgaga - do you google everything your GP tells you just to make sure its right before you believe them?

In this case yes, I would certainly have rung the walk-in centre to make sure they would deal with me. In doing so, I'd have found out they were no longer there, and could then have got back to the MIL GP - or googled the nearest open walk-in centre.

Once my DD had an accident in a park right opposite our GP surgery. The GP wouldn't see them, I rang the walk-in centre to make sure we could be seen.

It's not exactly an unusual thing is it? Making a phone call to check? For something so important?

AmberLeaf Sun 21-Apr-13 20:47:09

olgaga the OP did google the walk in centre, but the NHS website had a broken link as they often do, not a page saying 'this is now closed' just a broken link. as she had been told the same day by GP local to the area who would be expected to know these things, I am not surprised that she opted to take his word for it.

HarderToKidnap Sun 21-Apr-13 20:47:47

Olgaga, as I've said, I DID google the walk in centre, it told me it existed and the opening times, the link for the further info was a guide to the NHS structure in England which I assumed to be a broken link. It wouldn't generally occur to someone elderly, for example, to double check the info given to them by a GP so that's not a failsafe.

Incidentally I am asked multiple times a day by my patients to do something or tell them something outside my remit. I have never, ever in 8 years just shut the conversation down with a flat "no". I have never stonewalled a patient who needs help, even if I can't personally provide it. I will refer them, or find out the info, or get back to them with relevant details. It is so worrying that a HCP would do this, because some people are so vulnerable and accessing just once HCP is hard enough for them.

BrianButterfield Sun 21-Apr-13 20:48:03

It's simply ludicrous to expect someone to Google information they have already been given by medical staff. Especially as the online info is so unreliable it would just leave you more confused. It is not reasonable to expect people to do that and I just do not accept that that's what normal people would do once a GP had instructed them.

HarderToKidnap Sun 21-Apr-13 20:48:46

just ONE, sorry,

saintmerryweather Sun 21-Apr-13 20:56:13

I think its like i said...some people choose a yabu or yanbu then stick to it no matter what

mrslaughan Sun 21-Apr-13 21:41:10

OP - you are not being unreasonable, as far as I can see, and I think you are not unreasonable to pose the question of what if you were a vulnerable less savy person, who could have ended up with a huge infected wound, because a whole lot of medical professionals put there hands in there pockets and said "it's not my job", then causing huge extra expense to the NHS.
The sanctimonious replies on this thread astound me.... Talk about the milk of human kindness..... Obviously people with long term medical conditions should never venture away from home, for fear of judgy mumsnetters

DoubleLifeIsALifeHalved Sun 21-Apr-13 21:51:29

Lord the self righteous cruelty in some of these posts!

I Hate reading stuff like that, erodes my faith in humans. Yuck.

olgaga Sun 21-Apr-13 22:40:34

The question was AIBU To complain about A&E not changing my dressing?

Without being remotely sanctimonious or cruel the answer has to be yes.

If the OP wants to complain about anyone, she should complain about the GP who gave her the incorrect information.

A&E did actually change the dressing, remember?

I still don't understand why you didn't ring the walk-in centre OP, to make sure the information the GP had given you was correct and that you weren't just being fobbed off. I would have done, but then maybe I've a healthy cynicism about health care services generally. Had you done that, you could have adjusted your plans accordingly without having to have a strop in A&E.

If anything you should be writing a letter to A&E commending them for providing a service over and above what they are required to do.

saintmerryweather Mon 22-Apr-13 08:05:45

Oh for gods sake olgaga first you were adament the op should have googled the walk in centre....oh....she did....well then you should have rung them first. silly you op. surely the definition of a walk in centre is that you dont need to ring ahead, you turn up and wait your turn! Added to which the fact a local doctor told her it was open, and google did as well. how long do you spend every day checking and cross checking basic information people give you?

I read it as the op wants to complain about the fact that the nurse didnt offer any alternatives she just got a flat no. thats not unreasonable to mention to the hospital

olgaga Mon 22-Apr-13 09:24:58

I still think it's the GP, not the A&E, who were clearly at fault.

The A&E triage nurse was doing exactly what she was supposed to do - screen out cases they are not supposed to deal with. A&E is not a walk-in centre.

And no, I don't spend every day "checking and cross-checking basic information". However, if I was seeking this kind of help far from home, especially on a Saturday, then yes, I would definitely have rung ahead to ensure that the care I needed was available, and to find out the best time to turn up.

DeskPlanner Mon 22-Apr-13 09:33:25

YABVU. You shouldn't have travelled under these circumstances. I honestly don't see why you want to complain about A&E. They really shouldn't have changed your dressing, without knowing anything about you and seeing a care plan. If you got an infection or developed any problems with your wound, then the poor nurse who you put under so much pressure to change the dressing, could be in massive trouble. If you are a HCP then you should know better.

gordyslovesheep Mon 22-Apr-13 09:44:53

The GP was at fault but I do not think YABU to be cross about it - I also think that, yes generally A+E is not for these minor issues BUT in this case they should have listened to the circumstances and made an exception.

Deskplanner the OP shouldn;t have to be housebound for 6+ months - that is unfair

mercibucket Mon 22-Apr-13 09:47:31

this is what happens when walk in centres close

a and e has to step in

yanbu, and i agree with one of the other posters up thread. these kind of threads/comments make me a bit sick of mn at times.

DeskPlanner Mon 22-Apr-13 09:47:56

Have caught up with the rest of the thread, and see you won't be complaining about A&E. You are still bring U about everything else though. Packing a wound is a specialist job, there are many types of dressings and should not be changed by anyone without a care plan. You should know this and have organized things better.

DeskPlanner Mon 22-Apr-13 09:54:33

gordy, no she shouldn't. But as a "bolshy" "front line" HCP, she should know that changing the dressing of a packed wound is not the same as changing a plaster and she shouldn't have travelled without copies of her care plan and getting a number of the clinic and ringing ahead to check there would be someone trained and available to do it. I don't think many on this thread understand how complex changing a packed dressing is.

gordyslovesheep Mon 22-Apr-13 09:56:23

oh I think checking with a local GP and the NHS website should be sufficient - if that information is wrong she can hardly be accused of not doing enough

lougle Mon 22-Apr-13 09:59:32

For goodness sake!

1. The OP has had an open wound for 6 months. People get less time in prison, and you're expecting her to stay at home because she has a medical condition?

2. She took the advice of the MIL's GP, who advised her that it was fine to travel because the OOH/walk-in service would see her the next day.

3. The GP advised her to use the walk-in, and googling confirmed the walk-in's existence.

4. The walk-in was in fact closed and had been for 3 years.

There were 2 ways to avoid A&E here:

a) The MIL's GP should have placed a call to the district nursing team and asked that they add the OP as a temporary patient to have her wound dressed, asking the OP to bring sufficient supplies and a written care plan.

b) The OP could have telephoned the walk-in to check that they were happy to treat, but given the fact that the GP had told her they would do so, was not unreasonable to take his word.

I'm amazed that people think that the OP should be restricted to her home because she has a wound which needs dressing.

DeskPlanner Mon 22-Apr-13 10:08:24

In the op it states the GP was not helpful, therefore as a HCP she should have known to check. As a HCP she should know, that nurses should never change a packed would, without seeing a care plan. Like I said upthread most people on this thread have no understanding of dressing packed wounds. Leaving the thread now.

Op glad you've decided not to complain about the nurse, who did change your dressing, even though she shouldn't without knowing more about your plan of care. Hope your wound improves soon.

5madthings Mon 22-Apr-13 10:11:24

Yanbu and i am amazed at the amount of people that seemingly cant read!

If i were you i would let the gp know they gave out of date info and yes i would complain re a&e they should have helped you find somewhere to get it done if they didnt want to do it.

As you said you are bolshy and stood up for yourself, others wouldnt and you shouldnt have to fight to get the care you need and are entitled to.

As an aside if i or my children have needec to see a gp when visiting my.mum.then she calls the drs surgery and they have always been happy to squeeze us in. They used to be my gp and i think.it helps that my mum is a nurse so if she is saying we need to see a gp she is right and she knows them well.

5madthings Mon 22-Apr-13 10:12:27

And if i was told by a gp to go to an ooh centre i would assume they were giving me the right advice and go.

sashh Mon 22-Apr-13 10:30:41

A&E was my ONLY option unless I wanted the pack to become infected or adhere.

Bet the local private hospital would have seen you.

But a receptionist shouldn't be making medical decisions.

olgaga Mon 22-Apr-13 10:31:46

The MIL's GP should have placed a call to the district nursing team and asked that they add the OP as a temporary patient to have her wound dressed, asking the OP to bring sufficient supplies and a written care plan.

Yes that's correct. But this kind of one-off care is unlikely to be available on a Saturday, which is probably why the MIL's GP flatly refused to help or see (OP) the next day. Not all GPs do surgeries on a Saturday, and certainly the DN team would not be available for one-off care on a Saturday.

The only fault here is with the GP who incorrectly advised the OP to go to a walk-in centre which had been closed - but who knows, it may have been a locum for all we know.

If the OP wants to make a complaint it should be sent to the GP surgery, but it's unlikely to go anywhere (except straight in the bin).

olgaga Mon 22-Apr-13 10:35:25

But a receptionist shouldn't be making medical decisions.

It was a Receptionist/Triage nurse. Not a receptionist.

featherbag Mon 22-Apr-13 11:12:37

Can I just clarify when I said I wouldn't, under any circumstances, have changed this dressing, I wasn't being cruel but would've been protecting myself and my registration, without which I cannot work. The NMC insist registered nurses should never perform tasks which they are not competent in doing, as to do this puts the patient at risk. I have encountered people unhappy at my refusal to do certain things that are well out with the remit of an A&E nurse, but is rather they were unhappy/inconvenienced than me being out of a job and them suffer physical harm at my hands! There is no reason why an A&E nurse would be competent in changing these specialist dressings, and the OP was U to insist.

mrsmindcontrol Mon 22-Apr-13 11:13:58

I actually meant why didn't OP establish where the nearest OPEN walk in centre was once she'd discovered that the one the GP had recommended was closed before heading off to A&E. I appreciate it's not the same in every area but in my locality there are 4 walk in centres within a 10 mile radius of my home.

5madthings Mon 22-Apr-13 11:19:50

The ooh center the go sent her to was AT the a&e and the nurse phoned an ooh bit they said they wouldn't change the dressing.

kilmuir Mon 22-Apr-13 11:26:14

Surely basic nurse training covers dressings??? An A&E nurse could follow a care plan if it was available

flangledoodle Mon 22-Apr-13 12:00:04

dear God

Fayrazzled Mon 22-Apr-13 12:35:56

sashh, I don't think the local private hospital would have helped at all. Private hospitals usually need a referral from a GP, and even if the OP could have paid for a private consult with a GP I wouldn't mind betting the private hospital wouldn't have had appropriate staff in to do the job over a weekend.

I don't think the OP was unreasonable at all; if her wound had become infected or the pack had adhered because she couldn't get it changed then it would end up costing the NHS a damn sight more. Now budgets have been so devolved in the NHS, all the different areas have become silos- no-one wants care to come from their part of the budget, patient care is suffering and ultimately it's costing the NHS more when things go wrong. What has happened to the NHS in recent years is despicable.

Fayrazzled Mon 22-Apr-13 12:38:01

mrsmindcontrol- you're forunate. Where I live there is one NHS walk-in centre in about a 20 mile radius, possibly more. And actually, it's not even a walk-in centre it's a minor injuries unit so limited in its remit. NHS provision varies dramatically by area.

thistlelicker Mon 22-Apr-13 12:44:12

Just out of curiosity who normally dresses the dressings? And why didn't or couldn't they do it this time???

olgaga Mon 22-Apr-13 13:14:59

Just out of curiosity who normally dresses the dressings? And why didn't or couldn't they do it this time???

Because the OP was due to drive 2 hours to stay with my MIL for the weekend, to catch up with the all the inlaws and attend several family events.

thistlelicker Mon 22-Apr-13 14:14:14

The reason I asked was perhaps the person originally doing the dressing change could have passed details on to the nurses or p in the area for dressing to be accommodated if enough notice was given? District nurse request are almost instant I think

saintmerryweather Mon 22-Apr-13 17:23:19

The op has said that it doesmt require daily dressings normally. she went to see her consultant on friday, not expecting to have it done, her MIL took the ops DS with her back to her house 2 hours away where the OP was going afterwards and the OP was told she needed the dressings. i presume as her son was with her MIL she would need to get him anyway so she rang her MILs gp who said, i cant do it for you but the walk in centre can. op goes to MIL house having also checked on the out of date nhs website that the walk in centre is open. it apparently is. she goes there to find its been shut for 2 years.

So op asks at a and e and receives no help. op makes a fuss and dressing is changed in 10 minutes, op is happy, nobody died because the op was seen and some of MN still think.op is somehow to blame for the.whole sorry saga.

just in case anyone else cant be bothered to read the thread.

Just asked my mum (a district nurse) she said your treatment has been terrible & you should complain.

FordTractor Mon 22-Apr-13 17:31:00

well done saintmerryweather, this thread is shocking sad

TumbleWeeds Mon 22-Apr-13 17:36:23

Well I have to say if a GP who knows his are tells me there is an OOH centre then I would believe him. Why shouldn't I?

I think if there is a complain, it should be done to the GP first and foremost. Why on earth did he say there was an OOH centre when there isn't one? confused

I would also have expected A&E to tell me where I could go to have the dressing changed. Again they should know the area and be able to send people to the right place anyway. Unless of course, there is no OOH in that area and A&E is unfortunatly taking over all of the OOH work....

TumbleWeeds Mon 22-Apr-13 17:38:05

I have to say, it does make me wonder what on earth you are supposed to do if you are ill/need a dressing and you aren't in your 'normal' area ie you can see your own GP.
Can't see the local GP for a new dressing, no OOH. Where are you supposed to go then?

crashdoll Mon 22-Apr-13 17:48:11

What's with the "CAN YOU READ?". It's really bloody rude!

thistlelicker Mon 22-Apr-13 17:48:30

My point is.... If the op knew she was going away and the consultant told her she needed it dressing. Why didnt consultant arrange for a gp? Or a nurse to sort the dressings? Was the consultant aware op plans were in place? Care plan would have been accommodated accordingly

featherbag Mon 22-Apr-13 17:48:32

Basic nurse training covers basic dressings and basic dressing techniques. A packed wound requires a specialist dressing, which requires the person changing it to have had specialist training.

thistlelicker Mon 22-Apr-13 17:54:45

A wound of this sort,..... Is it not possibly down o tissue viability long term as op has suggested seeing wound is 6 months old.. Or am I getting mixed up ?

AmberLeaf Mon 22-Apr-13 17:58:48

I imagine the OP would have had a supply of the packing dressing. I always did.

Sorry, but it is really not that difficult to do and I'm amazed that a trained nurse would struggle with it, it was done by the A&E nurse in the end so she obviously managed it.

thistle, maybe the consultant thought she'd have no problem accessing a walk in centre?

thistlelicker Mon 22-Apr-13 18:15:31

Dressings are complex dependant on the wound! It's not as simple as Elastoplast!!! Perhaps wound needing cleaning or its now infected hence its went from infrequent changes to daily!

AmberLeaf Mon 22-Apr-13 18:27:37

I know it's not as simple as elastoplast, I had an open wound that needed extended daily dressing myself, so have had experience of various types of packing dressing etc.

From what the OP has said, it was a case of the wound was packed and dressed at the hospital on friday and needed repacking the following day.

It wasn't infected because she mentioned the chance of it becoming infected if not dealt with on the saturday.

thistlelicker Mon 22-Apr-13 18:34:05

Perhaps op should have been a bit more flexible with her arrangements! I did originally think op was bu but she has since added firer info... Bit of a drip feed really! Still think district nurse should have been arranged by consultant

AmberLeaf Mon 22-Apr-13 18:54:25

I can't see a drip feed?

Im jealous of all these people with helpful consultants and accomodating district nurses though!

I was told that district nurses would only come out to people who were housebound.

Must be an area thing.

saintmerryweather Mon 22-Apr-13 19:17:07

She hasnt bloody drip fed, her MIL had her son as she was due to go there this weekend so she would have had to go get him at least, she may as well habe stayed there since she checked with a local gp and was told she could have her dressing changed. Which bit of this story is difficult to understand?!

RubyGates Mon 22-Apr-13 19:37:41

I don't think the OP was being particularly unreasonable. I had a similar stupid "not emergency" that ended up being treated at A&E as a point of last resort.

My GP was struck off, the remaining GPs/practices in the building were supposed to absorb his patients, but when i had a very badly swollen abcess that my dentist couldn't give an emergency appointment for (it being half term) he sent me to "my doctor". I went to the surgery to be told that they would not see me nor would any of the GPs register me unless I returned at a particular time to register (even though they had an agreement to do so, and despite the fact I had all the necessary paperwork with me). The receptionist then told me that it would all be all right because I could easily go to the walk-in centre that was less than a mile away!

How wonderful, what a useful resource! But she must have known , as I did that the walk-in centre had been closed on weekdays since the new-year. She was just trying to get rid of me, and less well informed person would have accepted her advice.

I ended up in A&E for some antibiotics and strong pain killers and was seen by the triage nurse practitioner within ten minutes. If they had refused to help me as well, I dread to think what would have happened.
I think sometimes overworked HCPs just give an answer that lets them off the hook, and passes the buck without fully thinking of the consquences. I would never, ever believe someone who told me something like that without checking it for myself.

Hatescolds Mon 22-Apr-13 19:45:52

Actually RubyGates the ones being most unreasonable in your scenario was your dentist who refused to see you.-- officially Gp's and other doctors can be disciplined for treating a dental problem!! In real life vast majority do due to scenario described by you but I suggest you complain strongly to the dentist.

olgaga Mon 22-Apr-13 19:46:35

I would never, ever believe someone who told me something like that without checking it for myself.

Quite - I agree. I have also had experience of this kind of fobbing off, which is why I said upthread that I would have called to make sure I had been given the correct information. Especially as it was a weekend.

However, it was too late by then anyway as the OP's son had already headed off to the MIL's - 2 hours away.

The truth is it's not always possible to have medical treatment that fits in around your social life.

wongadotmom Mon 22-Apr-13 20:20:39

You had your dressing changed at A&E. YABU to complain about it!

Casserole Mon 22-Apr-13 22:32:49

Olgaga your responses are so breathtakingly rude that I can only assume you have decided to dig your heels in and wilfully ignore everything the OP posts that refutes your very eloquent but entirely unfounded posts.

The OP has had this wound for six months. She has not required daily dressings up until this point. When she was told she would need to arrange a dressing with 24 hours notice, bearing in mind that AT THIS POINT the journey was now non-negotiable as her son had already gone up there and would need to be brought home, she immediately took responsibility and contacted the GP.

He gave her information which she then again took responsibility for, by Googling it to check. At one point in this thread you stated that would be good enough for you. When it was pointed out that the OP had in fact done this you upped the ante. Now, according to you, she should have contacted the GP, Googled AND RUNG the clinic.

Your comments:

"The truth is it's not always possible to have medical treatment that fits in around your social life." and "I would have rung the walk-in centre and made arrangements beforehand to make sure it was ok. Before allowing my BF DS to go on ahead with my MS suffering MIL"

are nasty, unnecessary and display either a profound lack of reading comprehension or an ugly tendency to want to point-score at the expense of someone who has tried to salvage a bad situation. Given your written eloquence I suspect the latter.

This thread is pointing out several new people I intend to avoid like the plague on here. OP, you are not one of them.

bassetfeet Mon 22-Apr-13 22:54:35

The nurse overseeing your discharge should have arranged a district nurse to visit you and change your dressing on the Saturday.
They will have been given details of your surgery and wound care protocol

effedorf Mon 22-Apr-13 22:59:50

Couldn't have put it better myself Casserole.

Sirzy Mon 22-Apr-13 23:18:52

Your complaint should be with the poor care (or no care!) given by the GP and the false information given out.

I would also be pissed off that the NHS websites aren't up to date. Whenever I travel with asthmatic DS I find the details of the local hopsital and walk in centres online before going and have assumed them to be accurate.

I don't think given the circumstances you were wrong to ask a and e to help.

olgaga Tue 23-Apr-13 10:23:59

The GP gave her some out of date information, that was unfortunate, and I think she is entitled to complain about that - as I have already said.

The question was AIBU To complain about A&E not changing my dressing?

But they did change the dressing, even though that was something they wouldn't normally do. I hardly think the triage nurse (who also tried to make other arrangements for the OP) was wrong to point that out.

We are allowed to have opinions, and express them, as to whether we think OP's preparation for her journey, and her expectations of A&E, were reasonable or not - and form our opinions based on our own experience.

That's the point of this topic, and that's what I have done.

AmberLeaf Tue 23-Apr-13 10:39:18

But the OP conceded she would be unreasonable to complain about A&E pages back olgaga, but you carried on attacking every other aspect of this situation regardless.

olgaga Tue 23-Apr-13 11:18:32

No, I carried on disagreeing with people who disagreed with me.

It's called discussion.

AmberLeaf Tue 23-Apr-13 11:20:09

I refer back to casseroles excellent post.

LessMissAbs Tue 23-Apr-13 12:42:22

OP, it'd be easier going on holiday abroad and being seen by a local doctor privately than this carry on. There seems to be a gap in NHS provision when you travel more than 10 miles from the place of your birth. Sometimes people have to travel. We have a National Health Service, not a local one. Its ridiculous that this should cause so many problems. For example, I used to work as a locum and had to work away from home for weeks on end. Seeing a GP was ridiculously difficult, the best suggestion anyone could come up with was that I registered as a new patient each and every time I worked away from home for a few weeks, then de-registered and re-registered back home when I returned! Farcical.

I think it turned into an emergency.

olgaga Tue 23-Apr-13 13:16:07

Its ridiculous that this should cause so many problems.

I agree. They really aren't geared up for it at all and in OP's case it was complicated by the fact that it was a weekend.

megandraper Tue 23-Apr-13 14:42:18

YANBU OP and I'm amazed everyone thinks you are. Of course you should be able to travel around the country. Just because you need a dressing changed shouldn't mean that you are chained to your house/local area. The NHS is a national organisation and should be able to cope with this.

I had a problem with antibiotics for one of my children - he was on a 10 day course and we spilled some of the bottle so that he was 2 days short, while staying with ILs in a different town. The local pharmacy would only dispense with a prescription. My doctor would not fax the prescription. The local doctor would not give us an appointment to get a prescription without us registering as patients, and even then we'd have to wait a week. In the end, i managed to get the pharmacy to sell us 2 days worth privately. It was quite stressful, because no-one would help solve the problem (apart from the lovely pharmacist, who even apologised for the high price of the ABs.) It's just silly that processes should be so convoluted.

sneezecakesmum Tue 23-Apr-13 16:59:30

No idea why so many problems with wanting a gp service away from home. Local GPs are supposed to accept patients as temporary residents. No idea why people are being refused this service. This includes out of hours. Complain if this doesn't happen. I've never had a problem with doing this.

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