'Atrocious' 111 response slammed

IT student Laurie Williams found the young Chinese woman writhing on a toilet floor. Photo: NZ Herald/Sarah Ivey
IT student Laurie Williams found the young Chinese woman writhing on a toilet floor. Photo: NZ Herald/Sarah Ivey
A woman is appalled it took three emergency calls to get help for an Auckland student writhing in pain at her inner-city campus - less than a kilometre away from the ambulance station.

During the second call, the caller was told by a Christchurch-based operator to phone a non-urgent 0800 number, which St John Ambulance service admits should not have happened.

A student and staff members at Auckland's Whitireia Community Polytechnic campus are considering laying complaints over the case.

The drama unfolded when IT student Laurie Williams, 22, found a young Chinese woman writhing on a campus toilet floor in Queen St last week. She is believed to have been suffering ovarian pain.

The woman's friend had already dialled 111, but because both had limited English they passed the phone to her.

"They [the ambulance operator] basically asked things like what was her name and where she was born and eventually after 10 minutes they agreed they would come and get her ... they said go and wait outside," Miss Williams said.

But she said an operator called back saying they were "really busy" and asked if she could further consult with the ill woman over the phone. "The problem was she was in and out of consciousness and wasn't really capable."

Miss Williams said she was told by the operator that a nurse would call for a further assessment. She says no one called back.

A handful of staff members soon arrived in the bathroom, including student counsellor Diana Fergusson.

She also called 111 but said an operator demanded the student's vital details before she was able to send a vehicle, leaving the woman in continuing agony as they went through school records to find her information.

"I had a bad reception from the woman and she wasn't going to call the ambulance either, she was very rude," she said.

"I said 'What the heck? Seriously? You're not going to send an ambulance? This girl is going in and out of consciousness'. But in the end she said to me 'I can't help you I'm in Christchurch' and I said 'You've got to be joking'."

After calling the 0800 number, which is listed as a "non-urgent" phone number on the St John website, an ambulance arrived within 10 minutes and took the woman to Auckland Hospital.

St John spokesman Robbie Walker said the first call at 3.31pm was "correctly triaged as suitable for a further telephone assessment".

He said St John set targets for phone assessments of patients within 30 minutes and this was met.

"When we triaged a higher priority response the attendance time is eight minutes and this was met."

The second 111 call was answered at its Christchurch Clinical Control Centre with the operator giving the 0800 number. An ambulance arrived at 3.54pm.

Mr Walker admitted referring callers to the toll-free number was not "regular process", but he said the initial operator wasn't told the victim was unconscious.

"What should have happened is we should have linked the jobs and updated the caller on the process instead of giving another number."

Ms Fergusson said the response was "atrocious" and staff were not equipped to deal with the situation and needed a paramedic sooner.

In late 2012, St John announced sweeping changes, which meant ambulances were no longer sent to minor 111 calls, to help stem its $15 million-a-year loss. Instead, such calls were redirected to a GP or other health care, or a St John officer would be sent in a car - rather than an ambulance with two crew members.

Another change to reduce the workload for ambulance officers was in the way 111 calls were handled.

Earlier this year an internal report aimed at improving ambulance service found St John was failing to get to emergency callouts in Auckland and some rural areas inside the time limits set for it.

Ambulance drama

3.31pm
First emergency call for a severely-ill woman at Whitireia Community Polytechnic by her friend, and the phone given to passerby Laurie Williams.
3.47pm
Second emergency call - a polytech staff member is told to call an 0800 number for help.
3.49pm
The staff member calls 0800 number for ambulance.
3.54pm
Ambulance arrives.

Charity

It is still hard to believe that our first responders are a charitable organisation with a great deal of volunteers in the field.

Im not advocating crying wolf, but if its serious enough to call for an ambulance, it's serious; just tell them the patient has chest pains and has stopped breathing. That should light some fires.

Socialised healthcare is great but theres got to be a better way than letting a centralised charity um and ah their way through emergencies. 

Similar experience

Not all that long ago one night I had a similar experience at Dunedin with the soul-destroying Christchurch call centre and the inane ramblings of the responder to be endured while the ambulance crew dawdled on my 111 callout for a young student who had wandered in off the street to the flats next door where she was collapsed, loud vomiting, alone and distressed - very probably the result of taking party drugs and alcohol in combination. The responder 'kept me on the line' (blah blah) while the ambulance proceeded from its previous callout back to St John Ambulance station in York Place, then slow-lumbered to lower Pitt Street without flashing lights or siren to take delivery, finally. I have never experienced such poor ambulance service and believe me I've had cause to use the service multiple times in the last few years for care of family.

While listening to the responder I became angry enough to say I should've called police or a taxi to get this poor woman to ED which is practically just round the corner... and besides, they had taken so long to arrive that the loud vomiting had ended. Although the officers were able to extract where the student lived I recognised that perhaps they weren't so fine-tuned on the effects of party drugs since they wanted to take her back to the hall of residence rather than ED. I suggested we couldn't know what she had taken, that she really must go to ED to be checked out. That made the officers a bit 'withdrawn'. They eventually took off without saying where they were going! So I rang the hall of residence to let them know one of their students was either heading their way or to ED by ambulance, and they could call ED or St John for more information. As it turned out the Hall was far more forthcoming, concerned, knowledgeable and friendly than the uniformed ones. The hall rang back in the early hours to say the student hadn't turned up and her friends were concerned, thus we knew she'd been taken to ED. What a frightful lowly piece of ambulance service all round. Lucky the student is still 'with us'. Chance is a fine thing.

 

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