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00:00I want a CBC, a venous blood gas, and a glucose.
00:07I'm 20 seconds from the two-minute mark.
00:09I need to switch out.
00:09Matt, you're on compressions.
00:10I usually do the bag.
00:11Now.
00:12Here, I'll take over on the bag.
00:13Watch that ET tube.
00:15Let's go, Matt.
00:16One of the coolest aspects of being a nurse in the ED
00:18is you're always trying something new.
00:21Even when you're terrified.
00:23Still no pulse.
00:24Let's end with another milligram of epi.
00:25One milligram epi in.
00:27What's this end-tidal CO2 doing?
00:28Hovering around 30 right now.
00:30Let's push 300 milligrams of amiodarone.
00:31Really bad itch on the back of my neck.
00:33Should be fine just calling it out.
00:34I mean now.
00:35Pushing 300 milligrams of amiodarone.
00:37My wrist is really starting to hurt, and my contact popped out.
00:40It's on his ear, guys.
00:41Pause for a pulse check.
00:45We got a sinus rhythm.
00:46Pulse detected.
00:47Thank God.
00:48We saved him.
00:49Yes!
00:53Harassment.
01:00Okay, and next week shifts are all set.
01:11Great.
01:12This brie is from Winco.
01:13Ooh, yum.
01:15Oh, I do want to talk about OT protocol.
01:17I got it special for our meeting.
01:19I heated it and everything.
01:20Oh, that's...
01:20I just had a banana, so I'm not super hungry.
01:22$18.
01:23Plenty of night.
01:24Have some brief.
01:25Great.
01:25Sounds good.
01:26It's classy, right?
01:27You know, now that you are indulging, I just want to talk to you a little bit about Debbie.
01:31Mm.
01:31I just got another complaint about her.
01:34Yeah, okay.
01:35I can talk to her again.
01:37No, I'm sorry.
01:37We're past that point, unfortunately.
01:39Mm.
01:40She has to be let go.
01:42Yeah, okay.
01:43Yeah, I can see that.
01:44Great.
01:44Because you're going to be the one to do it.
01:47Oh, me do it?
01:48Me do it?
01:49Me cave nurse.
01:50Me give shots.
01:51Grr.
01:53Joyce?
01:54Yes.
01:54I'm just saying, are we sure that we want to let her go, though?
01:57You know?
01:57I mean, it just seems so awful to do to somebody.
01:59It is.
02:00Standing across from them, sensing the dread.
02:02It is absolutely terrible, and that's why I'm going to have you do it.
02:06Okay?
02:08Cave nurse.
02:09She's taking her files.
02:11Cave nurse.
02:12Mm-mm-mm.
02:17What happened to the SCA patient who was in there?
02:19Back center recovery room 12.
02:21Ah, nice.
02:23Nice.
02:24I don't know if you heard, but I was the one who saved that guy's life.
02:27Well, sharks have over 3,000 teeth.
02:30Sorry.
02:31I thought we were saying random facts to the other person doesn't care about.
02:34Uh, well, I was just going to swing by his room, see if he wanted to talk about what happened.
02:38Why?
02:39I don't know.
02:40I thought he might want to process it with me.
02:42I doubt it.
02:42Okay.
02:43Well, no offense, but you weren't there.
02:45Felt like a pretty big deal.
02:46You know, there's an unspoken bond there now.
02:50Most koalas have chlamydia.
02:51You are using animal facts to be mean.
02:55Man, that's not what they're for.
02:57This should have cleared up with the antibiotics I put you on.
03:00Oh, I didn't take them.
03:01Don't want to build up a resistance for when I really need them.
03:04Like right now.
03:04Just a minute.
03:08Life largely disappoints, mostly in big ways, but I find the simple pleasures always deliver.
03:16That's why every day at 2 p.m. I get myself a nutrageous bar and eat it alone in the stairwell.
03:21Some people smoke, some meditate.
03:25I slowly nibble through a peanut and caramel-filled miracle of American ingenuity.
03:31Oh, okay.
03:33What do I want?
03:34What do I want?
03:37Cheat day.
03:38You know, got to shock the body with carbs.
03:40Reminded who's boss.
03:41Okay.
03:42Oh, three musketeers.
03:43A noble choice.
03:44Eat me, D'Artagnan.
03:45I implore you.
03:47All for one and one for nougat.
03:49Man, just pick a snack.
03:51Yeah, all right.
03:51You can't rush these things.
03:53Oh, you like those nutrageous bars, right?
03:56Yep.
03:5644.
03:5744?
03:58Yeah, why not?
03:59Something different.
04:00It's better to be worth it.
04:01There we go.
04:02Did you just take the last one?
04:04Oop.
04:05Yeah, I guess so.
04:06Sorry, amigo.
04:07That means there's nothing left for me.
04:10Yeah, that's physics for you.
04:12Hey, take it up with Einstein.
04:15I just, I've never had to fire anybody, you know?
04:18I mean, this is one's life we're talking about.
04:20Yeah, it's a shot to your ego and your finances.
04:23Double kicking the balls.
04:25Besides, people love Debbie.
04:27You're afraid everyone's going to hate you because they like her so much?
04:29Yes, Val.
04:30These are all concerns, okay?
04:32I just, I feel like we're a family.
04:35We've got to be there for each other.
04:36Sorry, just deleting Debbie from my contacts.
04:39Val, there's already another Debbie in here.
04:41It's too confusing.
04:42She'll live.
04:49Someone's looking better.
04:50What?
04:51Looking good.
04:52I'm sorry, do we know each other?
04:54Ah, you could say that.
04:56I'm Matt.
04:56I'm part of the team that revived you.
04:58I was actually the one who did the compressions.
05:01Yeah, that whole thing is a blur.
05:03For sure, for sure.
05:05I mean, I remember it pretty vividly.
05:06Time sort of slowed down.
05:08Does the sound come through the TV or is it just the remote?
05:12Uh, I think just through the remote.
05:16Anyway, it was pretty harrowing.
05:18I actually pushed so hard I injured my wrist.
05:19Why did they do the sound just through the remote?
05:22Ah, I think so you don't disturb other patients.
05:26Well, that sucks.
05:27Yep.
05:29Yep, yep, yep.
05:31Want to sign up on this discharge?
05:33Hey!
05:34Hey, you didn't eat your nut-rageous.
05:36Oh, no, I'm actually going to save it to create a sense of delayed gratification.
05:40You know, they did this study with marshmallows.
05:42Yeah, I don't care.
05:42I'll give you $20 for it.
05:45It's worth that much to you?
05:46You're really making me want it.
05:48Quick sign, though.
05:49Hold on just a sec.
05:50Can't believe I'm going to do this, but here goes.
05:53I will give you $50, and we call it a day.
05:56Oh, you've just guaranteed I'm not giving it up.
05:59Oh, my God, what sweet mysteries lie beyond this orange veil.
06:03Get your nose off my bar.
06:05Just tap the screen, and I can release this lady.
06:07Tear me down.
06:08Look, I need it, all right?
06:11It helps me get through my shift, and I actually have to work all day, unlike some people.
06:15But you think it's easy being an elite trauma surgeon?
06:18Well, easier.
06:21Solid, you know?
06:22So it's easier to pick up.
06:23Hey, guys.
06:24I was just telling them about my new poop machine.
06:28Sorry, puppy.
06:30Show her the pick.
06:31Actually, guys, can I talk to Debbie real quick?
06:34Thanks.
06:35This is Chester.
06:36Oh.
06:37He's a good boy.
06:41Is everything okay?
06:43Oh, yeah, totally.
06:44Well, sorry.
06:45No, not totally, totally.
06:47I'm just trying to get my words right.
06:49I guess there have, you know, been some concerns about your performance, so...
06:52I know, I know.
06:53I felt horrible.
06:54All the mistakes.
06:56Before you say anything, let me just say I fully agree.
06:59I've been off my game.
07:00Yeah, I appreciate that.
07:02But, um, you know, the thing is...
07:03This is the wake-up call I needed.
07:05I'll turn it around.
07:06From now on, it's Debbie 2.0.
07:08Okay?
07:10Okay, yeah, sure.
07:12Yeah, okay.
07:12We'll just really make sure to...
07:13You will not regret this, Alexandra.
07:17I deal with a million different conditions while you pop off a couple of surgeries and play
07:22with your sword or whatever.
07:23Sure, you're busy.
07:24Real busy.
07:25With hogwash.
07:26Yeah, it must be real high stakes pulling toys out of kids' noses.
07:30What was it last week?
07:31Oh, that's right, Jack Sparrow's Lego ponytail.
07:33Hey, I do surgeries, too.
07:35Oh, sure.
07:35On toes and testicles.
07:36You really think you're the most important thing around here, don't you?
07:40Hey, people need toes and testes, isn't that right, Keith?
07:44Sorry, why me?
07:45See, Keith gets it.
07:46Face it, I'm the Diana Ross around this place, and you, you're just one of the Supremes.
07:52You're Diana Ross?
07:54Oh, yeah.
07:54You aren't even Bob Ross, and people actually like Bob Ross.
07:59Nobody likes you.
08:02I see.
08:04Well, I'm needed, so...
08:06Well, I'm needed, too.
08:07What?
08:10I'm also needed.
08:15Do you believe this guy?
08:16He wouldn't last an hour doing what we do here.
08:19Yeah, we clearly do a lot.
08:21Have you thought about just eating a payday?
08:24There's no chocolate in a payday.
08:26Come on, man.
08:27Just to say it, you're pretty harsh, too, so maybe just try to...
08:30Look at the shop.
08:32They have candy bars.
08:34Oh, you know what?
08:34I was thinking of an O'Henry.
08:37Sir, I've literally never heard of any of these.
08:39He barely even acknowledged me.
08:41He was just, like, totally indifferent.
08:43I get it.
08:43You want some appreciation.
08:45Maybe a little hug.
08:47You're messing with me, right?
08:48I'm serious.
08:49Then on your deathbed, he holds your hand and tells you, as long as I live, you live through me.
08:54All right.
08:55I just want, like, a thank you.
08:56I feel like that's not too much to ask for saving someone's life.
08:59I think the Levi's chatbot that helped me return my jeans.
09:02It's manners.
09:03What was wrong with the jeans?
09:04They were black.
09:05It was too edgy.
09:08Hey, Joyce.
09:10Listen, I just had a very productive conversation with Debbie,
09:14and I have decided that the right thing to do as her boss is to keep her on staff.
09:19Yeah, great.
09:20That all makes sense.
09:22Oh.
09:23Yeah?
09:24Yes, and I find it admirable that you're willing to take on Debbie's mistakes as your own.
09:30Yeah.
09:32I'm sorry.
09:33Uh, when you say as my own, that all of her errors are now your errors.
09:38You're responsible.
09:39Look at you, boss lady.
09:40Leaning in and not looking back.
09:42I love it.
09:44So nothing?
09:46Yeah, I guess we're all out.
09:48Funny, you're the second guy to come in today looking for an outrageous bars.
09:51That son of a...
09:53Well, what about that?
09:56Well, sure.
09:57These are like $200, though.
09:59Yeah, well, we could just switch out that nutrageous with a Snickers.
10:03No one would even need to know.
10:04Sorry.
10:05Once the cellophane's on it, there's nothing I can do.
10:08Well, you could retie the cellophane.
10:11But it comes with an outrageous.
10:13It comes with whatever you put in it.
10:16This is a hospital gift shop.
10:18Nothing that happens here matters.
10:21Actually, I just remembered.
10:23This one's spoken for.
10:24Hey, there's my superstar.
10:36How are we doing over here?
10:37Good.
10:38Type 1 skin tear.
10:40I irrigated with saline.
10:41Re-approximated.
10:42I was just about to dress it.
10:43All right.
10:44Sounds good.
10:44Oh, uh, are you sure you want to use Tegaderm here?
10:50No good.
10:51Well, given her age, you can tear the skin, so you really want to use, like, a non-adherent dressing like Mepilex.
10:55Right.
10:56God, there's so many options.
10:59It's like, use this for this.
11:01Use that for that.
11:02It's crazy.
11:04Yeah, that's the job.
11:06There.
11:07All set now.
11:08Pretty much.
11:10You need to draw an arrow to indicate the direction for removal.
11:13Oh, right.
11:14I need you around more often.
11:16I could be the hands and you tell me what to do.
11:18I'm your puppet.
11:20I'm going to be a real nurse someday.
11:24It's funny.
11:26Are you warm?
11:27Mom, it's all right.
11:29I'm fine.
11:30Oh, I'm just glad you're okay.
11:31Yeah.
11:32Aren't we all?
11:34He's a good kid.
11:35A good egg.
11:36Ah.
11:38I'm Matt.
11:38You must be Clay's family.
11:40Oh, yes.
11:40I'm his mom and this is his Aunt Pearl.
11:43Are you taking over for Nurse Haley?
11:45No, no, no.
11:46This guy came in earlier about the TV.
11:48It's fine, man.
11:49Uh, yeah.
11:50Well, but also, remember, I was the one who, uh, yesterday when his heart stopped,
11:55I literally had to climb on top of him and restart it.
11:58Oh, okay.
11:59Yeah, I was pushing on that chest for like four minutes.
12:02Full weight.
12:03I honestly thought we were going to lose him, but I went into this zone where I sort of...
12:07Please stop.
12:08I can't.
12:09Hey, can you not upset my mom, please?
12:12Uh, uh, yeah.
12:13No, I'm sorry about that.
12:15It's fine, man.
12:15It's just manners, you know?
12:18If you see it.
12:19Right, I'm not.
12:20You really just couldn't take the win, could you?
12:23I'm sorry?
12:24Let's not do this dance.
12:25I know it was you.
12:27You went to the gift shop and you bought out all the Nutrageous bars.
12:30It's pathetic.
12:32Why?
12:32Because of our whole thing earlier?
12:33Look, I know things got heated, but, Ron, that sounds insane.
12:38Well, yeah, but, I mean, you do insane things sometimes.
12:41Okay.
12:42Look, I just gotta ask, as a friend now, is everything okay?
12:47I mean, why would I even do something like that?
12:50To teach a lesson?
12:52To show you that there are consequences when you disrespect a colleague?
12:55Gee, Ron, that sure is a lot of effort.
12:59Make sure you think twice before you're coming, Schweitz.
13:06Don't you think?
13:15Oh, she gooey.
13:20Okay, we've got to fire Debbie.
13:22Yes, I'm aware.
13:23I just, I don't know, I hate that we're giving up on somebody.
13:27You know, it just, it feels so final.
13:29So our patients deserve bad care?
13:31Oh.
13:31Think of Debbie as a drunk airline pilot.
13:34Sure, she's funny on the intercom, but is she really gonna clear those mountains?
13:38I don't know, I'm just, I'm having a really hard time with this.
13:41Of course you are.
13:42But unfortunately, it's part of the job, so why don't you practice on me?
13:48Seriously?
13:49Yeah, you need to learn this stuff, so pretend I'm Debbie and fire me.
13:52Let me have it.
13:57Okay, uh, Debbie, listen.
13:58I know that you're trying and I can see that, but unfortunately, I am gonna have to let you go.
14:04Is this because I rejected your advances?
14:07The other day you put your hand on my knee and said, if you like your job, my hand goes wherever it wants.
14:13And I said no.
14:14And now you're firing me.
14:16Wait, what?
14:17Gina, we good?
14:19Yeah, I'll look light.
14:20All right, well, we got a pretty run-of-the-mill hernia repair, so cue the playlist and let's get in the zone.
14:26Okay, no.
14:32That's obviously not.
14:33Skip past this.
14:35Hello, Bruce.
14:36I know you like to set the mood with some music before surgery, so I thought I'd help you out.
14:43Bruce is a horse, he's ass.
14:46No, no, he's not.
14:47He's not.
14:48Oh, Hortys, don't ignore this song.
14:50It's not even a song, and if it was, this wouldn't be the lyrics.
14:52This song is a lie, and that's a fake song.
14:55I am in character.
14:56Okay, you have to stay firm.
14:58It's a business decision.
14:59All right, Debbie, we are letting you go.
15:02I'm sorry.
15:03Oh, you're sorry.
15:04You're sorry.
15:05Oh, my God.
15:07Joyce, no.
15:08Ah, sorry.
15:09Debbie, no.
15:10Let's just try to stay calm.
15:11Stay calm.
15:12You stay calm.
15:13Oh, my God.
15:15Joyce, please remember these are your things.
15:17I need this job.
15:18I have a lien against my house.
15:20Did you know that?
15:21I was talked into installing solar panels, and they won't take them down.
15:25All right, well, I'm sure you can figure that out, Debbie.
15:27Oh, I've tried, but you can't just cancel the contract.
15:30Right.
15:31No, no.
15:31Not until you've returned the minimum kilowatt hours to the grid.
15:35Okay, I'm sorry.
15:36Joyce, did you get solar panels?
15:38What?
15:39No, I'm Debbie right now.
15:41We're role-playing.
15:42Come on.
15:43So, would you know what comes here by the solar?
15:45Yep.
15:46Do you know those labs you needed?
15:47Oh, thank you.
15:48See?
15:50So easy.
15:51He's busy because someone didn't thank him for doing his job.
15:54I literally pumped this guy's heart back to life, and all he can talk about is the
15:57sound coming from the TV remote.
15:58Oh, so you gotta hit two buttons and press it.
16:00Okay, well, I didn't know that.
16:03Listen, you want gratitude?
16:04You're in the wrong business.
16:06Drive an ice cream truck.
16:07Sell weed.
16:08Don't do this.
16:09I don't know.
16:10Who cares about some random guy things?
16:11You saved his life.
16:13That's awesome.
16:14Oh.
16:14Well, I appreciate that.
16:18You smell that?
16:20It smells like boner in here.
16:21Mm-hmm.
16:23No.
16:24Hey, man.
16:26Heard the hernia repair went well?
16:28Yeah, it went great.
16:29Went perfect in fact, so.
16:31Look.
16:32What are we doing?
16:33I zinged you.
16:34You zinged me.
16:35What do you say we quit the zinging and the zanging?
16:37We put this whole nonsense to bed.
16:39Call a Bruce truce.
16:41And you're not just saying this because you're afraid I'll put hot sauce on that secret stash
16:46of butt wipes you keep in the bathroom.
16:47I know about those.
16:49Oh.
16:50Ron, come on.
16:51We're professionals.
16:51Why don't you take a seat?
16:52We can talk this out like adults.
16:54Nope.
16:54I think I'll stand.
16:55Oh, come on.
16:56Take a seat.
16:57Kick your feet up.
16:58I really want you to kick your feet up, Ron.
17:03What the f***?
17:04You have lost your damn mind.
17:07Yeah, it's pretty great, isn't it?
17:08Yeah, it wouldn't have been better if you'd put your feet up, but it's still landing for me.
17:11Bruce, you are in serious need of spiritual and mental help.
17:15I own this now.
17:17Hey, bon appetit, baby.
17:20Wish you would have kicked his feet up.
17:22Damn.
17:25Hey, Debbie.
17:27Gosh.
17:29This job, right?
17:31So much grunt work.
17:34Hey, have you ever thought about doing something else?
17:37No, not really.
17:38Okay, but, like, what if you had to?
17:40You know, like, what if, uh, oh, okay, this will be fun.
17:43What is a secret passion that Debbie has always wanted to pursue?
17:47Huh.
17:48You know, I think nursing is my passion.
17:50Okay.
17:51Funny, I never really thought about it that way.
17:52All right, uh, it can't be nursing.
17:54Can't be nursing, though.
17:55So it's got to be something else like cooking or painting or...
17:58Oh, no.
17:59Painting seems hard.
18:00One little mistake and, whoop, whole painting's ruined.
18:04Yeah, that's true.
18:05It is.
18:06It's high stakes.
18:07Same with cooking.
18:08Mm-hmm.
18:08Debbie, hi, we're letting you go.
18:11It's nothing personal.
18:12It's just not working out.
18:13What?
18:14Come on.
18:15We're not going to play the what game.
18:16You've been given plenty of opportunities, and you haven't performed.
18:20Yeah, I understand.
18:21Okay, great.
18:23So, say your goodbyes, and HR will be in touch.
18:26Got it.
18:27Thanks, Joyce.
18:27Mm-hmm.
18:28And now that it doesn't matter, it was me that stole those boxes of hand sanitizer during COVID.
18:39Sometimes I roll my eyes at Joyce, but I feel like I could really learn a lot from her.
18:43Or a little.
18:44You know, like a medium amount.
18:45But she's in charge for a reason.
18:47Also, I should really apologize to Hector because I accused him pretty publicly about the whole sanitizer thing.
18:53That guy's crazy.
18:56He's out of his mind.
18:58He's crashing.
18:58I need a doctor.
19:00Cough blue.
19:00Cough blue.
19:02So the doctor's on his head.
19:03Cough blue.
19:03Little blood pressure, coughing, foot pulse, weekend's ready.
19:06Can we get some RSI meds on deck?
19:08And we need a glidoscope in here, please.
19:10Trauma hazard.
19:11O2 stats dropping quickly.
19:12Cannot get a clear view of his vocal cords because of all the swelling.
19:16Bruce, can you give me a hand?
19:16Sure.
19:17Get me a bougie.
19:18That's good.
19:19Here we go.
19:22I'm in.
19:22Go ahead.
19:23Try the ET tube.
19:24There you go.
19:24Yep.
19:25All right.
19:26Okay.
19:26Give him two units of FFP.
19:29Doctors are weird.
19:31On one hand, they're huge babies.
19:32They're cocky and rude and petty.
19:35But when push comes to shove, they can put all of that aside and save a freaking life.
19:40It's pretty cool.
19:42Yeah, sometimes I don't give Ron enough credit.
19:44He's actually a very good doctor.
19:46The two of us did really well in there.
19:48Anyway, I've identified all the grocery stores and gas stations that carry nutrageous bars,
19:54and I do mean all.
19:56Now, Ron's probably thinking I'll go one mile radius.
19:58That's why I've gone a six mile radius.
20:01I've also reached out to our hospital snack vendor, Sergei.
20:04We're trading.
20:05So do other animals have chlamydia?
20:07It's actually a good question.
20:09Let's look it up.
20:11Oh.
20:12Hold on.
20:14You dropped this.
20:16Oh, damn.
20:16My sweatshirt.
20:21You say thank you.
20:24I'm sorry, but there's something called manners, and they exist for a reason.
20:27Somebody picks up your sweatshirt or, I don't know, saves your life.
20:30You say thank you.
20:31It's not that hard.
20:33Okay.
20:37You're welcome.
20:40You're welcome.
20:41I'm sorry.
20:42I guess I didn't realize that I was a side character in my own life, and this experience was really
20:49about you.
20:50What?
20:51Uh, no, I...
20:52No, I just got so distracted by my death and subsequent resurrection that I forgot to get
20:57down on my knees and kiss the feet of something.
20:59Cut out of your heart.
21:00No, no, this is important.
21:02I want to make sure the next time I'm hovering outside of my own body, I think, hey, don't
21:09forget to thank that male nurse.
21:12That's not relevant.
21:14Oh.
21:14This is crazy.
21:18Sheep, goats, pigs.
21:20My animals don't have chlamydia.
21:23Let's look it up.
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