- 2 weeks ago
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00:00in the heart of Yorkshire a team like no other busy busy busy fight to save lives
00:12open your eyes for me do you know where you are you're in Barnsley A&E department
00:1524 hours a day wow seven days a week whoa nearly feel like a wet dish
00:27serving their community looks like you have broken it I don't think I'm going
00:36to look I'm dreaming of your gin and tonic helping those most in need
00:42love you I'm trying though there's nothing to be frightened of these girls will sort
00:48her out they care for anyone I think I've lost your hair up haven't I and everyone
00:54working more like himself thanks to Barnsley working together to make people's lives better
01:03you know I just love to look at people I love to make a difference
01:06this is Barnsley casualty 24-7 has to not be entering a beauty contest
01:13on shift tonight sister Georgia Mandy are you able to go up to one with cube eight please
01:25advanced clinical practitioner Gemma what's a normal seizures like mom and consultant Dr Laura
01:36Buxton where am I now you're at Barnsley hospital so get ready to share a shift
01:43no brilliant women everybody with the team at Barnsley casualty
01:48there's a couple of your patients and going to ward I'm just wondering are they ready to move
02:05sister Georgia is starting her shift and she's arriving to a backlog of patients causing congestion in the
02:14department every day on shift you do like have problems and you have got to move staff around
02:21and help areas that are struggling will you have a look at some of these just see if they're ready to move
02:27and we can get ready to move on I've just asked Emma to sort cubicle four
02:32I do quite like doing that because obviously we need to make sure that his patients are safe
02:37we've got 56 patients in with a two hour doctor wait we've got currently 10 waiting for AMU
02:47so we're just going to try and get these patients up to ward as fast as we can
02:52to move the patients around Georgia needs the hospital porters but there's a long wait before they're free
02:59we've got all these beds coming up but porters are on an hour and eight minutes
03:04we want to get them out because we're getting ambulances we've got due in
03:09we've got two en route and three experts so we're going to get five ambulances in and we need space
03:14they've not answered it's a porters
03:19got a little bit busy at minute we're just having issues with porters getting patients up to ward
03:25we just need some parters to come and take these patients up
03:38an ambulance is on its way to casualty
03:44four-year-old Skylar is being rushed into paediatric care with recurring seizures
03:50yeah
03:51she's had two lots of benzos haven't she?
03:53yeah
03:55mum Katie and dad Jack are alongside Skylar
03:59who's been looked after by advanced clinical practitioner Gemma
04:03what's the normal seizures like mum?
04:05usually it's just her eyes and her head are drift off to one side
04:09yeah it might have lent you in there but that's usually it
04:12but the last two is when she's started with the jerk soccer
04:15when she's got to us I've been asked by our nurse to actually come and have a little look at her
04:21because she seems quite what we call flat
04:23so not really responding how she should normally
04:26I'll put it this way for two minutes
04:29is it normally the right side?
04:32from what I can remember yeah it's usually the right side but that's the jerk so she takes it softer
04:38that's what I've just said to Rick but
04:40Seizures are something Skylar has suffered with previously
04:52but the length of this episode is a serious concern for the team
04:56she needed to be in an environment where a bit more safe and secure
05:01we could have a bit more help around so that's why we transfer her to Resus
05:08thank you
05:09I get you, are you ready to run a gas?
05:11yep
05:12I'm ready for that too
05:14all right
05:17having a epileptic seizure there's a lot of risks associated with it
05:22one of the main ones is that you can't actually breathe properly by yourself
05:26so you can't maintain that oxygen supply to your brain to all the rest of your organs
05:33and that's risky in itself
05:41there's a risk that she could stop breathing
05:43and that's why we need to get some immediate access
05:46so we need to get a cannula and get sort of look what the next medication is
05:50especially with seizures if you're not ventilating or breathing properly
06:07you're not getting that oxygen to supply your brain
06:11and that's where you're risking things like brain damage
06:13so yes Skyla's got to the point now where we need to intubate and take over that breathing for her
06:24so intubation is what we call protecting that airway
06:28essentially we are breathing for her
06:31we're being her lungs
06:33we're making sure that that oxygen is supplying all her organs
06:36and making sure we're not depriving her of oxygen
06:39she's being intubated as we speak
06:42she's definitely jerking a lot more than last time
06:45and struggling to breathe a bit more
06:46every time she's having a seizure it could be damaging her brain more
07:00it could be doing more damage internally
07:02so while she's asleep and intubated she's probably in the safest place possible
07:05so hopefully like habs her entire body so the seizures will stop
07:11I think that's basically how they've described it to us
07:20it's now an anxious wait to see if the intubation resolves Skyla's seizures
07:24he's killed for ready to move
07:41yeah
07:42sister Georgia is juggling patients and beds while she waits for porters to become available to move people
07:56currently we've got three, four, five, six, we've got six patients awaiting AMU that beds are ready
08:02but we just haven't got the porters to take them up
08:05and obviously A&E don't stop so we've got a constant flow of patients coming in
08:11and sometimes we've just got no room to like see anyone anywhere really
08:17whilst Georgia waits for the porters to begin transferring her patients
08:21she's presented with a new task
08:24so this COVID and flu swabbing thing
08:28CBU 1 major says no
08:32but CBU 2 is saying that we have
08:35ITU are wanting COVID and flu swabs now
08:38but we've not got any machines set up yet
08:40so we're just trying to work out whether or not we're doing it or not
08:44really
08:46the swabs for COVID and flu will add further time pressure to Sister Georgia's day
08:53it will cause some delays in A&E because it takes 15 minutes to do all the swab
08:58so if we could get it done as fast as we can then it obviously stops the delays really
09:08whilst Sister Georgia deals with delays caused by additional swabbing
09:12in recess
09:19advanced clinical practitioner Gemma is monitoring four-year-old Skyla
09:24I'm behind you Gemma
09:25I got flush
09:26I got hot
09:27I have
09:32So she started having a seizure
09:34we couldn't stop her from seizing so we had to intubate her
09:37and that's the way that you try and stop people seizing
09:40we attempted to extubate her first time
09:44so I attempted to wake her up
09:46but what happened was she started again to have a seizure
09:49so it wasn't safe to wake her up
09:52because she wouldn't have been able to maintain her own airway
09:55if after a second time we can't wake Skyla up then she would need to be transferred out
10:07to another specialist area which would be paediatric intensive care
10:11With her vital signs heading in the right direction
10:15anaesthetic consultant Rakesh Basroor helps prepare a second attempt to wake Skyla up
10:21So anaesthetic team it's their bread and butter essentially that is their speciality when she's being sedated
10:29they're the ones that know how to manage that airway
10:33they're more familiar with the type of things we need for the airway and also the medications that they need to give
10:39All right sweetheart
10:45Tyler, are you just waking up?
10:47I'll miss you
10:49All right darling
10:53Okay
10:55Before we'd not even got this far and she'd started fitting last time
10:59Yeah, yeah
11:01We say wake up but she's had quite a lot of medication to make her sleepy
11:07so we're not expecting her to sit up and open her eyes
11:11the important thing we want to know is whether she can maintain her own airway
11:17so can she breathe by herself
11:19the last time we tried to wake her up she started fitting straight away
11:25Skyla
11:27Skyla must now be closely monitored to ensure no further seizures occur
11:45Another ambulance has rushed 85 year old Maureen to casualty
11:48she has a slow heartbeat
11:54Can you remember what's happened this morning?
11:56Is she not?
11:57No
11:58No?
11:59What about when you went to bed last night?
12:00Did you feel okay?
12:01She's supposed to be having a scan at the next hospital
12:04Maureen has dementia and a son Matthew has accompanied her to the hospital
12:08You're welcome
12:09Take care, thank you
12:10I got a phone call today from the care home just to state that my mum had low oxygen and she wasn't very well
12:16They rang for an ambulance and then the ambulance had brought her in because her stats are not very well
12:26How long am I stopping in?
12:28How long am I stopping in?
12:30I don't know until you're better
12:32I'm at
12:34I'm at
12:35Where
12:36Where
12:37Where am I now?
12:38Barsley Hospital
12:39My mum will be 86 on the 12th of October
12:43So she's really strong for her age 85
12:46And she's just witnessed my dad passing four days ago
12:51He was 91
12:52So that's going to put a big strain on her as well
12:56What
12:58What happened to your dad?
13:00He's looking after you
13:04Why did he die?
13:07He wasn't very well and he was a bit tired
13:09When did he die?
13:13A few days ago
13:14You were there
13:15Just a few days ago?
13:16Yeah
13:17You were there, you held his hand, you were holding his hand and saying I love you George
13:21George?
13:22Yeah
13:23Is that my husband?
13:24My beautiful husband, my gorgeous dad, my hero
13:32Okay
13:33When did he die?
13:34Thursday
13:35What?
13:36Thursday
13:37Thursday?
13:38Thursday, yeah
13:39That's not long
13:40I know, I know
13:41My dad really did well looking after her
13:43They had a few carers coming in but my dad did the main bulk of it all
13:48And being at 91 I think it just took its toll a bit
13:51So he's now at peace and resting
13:53And he'll be waiting for my mum coming soon I think
13:57What?
13:58Why did he die?
14:00It wasn't very well, he got an infection
14:03And it couldn't get right?
14:05It couldn't get right now, sorry
14:10Sorry
14:11You're very posh
14:20Are you very posh?
14:21Very posh
14:22Well we'll get on well then
14:23Dr Buxton will be in charge of Maureen's care today and is here to take a blood sample
14:29Right, I'm going to see if I can have another go at popping that needle in the back of your hand, okay?
14:34Okay
14:35I'll be as gentle as I can, alright?
14:37Right, you ready Maureen? Keep nice and still, here we go
14:40Oh I don't know how you can look Mum, you're very brave
14:46I think for now, Matthew and Maureen, the priorities are that your mum's pain settle down, that discomfort she was having this morning settled
14:57Yep
14:58She looks a better colour
14:59Yep
15:00And her blood pressure is holding steady
15:01Yep
15:02For the reason for her heart having gone so very slow this morning, I've got a little bit of time to work that out
15:07Yep
15:08And a bit of time to come up with the right plan for how to sort it
15:11Yep
15:12Okay
15:13You sort of realise that time's very precious
15:16I'm all for making my dad proud, I'm all for making my mum proud
15:20I just feel so lost at the moment
15:24Your heartbeat is very slow today
15:28And I can't let you go home while it's this slow
15:31Okay
15:32Where am I now?
15:34You're at Barnsley Hospital in A&E
15:40Okay
15:41I didn't know that
15:43So we'll take good care of you until we've worked out what's going on and what needs to happen next
15:48Maureen's heartbeat remains slow and she will need to be closely monitored in the coming hours
15:59Love you
16:00Love you too
16:11But there's just quite a lot of DTAs but they've not ticked ready to move so we're just going to work through all's ready to move
16:17In the hub, Sister Georgia has patients ready to go to wards but the hospital's porters aren't free to move them causing a backlog
16:26Reena, you know your patients that have got DTAs, will you just click ready to move when they're ready to move on?
16:32Yeah I could do
16:33Have you put it on?
16:34But there's one patient she can't move on, who's been found in possession of a large quantity of drugs
16:39There were a bag of cocaine on the side, somebody had reported it to police to come and collect from a patient that we've got in currently
16:47They've come and picked it up and I believe they're still in, they're in with patient now
16:51So I haven't looked in it, I don't know what's in there, but apparently that's what's been handed over from the night staff that there's cocaine in there
17:04I don't know how much it looked
17:08You alright?
17:09Yeah
17:11How will you live?
17:12So I don't know what the outcome will be but it's been reported anyway
17:17Whilst Georgia helps the police with their enquiries
17:20In minor injuries, 65 year old Sean has taken a tumble down his cellar steps
17:37We're doing a big shock today, I've gone down for carriers down there, there's some down there
17:44As I've got near bottom, about three front bottom, the big concrete steps as well, I've slipped
17:50And my foot's gone under, my foot's gone underneath me
17:56I'm Claire
17:58Emergency nurse practitioner Claire is on hand to assess the damage
18:05Right my love, tell me what's happened
18:07I've slipped, my foot's gone underneath me
18:10So underneath itself, yeah
18:11Yeah
18:12It's gone underneath there
18:13What were you on, your feet?
18:15What did you have on your feet?
18:16These
18:17These silly slippers?
18:19Alright
18:21Did they stay on?
18:23That one did, that one didn't
18:24That one came off, okay
18:25And you've injured your toenail as well?
18:27Yep
18:29Lots of patients come in from having injuries based on poor footwear
18:33Slippers is one of the bane of the life of the practitioner
18:37Because yeah, they slip it and they slip on and off and they're not supportive
18:42So people can go and do something really innocuous and then fall and obviously injure themselves
18:49Can you stand on it after you've done it?
18:51To be honest I've not tried
18:52Okay
18:53I don't feel like trying but I will if you want me to
18:55No it's alright, I just wanted to know if you had any pain at back?
18:59No
19:00Any pain round there?
19:01No
19:02Okay, so is it SAR over here?
19:04Yeah, yes it is
19:05Yeah
19:06Okay
19:07Right then let's go to x-ray
19:08Thank you
19:17Whilst waiting for his x-ray, Sean has a moment to speak to his grandchildren
19:21Hello sweetheart
19:22Are you going to tell grandad to get all better?
19:23Yeah
19:24Yeah
19:25Yeah
19:26Yeah
19:27Yeah
19:28Yeah
19:29Yeah
19:30Well
19:31Yeah
19:32Yeah
19:33Yeah
19:34See you Bobby
19:38Bye Michaela
19:39Thank you
19:40With spirits lifted, it's straight into x-ray to find out what damage Sean has done to his foot
19:47And relax
19:50And relax
19:56Back in recess, Maureen has been admitted to casualty with a slow heart rate
20:01She also has dementia
20:07What happened to your dad?
20:09He went to sleep, he was not very well, he went very well
20:12Did I know of him?
20:15Yeah, you were there holding his hand
20:17Where?
20:18Where?
20:19At the care home
20:20And then his dad
20:22Oh, he went to sleep
20:23He went to sleep
20:24He went to sleep
20:25I didn't even think about that
20:27You were there, sweetie
20:29You probably forgot
20:30Don't be upset
20:32How did you know, Ma?
20:34There's nothing to be upset about, is there?
20:36I look low
20:37He's not, listen, he's not hurting, he's watching over you
20:40Did he really?
20:44Really?
20:45Yeah
20:46It's a strange disease, because she's really, really good at remembering old times from long ago
20:53It's just a short-term memory, you've got to keep repeating herself
20:56And she does retain some, like she knows my dad's passed away
21:00But then she forgets sometimes and where is he?
21:03It's having the death over and over and over and over again every single day
21:09Love you
21:10Love you
21:11I'm so dope
21:15I'm frightened though
21:16There's nothing to be frightened of
21:18You've got all these doctors and nurses and I'm looking after you
21:21I won't leave you
21:22I won't leave you
21:23And you've got Vicki, Josh, Georgia and old grandkids coming over
21:27And you've got those other people at the care home looking after you
21:31And my dad, more importantly, my dad's looking after you
21:37They've been married and they're old school married
21:39So for better for worse, death goes apart
21:41And unfortunately, my dad died and he's now apart
21:45But hopefully looking after her
21:48With Maureen's heart rate remaining lower than doctors would like
21:51Dr Buxton has ordered a chest x-ray
21:54You've just got a quick picture of your chest to do today
21:58Pardon?
21:59She's going to take an x-ray
22:01I promised my dad I would look after my mum
22:03And she wouldn't suffer
22:05So that's what I'm doing now
22:09Everything is just a flood of emotion
22:10It just washes over you and just takes you away
22:12And then you're alright
22:14And then you feel a bit numb and a bit angry
22:16And then sadness again
22:18I've never experienced it to be fair
22:20Maureen and Matthew must now wait for the results of the chest x-ray
22:27To find out what can be done to improve her heart rate
22:44Having begun to clear a backlog of patients
22:46With the help of the hospital porters
22:48Sister George is now helping someone
22:50Who's having a mental health crisis
22:52Yeah
22:53We're in transport
22:54We're in transport to Kendra
22:55Yeah
22:56The patient was found in possession of a large amount of drugs
22:59And the police have been called
23:04The patient is currently being taken care of
23:07By healthcare assistant Paul
23:09Being with me a guy who's been doing well at the minute
23:14Quite Paul, they blessed him
23:16So I've been sat with him while waiting for his specialty team to come and see him
23:22So he's now gone to another hospital so we can get the care he needs
23:28He's took a bit of resources from the staff
23:30But we've managed to get the right help he needs
23:34I've just took him to ambulance and said goodbye to him
23:37And he's now been in his merry way to Kendra hospital
23:41So he's had a bit of a breakdown
23:44So we still treat everybody the same
23:47And hopefully he'll be better in a few days
23:50In recess, four-year-old Skylar is being woken up by nurse Liv
24:08Having been intubated to prevent seizures
24:15Alright darling
24:16Where's mummy Skylar?
24:19Hey mummy's here
24:23Don't wake up please
24:24It's much better than the last time we tried to wake her up
24:28It's in
24:33Alright
24:37What are you coughing?
24:44So everything she's doing by herself now
24:46So it's just waiting for her to wake up a little bit
24:48And then we can monitor her further
24:50And hopefully get her to the ward
24:52I know you're going to rub this off your nose
24:54I know
24:55Thankfully this has worked
24:58She's stopped seizing
25:00She's actually starting to breathe on her own
25:02So now it's just a case that we need to keep her a close eye on her
25:06I'm sure you don't need to check in
25:07I'm sure you don't need to check in
25:08She's had quite a lot of medication that's going to make her sleepy
25:12So I wouldn't expect her to
25:13She might be out fast asleep for the rest of the night
25:17The main thing is as long as she's breathing on her own and maintaining her airway and not having a seizure
25:23You're waking up?
25:25Oh
25:26Hi
25:27Yeah
25:29Look at you waking up
25:32After a groggy start Skylar is now coming round and it looks like her seizures have stopped
25:38We're definitely waking up a lot more now aren't we?
25:41I know darling
25:42Is that annoying you?
25:46Shall we take it out soon?
25:48You want to take it out?
25:49Yeah
25:50Yeah
25:51Are we messing?
25:52What?
25:53Are you setting up?
25:54Where's mummy?
25:56You see where she is?
25:59Kids tend to bounce back a lot more quickly than adults
26:04But they also can deteriorate quite quickly as well
26:07Which is quite why you need to keep an eye on them
26:10And that's the risk we have with children
26:15Skylar spent her night being closely monitored on the children's ward
26:21The following day she went home with mum and dad
26:29So when did you do this today?
26:38Yeah yeah this morning yeah
26:40In minor injuries 65 year old Sean is awaiting the results of an x-ray
26:45After a fall down his cellar steps left him with a suspected broken toe
26:50Like I was saying we're doing cellar arm we're going to do it as a playroom for kids
26:56Well wallpaper came yesterday
27:00Is that for the cellar?
27:01No
27:02Oh
27:03That's for back bedroom for grandkids
27:06Oh right
27:07We're doing it to you know
27:09For them when they come to see
27:11For them when they come yeah
27:13Wallpaper and painting
27:15Carpet
27:17But for now Sean's DIY is going to have to wait
27:20As emergency nurse practitioner Claire has the results of his x-ray
27:25Right let's have a look at the damage then shall we
27:31A little break in the big toe
27:34Just there on the joint
27:35And looking at your big toe you've got bruising underneath which is in combination with that where it's broken
27:45Emergency nurse practitioner Claire has spotted something else that could be a problem for Sean
27:50There's a joint here on your midfoot your Liz Frank joint which you need to be sure about that it's not an injury to that area
28:00This is something that we need to refer to orthopedics and then they will further assess the patient take a further detailed history and then most of these patients get a CT scan to see more in depth whether they actually have got that injury
28:15When you go over like this
28:17When you go over like this you stress that joint there and that can cause fractures across that midfoot that Liz Frank joint which is quite significant for your mobility of your foot and your arch of your foot so we need to be sure about that
28:30They might do some weight bearing x-rays and then they'll potentially plan for him to have a scan so he'll probably go home in a black walker boot and come back for a scan another day
28:45I'm not too bothered about it
28:47I'm not too bothered about it. You have a bronc toe that's fine. I expected it. It's that extra bit on top that she was saying it affects your walking and all that
28:57Hopefully it's just soft tissue and it's nothing that's going to affect me
29:04Right, I've spoken to orthopedics and they've said that they'll see you on that area called Estek
29:11Okay, so I'll take you down there. They're waiting for you, okay?
29:14Okay, lovely. Thank you
29:16Definitely no decorating for the foreseeable and no more slippy slippers on the cellar steps
29:24A further scan revealed no additional damage leaving Sean free to carry on sorting out his cellar
29:42Having spent her day organising patient movements sister Georgia is catching up with nurse Olivia who's also having difficulty with patients on the move
29:51Cubicle 16? Yeah
29:54Basically, he's got some med studio, he's supposed to be going to ward, I've done them, got to his cubicle and he's not there
30:00Have we tried ringing him? Yeah, I've rang him, he's gone straight to voicemail
30:04So if he's gone, he's gone with a cannula in
30:08So when somebody goes missing, it's a bit of a nightmare really because you've got to make sure that the patient's safe, ring them
30:14Hopefully they answer the phone and they say, actually, yeah, I'm at home, I'm safe, I'm fine
30:19But if not, sometimes we have to send police or ambulance out to do a welfare check
30:26Yeah, we're going to have to
30:27So just ring the ambulance and tell him that he's gone?
30:29Yeah, with a cannula ring
30:31Right
30:34With a patient missing in cubicle 16, there's a new arrival in cubicle 19
30:3985-year-old Eric has a badly swollen leg
30:43Last night, I said to my wife, I don't feel so well
30:49And anyhow, I managed to get upstairs about half past twelve
30:54But I couldn't get police in on bed
30:59And I couldn't lift up, and all my legs fell late up
31:05Health care assistant Paul arrives to take a blood sample from Eric
31:09So what's brought you in here today?
31:12My leg
31:14I couldn't get, I couldn't get in and out of bed
31:18Because I've had cellulitis and lymphedema
31:21Oh, I'm sorry to hear that
31:23But I've had sepsis before
31:25You've had sepsis before?
31:26Yeah
31:27So, I'm going to pop a needle in your arm and text somebody, is that okay with you?
31:31Yeah
31:32Whilst Eric isn't hitting a high note today, he was previously a singer
31:37I hear you used to be an ex-singer
31:40Aye, for a long time
31:42How long ago?
31:43I did it for 32 years
31:45Oh, that's a long time, did you enjoy it?
31:47Oh, brilliant
31:48So where did you sing then? Did you sing all of it well?
31:51All of it
31:52All of it
31:53I've been in Tenerife, Benidorm, Portugal or something
31:58Wow
31:59Wow
32:00But I've done out of clubs in Barnsley
32:02Have you?
32:03Don't cast it
32:04Wigan, Sunderland
32:05Wow
32:06That must have done a sharp scratch
32:08Eric must now wait for his blood test results
32:10To discover whether his leg can be treated with antibiotics
32:16You can relax your arm now, you've done well, do you?
32:19Yeah
32:27Sister Georgia and nurse Olivia are trying to locate a missing patient
32:32Obviously just check in waiting room, cause he could have just wondered and not known where to come back
32:36Yeah, I'll show you if it's a waiting room, and if not, I'll ring that.
32:39If not, yeah. Is that all right?
32:44Darren, we've got a patient that's left with a cannula in,
32:46but he's got no fixed abode.
32:50So...
32:51Can't do anything.
32:52Right, I'll just document it then, and I'll document about it.
32:54Can't you tell the police to go search?
32:56Yeah, and we tried phoning him, so...
33:06In cubicle 16, 68-year-old Janet has been struggling with persistent vomiting for four days.
33:17Sister Georgia is looking after her.
33:24So, you've been taking oral and sickness, but you can't keep it down?
33:28We'll get you some...
33:29I can't.
33:30I can't.
33:31And then hopefully that should stop you from vomiting.
33:36We'll get all that sorted for you, okay?
33:39So, this lady attended two days ago, we have to have pain and vomiting.
33:42She was diagnosed with a...
33:45...boot poisoning or stomach bug,
33:47and she was given anti-sickness to take home,
33:49but it's not stopped her sickness at all.
33:53But the concern that this lady had was that she's on chemo medication
33:58for her cancer, and she's not able to keep them down either.
34:02She can't keep anything down, but that's bad,
34:04because she can't keep your medication now, which I need to take.
34:09That's what concerns us as much as anything, isn't it?
34:13Husband Brian is keen to ensure Janet gets the best possible care.
34:18Well, we've been married four to seven years.
34:20We've been together about 50 years.
34:22Yeah.
34:25I got married day after my 21st birthday.
34:28We met when we were 18.
34:31You were 18 now, 24.
34:3224, yeah.
34:36We're a holiday romance.
34:39Right.
34:41Holiday romance.
34:42So holiday romances do work.
34:46Sometimes.
34:47If you work at them.
34:49Nurse Ivana brings medication for Janet.
34:53Right.
34:54I've got your anti-sickness and some paracetamol.
34:56It's all through your IV.
34:57I'll get you another sick bowl as well, sweet.
34:59Hopefully, I'll stop her being sick.
35:02Which is what you want, isn't it, at the minute last year?
35:05Are you managing to keep your water down?
35:06No.
35:07No.
35:08No.
35:09No.
35:10No.
35:11No.
35:12No.
35:13Janet must now hope that the anti-sickness drip enables her to take her vital cancer medication.
35:17So if you need all else, let me know.
35:18I'll go and grab you another bowl.
35:37Sister Georgia has been juggling beds, patients and porters throughout her shift today.
35:50We've got quite a few ambulances that are going to be coming in as well, so we need to free up some space.
35:55So we've just escalated it to site to try and get us some more support with porters and then hopefully we'll be able to get some patients out at the department and clear a bit of space.
36:05The availability of porters is improving, just at the right time for Georgia.
36:11I've got a shirt a bit stretched and sent me around here.
36:14Oh, that was fast.
36:15That was fast.
36:17If there's somebody to go with you.
36:18Oh, right.
36:19Yep.
36:20We'll get them up.
36:21Yep.
36:23Mandy.
36:24Are you able to go up to Ward with Cube 8, please?
36:30I think it's really important keeping a flow in the department.
36:34And it's really difficult sometimes.
36:36I ain't got anybody to send with you at the minute.
36:38That's the only issue.
36:40If we're down on porters, it can make your shift really difficult because you've got patients that are needing transferring to wards or for CTs or x-rays.
36:50And if there's a delay in that, it impacts everything massively.
36:53Can you all go a look, please?
36:57Transfer from resource.
36:59In cubicle 19, 85-year-old Eric has an inflamed leg and he's waiting for the results of a blood test.
37:15Keeping him company is granddaughter Lauren.
37:18The good people, hospitals, when I was in before, they were brilliant with me. Everybody.
37:27Eric wants to go home as soon as possible to see his beloved pet birds.
37:32I've been doing all my life since I was a little boy.
37:37Pigeons, canaries and grills.
37:40I like to look up and right.
37:42Advanced clinical practitioner Charlene has reviewed the results of Eric's blood tests and has concerns.
37:49So, his inflammatory markers are raised, so that would indicate that he has got some infection going off and it's likely cellulitis.
37:55Hello?
37:56Hi.
37:57You all right?
37:58Hello.
37:59She returns with bad news for Eric.
38:04We need to admit, yeah.
38:06For a couple of days.
38:07I'm not eating justice where it is.
38:09You know, we can't risk you getting poorly with sepsis.
38:12I know.
38:13But I'll stay with you.
38:14I like lots of time.
38:15You know, I'm all sorted.
38:17I know it's not what you wanted to hear, but we need to get you better.
38:20Whilst Eric's keen to get back to his feathered friends,
38:23advanced clinical practitioner Charlene knows that keeping him in overnight is for the best.
38:28Sometimes that's a problem that we are trying to get people to stay when they want to go home,
38:32but he's not well enough to be at home and he needs to be in hospital.
38:35We'll be settled on a bed soon.
38:37All right, you take care.
38:39See you later.
38:40Thank you. Bye-bye.
38:42Further tests confirmed Eric was suffering from cellulitis and lymphedema.
38:47He was discharged from hospital four days later.
38:56Back in cubicle 16, 68-year-old Janet has ongoing sickness, which is affecting her ability to take cancer medication.
39:04Dr. Hannah Everett has now taken over her care.
39:08Obviously, with the fact that you're on quite a few medications that we need you to be able to take
39:13and the length of time that it's been going on for, I think we might need to bring you in to hospital
39:19to give you some fluids through the vein and then also give you some antiseptics through the vein as well.
39:23Dr. Everett needs to perform a blood test on Janet.
39:31You're not looking like you've got brilliant veins from her.
39:34No, I'm sure it is.
39:36Bad veins.
39:37You've had it on her feet and everything.
39:39Not good news for me, that, is it?
39:41No.
39:42Not really.
39:43No.
39:49We're in luck.
39:50Telling you to be buzzed, eh?
39:56It stinks.
39:57Any questions or anything else?
39:58No.
39:59No, I don't think so.
40:00Dr. Everett needs to discuss with a consultant whether Janet should stay in overnight for observation.
40:09But she said, yeah, she's not being able to keep her antiemetics down, so she's just continuing to vomit.
40:13Yeah.
40:14What's your plan?
40:15I've had a chat with a consultant and he agrees with me that we need to bring you in for some fluids and some for antisickness through the veins.
40:23At least hopefully I should be able to get some meds down with her then.
40:26Yeah.
40:27Janet's feeling better already and thinking about what Brian can make her when she's ready to leave hospital.
40:33Yeah.
40:34I'd probably have a honey, honey-glazed gammon steak.
40:39What, eat cups?
40:40Yeah.
40:41Yeah.
40:42Yeah.
40:43I think she'll be fine.
40:44Bit of fluids, bit of antisickness.
40:46She should start feeling a bit better, yeah.
40:50Janet was taken to the ward and was discharged four days later.
40:55That's nice.
41:07That's nice.
41:08Back in recess, Maureen has been waiting with her some Matthew for the results of a chest x-ray.
41:14So what I'm seeing on here is that her heart, this is the outline of her heart, it's much bigger than it should be.
41:20And that her heart muscle doesn't pump as good as well as it should.
41:24It's a bit like in your boiler, your boiler in your house is like your heart and the radiators are like your lungs I suppose.
41:32And if the heart's not pumping very well then the pressure in the radiators backs up.
41:37So you need the heart to be pumping the blood effectively round the body and also clearing fluid out of the lungs.
41:43I'm reasonably happy things are settling down.
41:47Okay?
41:48Why were I in trouble?
41:51A little bit this morning.
41:52Why?
41:53Your heart was going a bit too slow.
41:56Was it?
41:57Yeah.
42:02You alright?
42:04Huh?
42:05You look better.
42:07You want a little drink?
42:08You look a lot better.
42:11So you won't be going home today.
42:14They might keep you in a couple of days.
42:17Why'd they pick on me?
42:19Because you're beautiful.
42:24Oh!
42:26Oh, that's nice.
42:27I know.
42:28I know, everybody thinks that.
42:30Right Maureen, are we ready to go?
42:32Where we going?
42:33To ward.
42:34Alright.
42:35You're going upstairs now to be looked after again.
42:37Thank you everybody.
42:38Why did you pick me?
42:41I'm going to carry on where my dad left off.
42:44My dad did it with every ounce of his body and his strength and finally that got the better of him.
42:50So I'm going to take over and hopefully make my dad proud and make my mum proud as well.
42:56Maureen's heart was monitored on the cardiology ward for four days.
43:00She left the hospital on reduced medication and is now stable.
43:10After a non-stop day, Sister Georgia's shift is coming to a close.
43:14So we are still busy.
43:16We've got patients awaiting ward.
43:17Portering's got better.
43:18We haven't got as many waiting to get up now.
43:19So hopefully we can just keep on top of it.
43:20Ready for the night's coming on.
43:21It's been a hectic day.
43:22But there's time to relax before it all starts again.
43:23I feel like some days you do have to kind of switch off because if you took things home
43:27that you see in the emergency department, you'd sometimes be really upset.
43:28You see, like, challenging behaviours and things like that.
43:30I am quite a chill person anyway, to be fair.
43:31But, yeah, you can't take a lot of time to get up.
43:32But, yeah, we're still waiting to get up now.
43:33We're still waiting to get up now.
43:34So hopefully we can just keep on top of it.
43:35Ready for the night's coming on.
43:36It's been a hectic day.
43:37But there's time to relax before it all starts again.
43:38I feel like some days you do have to kind of switch off because if you took things
43:43on that you see in the emergency department, you'd sometimes be really upset.
43:48You see, like, challenging behaviours and things like that.
43:52I am quite a chill person anyway, to be fair.
43:55But, yeah, you can't take it home, will you?
43:58So I'll be back tomorrow to do it all again.
44:00Hold down.
44:25Bye.
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