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James defends QEH

Chief executive officer of the Queen Elizabeth Hospital (QEH) Dr Dexter James has defended the health facility in the face of allegations by a visiting Canadian couple.

David Taylor, 61, told Barbados TODAY a week ago that his 64-year-old wife went through horror after she broke her leg and sought treatment at the QEH.

Pamela Taylor on  her recovery bed at North York General Hospital in Toronto where she received surgery for her broken leg on January 27.

A photo of Pamela Taylor (wife of David Taylor) on her recovery bed at North York General Hospital in Toronto.

He said the emergency medical technicians (EMTs) were insensitive to his wife while she was being transported to the hospital, did not have any conversation with them, and little attention was paid to her as she waited for hours in the Accident & Emergency (A&E) Department.

However, James said there was a misconception that once patients showed up at the A&E they were served immediately.

CEO of the QEH Dr Dexter James

CEO of the QEH Dr Dexter James

“When patients get into the Accident & Emergency Department, this is not a first come first serve basis. This is not a KFC outlet where you queue up and you get . . . first come, first serve. It is not like that. You are seen by a nurse, you are triaged in order of emergency type condition, you are seen in order of life-threatening circumstance,” he stressed.

James admitted, however, that the A&E was a fast paced department where nurses and doctors did not always have the time to engage in social interaction.

“At times they could get very caught up in their work and sometimes they only see the end. It is really patient care and the whole socialization in A&E sometimes is lost,” he said.

He also dismissed the allegation that Mrs Taylor was placed on a broken stretcher in the crowded A&E.

James said the stretchers were lowered but that was done for patient safety.

“It is not true that we have broken down stretchers in the Accident & Emergency Department. That’s an ignorant statement. It is for their own welfare that we place them on these stretchers and lower the stretchers so that they don’t fall and injury themselves any more,” explained the QEH boss.

He also responded to the suggestion that EMTs do not have conversations with patients they transport.

The CEO said: “We have what is called a run sheet that one has to document on it the name of the patient, the condition of the patient and other pertinent information. As a measure of protecting the integrity of the service and the sacredness of the service, we have what is called a black box that tapes the nature of the conversation between the dispatcher and the patient.”

“All you have to tell me is the date that the incident happened, perhaps the location and the name of the patient and we can go back to the black box and listen to the tape to validate whether the claims have been made sometimes are in fact true or not true.”

20 Responses to James defends QEH

  1. darrelanderson
    darrelanderson February 27, 2015 at 12:39 am

    it’s a shame she didn’t survive…

  2. Michelle Joseph
    Michelle Joseph February 27, 2015 at 12:44 am

    So asking for pain medication is considered social interaction??? Lol I hurt my foot and was in her position of asking for pain relief to no avail…to this day my foot giving me trouble….I was not asking for socialization, but at least acknowledgement and a pain reliever lol

  3. Marie Ella
    Marie Ella February 27, 2015 at 12:52 am

    Oh course he will defend the hospital, isn’t like he seek help their when he gets Sick .

  4. Marty Pitt February 27, 2015 at 1:25 am

    Is he now trying to insulate that the people are lying?

  5. Nikki Vs Nicksie
    Nikki Vs Nicksie February 27, 2015 at 1:49 am

    There had some idiots saying that the Canadian couple were looking for preferential treatment…when I read the story all I saw was them asking for acknowledgement, water and pain medication. Which in my opinion is the basics one would EXPECT from a health care facility.

  6. Khandy Apple
    Khandy Apple February 27, 2015 at 2:21 am

    its true it aint nah kfc drive thru so we all gah wait just cause ur in pain an u ask for meds aint mean u get them there are procedures smh so cause she waas a vistor she was to get royal treatment u not de Queen..u in same line like everybody else an second if i go Qeh an get ill treat then leav go pay for better service i surely wudnt have stayed in there for free service ….. ive been in there years ago for 6days after my daughter was born de head nurse was unmannerly also de maid imagine i just had c section in worst pain ever an woman snappin (maid: look i wann get up in that corner to mop)cudnt get down to move my suitcase i was in pain but not my mouth cause i blister her tail an i did not move so if u in like service go else where people moods an personailty on any given day will not be change to suit our needs or comfort some simply dont give a rats ass that we are in pain……..

  7. jr smith February 27, 2015 at 5:53 am

    What do you expect, from a government control department, the CEO is areal la,la man. Persons in such a level of authority , don’t make such comments as like being ignorant and KFC outlet, his behaviour was very backward.
    Still you should not expect much , because the behaviour from so call people in authority in Barbados, is always bad.

  8. J. Forte February 27, 2015 at 6:56 am

    And if we continue to say “what do you expect” to this kind of poor service instead of requiring better service how will anything ever change. Conforming to the ignorance of others and allowing them to continuously provide piss poor services how will we improve. When will we learn.

    I don’t know how this ‘joker’ will defend disregarding the human element in a job such as caring for injured people, simple assurance. What they are supposed to do. Such as shame.

  9. dwayne jordan February 27, 2015 at 7:36 am

    Its a matter of high expectations on the tourist part and a Gov run institution in a place where service, standards and customer care has a lot to be desired. Maybe it was best they attended Bayview, do they not have medical insurance?

    Besides all that was her keg fixed? Yes it was,, hurrah to that.
    Enough said.

  10. dwayne jordan February 27, 2015 at 7:47 am

    Oh and Gov official and people in authority need to stop making such analogies (kfc) its comes off as though you are belittling the complainant/complaint. So please wise up,, who can object to the statement other than with the kfc comment…

  11. cora brown February 27, 2015 at 8:13 am

    he is rude….what happen to the patient walk in there for minor problems and come out dead….there r nasty bitches
    that hospital killed my family members in a space of 6 weeks apaet…one of them a nasty infected I.v needle..2nd went in because her blood results were not good…only went in to run test next thing she on a vent and we can hear them shouting at her…still we don’t know what happen to her all we know after the shouting we got calls she passed….what a way to die…
    he need to investigate more…it’s not good…ppl sick and scared to go in there bcos they feel they not going to come out……they keep forgetting these r sick ppl bottom line.

  12. Alex Alleyne February 27, 2015 at 9:04 am

    I will await the outcome . Outsider always seems to get the better of Barbados. In the end, the TAX payer will have to take another battering .

  13. Cheryl February 27, 2015 at 10:47 am

    I believe the visitors, they deserved to be treated with respect and receive the basic tx of pain medication, I could just imagine the suffering this woman endured waiting in the A&E.

  14. Joel February 27, 2015 at 11:07 am

    I must say that I’m siding with the QEH on this one . I worked at that institution for four years and i know for a fact that the hospital dont have any broken stretcher that’s in service . The ones that are broken is quickly remove and as for the it being lowered it’s because it a preventive measure from the patients falling off of the stretcher like the CEO said . I’m just stating the facts hear , when it comes to them saying that people hardly interact with them what do they expect. The QEH is the only acute care facility on the island that is catering for the entire population, nurses doctors and other heath care professionals are up in their neck with work and are trying their best to offer first class service to patients and by the look of it this patient wasn’t in a dire emergency she suffered a broken leg which can cause excruciating pain, she was in a stable condition but then again they might have had people with more serious complication such as a heart attack or any other life treating situation that required what ever limited heath personnel they had to save that person life . SO like Dexter James said they triage patients when they come through QEH not a first come first serve basics they work with the most critical and then they look after the stable patients. People must try not to be insensitive and gather facts before they run off at the mouth and sound foolish while adding fuel to the fire .

    • Wayne Dread July 15, 2015 at 9:51 pm

      Thanks for sharing, thanks for,caring

  15. Gail Wallace February 27, 2015 at 11:46 am

    Really?????? Someone help this man keep his mouth shut. KFC? “Ignorant statement “. What professional man what say that.??? He needs some pruning and trimming. Praying for all involved.

  16. Alex3 February 27, 2015 at 12:15 pm

    First of all she survived so QEH must gave done something correctly.
    Second, I wasn’t there and I learned a long time ago that there are always two sides to any story like this and usually the truth is somewhere in the middle.
    We use triage in Canada. Over the Christmas period in 2013 I sat for 6-7 hour in the ER after being seen by a nurse when I arrived. Other more ill were ahead of me and others more ill arrived after. The irony was what I went in for was nothing but I go Norwalk while I was there!
    Not all Canadians are patient and respectful in these circumstances. It is also quite possible that they did not want to give pain meds to avoid conflicts in later treatment.
    The point is we don’t know all the fact.
    I will be making my annual visit starting tomorrow and I can tell you going to QEH if we had to is not something I get concerned about.

  17. Maxine Hutchinson February 27, 2015 at 3:28 pm

    Mr Dexter James did not respond to the matter well. He should have consulted the doctors and let them tell him what to state concerning patient care at the QEH, especially if the patient is a non-national of a differing body type. In other words, who would have given the woman the pain killer? – a nurse or trainee doctor, a trainee nurse or the maid?

    We have also to take into consideration that all pain killers are not the same. Which one should she have been given? What would have happened if a given that killer had interacted with other medications or alternative treatments that the wife may have been taking at the time? Why did the husband not go outside a purchase some for his dear wife if he was so hurt because she was hurt?

    Why did Mr James make the excuse that alluded to the pace at which the medical professionals carry out their duties? Why did he put up also a defence against the husband’s complaint that the medical technicians did not converse with them? They are not supposed to engage patients in conversation – that was all he had to state. Why did he have to make reference to the “black box”?

    Mr James, you seem to be getting a bit tired.

  18. Tony Waterman February 28, 2015 at 4:52 am

    I have always thought that Dr. Dexter james was a FOOL and he has in this Instance proved me Correct, he has acted in a very unprofessional manner on this case.
    I have already written about the Visitors complaints, and being someone who lives in Canada also and has seen the inside of some of our Medical institutions many times as a visitor, and Once as a Serious patient, i dont believe that they expected any thing more than they would have received here in Canada, and were Angry when they received so much LESS. his Reference to KCF is quite unprofessional and calls for an Apology, they would have also gone through the triage system here in Canada, they did not just say that the Stretcher was broken as far as i can remember, they were told by a Hospital worker that the stretcher was broken, and that this was why it was lowered, now he is saying that it was a safety protocol. i have never seen it here in my jurisdiction so i will say no more on that.
    My opinion is that Dr. James with his insensitive KFC Remarks has made the whole issue much worse that it should have been. a little sensitivity could have gone a long way in calming the situation.
    Barbados should do like The MAyo clinic, there are NO Doctors in Management Positions at Mayo, that give Management a different perspective, and it runs well.

  19. Al Wright February 28, 2015 at 1:14 pm

    There have been many discussions about the quality of service at QEH for the past few years, and the director has kept a somewhat low profile in addressing them, except when he confronts the press and try to deflect some of the issues.
    If this instance is what it takes for him and government to address the issues on a more serious basis, so be it. There are too many haunting stories of problems at the institution for them to remain under the rug, time to bring them out, time to let young men and women know that healthcare is a very noble profession, time to set up workshops in schools to recruit students for the nursing and medical field, to time to embrace anyone returning nationals willing to offer their services. It’s time to make the necessary changes for the betterment of healthcare for the Barbadian community.


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