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AIBU?

Share your dilemmas and get honest opinions from other Mumsnetters.

Just back from doctor's and am fuming and livid

340 replies

deckofcards · 30/12/2013 11:41

Before I write a formal letter of complaint, am I being unreasonable?

Went to doctors' before Christmas for a routine appointment and repeat prescription. Needed a blood test and to have ears syringed (have been going deaf). Dr gave me print out and told me to make an appointment with the nurse. Went to reception and asked for an appointment with the nurse which is what I thought I had been given.

Arrived this morning, having fasted. Called in by a sweet enough girl although she wasn't wearing uniform and didn't properly introduce herself as a nurse or anything else. She took my arm and sweetly put it on a pillow, told me I had very deep veins (which I know but it isn't usually a problem but sometimes a doctor has been called), tried the other arm using elasticated cuffs that were clearly broken because they kept popping open and she later said they were no good. She gave me a glass of water to hydrate me better for the veins (which I would have thought would take more than a mintue to work). Still no joy so she went to get a colleague to help her.

The colleague was the receptionist who leaned over me reeking of tobacco and tried to find a vein. I questioned this and was told she was also a trained phlebotomist. The original one then said they would have to give up as the vein wasn't pronounced enough but she would start on my ears. I asked if she was a qualified nurse and she said, no a health care worker.

I declined her offer to deal with my ears and said that I would prefer an appointment with a fully trained practice nurse.

I went out to make another appointment and have been offered one for today with the proper nurse for my ears and have another on Thursday morning for blood tests. I am extremely grumpy that my time has been wasted.

Am I wrong in thinking that if I am told to make an appointment with the nurse and ask for an appointment with the nurse I should be given an appointment with the nurse or advised either when making the appointment that it is not with a nurse. I certainly should not embark on treatment without being appraised of the full facts.

It was clear that the person I saw this morning was not capable or experienced, it did nothing to inspire confidence that she got the girl off the reception desk to help her (and who reeked of tobacco) and I left feeling cross, upset, disrespected and messed about. I would have thought as a minimum of a health care assistant is expected to take blood or syringe ears (and I think the latter is more of an issue actually) then there should be a fully qualified nurse on the premises to supervise, not the stinky girl from reception.

Is this really what healthcare has come to and surely I'm not being unreasonable to expect the tin to contain what it says on the label.

I am minded to make a formal complain to the surgery but needed to get that off my chest first and to take some feedback - hopefully from those who work in surgeries. Oh, and the receptionist/phlebotomist told me it wasn't just my time that was wasted from their side the healthcare assistant now had 30 minutes with no patient because she wasn't doing my ears. My response to that was that had I been told my appointment wasn't being made with the practice nurse in the first place that wouldn't be the case because I wouldn't have made the appointment.

Sorry - very long but I feel better for a rant - and even more that the entire episode was totally out of order. But am I being Unreasonable to think that.

OP posts:
DoYouLikeMyBaubles · 31/12/2013 16:05

Half the time doctors don't know their staff and who is capable of what. He probably just used a blanket term. Or maybe the nurse is also capable, but she was booked up and it was left to the also experienced and trained HCA?

We don't know.

SpottyTeacakes · 31/12/2013 16:07

We have 3 hca's and 5 nurses at our practice and we have a spread sheet telling us who can do what. I doubt the drs can remember it all off by heart as we certainly can't a we book the appointments!

I suppose as well it could have been that they could get you in with the hca a lot sooner than a nurse so they probably just did first available appt for ear syringing and blood test, which would have had to be a double appointment minimum.

SpottyTeacakes · 31/12/2013 16:08

DoYouLike you said it simpler than me Grin

CaptainHammer · 31/12/2013 16:10

FaireNuff and CaractacusPotts completely agree with you.

ChristmasStrumpet · 31/12/2013 16:16

I would be cross with this too.

They should have said exactly WHO you were seeing when they made the appointment for you so if you were not happy you could have re arranged there and then.

Its the sly, slip it through the back door approach I dont like, not the fact the Health Care worker was going to do bloods.

I would complain because I think the way this been handled is very wrong.

For the record I am always willing to let students learn from my consultations etc (have even let gynae students join the party with my legs akimbo Blush)because I strongly believe they need to learn somewhere and they are the generation of Drs that will be treating me in my old age; but I have been informed they are students and permission sought beforehand. I think I have only ever once refused and that was because I was absolutely terrified of the procedure to be carried out.

I dont think you are over reacting at all. The surgery were not upfront and honest with you, which kind of fucks up the whole position of trust etc.

DoYouLikeMyBaubles · 31/12/2013 16:30

For the record I am always willing to let students learn from my consultations etc

what has this got to do with anything? The HCA wasn't a student.

HoHoHopelessAtNamingBabies · 31/12/2013 16:32

Nowhere had the OP said what she requested when booking. If I need to book an appointment I tend to say why, eg 'I need to book a flu jab', 'I'm due a smear test', 'my DD seems to have an ear infection' etc. This allows me or my child to be booked to the right person/clinic.

DoYouLikeMyBaubles · 31/12/2013 16:47

It's a shame we can't all have these would make life so much easier

AutumnshadesofGold · 31/12/2013 16:53

I know I should read the whole thread etc etc but the way you refer to the girl from reception in your OP is so derogatory it's not even funny.
I am one of those GP receptionists and have a colleague who is a practice nurse 1/2 the wk & a receptionist the other 1/2.
Get a grip woman

Mrsmorton · 31/12/2013 16:55

FWIW I think it's a real bonus to have someone with some clinical training and knowledge on reception. As a dentist I love it when one of the nurses can calm someone down or at least take a good history so we know what's en route rather than either us guessing or one of the admin staff asking me to come to the phone.

AutumnshadesofGold · 31/12/2013 16:55

Caractacus potts - I loves you and everything you just said Smile

CaractacusPotts · 31/12/2013 18:18

Autumn

My daughter is a CSW and a bloody good one at that!! She's aching today from spending 15 minutes doing chest compressions on an old lady who collapsed on her shift and was devastated that they couldn't save her!! Fucking helper my arse!!!

She's also a student worse so to the twat who thinks HCA's are too 'nice but dim' to be 'higher qualified', fuck you too!!

Myself and two of my children wouldn't be here without the NHS! I know they aren't perfect and I know there are changes that could be made to improve the service but I'm rather precious about it too (as you can probably tell) and this thread has far too many posters with their heads up their arses!

Rantover Wink

CaractacusPotts · 31/12/2013 18:19

Clearly she's a nurse not a worse! My phone hates me!!

roweeena · 31/12/2013 19:44

Not read the entire thread but I think your being incredibly daft. The health care assistant has obviously been trained to take blood and syringe ears. You have wasted three vital appointment by refusing her to do them just because she hasn't got the right title!

The recoetionist is also a trained phlebotomist - so I don't understand why you have reacted in that way?

BuffyxSummers · 31/12/2013 19:48

RTFT and you might understand why the OP reacted this way Grin

ChristmasDayIsAGoodDay · 31/12/2013 19:58

I have RTFT and (like most others on here) I still think the op sounds miserable, patronising and snobby.
She clearly has a problem with a younger female treating her. I encounter this in my own workplace and it is disrespectful, sexist, ageist and very wrong.

BuffyxSummers · 31/12/2013 20:13

Meh, I just meant the answer to her specific question is embedded in this here thread. Seems a bit lazy to ask why when it's all in there Grin

CaractacusPotts · 31/12/2013 21:17

I've RTFT too and she's got an ant up her arse because the Dr said 'nurse' but was given an appointment with a perfectly qualified HCA!

If that's the OP's only issue then she's still B ridiculously U. However, her OP and many other responses stink of self entitled shite!

BurningBridges · 31/12/2013 21:35

why is it self entitled to want to be treated properly? Are we doing the "oh its free so whatever it is we're lucky" thing tonight?

My GP's practice offer a blood sample service, done by receptionists who trained to be phlebotomists. Sadly, they are really bad at it although they are nice people. Its usually painful, takes ages and there's a massive bruise. Phlebotomy training benefits from experience which they don't have. So I always opt to go to the hospital to have my samples done. However, everything else at GP's is done by a qualified nurse. I'm with the OP on this one.

DoYouLikeMyBaubles · 31/12/2013 21:39

She wasn't treated improperly.

And your last paragraph burning how on earth are people supposed to get experience if people aren't willing to allow them the privilege. They have trained, they are competent enough to earn certification, but probably aren't being able to get the experience they need to get to your high standard.

sockssandalsandafork · 01/01/2014 21:46

This made me think about all the HCA's and nurses I have come across (professionally) The best HCAs I have met never referred to themselves as 'nurses' but the best nurses I have met would refer to the HCAs as 'nurses' ... not sure of my point, just musing!

roadwalker · 01/01/2014 21:52

I much prefer having blood taken at the hospital, by the HCSW
It is the practice not the training. They do it all the time and are really good. None of the staff at my local practice are as good because they don't get as much experience

Bugsylugs · 01/01/2014 22:04

Costs the NHS a hell of a lot more for you to have it done at the hospital what a waste.

MudCity · 01/01/2014 22:28

The job title is neither here or there. As other posters have said, some HCAs are trained to take bloods and do other procedures. The job title means nothing, however people must have the training and skills to do the work they perform.

You don't necessarily need to see a nurse to have your blood taken. The surgery would have allocated you to the person who was trained in the procedures you required.

By all means, you could ask the surgery that they provide you with information about who you are seeing and their qualifications. Sometimes this information is available in a booklet / on the surgery's website. However, when all is said and done, if there is one trained HCA available to take your blood or syringe your ears then clearly, that is the person they will book the appointment with.

If you have real concerns about the HCA's competence then by all means complain using the surgery's complaints procedure. If you have concerns about the lack of information about staff at the practice, then you could complain about that too. However, be prepared for them to confirm that the HCA is suitably qualified to take blood and this is ok.

cleofatra · 02/01/2014 01:40

Dont kid yourselves. The person I know had done 2 days training before beig unleashed on the public. She had been a receptionist and then did the day training on a few things and then it was ears, stitches and other procedures.

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