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00:00Our job is hardcore, it is life and it's death.
00:15Everything we do relies on there's bond between us all.
00:19I've got secrets I can't tell.
00:24Just stay down, no, no, no. You're okay, you're okay.
00:26You have to be comfortable in high stress situations.
00:29In this brand new series.
00:34You're in the hospital.
00:36How much? Do you want to tell me what drugs you want to win?
00:39We take you into the theatres and wards of Sydney's busiest hospitals.
00:44And into the world of nurses.
00:47Nurses are the backbone of the hospital.
00:49Through their eyes, you'll see life.
00:52Big deep breath in. Push, push, push.
00:54No!
00:56Death.
00:58Unfortunately, we can't save her.
01:05And everything in between.
01:07Coughs, colds and sore holes.
01:09Take me to the fire.
01:11Welcome to the front line.
01:14One, two, three.
01:15Of one of the world's toughest.
01:17It's alright darling, we're looking after you, okay?
01:20And most trusted professions.
01:25It was scary, hey?
01:26Yeah.
01:27Nurses are superheroes.
01:28Without capes.
01:29Just in scrubs.
01:30Just in scrubs.
01:39This time on Nurses.
01:41Chaos in emergency.
01:43He's covered in vomit.
01:44But he's also covered in blood.
01:45Can you rip your toes for me?
01:47Okay.
01:48An ICU patient's diagnosis.
01:50I'm going to smack that dogs up.
01:52Sets him on the warpath.
01:54Can we hit the wall?
01:55I'm not going to be able to deescalate him for much longer.
01:58And a heart-stopping moment in theatre.
02:01The heart stopped at this stage.
02:12St Vincent's Hospital is right in the middle of Sydney's nightclub precinct.
02:17That makes one night of the week the most hectic for the 16 nurses on shift in emergency.
02:28On Saturday night shifts if you look around and everyone's drunk or got blood coming from their head
02:33because they've been smacked by someone in a bar or they've taken too many drugs and they're passing out.
02:39We see a lot of patients from the area influenced by drugs and alcohol and this is where they come to.
02:43This is, you know, at their hospital.
02:50My name's Darren and I'm one of the nurse managers in the emergency department.
02:54I grew up in Scotland and then I moved to Australia six years ago.
03:00I love the lifestyle here.
03:02So I live literally like five minutes from the hospital.
03:14Darren's first job on shift is a handover from the nurses going home.
03:19One, two, three.
03:20It's been a busy night.
03:22We sort of came on to a full department with limited beds upstairs.
03:26At the moment there's 24 admitted patients so it might be a little bit tired overnight.
03:30My role in the emergency department is to manage up to 16 nurses and prioritising who needs acute beds the most.
03:38And basically to ensure that the whole department runs efficiently.
03:43How is it looking for capacity tonight?
03:47Not good.
03:49This is going to be a great night then.
03:51It's the calm before the storm of what could become one of the worst Saturday nights in seven years.
03:58Strict drinking and nightclub laws designed to curb alcohol related violence have been lifted.
04:08So people can party longer in the night.
04:10They can get alcohol served at a later time.
04:12So we're expecting a significant increase in our drug and alcohol presentation.
04:21St Vincent's emergency.
04:23It's only 8pm and their first trauma patient is on the way.
04:27Hey Jazzy, I'm just going to try and clear one of the resus baits.
04:32So this is a man who was basically found in the middle of the street and covered with blood over his head.
04:40He has a massive, like, 12cm laceration at the top of his head.
04:45Do you know what day it is today?
04:47OK, and what month are we in?
04:48He could have fell and bumped the head or he's walked into something or something's hit him.
04:54We don't know at this stage.
05:00Are you wringing your toes for me?
05:02The patient is not responding and the trauma team need to quickly determine if that's because of alcohol or head trauma.
05:10Can you tell us what's happened?
05:12Which is made more difficult by the fact that he's intoxicated.
05:15So we've got to keep all options up.
05:17So we're just saying, worst case scenario until proven otherwise he's got a head injury.
05:20Correct.
05:32A few floors up is the cardiothoracic surgical unit.
05:35We're a specialist team of doctors and nurses carry out more than 1,000 heart and lung operations every year.
05:46At St Vincent's where your patients are trusting you with their life.
05:50We're kind of those people where if it's broken we just fix it.
05:52My name is Nikita and I am a perioperative nurse and I have been doing that for six years.
06:06I absolutely love my job.
06:10My mum's actually a nurse.
06:12I just remember being a little girl and seeing my mum, you know, walk in in her uniform and I was just in awe of my mum.
06:18Like, she just looked like superwoman.
06:23A little bit of local insulin.
06:26Your temperature.
06:28Under Nikita's care tonight is a 43-year-old woman who is being prepared for complicated heart surgery.
06:36This patient, we're actually doing what we call a minimally invasive mitral valve replacement.
06:41So your mitral valve being one of the four valves that are actually sitting in the left side of your heart.
06:47That valve isn't functioning properly, it's leaking, letting blood go the wrong way.
06:51We need to be able to fix that.
06:53If the mitral valve is not replaced, the patient could suffer heart failure.
06:57Today is a little bit of a different day. We've actually got Ashley who is going to be learning how to scout for our procedure.
07:13Have you got all their gloves?
07:15You want six green?
07:16Yeah.
07:17A scout nurse is that person that's running around in the theatre getting everything that the surgeon needs.
07:23And so I'll be looking after Ashley.
07:26So hopefully I do a good job. So pressure's on me.
07:31One wire, one suture from anaesthetics.
07:33Over the next four hours, the team will perform the intricate surgery on the patient's heart via the space between her ribs.
07:41Are you going to bring a wire up the interior?
07:46The precision required is intense. One slip could be catastrophic.
07:52One FIPO and one suture.
07:56Obviously surgery, your patients are at their most vulnerable, so you have to be on your game all the time.
08:02It's very intense.
08:03Actually, can I have the 25 from the penis that's there? Can you pay one?
08:10Yeah, this one, penis.
08:13One of the most important things is that you actually know that surgery quite well.
08:18You need to be able to think ten steps ahead before the surgeon's got there.
08:24You need to predict everything.
08:28Intense pressure for second year nurse, Ashley.
08:31So this is probably the second time that I've seen the matril valve repairman.
08:37It's still very new to me, so I need a lot of direction.
08:40It's so overwhelming that I'm like, hopefully I can retain some of this information.
08:44Because this is probably one of the most difficult cases to do.
08:46Back in emergency, the trauma team is treating a confused patient who they fear has a brain injury.
09:03That's a very straight aceration also means it's probably close to the 10th.
09:10Do you know what day it is today?
09:12Um, resuscitation.
09:14Okay, and what month are we in?
09:16Yeah.
09:17Resuscitation nurse Yun has been assigned a critical role in the man's care.
09:22We've just called the major trauma, which gets the whole hospital activated.
09:27My role is procedures, so I would hook the patient up to everything.
09:31Add the vital sign gear, get medications ready, and also running gases and stuff.
09:40Do you have a scratch, okay?
09:43Sorry, sorry, sorry, sorry.
09:45It's going really well.
09:46Just want to make sure that you've not done yourself any damage, okay?
09:49With any situation like this, we just have to rule out top to bottom.
09:52Starting from the most dangerous, a bleed in his brain, fractured skull, any other injuries that we would find.
09:59And we just eliminate as we go.
10:04It's a very odd injury, it's a very straight injury.
10:07Yeah, say that he's cracked into something on the corner.
10:10It makes it whether he may have been having it.
10:12That's what I...
10:15The only way they can tell if his skull has been fractured,
10:18or if there's bleeding on the brain, is a CT scan.
10:24John, we're just going to take you around to do some scans, okay?
10:29Ready? One, two, three.
10:32He's got a pretty significant laceration on his head.
10:35And they worry there might be intracranial bleed as well on top of that.
10:48John, we're just going to take you around to do some scans, okay?
10:59In emergency, Jun's patient has been rushed for a CT scan of his brain.
11:05After being found in King's Cross, unresponsive and bleeding from the head.
11:10Everyone ready? On three, one, two, three.
11:14John has got a pretty significant laceration on his head.
11:17They're worried there might be intracranial bleed as well on top of that.
11:29Good job.
11:32John's very lucky.
11:34The CT scan shows no bleeds or no fractures, so it's a positive result.
11:38He's only got the laceration on the scalp.
11:41Twelve staples will be needed to close John's head wound.
11:45John, don't move your head at all.
11:48No.
11:50Okay.
11:52So now we just need to clean him up.
11:54This might hurt a little, okay?
11:56Yeah.
11:57I've always wanted to do something where it involves people.
12:01I could never work in an office.
12:03Almost done.
12:04Helping people just makes me feel good.
12:06And emergency, working in here, I get to do that every day.
12:10I feel like we make a big impact.
12:13I've cleaned your face up as well, so you don't have as much blood as you did before.
12:19So you still don't remember what happened?
12:21No.
12:22Nothing?
12:23You're going to have quite a big story to tell your friends.
12:26Yes.
12:27It's a big story for us tomorrow.
12:30He's talking, he's having a good old laugh, and he's the fardos have been stable.
12:35So we just wait for the morning and hopefully you can get him home.
12:39Open your hand.
12:40There you go.
12:42Perfect.
12:43All yours.
12:45Okay.
12:46Making sure someone who comes in as a category one, who is super unstable, and then we stabilize
12:51them and get them where they need to go to, that feels good, you know?
12:55Let me know if you need anything, okay?
12:56I'll be around.
12:58No worries.
13:00That's why I became a nurse.
13:01All right.
13:02All good?
13:03Yeah.
13:04I'll put a little bit of your hand across.
13:12The intensive care unit of St Vincent's Public Hospital is where patients on life's edge
13:18are admitted.
13:19Squeeze my hand if you can hear me.
13:21Squeeze this hand.
13:23Twenty-one nurses and eight doctors work around the clock to provide the one-on-one care
13:29the critically ill patients require.
13:31They will transfer you across, okay?
13:35Nurses don't just stroke your brow and grab a bedpan.
13:38We work hard.
13:40We get right in the nitty-gritty of it all, and there are days where it is stressful.
13:44There's a lot of stuff that we do that people probably didn't realise.
13:48Our job is hardcore.
13:49I've got to pick you up a little bit, because of your head, okay?
14:02My name's Ali, and I work in intensive care as an R-registered nurse.
14:08Want to go back?
14:09Okay, yep.
14:10Beautiful.
14:11It's the start of senior nurse Ali's 12-hour shift in ICU.
14:12I am going to make a tea for a patient.
14:14Um...
14:15Who's not...
14:16Um...
14:17Who's not...
14:18Um...
14:19Who's not feeling very well emotionally?
14:20Um...
14:21Um...
14:22He's just been told he can't do a lot of the things he used to.
14:23Because of some recent issues with some diabetes and some seizures.
14:24So if we don't have a treatment, or, you know, do something that is helpful for them, you
14:26know?
14:27I try to.
14:28Like...
14:29Just give me a yell if you need anything.
14:30Do you want me to check this?
14:31Yes.
14:32It's the start of senior nurse Ali's 12-hour shift in ICU.
14:38I am going to make a tea for a patient...
14:42Um...
14:43Who's not feeling very well emotionally.
14:45Um...
14:46He's just been told he can't do a lot of the things he used to, because of some recent issues
14:50with some diabetes and some seizures.
14:53He feels like his life's been taken away, but he's been told he can't drive anymore.
14:57Um, he can't do night shift anymore.
14:59Which is his livelihood.
15:00Uh, so he's, um, feeling quite low about all of that.
15:04Ali's patient is a racing car driver.
15:07But he's been told to stop driving after suffering seizures.
15:12I think I've done that okay.
15:14I think.
15:15It's in a styrofoam cup.
15:17I think it's just the thought that counts, you know?
15:19Here's your tea, darling.
15:23Okay.
15:24Can I get you anything else?
15:26New wine.
15:28What about if we think about some of the other things that you can do?
15:32Other, other joys that you have?
15:33That's my main joy.
15:35I know, I know.
15:36Four hundred mile in an hour.
15:38Yeah, that sounds pretty exciting, I have to say.
15:40Yeah.
15:41It's lovely.
15:42Working in intensive care, it can be, um, very exhausting.
15:46There's a reason it's called intensive care.
15:48There's never a dull moment.
15:50What else do you enjoy to do?
15:52There must be something else.
15:53Nothing.
15:55What about the things, okay?
15:56Is there anything that you would have liked to have done if you had an opportunity to?
16:00become a hitman.
16:01Oh God, okay.
16:02I am becoming increasingly concerned by his behaviour.
16:03Just let me know if you need me.
16:04ICU South Ali speaking.
16:05Oh God, okay.
16:06I am becoming increasingly concerned by his behaviour.
16:10Just let me know if you need me.
16:12ICU South Ali speaking.
16:15Ali's concerns escalate.
16:17Hello.
16:18When he suddenly disappears.
16:23We don't really like people wandering around in the ICU, so I'm worried.
16:30Without urgent treatment for his diabetes, the patient could die.
16:35You all good?
16:36Good morning.
16:45One clip added.
16:46We have five.
16:47In the operating theatre, a team of four nurses are supporting the three surgeons as they work
16:55to stop a patient's heart in order to perform a life-changing valve repair.
17:07This is an important stage.
17:08Very important.
17:09They're getting ready to put the cross clamp on, which will isolate the heart from the body's circulation.
17:17And they'll be able to then rest the heart to then undertake the surgery.
17:21And as you can see, on the ECG, there's a flat line.
17:28The heart's stopped at this stage.
17:33So how our patient's alive is that they're actually on what we call a bypass machine.
17:38So we take the blood and it goes through these tubes into a machine which axes the heart and the lungs
17:43and then puts the blood back into the body.
17:45Putting the woman on bypass has done nothing to calm the nerves of second-year graduate nurse, Ashley.
17:55Cardiac makes me uncomfortable.
17:57Really?
17:58Why?
17:59It's because it makes me nervous.
18:00It's because I'm so out of your depth.
18:03Yeah.
18:04The main challenge is just trying to remember everything.
18:11Remember the steps.
18:12Cardiac's completely different to the general surgeries that I've previously done.
18:17Do you remember when you first started?
18:18Oh, yeah.
18:19I'm all right with that.
18:20But it's that same feeling, right?
18:21Absolutely.
18:23And look how far you've come.
18:25You're all over it.
18:27You've got to have faith in yourselves.
18:29The damaged part of the patient's heart is removed and a prosthetic ring will replace it.
18:38So this is our ring.
18:44That's it.
18:45And then take that.
18:46Yeah.
18:47Eric, are they suturing the ring to the valve?
18:49Is that what they're doing now?
18:51Yeah.
18:52Yeah.
18:54This is the stage when everything will go a little bit quiet.
18:57And whenever people are going quiet in a surgery, you know, it's a very crucial moment.
19:01So the surgeons really need to concentrate.
19:03At the moment, it looks like it's fitting properly.
19:07But we don't actually know if it's working properly until we come off by past and we allow the heart to actually do what it normally does.
19:14And then we can see whether or not, you know, it's worked.
19:18It's time to see if the valve is working.
19:37Ashley and the rest of the operating team are desperate to see a heartbeat appear on the monitor.
19:45It's scary, scary stuff.
20:05Close down.
20:08And we're off by punch.
20:10On the sixth floor, the operating team is anxiously waiting for their patient's heart to start beating on its own.
20:22Scary, scary stuff.
20:24One of the coolest things to see is the heart kick back in and start beating again.
20:43It doesn't look too bad, actually.
20:45This is the third time that I've seen it now, so I feel like it's, I'm absorbing a little bit more.
20:54It's good.
20:57You're doing a great job.
20:59Thanks.
21:00As she said before, she's a bit nervous.
21:02But even people who have got, you know, huge amounts of experience, we still get nervous every day.
21:08And I think that is definitely a good thing because it holds you accountable for being able to actually do the procedure safely and efficiently for the patient.
21:16Couldn't do it without you guys.
21:18I'll pay you later.
21:19I'll pay you later.
21:24Capita's in the middle, yeah?
21:26Job done.
21:29It's such an honour just seeing that we've been able to provide a better life for someone who, you know, has been so sick and has really been suffering.
21:38Oh my gosh.
21:39I still find it incredible.
21:40Huh?
21:53In ICU.
21:54What'd you say?
21:55Ali's diabetic patient has locked himself in the bathroom.
22:01Good morning.
22:05Then you won't have to hold it.
22:06You can just walk normally now.
22:08After much persuasion, Ali manages to convince him to come out.
22:13But he is still refusing treatment.
22:16All right.
22:17And now he wants to go home.
22:20What's wrong?
22:21I just want to discharge.
22:23I don't know.
22:24I'm not going into no more.
22:26Why do you want to go?
22:28I don't stay here.
22:29I just want to go home.
22:31I get that.
22:32I understand.
22:33And I don't care about this diabetes.
22:35I couldn't give a **** about it.
22:37I hope it kills me.
22:40But don't speak like that.
22:43So the doctor, I want to discharge immediately.
22:46If the man leaves hospital and refuses treatment for his diabetes, he could die.
22:52I'm trying to de-escalate the situation in order to let him come around to the fact that he needs to stay in hospital and get treatment.
23:02But the patient has other ideas.
23:06I'll come and help you with everything.
23:07Just don't rip anything out.
23:09In intensive care, we look after our most critically unwell.
23:14So it's hard to hear for your patients.
23:17Don't want medical treatment.
23:20That really can be super challenging.
23:23I'll make it out to...
23:25Yeah, he's already kind of kicking off.
23:28I want to go now.
23:29Well, the doctors will come and see you in the next hour or two.
23:34When I get out, I'm going to smack a doctor.
23:37I know I'm not going to be able to de-escalate him for much longer.
23:39Hello? Can you tell me what's happened?
23:52The end of the lockout laws is bringing a chaotic stream of intoxicated patients to the emergency department.
23:59They've got a cracker of a mark on the front of your head.
24:03He's very, very intoxicated.
24:05He's covered in vomit, but he's also covered in blood.
24:07Keeping nurse manager Darren on his toes.
24:11The girl in the corridor is causing a bit of trouble.
24:13She wants to go home.
24:14You can't leave until you're sober.
24:17I am sober now.
24:18Not according to the blood.
24:20Stay still, mate. We're just going to get you inside, okay?
24:22Take your arms in, pal.
24:23Sorry, mate. Sorry.
24:26Saturday nights are always difficult to manage, but tonight it's just chaos.
24:31While Darren is managing the admitted patients...
24:34No, no, because the blood will go squirting everywhere
24:36and everywhere in your blood bath.
24:41Nurse Carly is triaging new patients that arrive in the waiting room.
24:46Hello, who's next?
24:48My role is to see people when they first come in and assess them and see how unwell they are,
24:53where they need to go in the department, what kind of treatment they need.
25:01Oh, no!
25:03Have you done this before?
25:05Never.
25:07Can you swallow your saliva?
25:09Uh-huh.
25:10Oh, okay.
25:11How long ago did you do it?
25:12Uh...
25:14An hour.
25:15Oh, dear. What were you doing? Yawning?
25:16Uh-huh.
25:17Okay.
25:18Luke?
25:19Yeah.
25:20Oh, we've got a poor young gentleman who's yawned tonight while going to bed and he's now unable to close his jaw.
25:24So it's dislocated and wide open.
25:27Okay.
25:28And this is the first time this has happened?
25:29Oh.
25:30Yeah.
25:31Twice before.
25:32Okay.
25:33And how do they normally fix it?
25:34Do they sedate you?
25:35Oh, no.
25:36Or it normally fixes itself?
25:37Yeah.
25:38Okay.
25:39They've got a jaw dissipation.
25:40Uh, what?
25:41Jaw dissipation?
25:42Yeah.
25:43This gentleman needs to be booked in but he can't talk because he's...
25:45He can't close his mouth.
25:46Luke?
25:47Yeah?
25:48I'll try and clear the recess bay.
25:50Before Darren can even find Luke a bed...
25:59The youngest patient of the night is on the way in.
26:02In a critical state.
26:04The emergency department team has been dealing with an onslaught of drunk patients.
26:20Sorry, mate.
26:21Sorry.
26:22A lot of alcohol and drugs.
26:24A few assaults as well.
26:26Which was kind of what we're expecting with the lockout laws kind of changing tonight.
26:30But an ambulance is on route with the youngest patient for the night.
26:35And she's not responsive.
26:38Hi, starting.
26:41How old is she?
26:43Okay, let's go to recess two.
26:46Youn, there's a young 18-year-old reduced level of consciousness going into recess two.
26:51Resuscitation nurse Youn will care for the young woman.
26:56Who the paramedics advise has taken a cocktail of drugs and alcohol.
27:01You want to open your eyes for me?
27:05When we look after patients like this, we always check their eyes.
27:11Which gives us an indication how drug affected they are.
27:15Around six, seven, eight.
27:18Oh.
27:19Her pupils are huge.
27:21Yeah.
27:22Can we give her 500th of Simon?
27:26500th of Simon?
27:27Yeah.
27:28Is it just MDMA she took with cocaine?
27:31What else?
27:32I don't know.
27:33I was not with him.
27:34She's like me.
27:35She's grown up and down.
27:37Yeah.
27:38I'm sure it's the alcohol.
27:39Come on.
27:40Open your eyes.
27:42I'm sorry.
27:43Am I in hospital?
27:44You are.
27:45What the ****?
27:46Yeah.
27:47You've had a bit to drink tonight, I hear.
27:48I have.
27:49And a few caps as well, I hear.
27:50A few caps and a few coats.
27:51She's taken a lot of drugs.
27:52She's admitted to.
27:53To everyone.
27:54And keeps shouting out.
27:55Hey, maybe a little bit too much if you've ended up in trouble.
27:56Yeah.
27:57A few floors up in ICU, Nurse Ali is dealing with an aggressive patient who was threatening
28:02violence against medical staff.
28:03Nice to get out.
28:04I'm going to smack a doctor.
28:05That's what I promise.
28:06The patient's anger appears to be directed at the female doctor.
28:35Who told him that he could no longer drive due to his seizures.
28:40Do you appreciate though that she was only trying to look after you and protect you and
28:46that.
28:47Okay.
28:48Okay.
28:49If I wasn't in bed, I would have gone up and just belted off.
28:54Okay.
28:55Well, obviously that's not appropriate and you know that.
28:58Yeah.
28:59Okay.
29:00And we can't talk about that.
29:01Like, especially with, you know, like my colleagues in the hospital.
29:04That's not very nice.
29:05He's kicking off again.
29:06He was really good while you were gone.
29:07And now he's just like tucked off his gown, put on his own clothes, said he's going to
29:11go.
29:12Wants to be medically discharged.
29:13So I don't know if we're going to be able to talk him down or whether we're going
29:14to have to under the mental health act.
29:15I don't think he can be under the mental health act.
29:16I don't think he can be under mental health act.
29:17I've never said that he's mentally capable.
29:18Okay.
29:19I have tried to de-escalate him as best as I can.
29:20He was absolutely fine.
29:21And then he just flipped a switch.
29:22So I don't know.
29:23I think he'll probably, will medically discharge himself.
29:24I'm sick of being here.
29:25I'd rather be at work.
29:26Yeah, I know.
29:27I'd rather be driving the car.
29:28I want to get out of here.
29:29I appreciate your upset.
29:30Because a lot's been, you've been told you can't do a lot of things.
29:31Yeah.
29:32They tend to placate for a little while and then they'll just really snap it.
29:33And then he's going to be able to do something.
29:34I don't know.
29:35I don't know.
29:36I think he'll probably, will medically discharge himself.
29:39I'm sick of being here.
29:40I'd rather be at work.
29:41Yeah, I know.
29:42I'd rather be driving the car.
29:43I'd rather be driving the car.
29:44I'd rather get out of here.
29:45I appreciate your upset.
29:46Because a lot's been, you've been told you can't do a lot of things.
29:47Yeah.
29:48They tend to placate for a little while and then they'll just really snap it.
29:59Um, so I'm just trying to really make sure that doesn't happen.
30:03Um, because that's not great.
30:05The patient has requested to see a male doctor.
30:09Okay.
30:12Yeah, bed four's losing here a little bit.
30:14He's starting to want to rip things out.
30:16He's put on his clothes on.
30:17He's now saying wants to medically discharge.
30:19Um, yeah, if that's okay.
30:21If you don't mind just talking to him.
30:23He's just putting his shoes on.
30:25I just want you to get on top of your medication so that you can get back to driving.
30:28safely.
30:29I found that in theory right sugars.
30:31And then you're at all sorts of risk of heart attacks.
30:33Your eyes going.
30:34So that's why everyone wants you to take your insurance.
30:37But the patient is still agitated about the female doctor who cautioned him against driving.
30:44She was rude.
30:45No.
30:46But as I said, she didn't mean to be.
30:47She just wants to do the right thing by you.
30:48But sometimes when people are, you know.
30:49That man, that man, you know, um, you know, he's nice.
30:53Yeah.
30:54He talked to me properly.
30:55He just went.
30:56Yeah.
30:57Yeah.
30:58I know she didn't mean it, but I can see how it might have come across that way.
31:10Yeah.
31:11I'm sorry you, um, got upset by it.
31:13After much persuasion, Ali and the doctor seem to have had a breakthrough.
31:18Yeah.
31:19Yeah.
31:20I reckon I'll just stay at it to choose.
31:21Right.
31:22Really, we need to get our top of your sugars.
31:24We'll get your insurance.
31:25Yeah.
31:26Thanks for your patience.
31:27It's already got upset a bit.
31:30What I've learned is that you have to remember you are one person and I need to lean on my
31:38fellow nurses and my team members and the doctors and honestly just do the best I can.
31:44I think our team, um, are wonderful.
31:46I honestly wouldn't get through a lot of the things that we see or that we do without
31:51them.
31:52Thank you for being so patient.
31:54Okay?
31:55Yeah.
31:56You're doing well.
31:57I think it's the right thing to stay.
31:58Yeah.
31:59Good job.
32:00But as soon as Nurse Ali's back is turned, the patient once again ignores the team's
32:06medical advice.
32:07Did you find him?
32:10Yeah.
32:11Without urgent treatment to control his diabetes, the patient can suffer heart and kidney failure,
32:17blindness and even death.
32:19He did abscond.
32:20We cannot find him.
32:23In ICU, Ali is trying to locate her patient who seems determined to avoid medical treatment
32:36for his life-threatening condition.
32:38So Carla's gone to try and find him, but I'd say unlikely that she's going to.
32:45I see South Ali speaking.
32:47Okay.
32:48So you know that you, where are you following him?
32:52And remember only the boundary of the hospital is as far as you can follow him out.
32:57And then after that, that's it.
33:00I'd say he's gone.
33:01Just got to go with emotions really.
33:04He went to the front door and you know Emma, our doctor, she's coming in and she's like,
33:10do I let him out?
33:11I'm like, you punch the wall.
33:13You've got to look after your nurses.
33:17Oh yeah.
33:18Sometimes that can be stressful.
33:20It is unfortunate that he decided to leave, but there's not a lot we can do when a patient
33:28decides to leave against medical advice.
33:31I've always wanted to help people as much as I can.
33:34And I think sometimes I do put pressure on myself, but at the same time I have to remember
33:39that I can only do what I can do.
33:41I'm surprised we kept him as long as we did, to be honest.
33:43I'm not superwoman.
33:44Unfortunately.
33:45Oh no.
33:46Have you done this before?
33:47Earlier in the evening, Carly's patient Luke arrived with a dislocated jaw.
34:01Oh dear.
34:02What were you doing?
34:03Yawning?
34:04Uh huh.
34:05He's now had sedation to have it reset, and Carly is keen to check on his condition.
34:12Oh, it's back in.
34:13Yeah.
34:14Yeah.
34:15You've taped his mouth shut pretty much.
34:17Yeah, we lived in.
34:18You look so different with your mouth closed.
34:20Not in a bad way.
34:21Yeah.
34:22Well, I was like, before we came, I was on about an hour first time call with all my mates.
34:28With your mouth like that?
34:29Yeah.
34:30They were just laughing at me.
34:31They were saying things like, go see if you can get a ping-pong all in there.
34:35New party trick.
34:36Is it sore?
34:37Or you feel okay?
34:38Um, I feel like it will be sore.
34:42Yeah.
34:43Tomorrow when you wake up.
34:44I don't mind that though.
34:45Yeah.
34:46Just have to get some good strong painkillers.
34:48Yeah.
34:49Alright mate, best of luck.
34:50Thank you, Hope.
34:51No worries.
34:52Hope I don't see you in here again.
34:53No worries.
34:54Thanks.
34:55They'll just observe him for a while because he's had some sedation to knock him out, so
34:58they'll just keep an eye on him and make sure that wears off and then he'll be able
35:01to go home.
35:02Another successful patient in and out.
35:05Love these ones.
35:06Nice and easy and smooth.
35:08Everybody's happy.
35:12Ready to do some push-ups?
35:14Come on.
35:15Come on.
35:16It's for your mental well-being.
35:17Let's get it.
35:18Carly, Carly, Carly.
35:20She's probably one of the biggest characters in the department.
35:23She's always up to something.
35:25Okay.
35:26Come on.
35:27Look around here.
35:29So Carly has us on night shifts doing push-ups.
35:32Apparently stimulate the mind, keep us awake.
35:35So, ten press-ups.
35:36Ten.
35:37You ready?
35:38Alright.
35:39Let's go, Shao.
35:40Three, two, one, go.
35:42One.
35:43Two.
35:44Three.
35:45Four.
35:46Five.
35:47Six.
35:48Seven.
35:49Eight.
35:50Nine.
35:51Ten.
35:53Feel the burn.
35:54Yeah, maybe a little bit of energy kick for a few minutes, but then that was it.
35:59Alright, that's enough.
36:00That's enough.
36:01But hopefully she doesn't make me do it.
36:03The next set-up nights we're on.
36:05For the hour?
36:06Can we check back in a little bit?
36:07Once an hour?
36:08Yeah.
36:09Every hour on the hour.
36:10Nah.
36:11I'm done.
36:12You're done?
36:13The hour, like, she's mad, but everyone loves her.
36:25Back in the resuscitation bay, Yuna's trying to get some answers from his intoxicated 18-year-old
36:32patient, who has just regained consciousness.
36:35We suspect that she's taken some drugs and alcohol.
36:39It's a dangerous mix that can lead to fatal consequences.
36:42Am I in hospital?
36:44You are.
36:45What the ****?
36:46Yeah.
36:47Have you had lots to drink today?
36:49Yes.
36:50Alcohol?
36:51Yes.
36:52Okay.
36:53Are you in pain at all?
36:55Yes.
36:56Where's the pain?
36:57It might stop.
36:58When did that start?
37:00Ten minutes.
37:02Oh.
37:03Okay.
37:04Yuna's worried that her new symptoms could be a sign of a more serious condition.
37:09So, if you wouldn't mind just checking...
37:10Serotonin syndrome.
37:11Well, yeah.
37:12Yeah.
37:13So, it's quite fine on temperature, and I'll just check for clonus and her lower limbs.
37:18Mm-hmm.
37:19There's only three beats self-limiting, but if that increases, I need to know.
37:22Yep.
37:23Serotonin syndrome is a potentially fatal condition caused by a buildup of the chemical serotonin
37:31found in medication.
37:32Can you just relax?
37:33Okay.
37:34Serotonin syndrome can make your heart rate, your temperature up.
37:37If it's not controlled, it can lead to death.
37:39Just relax again.
37:40Okay, my lovely.
37:41When I'm doing, just testing your foot there, you're involuntary.
37:47You've got beats there, okay?
37:49That's because of the stuff that you've taken tonight, okay?
37:52I need that to settle down before I can let you go home, because that can sometimes trigger
37:57into something more serious.
37:58And you may even need to be admitted under a team if it doesn't settle down.
38:02Yes, indeed.
38:03The patient might be conscious, but her condition can decline rapidly.
38:09In emergency, Yun's young patient is being observed for a potentially life-threatening condition, known as serotonin syndrome.
38:28Do you feel like you're going to throw up?
38:40Do you want some more anti-nausea?
38:43No, I just want Macca's.
38:45You just want Macca's?
38:46Yeah.
38:47I don't think you're quite there yet.
38:50Can't you?
38:51Yeah, you've got to be more alert.
38:53Why?
38:54You might choke on Macca's at the moment.
38:56Macca's!
38:57Okay.
38:58You're all right.
38:59Just give it some time, okay?
39:02Serotonin syndrome is looking less likely.
39:08No more needles out of the home.
39:10I'm giving you thiamine.
39:12It's a vitamin.
39:13No.
39:14It'll make you feel better tomorrow.
39:20You're very hot.
39:21Hmm?
39:22You're very hot.
39:23I'm a nurse.
39:24You're a very hot nurse.
39:27You're welcome.
39:29She's drunk.
39:30She's on drugs.
39:31She doesn't know what she's saying, right?
39:32I've heard a few of the patients certainly give them compliments and call them hot stuff.
39:37I think it's a man bun.
39:41He's a hot nut.
39:42I've already exactly know the difference.
39:44What do you mean?
39:45You've got to stop the same as well.
39:49We're going to give you all the fluids, okay?
39:51Do you feel a bit better?
39:54Yeah.
39:55Hopefully.
39:56We've commenced her on a drip now.
39:58She just needs to sleep off the drugs and alcohol.
40:01Once she's sober, she can get her manners.
40:04What?
40:05What were you watching?
40:06What?
40:07What were you watching?
40:08The whole interaction?
40:09Yeah.
40:10Just kids.
40:11It's now 4am and the ambulance bay is finally empty, except for one unexpected visitor.
40:18Oh my god, there it is!
40:19There it is!
40:20There it is!
40:21There it is!
40:22There it is!
40:23That's a rat!
40:24That's a big rat.
40:25So there's a giant rat that lives out in the ambulance bay.
40:26If I say it, I scream.
40:27Or I just run away.
40:28It was the size of a cat.
40:29No, I'm not alright.
40:30I don't like rats.
40:31I don't like rats.
40:32I'm terrified as well.
40:33You know, we can deal with almost anything on emergency, but a rat running around,
40:38a rat, a rat, a rat, a rat, a rat, a rat, a rat, a rat, a rat, a rat, a rat, a rat.
40:42So there's a giant rat that lives out in the ambulance bay.
40:45If I say it, I scream.
40:48Or I just run away.
40:49It was the size of a cat.
40:51No, I'm not alright.
40:52I don't like rats.
40:53I'm terrified as well.
40:55You know, we can deal with almost anything on emergency, but a rat running around,
41:00the place.
41:01We're terrified.
41:02I try not to go outside.
41:03I don't know much if I don't have to, because you can see it.
41:06You see the shadow lurking around, just waiting for someone.
41:09I think I'd rather someone come and stab me than the rat come in.
41:12It's like about the size of a small child.
41:24It's been a long shift, but the sun is coming up and it's time for us to go home.
41:29Hey, army, I'm going to scoot away.
41:38The nurses work so, so hard.
41:40Say it like this.
41:41The nurses that do the care, the nurses that make you better, the nurses that treat you.
41:46They do everything they can for their patients at all hours of the day.
41:51My girlfriend's going to kill me.
41:52She's come to pick me up and she's been waiting for like almost 45 minutes.
42:04Right, fabulous news.
42:05We're going this way to a bed.
42:06Nurses are the backbone of the hospital, you know.
42:07We greet everyone with open arms and want to help.
42:08Take your time.
42:09I go home hoping that I've made a difference in someone's life.
42:10That's what I think is the best part.
42:23A lot of people can't cope with what we see.
42:29Nurses are superheroes without capes.
42:32Just in scrubs.
42:33It's very hard to go away from this job and go and explain to somebody else what it feels
42:44like.
42:45My team are what get me through, definitely.
42:51Humanity is a beautiful thing and I think we see that more so than anyone else.
42:55Just take care of yourself, okay?
42:56I'm educating you, everyone.
42:57Yeah.
42:58That's a great fight.
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