Read story C10: Before the bed is ready (image and text)
Quiet delirium in the emergency department: raising a concern while waiting
Musa becomes unusually quiet while waiting in the emergency department. Aisha describes the change rather than simply asking when a bed will be ready. The nurse reassesses him promptly. A new deterioration needs a clinical response wherever the person is waiting; an available ward bed is not a prerequisite for recognising delirium.
Story text
Panel 1. They are waiting for a hospital bed.
Panel 2.
- Aisha: Musa? You’re not following me now.
Panel 3.
- Aisha: He has become confused and very slow to respond. Please get a nurse now.
Panel 4.
- Nurse: This change needs assessment. We won’t wait for a ward bed.
Panel 5.
- Doctor: He has delirium. We’re checking what is making him unwell.
Panel 6.
- Aisha: He was answering me when we arrived. This started while we waited.
Bottom band. Report a new change while waiting. Assessment should not wait for a ward bed.