Thursday 27 October 2016

Psychotic patients in Beaumont being left on trolleys for days

The escalating crisis led to a series of frightening episodes over the last fortnight
The escalating crisis led to a series of frightening episodes over the last fortnight

A GOVERNMENT minister is seeking a meeting with Beaumont Hospital chiefs after it emerged that patients suffering acute psychiatric illness are having to endure days on trolleys in its overcrowded Emergency Department (ED).

The escalating crisis led to a series of frightening episodes over the last fortnight including one incident where a staff member was threatened with a scissors.

Internal correspondence details how staff no longer feel they are working in a safe environment.

So far this month:

*Terrified patients watched as a person tried to slash their own wrists while making obscene comments about children.

*One patient was left 78 hours without their medication.

* A mother and daughter from the US were told they would have to wait for 24 hours in psychiatric ED even though a bed was available at another hospital.

*Gardai were called to locate a patient who disappeared without treatment.

The situation has been blasted by Labour TD for Dublin North Central Aodhan O Riordain, who said he is seeking a meeting with hospital chief executive Liam Duffy to discuss the matter.

“Staff need to be able to work in a safe environment, and patients need to be able to expect the right level of care for their needs, and both sides seem to have been failed in this situation,” he told the Herald.

Fianna Fail Dublin North Central Councillor Deirdre Heney was also critical.

“It is totally unacceptable that psychiatric patients are seeking services in an emergency department that is not equipped for their particular needs,” she said.

In one email to Beaumont boss Mr Duffy, the hospital’s Head Clinician in Emergency Medicine Peadar Gilligan said the victim of one attack was a newly appointed care assistant who “was almost stabbed by a psychotic patient and, had it not been for the bravery of one of the Emergency Medicine Registrars in coming to his assistance, the outcome could have been much worse”.

It is understood that the patient chased the staff member with scissors. 

Another memo signed by some nursing staff at the A&E said the situation was “harmful for patients”.

Sources said the nine psychiatric patients were being cared for in the ED last weekend.

Psychiatric patients who are in a state of anxiety or potential psychosis are treated in the already overcrowded ED because there is no out-of-hours assessment unit in the hospital’s Ashlin Centre, where people with mental illness are cared for.

The 38-bed Ashlin centre opened in May last year, replacing the long-running service in St Ita’s, Portrane.

During the month of May, there were 782 patients on trolleys in Beaumont.

Dr Gilligan confirmed last night that there is “huge concern” among staff.


“It is now a huge issue. It also means that a large number of staff may have to take care of the psychiatric patient and there are not enough to look after the other patients,” he said.

A spokesperson for Beaumont Hospital has said the Ashlin centre is under the control of the HSE, “with which Beaumont is working closely.”

The emergency department has 24-hour security.

The HSE said the Ashlin centre provides acute inpatient care for the catchment population of north Dublin.

“It is acknowledged that there has been considerable demand for acute beds in the centre over the past number of months.

“However, every effort is being made to provide appropriate services for acutely unwell patients with mental health difficulties.”

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