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"Assessment and education"

About: Busselton Health Campus / Emergency Department

(as a parent/guardian),

My child was ambulance transferred to Busselton Health Campus from their local primary school after falling from a height onto their back and a few seconds later going unconscious and falling flat on their face. My child arrived in spinal precautions. 

The nursing staff were warm, engaging and an absolute credit to the department. Their interactions with my child were supportive and gentle and they really liked Chelsea.  

Unfortunately I was less impressed with the doctor. Their only assessment was global palpation of my child's spine with, I recall, very leading questioning, this is not sore is it?.

The doctor then asked for panadol and nurofen and had my child lie supine for 4 hours post fall and reassessed with pain relief on board, again a general palpation of their spine with seemingly leading questioning.

My child's pain had improved so the doctor cleared them to mobilise. They did not conduct any neurological screening, concussion assessment or imaging.

I felt the doctor's assessment was very rudimentary and insufficient for them to confidently clear my child of a spinal injury. I asked the doctor to screen my child more thoroughly due to the pain they were reporting and they completed a chest auscultation (relevance?) and felt that imaging was unwarranted. I believe the doctor was unaware of my own health background and that I had conducted my own thorough assessment of my child to ensure I was confident they could mobilise without permanent damage prior to getting up.

I recall the doctor provided no education on signs to look out for or when to be concerned and re-present. Based on my experience, I fear for other families who may not have knowledge in the area and have their child present, mobilise and then discharge seemingly without adequate assessment or education. 

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Responses

Response from Mark Holloway, Director of Medical Services, Busselton Health Campus, WA Country Health Services - South West 2 months ago
Mark Holloway
Director of Medical Services, Busselton Health Campus,
WA Country Health Services - South West
Submitted on 26/11/2024 at 11:16 AM
Published on Care Opinion at 11:21 AM


Dear saturntx88,

My name is Mark Holloway and I am the Director of Medical Services at Busselton Health Campus.

I am very sorry that you and your child did not receive the high level of professional assessment and attention from our emergency department doctor.

We would like to take this opportunity to reflect on our performance.

I would be grateful if you contact me by phone or email so that we can get the details of your visit.

We can learn the most when things do not go well,

Kind regards,

Mark Holloway

(08) 97536375
mark.holloway@health.wa.gov.au

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Response from Mark Holloway, Director of Medical Services, Busselton Health Campus, WA Country Health Services - South West last month
Mark Holloway
Director of Medical Services, Busselton Health Campus,
WA Country Health Services - South West
Submitted on 16/12/2024 at 4:31 PM
Published on Care Opinion on 17/12/2024 at 10:11 AM


Dear saturntx88,

Thank you for reaching out and allowing us the opportunity to learn and improve.

I have examined the record and discussed the case with our emergency head of department and the doctor involved.

We would like to apologise for the inadequate assessment and education highlighted by yourself.

We have started a clinical incident management review so we can address and improve the issues you have raised.

We have spoken to the doctor and explained in detail as to how to improve their performance. They have agreed to seek more advice and support from their colleagues and supervisors. The doctor expresses their genuine sorrow and regret.

I will contact you again with the outcome of the review,

Kind regards

Mark Holloway

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