Australia: More revelations about NSW public hospital

Amazing that this was ever tolerated

Cockroaches crawled over patients undergoing surgery and theatre staff were forced to catch a falling patient after an operating table collapsed in the middle of a procedure at the Royal North Shore Hospital. The incidents were part of a litany of horror stories about the hospital that were revealed as a NSW parliamentary inquiry into the RNSH began yesterday. In a written submission to the inquiry, Jeffery Sleye Hughes, who was senior orthopaedic consultant at the hospital for 12 years until this year, detailed:

* patients with infected joints and compound fractures being "left to rot" in wards for 18 hours or more because of "inappropriate theatre management";

* patients being lied to about the reason their surgery was delayed, by units in the hospital trying to cover their backs;

* live cockroaches running over operating theatre tables during surgery;

* high-pressure hoses exploding in theatre during operations and injuring staff; and

* operating tables collapsing during surgery, with surgeons forced to catch falling patients.

The inquiry, which is due to report next month, was called following the publicity surrounding the case of Sydney woman Jana Horska, who miscarried in a toilet adjacent to the hospital's emergency unit in September, after waiting hours for treatment.

In another submission, Sydney woman Maureen Cain told how her husband lost both legs after contracting a staph infection at the hospital in 1998. "The family and I were horrified at the filthy conditions but, as we were so occupied with supporting our husband and father, (we) did not do anything at the time," Mrs Cain wrote. "Wards were dirty, bed frame had congealed matter on it, there was no ventilation in the bathroom, syringe left under the bed for three days before I picked it up - I could go on and on."

NSW Health Minister Reba Meagher insisted conditions would improve under new management and stressed the need for better financial management to end budget overruns. "There will be no cuts to nurses, no cuts to doctors and no cuts to beds," Ms Meagher said. "Our investment in frontline services will continue to increase in those important areas, but it is important that the hospital's financial management is improved and there have been a number of ideas floated."

Acting nursing director Linda Davidson told the inquiry nurses at RNSH had been spat at and abused in the street following coverage of problems at the hospital. "I have had it reported to me that some nursing staff in the community are actually undergoing similar situations that their colleagues at Camden and Campbelltown experienced, which was abuse in the streets and actual spitting episodes," she said. "So when that comes back within that environment, the morale does tend to wane accordingly." Nurses at Campbelltown and Camden Hospitals were abused in the streets when the hospitals were at the centre of maltreatment allegations in 2004.

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