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To share ways to make A&E more bareable

241 replies

silvershark22 · 24/08/2024 09:14

Given lots of people find the 12 hour plus waits in A&E tough wondering what things make it barable.

Mine is an oodie can vbe warn if in a draftie place or rolled into hood to make a pillow or sat on to make uncomfortable chairs better.

OP posts:
CeeceeBloomingdale · 24/08/2024 18:25

TwinklyAmberOrca · 24/08/2024 09:31

To teach people that A stands for accident and E stands for emergency so if their issue doesn't qualify they go to a minor injuries unit or book a GP appointment.

They only keep you waiting 12 hours where I am if you're injury isn't high risk and can wait.

Otherwise just take a good book.

Not the case everywhere. I've sat 12 hours overnight with a relative who was diagnosed as having advanced sepsis and was admitted for a stay of 2 weeks when eventually seen the next morning. I've also taken a very elderly relative twice in the last year and sat for 10 hours each time before leaving her on a trolley in the corridor as had just been triaged and there were no beds but she was too ill to be released.

AgileGreenSeal · 24/08/2024 18:23

Next time I get sent there by a GP (never I hope 🙏🏻) I will be sure to bring a pillow and blanket.

InevitableNameChanger · 24/08/2024 18:21

silvershark22 · 24/08/2024 17:02

I actually think its often the more serious something is the longer you have to wait.

At my hospital the times to be seen in minors are about half that of majors atleast. Someone whos experience is of broken bones and stitches is probably quite a quick flow.

Even time wasters in majors can be seen quite quickly eg a junior dr can prescribe 3 days of antibiotics for a uti and send someone on there way. Its if someone say requires iv antibiotics, scans and being seen by surgeons that it takes a while.

My A&E frequently announces if someone isnt actively being treated on iv atpressent for staff to clear cubicles and send them back to the waiting room. We wouldnt otherwise expect someone who is sick to sit on a hard chair so how do we make this more comfortable.

Agreed, last time I was there saw lots of people arrive and be despatched during the time I was there. Meanwhile I had to wait for tests, wait for results of tests.and then wait for a consultant and then wait for meds.

InevitableNameChanger · 24/08/2024 18:19

halava · 24/08/2024 18:18

Softer cushioned chairs would be great. However they will never be introduced as keeping things uncomfortable seems to be a great way of getting time wasters out!

But its also a great way of making unwell people feel worse or meaning people who really need to go resist going until they are really unwell

halava · 24/08/2024 18:18

Softer cushioned chairs would be great. However they will never be introduced as keeping things uncomfortable seems to be a great way of getting time wasters out!

DilemmaDelilah · 24/08/2024 17:06

I am usually on a trolley pretty quickly as the only times I have been to A&E for myself has been for heart issues. I have been there for up to 10 hours though! I always take my hospital bag, just in case. Pyjamas, dressing gown, toothbrush/paste, regular medications. Tea bags/coffee/sweetener (have to have decaff - heart issues!) Snacks. Tablet, book, chargers. Water! And always my little softy pillow - a small feather pillow.

silvershark22 · 24/08/2024 17:02

I actually think its often the more serious something is the longer you have to wait.

At my hospital the times to be seen in minors are about half that of majors atleast. Someone whos experience is of broken bones and stitches is probably quite a quick flow.

Even time wasters in majors can be seen quite quickly eg a junior dr can prescribe 3 days of antibiotics for a uti and send someone on there way. Its if someone say requires iv antibiotics, scans and being seen by surgeons that it takes a while.

My A&E frequently announces if someone isnt actively being treated on iv atpressent for staff to clear cubicles and send them back to the waiting room. We wouldnt otherwise expect someone who is sick to sit on a hard chair so how do we make this more comfortable.

OP posts:
ShinyAppleDreamingOfTheSea · 24/08/2024 16:58

newyearsresolurion · 24/08/2024 10:03

Accident and emergency !!!!!! So you can't be 'preparing' to go to A&E

If you need immediate care eg heart attack you dial 999 as you will probably need the care of a paramedic / ambulance equipment before getting to hospital. If someone has eg a broken leg then you can wait 5 mins while someone packs a bag - although mostly when people are packing a change of clothes /PJs it's because there is a likelihood of them being admitted .

Gettingbysomehow · 24/08/2024 16:50

I've been there twice and waited for around 8 hours both times. Once with suspected DVT and the other time pulmonary embolism. The drinks machine was broken both times so there was no tea, coffee or water. Take drinks.

OneTC · 24/08/2024 16:46

CeruleanBelt · 24/08/2024 16:17

A friend of mine recently spent 26 hours in waiting rooms and trolleys in the corridor with sepsis. Where are people that they're admitted after 2 hours?

Admission for my mum has taken up to 24 hours (spent in a bed in majors) but has also been as quick as a couple of hours. That's in hospitals in Surrey and South London.

The other day OH went to hospital after ringing non emergency number with a broken finger, she was given a time to arrive, was triaged, x-rayed and splinted in 1.5hrs and saw a specialist 3 days later, who put a better splint on and went through her x rays more extensively. Initial visit was central London on a Friday evening

Devonshiregal · 24/08/2024 16:36

CabbagesAndCeilingWax · 24/08/2024 09:47

Well that's obviously nonsense. At least half of my A&E visits are for broken arms!

(And yes, we use minor injuries if possible, but it's only open 8-8, and they don't have x-ray facilities every day)

Yes, it’s always fun when people quote scenes which are obviously from tv shows as if they’re fact though, isn’t it? 😂

WestwardHo1 · 24/08/2024 16:23

I can't fathom a situation where A&E was required but I'd also have time to pack up a bag of miscellaneous stuff.

It seems as though the bar for what constitutes an accident or an emergency goes ever higher. You can't fathom a situation in which someone has broken an ankle? Had a burn? A dislocated collar bone used to be a perfectly justifiable reason to visit A&E. Apparently not any more.

My DSis sat for six hours in A&E with her son, as his ear oozed blood and pus. He's normally a very stoic child but was crying with pain. She was on holiday visiting me, and 111 had been worse than useless. My own surgery wouldn't see him. She couldn't get through to their own surgery at home. What exactly are you supposed to do in that situation?

With a few exceptions it's not the general population's fault that A&E services are so stretched, but the blaming "stupid people" is quite fun I suppose.

LadyMonicaBaddingham · 24/08/2024 16:22

StMarieforme · 24/08/2024 09:37

Famously a clinical manager at an A&E walked into a packed waiting room and said, "all those who can stand up without pain etc please do so". They excitedly did thinking they were going to be seen first.

She then said "All go home. You are neither accident nor emergency".

Don't talk such twaddle! DH's best friend had to be driven to A&E with a bramble (thorn) stuck in his eyeball after a freak gardening accident. He could walk into the building perfectly, but was, ultimately very lucky to keep the sight in it because help was sought promptly...

CeruleanBelt · 24/08/2024 16:17

A friend of mine recently spent 26 hours in waiting rooms and trolleys in the corridor with sepsis. Where are people that they're admitted after 2 hours?

CeruleanBelt · 24/08/2024 16:15

StMarieforme · 24/08/2024 09:37

Famously a clinical manager at an A&E walked into a packed waiting room and said, "all those who can stand up without pain etc please do so". They excitedly did thinking they were going to be seen first.

She then said "All go home. You are neither accident nor emergency".

That's just fucking stupid.

Not all serious injuries or illnesses mean you can't stand up, and plus that never happened anyway.

silvershark22 · 24/08/2024 16:13

Agreed @InevitableNameChanger my GP has also said to go home and pack a bag when they suspected appendicitis. Following a gp triaj call have also been told to bring a DC in for an f2f but bring a bag as Hospital was a possibility.

OP posts:
ChemicalA03959X · 24/08/2024 16:11

Hospital Bag Essentials
1. Personal Identification and Documentation:

  • ID and Insurance Information: Bring a form of photo ID, insurance card, and any necessary medical documents.
  • Emergency Contacts: Have a list of emergency contacts and medical history, including allergies and current medications.
2. Comfort and Hygiene Items:
  • Comfortable Clothing: Pack loose, comfortable clothes such as a robe, pajamas, or a nightgown. Consider a change of clothes for after discharge.
  • Underwear and Socks: Include several pairs of underwear and socks.
  • Toiletries: Bring travel-sized toiletries like toothbrush, toothpaste, deodorant, soap, shampoo, conditioner, and any personal hygiene products you use daily.
  • Hand Sanitizer and Disinfectant Wipes: Useful for maintaining cleanliness.
3. Snacks and Beverages:
  • Non-Perishable Snacks: Items like nuts, granola bars, and dried fruit can be handy for a quick bite.
  • Water Bottle: A refillable water bottle to stay hydrated.
4. Entertainment and Distraction:
  • Books, Magazines, or E-Reader: For reading during wait times.
  • Tablet or Smartphone: Loaded with games, books, movies, or music. Don’t forget headphones or earbuds.
  • Puzzle Books: Crosswords, Sudoku, or other puzzles can help pass the time.
5. Comfort Items:
  • Blanket or Shawl: A personal blanket or shawl can provide extra warmth and comfort.
  • Travel Pillow: For additional neck support while sitting or lying down.
  • Eye Mask and Earplugs: To help with sleep or relaxation in a busy hospital environment.
  • Portable Charger/Power Bank: To keep your electronics charged.
6. Important Medications:
  • Regular Medications: Pack any prescription medications you are currently taking, along with their original packaging.
  • Over-the-Counter Medications: Consider bringing common over-the-counter medications you might need, such as pain relievers or anti-nausea pills.
7. Medical Supplies and Special Needs:
  • Personal Medical Devices: Include any personal medical devices you use, such as a CPAP machine or insulin pump.
  • Special Dietary Needs: If you have dietary restrictions, consider packing non-perishable items that meet those needs.
halava · 24/08/2024 16:09

If you have time - pack a little "grab bag" with -

A neck pillow
Usual meds and list of them
Baby wipes, change of knickers.
An eye mask is a brilliant piece of kit for brightly lit places at night.
The usual spare chargers and power bank
Earphones - wired so you can use one ear, and the other ear to hear your name called (eventually!).
Notebook and pen
Drinks, snacks to keep you going - if able to eat.

Sounds like a lot, but it's not that much really.

It would also be great if vending machines accepted cards, maybe they do now though. And if water coolers were provided, filled and with cups.

InevitableNameChanger · 24/08/2024 16:07

EpilesyUni · 24/08/2024 14:50

As an epileptic, I always have a "hospital bag" ready on standby in exactly the same way I always had a hospital bag ready on standby from 36 weeks pregnant. What's the difference between the two situations?

(I would actually rather scoop out my own eyes with a melon baller than go to A and E, and do stupid shit like relocate joints etc myself if it means I can avoid A and E especially if it's a weekend night). Still, as my epilepsy is uncontrolled I am, as a PP quite dismissively said, a "frequent flyer" so have to be prepared knowing hospital visits will happen in the same way I knew I would have a baby at some point!

In fact I have two Shock hospital bags. My handbag which I always take with me if I'm out alone, containing water bottle/two days meds/wipes and clean underwear/battery charger and cable/ipad. So I have the basics if I'm admitted alone or unconscious etc. My hospital bag which I would take from home, or which DH would give to paramedics, contains 7 days of meds/basic toiletries/charger plug/underwear/grippy socks/sleep mask/couple of big shirts I could use as sleep shirts or as a shirt dress for discharge. I usually deliberately wear a long cardi day to day which could double up as a robe in hospital, or be folded for a cushion etc. I like to have minimal amount of stuff for hospital waits/admissions and I don't like visitors or people with me.

I also obviously wear a medical alert bracelet which has DH's contact number and in the "emergency screen" on my iPhone I have the details set up including DH's mobile, my NHS number/blood type. I also have this as my screen saver which has proved useful in the past. I think that was a MN tip originally funnily enough!

I fucking hate A and E. Our average wait time is 8-10 hours but obviously it varies so much eg if you're walking wounded or straight in to majors etc. Our local minor injuries closed for "optimal staff distribution" during Covid and has never re-opened Hmm

Exactly, people laughing at this discussion probably don't live their lives with a medic alert bracelet permanently on, a handbag rattling with meds and an essay worth of ICE information on their phone.

I bloody hate A&E. Last time I went I tried to argue hard with my GP who wanted me to go, till he finally persuaded me it was essential

But if I have to be there I don't see why I shouldn't have a bag pre packed with things that will make it a little less bleak.

And when my toddler had a suspected broken leg the GP said to go home and pack a bag with bits for him and then go to A&E, so that's what we did. (I mean clearly we should have just gone to A&E but my ex was an arse like some of the people on here and convinced it would all wait till the next morning, so even getting him to agree to go to the GP was an effort)

tothelefttotheleft · 24/08/2024 16:05

TwinklyAmberOrca · 24/08/2024 09:31

To teach people that A stands for accident and E stands for emergency so if their issue doesn't qualify they go to a minor injuries unit or book a GP appointment.

They only keep you waiting 12 hours where I am if you're injury isn't high risk and can wait.

Otherwise just take a good book.

That's just not true.

I was with someone who'd taken a paracetamol for overdose. Antidote needs to be given in certain amount of time to work.

That didn't happen and we were there 10 hours.

JLT24 · 24/08/2024 16:03

I’d like to see the option to recline a chair and them have blankets available in you’re there overnight to get a bit of rest.

Also some proper food available (ours doesn’t even have a vending machine!!)

I and many relatives have been there 10+ hours on many occasions a few snacks is not enough

JLT24 · 24/08/2024 15:57

CheeseWisely · 24/08/2024 09:33

I can't fathom a situation where A&E was required but I'd also have time to pack up a bag of miscellaneous stuff.

Or the rare occasion I or a member of my family have been to A&E it's been in a rush, because there's been an accident or an emergency.

Plenty of situations where this can occur.

I went in once because I was pregnant and unable to pass any urine. 111 sent me to walk in and walk in sent me to A+E. I could have packed a bag as the pain wasn’t severe. They needed to do an immediate bladder scan and no where else except a+e could offer it.

A relative was sent to A+E as they were displaying symptoms of a stroke but we’re able to pack a bag. Turned out to be migraine. They were actually admitted for 10 days whilst they tried to figure out what was going on.

You don’t have to be a deaths door or totally incapacitated to have something serious going on.

Jaffaisitacakeorbiscuit · 24/08/2024 15:57

Approx 22% of the UK population attends A&E each year.

High intensity users are generally defined as attending 5 or more times in one year.

silvershark22 · 24/08/2024 15:54

Thanks for sharing your snacks. Reminds meof being on a train and a toddler was running up the isle kicking the doors while mum tried to deal with a young baby found a couple of crayons and a hotwheels in depths of my bag and said child was happy and quet.

I wonder how many people whoare mocking this are the ones with something quite minor asking to use others phone chargers. @go

OP posts:
TheOnlyLivingBoyInNewCross · 24/08/2024 15:33

StMarieforme · 24/08/2024 09:37

Famously a clinical manager at an A&E walked into a packed waiting room and said, "all those who can stand up without pain etc please do so". They excitedly did thinking they were going to be seen first.

She then said "All go home. You are neither accident nor emergency".

She sounds a bit shite as a medical professional if she can’t fathom anyone having had an accident which requires emergency attention yet who can still stand.