1. (a) The patient arrived in the Accident and Emergency Department at 08h05. She was attended by the nursing staff and the Medical Officer from Accident and Emergency Department. After the initial assessment she was referred to the Obstetrics and Gynaecology Department. A Senior Medical Officer from Obstetrics and Gynaecology Department assessed her on arrival to the ward at 10h05.
(b) Initially the patient presented herself to the Labour Ward. She was directed to the Accident and Emergency Department by the nursing staff as all patients with her condition are admitted to the Gynaecology ward via Accident and Emergency Department.
2. (a) and (b) The Gynaecology ward was full to its capacity at the time, therefore the patient was transferred to the Labour ward’s extension area. She was nursed in a room by herself to allow privacy.
(c) All patients are accommodated in a bed in the ward.
3. (a) The patient was first assessed by the Medical Officer in Accident and Emergency Department at 08h05. She was transferred to the Labour ward and was immediately examined by the Senior Medical Officer from Obstetrics and Gynaecology Department at 10h05.
(b) Answering this question will lead to disclosure of the diagnosis of this patient and I cannot do that.
(c) The patient stayed in the Labour ward from 10h00 to 23h00, where she delivered. During this time she was examined by the Medical Officer three (3) times. In between she was attended by the midwives. A consultation was also done by the consultant on call for that night. The doctor had numerous discussions/feedback sessions with the patient’s husband and the mother-in-law during the patient’s stay in the ward.
END.