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00:00Music
00:09Our job is hardcore.
00:12It is life and it's death.
00:15Everything we do relies on this bond between us all.
00:19I've got secrets I can't lose
00:24Just stay down. No, no, no.
00:26You're okay, you're okay.
00:27You have to be comfortable in high stress situations.
00:33In this brand new series.
00:35You're in the hospital.
00:36How much?
00:37Do you want to tell me what drugs you want and when?
00:39We take you into the theatres and wards of Sydney's busiest hospitals.
00:45And into the world of nurses.
00:48Nurses are the backbone of the hospital.
00:50Through their eyes, you'll see life.
00:52Big deep breath in.
00:53Push, push, push.
00:54Death.
00:57Unfortunately, we can't save her.
01:02And everything in between.
01:07Coughs, colds and sore holes.
01:09Take me to the fire.
01:12Welcome to the front line.
01:14Two, 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.
01:23It was scary, hey?
01:27Nurses are superheroes.
01:29Without capes.
01:30Just in scrubs.
01:31Just breathe through it.
01:32Big deep breath.
01:33This time on nurses.
01:34An unworn baby in distress.
01:35So the baby's working quite hard.
01:36The heart rate's higher than normal.
01:37An emergency patient fights for every breath.
01:38You're alright.
01:39I know.
01:40I know.
01:41I know.
01:42Take me away full of blood.
01:43Here you go.
01:44And a code blue alarm sends intensive care scrambling.
01:48Can you give my hand a squeeze there darling?
01:50Can you hear me?
01:51In the emergency department of St Vincent's Hospital.
02:20Travis Dorisa 3 please.
02:22We've got an OPA here.
02:24A team of 16 doctors and 18 nurses treat an average of 980 patients a week.
02:31St Vincent's standing by for car 444.
02:35Something always happens in emergency, day or night.
02:38It's just busy all the time.
02:39A 50 year old gentleman found on the floor with a hematoma on his head.
02:43There's no predictability in your shifts and that's why I like it.
02:47Emergency can throw anything at you.
02:49Do you have any chest pain?
03:01It's the start of resuscitation nurse Yun Shift and a major trauma is on its way.
03:07St Vincent's standing by for 420.
03:10Good morning from car 420.
03:12We're coming to you with a 21, that's a 21 year old female who was kicked by a horse to the face.
03:19It's actually presented to us agitated and combative injuries wise.
03:23She's got a large deep laceration to the chin.
03:26She's lost two teeth.
03:27St Vincent's scopically.
03:29As a nurse in emergency, we see a lot of major traumas.
03:33The patients who need to be seen as quick as possible.
03:36Hey mate, can I call a major trauma to raise us three please?
03:39And generally can be life threatening.
03:42Are you ready to hand over Deb?
03:43Yeah.
03:44She's got massive head trauma so I think it would be urgent.
03:49Five minutes.
03:50Alright, let's get her across.
03:51With severe head trauma, the team are concerned about brain and spinal injuries.
03:57They must stabilise and assess the patient quickly.
04:04Can you squeeze my fingers here?
04:06Can you open your eyes for me?
04:08There's a lot of time critical things that need to be done.
04:11Open your eyes for us.
04:13Airway management or the cardiac management.
04:16Doing well.
04:18With the laceration to her jaw causing heavy bleeding,
04:21the patient becomes increasingly agitated as she struggles to breathe.
04:26You're alright.
04:27I know, I know.
04:28Okay.
04:29Yeah, I think she's jagging from that.
04:31One, two, three.
04:33I'm going to put that in there.
04:34Yep.
04:35Spit out all the blood.
04:37Alright my dear.
04:38She told me.
04:39Are you in pain at the moment?
04:41Let's get the ketamine in.
04:43We're just running again.
04:44Open your mouth and just spit out all the blood.
04:46She's definitely always full of blood.
04:47Yeah.
04:56On the other side of the harbour, in the maternity ward of the Martyr Hospital,
05:06a team of 90 midwives work around the clock to bring more than 2,000 babies into the world each year.
05:14Come on gorgeous.
05:15I get a lot of questions about when the baby's going to be born.
05:20I said, you know, I'll be so rich if I could tell you when your baby's born, but I just can't.
05:24The baby will just turn up when it's ready.
05:27Yeah, thank you, bye.
05:32My name is Lucy and I'm a registered midwife at the Martyr Hospital.
05:36So the heart rate should be between 110 and 160.
05:39I decided to become a midwife because my sister was born prematurely.
05:43You happy with the movement now?
05:44Yeah.
05:45My dad would take us to see Katie in the special care room, you know, she's literally tiny.
05:49She was only three and a half pounds.
05:51It fascinated me.
05:52All in all, I've been doing it for 15 years.
05:54She's come in with reduced movements.
05:56She's being induced tomorrow.
05:57I just think it's bloody awesome.
06:04All right, so you just set yourself up in here.
06:06It's going to be the room that you have your baby.
06:08Are you excited?
06:09I think I couldn't sleep last night.
06:11Oh, last night you couldn't sleep.
06:13That's just practice for what the newborn's going to be like, you know?
06:16Today, Lucy will be assisting first-time parents Jenny and Paul.
06:20So just make yourself comfy on the bed.
06:22That's it.
06:23A bit more.
06:24Whose baby is full term but hasn't moved into birthing position on its own.
06:29So Jenny's come in.
06:31It's her first baby.
06:32She's 39 weeks and six days.
06:35And she's coming for an induction.
06:37So we're going to start the labour process for her.
06:40Can you just lift this up for me?
06:42I'm going to have a fill of your tummy.
06:43Yeah.
06:44Before we start the induction process, we have to make sure that baby's happy.
06:46Oops.
06:47It's moving.
06:48So that can feel the head here.
06:49All right.
06:50So now I'm going to pop you on the monitor.
06:52We're going to have the whole birth documented.
06:54It's good.
06:55It's good though, isn't it?
06:56I actually feel very sorry for dad sometimes because they're like a deer in the headlights.
07:01They have no idea what to do.
07:03Camera V ready?
07:04Go on.
07:05I had one guy was just so adamant about getting this birth video.
07:10He had a GoPro attached to him and during the delivery felt faint and passed out.
07:16So goodness knows what this video looks like.
07:21Okay.
07:22So that's the baby's heartbeat.
07:23Okay.
07:2445% of women giving birth for the first time are induced, which involves giving artificial
07:30hormones to bring on contractions.
07:33Good morning.
07:34Good morning.
07:35Oh, Steve.
07:36How are you?
07:37Jenny's obstetrician, Dr. Stephen Lyons will break her waters before the induction hormones
07:43are administered.
07:44Paul, do you want to come?
07:46Where do you want to stand?
07:47Come up with his hand.
07:50All right.
07:51Nice, big, deep breaths.
07:52Just try and relax.
07:53That's it.
07:55Breathe it away.
07:56Breathe.
07:57Good.
07:58You're doing really well.
08:01So your waters are broken.
08:02Waters are broken.
08:03Yay.
08:04Really?
08:05Naturally?
08:06No, we broke them.
08:07A little bit of help.
08:08A little bit of help.
08:09Just a little bit.
08:10How good.
08:11So he used a tiny little hook called an amnicot and he then just scratched the top of the
08:17baby's head and that broke the bag of waters.
08:19Oh.
08:20Very brave.
08:21That was hard.
08:22Oh.
08:23So now we can start the drip and get you into labour.
08:26Do you mind just coming to check some oxytocin with me?
08:30Please.
08:31These are the little ampoules of oxytocin that we use.
08:35Tiny, but obviously it's a drug and it can potentially cause really strong contractions
08:41and the babies, you know, don't like it as much.
08:44So we've got to keep a really close eye on the baby.
08:47Alright, so we've got the drip.
08:50Okay.
08:51This is going to go through a pump and it's going to connect just onto here.
08:57Okay.
08:58Alright.
08:59We start it on a very, very small dose.
09:00We don't want you to suddenly go into these big contractions.
09:02Cause we don't want to stress the baby out.
09:04Labour's stressful for the baby, but it's a good stress and what we want to be careful
09:09of is not stressing the baby out too much and the baby getting tired.
09:12Cause that's when we have to intervene a little bit.
09:14So ideally I don't really want you to be on your back cause gravity helps.
09:18That's it.
09:19Sit down.
09:20Good job.
09:21How's that?
09:22Each and every contraction is getting closer and closer to meeting your baby.
09:26And that's what, if you think that way, you'll see it as a positive pain.
09:29Yeah.
09:30And your body's doing exactly what it needs to do.
09:32So it's just about trusting it and being patient.
09:35Across town, in the emergency department of St. Vincent's Hospital.
09:49Spit out all the blood.
09:50Alright, my dear.
09:51You're doing alright.
09:52Youn is attending to a 21 year old critically injured patient.
09:57We've got a young lady over there.
09:58She's been kicked in the face by a horse.
10:00Have a look at her airway here.
10:02It looks pretty alright.
10:04She's got pretty bad injuries to her jaw.
10:07There's no other injuries externally.
10:08I think it's all just head injuries.
10:10We're worried about her airway.
10:12We've just got to do the airway plan.
10:14Angus, you're happy to do the plan A.
10:16Yep.
10:17Great.
10:18And you've got two dual suction.
10:19Yep.
10:20In-line mobilisation.
10:21Perfect.
10:22We're just giving the ketamine now.
10:23The decision is made to sedate and intubate the patient
10:27to maintain an open airway and prevent suffocation.
10:30In major trauma, you're never alone, which is a good thing.
10:33It's a big team.
10:34Still breathing.
10:36And everyone gets assigned a role.
10:40Some roles are more stressful than others.
10:42But even though you're stressed out, you are dealing with
10:45somebody's life.
10:46You want them to live, so you just focus on your job.
10:52With the patient safely intubated and stabilised,
10:56she can now be sent to medical imaging for injury assessment.
11:00We don't get it very often, but when we get people coming
11:03from horses, you're worried about the impact
11:05and whether when they're being hit in the head,
11:08whether that's caused their brain to bounce to the back of their head,
11:11which can cause an injury called a country q injury.
11:14One, two, three.
11:17A brain bleed could result in stroke or seizures and can be fatal.
11:23in emergency 21-year-old Albany is undergoing a CT scan
11:36In emergency, 21-year-old Albany is undergoing a CT scan to assess her injuries following
11:53a kick from a horse.
12:08She's got a fracture of her jaw, so she's lost a couple of her front teeth on the bottom
12:17as well.
12:18So she'll need to have that repaired by the plastics team.
12:22She's lucky she doesn't have a significant head injury that needs to be taken to the
12:26operating theatre.
12:28With a brain bleed ruled out, Albany is returned to Joon's care in the emergency department
12:34as she awaits her family's arrival.
12:47Across the harbour, in the maternity ward of the Martyr Hospital.
12:52How are you feeling Jenny?
12:55It's four hours since Jenny's induction began.
12:58Good.
12:59Big deep breath, really fill your lungs up.
13:01Good.
13:02I'm going to do a vaginal examination to see what stage her labour is.
13:11She's saying she doesn't know how long she can do it for.
13:15All right.
13:16So you're just going to feel some pressure and a bit of touching.
13:18All right.
13:19Just breathe through it.
13:20Big deep breaths.
13:23The cervix has got to get to fully dilated, so 10 centimetres.
13:30So, the cervix is super, super thin, so it's done a lot of work.
13:36So we're definitely, definitely on our way.
13:37It's about two to three.
13:41A bit stretchy.
13:42Mm-hmm.
13:43Yeah, but it's stretchy.
13:44All right.
13:45Yes.
13:46OK, I think you'd be better off standing up.
13:47Yeah?
13:48So get off.
13:49Pause.
13:50Pull side.
13:51It's OK.
13:52Everyone to the side.
13:53Well done.
13:54Good.
13:55With Jenny's painful contractions ramping up, her unborn baby's heart rate begins
14:00to increase, a sign of fetal distress.
14:05Going through something like childbirth can get pretty full on and stressful.
14:12That's when the labour hormones don't flow.
14:15That can cause more issues.
14:17That's the way you keep breathing.
14:2615 minutes across town in the emergency department of St Vincent's Hospital, horse kick patient
14:32Albany has undergone a CT scan.
14:35So they don't think that's any entrepreneurial beliefs.
14:38They just think, um, management and, um, the teeth.
14:42Yeah.
14:43OK.
14:44Sure.
14:45I was just going to clean her up, um, before family get here.
14:47I've always wanted to do something where it involves helping people.
14:52Just so the family can come in and not freak out.
14:56Yeah.
14:57My mum is a nurse.
15:01She works in Balmain as a rehab nurse.
15:04I suppose she has been influenced by becoming a nurse.
15:07For us, this is our job.
15:11And this is what we're trained for.
15:13But for the families, it's one of the worst days of their life.
15:17So we want to make sure that they're prepared for that.
15:20While the doctor talks to the family, we always like to clean up the patients a bit.
15:24Particularly for her.
15:25She's got a lot of facial injuries, which can be quite distressing.
15:29You never would expect your loved one to be in a kind of trauma, um, like this.
15:34And when people have been intubated, obviously, it's still going to be shocking.
15:39But we want to do everything we can to support them and prepare them for that.
15:47Hi, how are you?
15:48How are you?
15:49How are you?
15:50How are you?
15:51How are you?
15:52Nice to see you.
15:54You've got someone like this.
15:56While working in this department, you know, you'll have extreme grief responses
16:02where people are crying and screaming.
16:04You have other people that haven't processed what's going on.
16:07And that's why, you know, it's really important as a nurse
16:10that you are also looking after the patient, but also looking after the family
16:14because, you know, they're just as important as the patient.
16:20I've been in emergency for, I think, just over a year and a half.
16:24And, yeah, it's about what I've expected.
16:27At any given moment, things change.
16:33Can you tell me what's happened?
16:34How did you end up on the floor?
16:36The relative of the patient in recess three has just had a collapse.
16:42That's the brother of the girl.
16:44This shift's just chaos.
16:46How did you end up on the floor?
17:01Albany has been kicked in the face by a horse
17:07and is stabilising in emergency.
17:10What happened?
17:11That's the brother of the girl.
17:12Her brother has passed out after seeing her facial injuries
17:16and needs medical attention of his own.
17:19Can you turn your head up and down?
17:21Yes, sir.
17:22Have you got that off?
17:23Because you need your head, you're not too sure?
17:24No, I'm all right.
17:25We're all good.
17:26All good.
17:27Good.
17:28We're just going to get you to sit up, all right?
17:30It's probably very scary for someone to see their loved one
17:33with a breathing tube and a lot of facial injuries.
17:37We'll take your figure and all that stuff.
17:39You all right?
17:40Yeah.
17:41Yeah.
17:42What happened?
17:43You know, I just saw my sister and...
17:45Yeah, no.
17:46She's a shotgun.
17:47You all right?
17:48No, no, no.
17:49Just take a sec.
17:50He's OK.
17:51He's been triaged.
17:52We'll just monitor him for a little while
17:54and then hopefully he'll be able to go home after that.
17:56Albany's brother will now be held in emergency for observation
18:02while she's moved to the intensive care unit
18:05before the surgery to repair her broken jaw and missing teeth.
18:10They look like they've come out from the root.
18:12They do, exactly.
18:13They're intact.
18:14Yeah.
18:15We just want to try and keep the teeth alive
18:17and usually we put them in, back in their mouth
18:20but we can't this time so we're going to put them in milk
18:23and that helps.
18:25The proteins in milk maintain the perfect pH balance
18:29and stop the root from bursting like it would if placed in water.
18:34I know, I know.
18:36Let me see.
18:37Oh, no.
18:38How did that happen?
18:39I'm feeling you've done that on camera.
18:47Is there a good story associated?
18:49No.
18:50No, I was just messing around with a surfboard.
18:52Oh, no.
18:53I know.
18:54I know.
18:55What's an error.
18:56If you didn't get your...
18:57It was at the bottom of the ocean, I watched it float away.
19:00Oh, no.
19:01Oh, no.
19:02In the maternity department of the Martyr Hospital...
19:16So, lean over the bed.
19:18Mum-to-be Jenny is now six hours into her induction.
19:22Nice and focused.
19:23Good.
19:24And midwife Lucy is worried about the baby's rising heart rate.
19:28Going through something like childbirth can get pretty stressful.
19:32That's when the labour hormones don't flow.
19:34That can cause more issues.
19:37Slow your breathing.
19:38Slow it down.
19:39That's it.
19:40Stay nice and focused.
19:41You can have it whenever you like.
19:42Would you like the epidural?
19:43You want me to organise it for you?
19:44Yes.
19:45Okay, that's okay.
19:46I'm going to go and call the doctor.
19:47He's going to come and put the epidural in, okay?
19:48An epidural is the most effective form of pain relief we have on offer.
20:04I find that when women have the oxytocin drip, they are strong, frequent contractions, which
20:09is obviously what we need, but because they're artificial, they ramp up so quickly, and often
20:13women need more pain relief.
20:15Fentanyl, 20ml syringe.
20:18They're basically locating the epidural space.
20:21It's sort of the lower part of the back, and they inject local anaesthetic into that space.
20:27They're actually still able to use their legs, and they can still feel when that pressure,
20:31when that contraction's coming, but they just don't have any pain associated with it.
20:40Once the epidural is working, Jenny is no longer in pain, but Lucy is called the obstetrician
20:47because the baby still appears to be in distress.
20:51Remember that baseline I told you about?
20:53It's now risen, so the baby's working quite hard.
20:56The heart rate's a bit higher than normal, so I think the baby's probably getting a bit tired.
21:00So Stephen can assess the situation, and then we see what we do.
21:04You're not out of the woods until the baby's out.
21:0615 minutes across town, in the intensive care unit of St Vincent's Hospital, a team of eight doctors and 21 nurses work around the clock to provide high-level care to over 1,200 critically ill patients each year.
21:35Now looking up for me.
21:37It's interesting, the cases that you see.
21:40Being an ICU nurse makes you really realise that life is so precious.
21:44So my name's Zoe, and I am an intensive care nurse at St Vincent's.
21:45I have just made it to a year and a half, so it's still a bit new, but love it.
21:46So, welcome back.
21:47Everyone's staying at St Vincent's Hospital.
21:48Hello, everyone.
21:49My name's Zoe, and I am an intensive care nurse at St Vincent's.
22:07I have just made it to a year and a half so still a bit new but love it to be an
22:18ICU nurse you need to be empathetic you need to be on the ball all the time and
22:23it is a big thing to be a team player when there are things like arrests or
22:31if you need to roll your patients you need to be able to rely on your team
22:34members so you'll be all on your own down on the south side so just call out for
22:38help intensive care patients are critically ill and require constant
22:47close monitoring so the nurses work on a one-to-one ratio with their patients on
22:54Zoe's shift tonight she's looking after a patient from Darwin who has just had
22:59major heart surgery this patient's name is Colleen she has just come from the
23:06Northern Territory and she had coronary artery bypass surgery where they put
23:12some little grafts inside the heart the care that Zoe provides Colleen in the
23:17next 24 hours will be critical to her recovery Colleen you're just waking up
23:24can you squeeze my hands that's really good what about this side give it a
23:29squeeze that's great and can you wiggle your toes for me perfect it's very
23:34uncomfortable that true isn't it Colleen was intubated for the operation Zoe
23:39needs to monitor her as she comes out of sedation and make sure she is stable
23:45enough for the breathing tube to be removed are you in pain water I know once
23:54that tube comes out we can give you some four hours after okay I mean everyone
24:00gets really thirsty and that's the first question they always ask after having a
24:05breathing tube in once we take the breathing tube out then you have to wait
24:08four to six hours because patients can have problems with swallowing I know try
24:14and slow down your breathing for me you're doing really well the patients are
24:19in the hospital 24-7 I like to think when you come to work you have to treat them
24:24like we're coming into almost their little home and you need to look after them
24:28like that was your own family nice deep breaths I'd do anything for them this
24:38afternoon Zoe is working with friend and team leader Ally I love working with
24:47Ally she makes work fun she's organized she knows what's going on and she's around
24:52all the time I know Zoe are you about a year now I got my second run of school
24:59done go girl please wait me to use we both for new grads here for me it was a
25:03few years ago I gotta do my intubation from sort of the minute we met we got on
25:08like a house on fire yeah so I have a few roles I work on the floor so I'm a
25:17bedside nurse for intensive care patients I'm also a team leader in charge
25:22which is bed flow patient flow I think tomorrow morning we could discharge it to
25:26the water being a resource for other nurses on the floor and I'm also a code
25:32blue runner so we run to all of the medical emergencies in the hospital if
25:38they do occur bye cat thanks
25:48where is this all right nine lost at 20 okay cool thanks you go a code blue alerts
25:56all staff to a life-threatening medical emergency such as a cardiac or
26:00respiratory arrest the reason we respond to a code blue is because of the training
26:07that we do being intensive care we assist in airway management
26:11intubation which is something that you do do at code blue nine north is
26:17geriatrics
26:20happy to be airway and I'll do defib yeah Ali has been called from the intensive care unit to assist with an elderly man who has had a seizure she will resuscitate him if needed hi I'm Ali this is Katie in
26:49from ICU she arrived to find that the elderly patient is unconscious but is
26:57breathing with the aid of an oxygen mask he was really struggling and that's the
27:04latest blood pressure yeah that's the lyrics okay cool there is no complacency in
27:08our job because patients that are deteriorating they could die can you give
27:12my hand a squeeze they're going can you hear me
27:15it's making some noises might just check his people's on the street so they're a
27:26size seven but they're reacting both of them both of them yeah
27:32hey can you hear me
27:38there we go hello darling you're okay you're all right sorry so after a tense few
27:45minutes the man regains consciousness okay okay darling it's all right yeah he's dazed but
27:54doesn't need resuscitation from Ali all right guys everything's okay if you need anything please
28:00just call us again yeah with the elderly man now conscious and not requiring CPR Ali can return to ICU
28:10when patients are completely reliant on specialized care with us i think you do feel that weight and i
28:16think that's what makes you always push to do the best for your patients because i think you know how
28:24responsible you are for them and that's a huge privilege
28:31all right thanks marcy thank you it's straight back to managing the 20 bed unit
28:37where zoe's patient colleen is now awake enough to have her breathing tube removed
28:46colleen i've got sophie here she's going to help us take that tube out okay hi colleen we're nearly there
28:54in a moment colleen we're going to get you to do a really big deep cough okay and we'll just pull it
29:02out half this later okay big coffee
29:08that's really good colleen really good how nice is it to have that out
29:13just going to put some oxygen up your nose okay
29:15your surgery went all well we've had everyone calling we've had your uncle and tanya call as well
29:24everyone's excited to hear how you are it's interesting because it's not always the patient
29:30that are the ones that are the anxious or worried you know they're there and they know that we're there
29:34all the time to look after them you did really well you're only on a little bit of medication for
29:40your blood pressure but i think the family making sure that they're aware of what's going on you know
29:45they can call 24 7 and get an update about their family member because you know shift work we're always
29:52there with colleen comfortable it's time for zoe's dinner break and she's on a mission
30:00better run oh god zoe's off to una's
30:06look they do great stencils it's just up the road
30:09they're very good and they're massive she's got 30 minutes i mean i'm timing her i'm timing it
30:21the strict 30 minute dinner rule helps the icu nurses maintain their one-to-one patient ratio
30:27so zoe's dinner dash must be complete by 6 22 pm and the clock is ticking they'll be getting
30:35takeaways for sure oh god it's so funny oh annabelle and i love chicken stencils from una's we'll get
30:45one when we're we're on shift together that's an afternoon shift mainly normally we um do uber eats
30:51one chicken extra rossi gravy that's our little thing that we go okay having a bad day don't
30:56you worry we've got ashes on thank you you have to lighten your work day somehow and i love a challenge
31:11that must have been the speediest service ever
31:14looks delicious oh it's so good look at this bring you back a doggy bag you know you've got like five
31:19minutes to get back here that's fine let's go hurry up they're leaving now so she's got five
31:31minutes to get back you gotta keep it light around here we gotta have a bit of fun thank you thanks
31:43one minute 30 to go we'll make it with time to spare i think i think she's not gonna make it
31:501823 not back i knew it knew it one minute late i blame that on the lift
32:20so the baby's working quite hard the heart rate is a bit higher than normal
32:32in maternity midwife lucy has called in jenny's obstetrician over concerns that her baby is in
32:39distress so stephen's gonna examine you and then we just go from there okay
32:44hopefully his head is just sitting there and we can have a baby going through something like
32:51childbirth i know it's scary for some people you know but i think you just gotta be supportive
32:56and empowering and positive
33:04oh good so the head's just sitting there jenny's contractions have helped move the baby into
33:10position and although the baby's heart rate is elevated she is ready to deliver don't be nervous
33:16you're gonna be fine it's normal to feel like this but you've got it you're gonna meet your baby soon
33:21on my shift as well i know so when you get a contraction you're gonna take a deep breath in
33:28you're gonna push with everything you've got all right you can do it
33:34just imagine this baby coming out right there's a contraction okay here we go big deep breath in
33:41hold your breath hold down chin down chin down chin down so push into your bottom push push push that's
33:46it that's the spot amazing fantastic good breathe out quickly and back in quickly quick quick quick
33:52and again go for it hold it hold it hold it that's it good job just ease baby out good that's it
34:00it's such an amazing job welcome and happy birthday building these relationships with couples
34:30thank you mommy and daddy seeing that the rawness
34:37and you're going to be part of their birth like that's insane congratulations thank you so much
34:42you're welcome it was a pleasure bye i can see myself being a midwife for a very long time
34:47i love it so why would you give something up that you love i had a baby did you yeah we had it
34:54look you've got your birth in i know
35:10it's a bit steady by the car four three eight
35:13anything and everything can come through the doors of the emergency department at
35:19st vincent's hospital yeah i'm about to change the pump set you're seeing the most critically
35:24unwell patients do you feeling dizzy at the moment yeah yeah so you need to be able to act fast
35:29my name's hannah and i work as a resuscitation nurse at some instance
35:43before working in the emergency department i was a geriatric trained nurse now francis i was
35:47concerned about your haemoglobin levels so whenever i do see an elderly patient come in who's very
35:53vulnerable and unwell it always gets me a little bit more than probably any other patient i think
36:01it's a real privilege to be a nurse you're with patients at the bedside at their most vulnerable
36:05times multiple icu remissions since the transplant unfortunately that's an added responsibility on us
36:12to be there for them because it's a strange environment for them to be in your girls so if you're
36:19able to give them that extra little tlc at the moment it's even more important it's the softest
36:24pillow i could find thank you no worries we're just going to get you onto the hospital bed robert
36:30okay hannah is one of three specially trained resuscitation nurses on shift when paramedics bring
36:37in a suspected stroke victim he only says no no no no no on our arrival he had obvious right-sided
36:44facial droop and has had just incomprehensible sounds what you worry about when you do get
36:49a stroke call is that the effects of the stroke have already taken place with that patient and
36:55they're going to be forever living with those whether or not that's to do with their mobility or
37:04swallowing or speech it can be quite confronting for the patient we'll do everything we'll tell you
37:10what to do all right oh poor thing oh you're all right
37:20you're all right the patient is already aware that there is something very wrong
37:25i think it was very emotional for everyone in the room seeing that
37:28we're going to do things quickly okay just bear with us we don't know when he was last seen well
37:36no we don't have family do we know we don't know anything can you grab a posy flush please
37:41robert my name's dr chrissy oh my gosh where are you at the moment
37:46what month is it the team need to act quickly to determine whether robert's stroke has been caused
37:58by a bleed to the brain a blood clot or a blockage of blood flow can you close your eyes for me
38:06good can you squeeze my head good the patient clearly understands what's being told to him but
38:12unfortunately unable to communicate yeah can you put them on the desk so we don't lose them please
38:19trying to identify which stroke has occurred is really important 361 is so that we can organize
38:26the correct intervention because it can be life-threatening and have long-term effects for that
38:31patient robert we're gonna take you for a scan of your head so getting him to a ct scanner as quickly
38:38as possible is really imperative i just take that tourniquet of his arm the average adult brain has
38:45about a hundred billion cells with every minute that passes the stroke attacks up to 1.9 million of
38:52them worst case scenario is death it's okay
39:06in emergency hannah's 78 year old stroke patient robert has undergone a ct scan which has revealed
39:13dead brain tissue caused by a blood clot robert we can see on your scans that at some point you've had
39:21a stroke yeah i don't know when it's very hard for us to know robert lives alone and the stroke he
39:34suffered has made it difficult for him to communicate his medical history to the team
39:38are you trying to tell me a number three three days three days ago this started okay
39:48for robert the worst is over from today on it will be about his level of recovery
39:54it looks like you're walking and everything is okay but it's affected your speech
40:01very much so yes robert's going to be admitted to the stroke unit he'll go up and have an mri today
40:08speech pathologist will come and have a look at him oh yeah there you go good job love he lives
40:14alone um and it's usually quite independent so it is quite a profound change i know it's a big day
40:25seeing him obviously really upset and crying was hard do you want a little tissue because it's very
40:32relevant to my life but my grandpa had a stroke yeah and i just wanted to be able to give him the
40:38best treatment that i could like i know that my grandpa did when he had his stroke
40:47is there anything i can do to make you more comfortable
40:51sometimes it's just the little things like holding their hand and just listening to what they
40:56have to say that can really have an effect on a person rob have you got any pain no obviously it's
41:05a big process of you know realization of that his life will most likely not return to how it was and
41:12what he's known but yeah i think that for us if we can just support our patients with these major changes
41:19and i don't know extra tlc that can sometimes hopefully i like to think make a difference
41:26although it's been a difficult day for robert there's a small silver lining
41:32hey robert we've got some good news for you we just found a lotto ticket in your bag
41:36we'll have to claim that when you get out hey yeah you're in good hands now
42:06it's been seven days since intensive care nurse zoe removed her patient colleen's breathing tube
42:22following heart surgery hi how are you colleen traveled from the northern territory and there's
42:31something she would love to do before returning home we were chatting to colleen and we found out
42:38that her wish is to see the harbour bridge before she has to go back to darwin all right off we go
42:47so we're going up to our private hospital level 14. that's where we've got the best view of the harbour
42:53bridge
42:55i love to go the extra mile for my patients so to be able to do this with colleen makes me really
43:02excited oh i can see it there is the famous harbour bridge wow
43:14i tried to stand up yeah oh so exciting for you yeah before i came i just wanted to see the bridge you
43:24know and i'm excited to see it from here
43:32oh i love that looking after an icu patient a lot of the times when they are um intubated you don't
43:39really get to know the patient very well until you can take the breathing tube out and talk to them
43:44at home you live near water yeah before do you go fishing fishing yeah i take my kids to swim yep
43:52because they like going to the beach and you get to know them and you actually you do really care about
44:06when you do really care for the patient and when they've been there for a long time it's also about
44:10doing those little things that make their stay in icu so much better i could see what it is you
44:18the best part is actually seeing their progress and i think it just teaches you that
44:22life is so fragile and it's so special the buzz from birth unit you get is indescribable couldn't
44:30imagine doing anything else working together as a team in emergency making sure that person stayed
44:43alive during our shift got them to icu or wherever they need to get to
44:51hearing later that they've gone out of hospital
44:53that kind of feels good you know yeah
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