SUB1

00:32:00 VOICE-OVER NARRATOR
Now on Nurses:
DIY comes to A&E
On the urology ward dedication is what it takes
00:40:00 IN-VISION PETE THOMAS
Prior to my holiday, I would hae walked out o! the "o#$
And old !riends gather to say good#ye to midwi!e %o$
00:47:00 NURSES STING
00:51:00 IN-VISION MIKE PETERS
I&e come to !i' your head(
It&s the #eginning o! another shi!t at A&E !or )ta!! Nurse
*ike Peters and he&s got a head in"ury to deal with
01:00:00 IN-VISION MIKE PETERS
+his ,oor gentleman has !allen and #um,ed his head, and
he&s got a little cut that we&re going to sta,le closed !or
him$
)ome head wounds can #e sta,led rather than sutured -
it&s .uick, clean and doesn&t need local anaesthetic$ +his
,atient in"ured his head while hammering in !ence ,osts$
01:19:00 IN-VISION OUT-OF-VISION MIKE PETERS
I&m "ust going to se,arate the skin in cases like this so that
I can see how !ar the cut goes, #ecause some ,eo,le can
hae .uite a nasty cut, and when the edges o! the skin get
,ressed together, you can&t actually see where it ends$
You can hardly see the "oins, sir( Oh wonder!ul$
Now !or the sta,le gun two little ,rongs that come
!orward, to ,ut the sta,le into the skin$
/hat we do is we start in the middle o! the wound$ It&s
going to hurt a little #it$ 0ere we go: one, two, three and
!inally !our$
1y holding the wound together, that&ll sto, it #leeding$
/as that too #ad2 Not #ad at all, really$ It&s sur,rising
what you can do to ,eo,le without it hurting too #adly
OUT-OF-VISION PATIENTS FRIEN
)titches used to hurt, didn&t they2
IN-VISION MIKE PETERS
Yes$ )titches hurt a lot more in a lot o! ways, #ecause you
hae to hae a local anaesthetic, and that stings, it&s like
haing a #ee sting$ And you&re almost #etter not to hae
an anaesthetic !or a small wound$
/ell that&s that done, we&ll "ust take this o!! the #ack o!
your hand, and then you can go home$
+he ,atient will #e #ack in a !ew days to hae the sta,les
remoed$
02:49:00 IN-VISION PATIENTS FRIEN
I! we&re ,re,ared !or a three hour wait (
You know what it&s like$ You could read two o! those
#ooks, couldn&t you, in that time2
02:53:00 IN-VISION PATIENT
Pass my a,ologies on to the Doctors !or #eing grum,y,
and a little con!used earlier on
Yes, i! you were grum,y I&ll certainly do that$
+ake care, now$ All the #est$ 1ye #ye$
At the neonatal intensie care unit, community midwi!e
%o Arkwright ,ays a isit to the ,roud mum o! tri,lets
03:20:00 IN-VISION !O ARK"RIGHT
0i %ulie, how are you2 1rilliant(
%ulie was carrying nearly twele ,ounds o! #a#ies until
3iam 4 who was the heaiest at !our ,ounds nine and a
hal! ounces - and his sisters 0arriet and 5race were
deliered #y caesarian section$ %o assisted at the #irth
when the #a#ies arried within a total o! three minutes$
+hey were a little ,remature #ut they&re doing !ine$
03:42:00 OUT-OF-VISION !O ARK"RIGHT
)o, has Daddy #een doing lots o! na,,y changing2
OUT-OF-VISION MUM
Oh, he&s done more than me(
OUT-OF-VISION !O ARK"RIGHT
And they didn&t hae to hae any hel, with their
#reathing, or +hey&e taken straight to !eeding
they&re not going to #e in ),ecial 6are !or ery long at all,
are they2
OUT-OF-VISION MUM
+hey&e done ery well #ut I don&t know, I was told it
may #e until they&re the e.uialent o! !ull4term, which
would #e the middle o! %uly$
IN-VISION !O ARK"RIGHT
/ell, yes, I think they say that as a guide$ And then
anything earlier is a #onus isn&t it2 1ut the way they&re
going, "ust take it as it comes and he&s great$
+hey&re all deelo,ing their own little indiidual
characteristics already, aren&t they2
)o, the e',ert na,,y changer2(
IN-VISION A
No I&m not( I&e done it once or twice I think$
Do you think he&s a #it wi!!y - that&s ,ro#a#ly what it is
isn&t it2
04:37:00 IN-VISION A
*y ,rimary concern is !or %ulie, rather than !or the
#a#ies, initially$ 1ecause %ulie&s #een with me !or twenty4
odd years, you know, we&e grown u, together more or
less, and as such I&d #e lost without her$ )o, when she
was !eeling !aint, and eerything, I was looking u, at the
monitors and you know, heart #eats dro,,ing and one
thing and another, and "ust asking a !ew .uestions$ 1ut it
was good, #ecause eery#ody had e',lained to us what
was going to ha,,en, and you know, #a#y num#er one is
coming and to actually look u, and see this #a#y was
un#eliea#le, "ust indescri#a#le, really$
Dad Edward was .uite oerwhelmed #y the deliery o!
his large, new !amily$
05:13:00 VOICE-OVER A
7rom my ,oint o! iew as well, something that I will
always cherish is #eing a#le to take a camera in with us,
and to take a ,icture o! the #a#ies within seconds, you
know, when they had only "ust #een #orn$ /e&e #een
through low ,oints when we&e tried !or children, and it&s
not worked$ And this is the highest ,oint o! our lies$
3ast night, when we were sat in here, %ulie, mysel!, and
%ulie&s mum, and we had the three children with us, it was
"ust a moment that we thought we would neer, eer see$
It was "ust un#eliea#le$
Pete +homas is a charge nurse and manages a surgical
urology ward where men with urinary and im,otence
,ro#lems are dealt with as well as ,rostate cancer$
Nursing wasn&t the career he&d !irst thought a#out
0#:0#:00 IN-VISION VOICE-OVER PETE THOMAS
I really wanted to teach the dea! and dum#, or to #e a et$
*y mother was su!!ering !rom a chronic illness, so I was
used to ill4health around me$ And when one o! my !riends
at school was going o!! to #e a nurse, she had the
,ros,ectus, and I "ust ha,,ened to hae a read o! it and
a,,lied$ )o, it was "ust on a whim, really$
Each ward is ery di!!erent, eery#ody is an indiidual$
And the management structure is ery democratic$ I&m
ery much into the hollistic kind o! a,,roach to the
deliery o! care$ +he ,atient then gets inoled with their
own care$ /e need to know what they can do, and the
#its they can&t do, the nurse will do$ 1ecause they&e
come into hos,ital, it doesn&t mean they hae to leae
their #rains outside on the doorste,, they can think !or
themseles, they can make decisions$ And we encourage
them to make these decisions, we gie them in!ormation
and they can make an in!ormed consent o! what they can
and cannot do - which I think is ery im,ortant$
07:13:00 IN-VISION VOICE-OVER PETE THOMAS
%o Pu#lic likes us in the main$ 8ntil we&e done
something to u,set them, and then we might get criticised$
1ut on the whole, I think that the serice what we o!!er is
ery good$
You&e got a stitch there, and a stitch there$ I&m going to
clean around there, and then what I want you to do you
know when you&re trying to ,o, your ears on an
aero,lane
07:38:00 VOICE-OVER PETE THOMAS
Each day in hos,ital is ery di!!erent$ )o, we might hae
9: emergency admissions today, and tomorrow we might
hae ;::$ And then we do a "uggling act, and ,rioritise
the routine ,atients that need to come in, #ut then we hae
to gie our ,riorities to the emergencies$ And I think i!
you kee, ,atients in!ormed o! what&s going on, they
understand more$ /e&re as disa,,ointed !or the ,erson
that can&t get into hos,ital as what they are$ Patient
comes in, the money !ollows the ,atient so it&s in our
interests that we get routine ,atients in, as much it is to
get emergency ,atients in, #ut ,eo,le must acce,t there&s
not enough #eds, and this in the !uture might alter$
08:28:00 OUT-OF-VISION PETE THOMAS
As you can see, I think I&e done a ,ig&s ear o! it(
Prior to my holiday, I would hae walked out o! the "o#,
there and then$ It has a lot o! stress !actors, and when that
clicks in, it&s ery di!!icult to motiate yoursel!, and you
can #ecome !airly negatie$ 1ut, I won&t let that inter!ere
with the care that&s #eing o!!ered on the ward, or my
e',ertise$ At the end o! the day, you know you&re caring
!or ,atients and their well#eing and their sa!ety, and this is
in the #ack o! the mind$ And when you !eel you&re losing
the ,lot, and de4motiation comes in, more stress leels,
and you get !airly angry, and you "ust don&t want to ,lay
anymore, you don&t want to do this thing anymore
And his wi!e&s got that "o#, so that she can sit and talk to
him and hold his hand wont she$ 1e loe#irds again$
/hat time did you ring me(2
It&s lunchtime and %o is meeting #est !riend <icky to share
the news o! her new "o# in Australia$
I had to ,hone some#ody, and I didn&t want to tell my
mum oer the ,hone$ And no#ody else at work knew and
eerything
It&s a #it o! a #om#shell !or <icky that %o&s acce,ted a "o#
so !ar away$
09:53:00 IN-VISION VICK$
/hat are the ,ro&s and con&s o! going out there, you
know2
IN-VISION OUT-OF-VISION !O ARK"RIGHT
It&s a#out what I like: a#out low interention, you know,
well actually no interention$ It&s a #irth centre where
women who want minimum ,ain relie! and interention
will come there$ 1ut there&ll #e continuity as well,
#ecause I&ll get to know the women during their
,regnancy and get to know them$ And when they come
into la#our, they&ll know the midwi!e who&s going to #e
on, looking a!ter them$ )o the only thing is the ,ersonal
!ollow4u, that I hae in England$ I mean, we&re so lucky
in this country - the maternity care is !antastic, and I think
women don&t know how lucky they are$
I think I can #e instigator to #ring midwi!ery !orward in
Australia$
IN-VISION VICK$
1ut you&re de!ecting !rom the N0) darling that trained
you$ +hink o! all that money they ,oured into you
OUT-OF-VISION !O ARK"RIGHT
I know, #ut I&e gien North 1ristol +rust a lot$ I&e
im,lemented a.ua4natal, and twins grou,s, a lot$
IN-VISION VICK$
I don&t know, %o, it&s di!!icult$ I "ust !eel may#e you&e
got so much in 1ristol, really$
IN-VISION !O ARK"RIGHT
I hae got a lot to gie u, here: !amily and !riends$ ;=
years I&e #een here$
I think my .uality o! li!e will im,roe$ And I loe the
outdoors, you know$ I don&t ride here, I don&t die all
the things that I loe doing$ And I think I&ll meet more
more men that way(
Although there&s a lot to kee, her in 1ristol, %o&s
determined to get down under
)o, here&s a ,icture o! my sister&s !lat, that&s where I&m
going to #e liing until )e,tem#er, or until I !ind a ,lace
o! my own$ )o I&ll #e sharing it with her and 6hris a
loely roo!4terrace there oer4looking the #each$ +here
we go, this is 1each )treet, there&s the !lat, and there&s the
#each$ 3oely$ And there&s the Coogee coast on the way
to 1ondi$ /e went !or a !ew runs around that coastline,
and I&m sure I&ll #e doing a #it more o! that when I&m
there$ 0ere&s me on *arou#ra #each, which is !ie
minutes down the road, !rom where I&m going to #e liing
and working$ And there&s a little #it more coastline
scenery$ A little #it o! an im,roement !rom /eston
)u,er4*are, would you say2
12:03:00 NURSES %STI&& TO COME STING
VOICE-OVER NARRATOR
6oming u, a!ter the #reak:
12:08:00 IN-VISION STUENT NURSE
I a#seiled down the Aon 5orge a !ew years ago !or
#reast4cancer research, and it&s time I did something else,
a little more mad(
12:17:00 IN-VISION GAVIN E VINE
I&e now got the horror o! another winter a,,roaching,
where we get into ;>4hour trolley waits, ,lus$ And, I "ust
need a #it o! time away !rom it$
12:25:00 NURSES %EN OF PART ONE STING
1#:00:00 NURSES %PART T"O STING
1#:05:00 VOICE-OVER NARRATOR
)tudent Nurse ?onnie )ims is on the third year o! her
nursing degree course$ )he used to work as a healthcare
assistant #ut decided that she wanted to #ecome a
.uali!ied nurse - in s,ite o! the heay workload, academic
schedule and the lack o! money which goes with long
term study
1#:21:00 VOICE-OVER IN-VISION RONNIE SIMS
It is hard work, and the ,ay isn&t great, #ut that&s not why
you go into nursing$ I mean, ,eo,le say it&s a ocation$
You go into it #ecause you loe the ,eo,le and you want
to make a di!!erence$ It&s one o! the !ew "o#s that you can
really make a di!!erence to so many ,eo,le$ You see so
many things ha,,ening: 6ancer, terminally ill een
children that hae !allen oer - in A&E, and you stitch
them u,: it&s the mothers& !aces as well, you see them
looking so relieed at the end o! the day, that their child&s
O@$ You get a lot o! ,leasure out o! it$
17:02:00 VOICE-OVER RONNIE SIMS
I&e "ust always liked working with ,eo,le$ It "ust seems
to #e the way to go: I "ust couldn&t sit in an o!!ice it&s
not me$
As i! ?onnie didn&t hae enough on her ,late, she&s also
,lanning something rather more e'citing
17:23:00 IN-VISION RONNIE SIMS
I&m going to "um, out o! an aero,lane ho,e!ully with a
,arachute that o,ens, and ho,e!ully I&m going to land on
my !eet$ I&m going to do it !or 3eukaemia$ I a#sailed
down the Aon 5orge a !ew years ago !or #reast4cancer
research, and it&s time I did something else, a little more
mad(
1ut madness comes at a heay ,rice - the "um, will cost
nearly three hundred ,ounds - money that ?onnie sim,ly
hasn&t got 4 so she&s needs to do the rounds at uniersity
and at work with !ellow student 3aura to get as much
s,onsorshi, as ,ossi#le to ,ay !or the "um, and to raise
much4needed money !or leukaemia$
I&e got one hundred and ten ,ounds, I think so !ar$ A lot
o! that is !rom the hos,ital, where I did my ,lacement$
8n!ortunately, I haen&t got the guts to ask the students,
#ecause I know that they may #e too em#arrassed to say:
AI&m sorry, I can&t a!!ord it$
)o it&s time to hit the unsus,ecting uniersity sta!! !or
some cash
It&s !or the charity: I really want to do it !or the charity$
And also, the sensation o! lea,ing out into mid4air you
know, that could #e !un(
I wanted to do a ,arachute "um, when I was a#out ;B, #ut
at that ,oint you had to hae ,arental ,ermission and
there was no way my ,arents were going to gie
,ermission !or their little darling to "um, out o! a ,lane$
)o, eleen years later, here we are, and I&m going to do it(
1ack at A&E, 6harge Nurse 5ain de <ine&s got a ,atient
with a sus,ected neck in"ury$ 5ain and the other A&E
nurses hae #rought the ,atient to the radiology
de,artment !or a series o! C4rays$ It&s no sim,le matter to
,osition the ,atient correctly !or the radiogra,her when a
wrong moe could cause ,ermanent damage to the
,atient&s neck or s,ine$
19:1#:00 IN-VISION VOICE-OVER GAVIN E VINE
1asically, a log roll is when we roll the ,atient oer onto
his side, and we kee, their s,ine in constant alignment$ It
takes !our ,eo,le to do it ,ro,erly$ In order to kee, their
s,ine in constant alignment all the way through, we&e
got to hae one ,erson controlling the head and 6 s,ine,
and the rest o! the ,eo,le are controlling thoracic, lum#ar,
and the legs so we can control the lum#ar s,ine
throughout$ /e&re doing it #ecause the ,atient has a
chance o! a s,inal in"ury, in this ,articular case, this
gentleman here has a ,otential !or haing a neck in"ury$
Although we&e moed around .uite so much that we
don&t think it is, #ut we "ust need to get ,ro,er C4ray&s to
com,letely irradicate the idea$ And the rest o! the log4roll
team are stood on the other side o! the ta#le, waiting !or
some action and so&s the log(
20:04:00 IN-VISION NURSE
Now, "ust rela'$ Eery#ody got a hold2 On three then,
one two three and down, one two three$
IN-VISION GAVIN E VINE
Oh, hold on a second( +hat&s alright, I "ust had a sudden
shar, ,ain in my #ack$
5ain&s always had #ack ,ro#lems #ut these worsened
when he ,icked u, his daughter %essica awkwardly and
tri,,ed, smashing a lower lum#ar disc$ 0e needed
surgery and was o!! work !or nine weeks and it&s led him
to make a di!!icult decision
20:4#:00 IN-VISION GAVIN E VINE
I&m leaing #ecause my #ack has #asically #een in"ured$
I&e o#iously got a weakness in my lum#ar s,ine, and I
had to hae a micro4discectomy #ecause o! this$ And I&m
"ust concerned that i! I carry on working in a heay
demanding enironment, that it may go again, and I may
start to hae more #ack ,ain #ack, and I won&t #e a#le to
work$ And I&e got my !amily to think a#out, so I need to
do another "o# that I can do with the skills that I&e got$
/ell, we&re actually looking !or a !ish4#one, and #asically
it shows u, .uite well on an C4ray, so there is a little
line it might #e a !ish4#one, #ut it might not #e as well$
Ooh( De!inite hard s.ueeDe, wasn&t it2
I&m not saying that I&m going to leae nursing !oreer,
#ecause I&m not intending to$ I want to kee, u, my
clinical skills, so I will #e #ack in the de,artment on a
!airly regular #asis, I think$
21:45:00 IN-VISION SURGEON
I! you do get any more ,ro#lems #y +uesday or
/ednesday, een though you&e got the analgesia, then I
would ,o, #ack, O@2
OUT-OF-VISION GAVIN E VINE
+here you go, you&re a !ree woman - you can go away
again(
Eery now and again you need a #it o! time4out$ And I
think I&e come to a ,oint where I need some time out
and I&e now got the horror o! another winter
a,,roaching, where we get into ;>4hour trolley waits,
,lus$ And, I "ust need a #it o! time away !rom it$

1ack on the urology ward, Pete&s in ciies and ready to
leae at the end o! his shi!t$ 0e&s looking !orward to a
loely summer eening in the o,en air$
I shouldn&t do this, #ut I&m staring$ And I don&t care$
22:43:00 VOICE-OVER PETE THOMAS
It&s really nice, #ecause you&e go through the countryside
and you see wildli!e, and it&s ,eace!ul$ And no#ody can
get hold o! me, #ecause I leae my mo#ile ,hone in the
car$ 7or the one or two hours that I&m out, I can think
a#out di!!erent things: like my sho,,ing list, #ut it&s
nothing to do with work$ +he main thought I hae is to
stay on the horse, really$
+here was one year when I !ell o!! and cracked three ri#s
and #roke two !ingers, #ut I wasn&t o!! work !or ery long
- I didn&t accrue any sick time$
It&s a really #eauti!ul day to go riding$ I started work at
seen o&clock this morning, and !inishing at three, it gies
me the time to do something that I en"oy in the
a!ternoons$ And I had a really good ride today$
*aternity ward sister %ane Pisco,o&s coming to ,ick u,
her little #oy Dominico !rom her hus#and&s Italian
restaurant to take him to the #a#ysitter$ %ane&s looking
!orward to %o Arkwright&s leaing ,arty later on$
23:57:00 IN-VISION !ANES HUS'AN
It&s #een a hard day, #ut a!ter all we&e #een O@$ I&e got
#ad news, I&e got no #a#y4sitter !or tonight, that&s the
only ,ro#lem$ I tried to get another one, #ut I&m waiting
!or some#ody to ring me at the moment$ )he was not
ery well, she was sick this morning
IN-VISION !ANE PISCOPO
I can&t go out tonight(
OUT-OF-VISION !ANES HUS'AN
It de,ends, we could get some#ody, !air enough(
IN-VISION !ANE PISCOPO
Yes, #ut we won&t get any#ody now, will we2 It&s too
late$ Oh, Dominico$ *ummy neer goes out, does she2
I&m haing a #it o! a ,arty tonight, all my #estest, closest
!riends are coming round !or a !ew #ottles o! wine, and a
!ew ni##les$ )o it&s going to #e sad - alittle #it o! a
!arewell do, really$
24:58:00 OUT-OF-VISION A&E( MASSE$
%ane and her hus#and haen&t #een a#le to !ind a #a#y
sitter so she&s now #ack home with Dominico and won&t
#e a#le to go to %o&s ,arty$
25:07:00 IN-VISION !ANE PISCOPO
Oh well$ +hat&s my li!e( It doesn&t sur,rise me$ I mean,
usually my #a#y4sitter doesn&t let me down, #ut I&m ery
disa,,ointed not to #e a#le to see %o on her leaing do -
really disa,,ointed$ 1ut may#e we&ll get together #e!ore
she leaes$ 1ut c&est la ie$ +hat&s how it goes, I&m
a!raid, haing a hus#and in catering who&s not around to
#a#y4sit$ +hat&s it isn&t it2 +ime to ,ut you to #ed I
thought I might hae a night o!! !rom ,utting you to #ed
!or a change$ 1ut, neer mind$
25:38:00 %NE(T ON NURSES STING
VOICE-OVER NARRATOR
Ne't on Nurses:
+he !irst time I met her, it was a !riend amusing, ery
!unny$ +his time, it was more o! loe at !irst sight$
/e&e not long lost his mum with #reast cancer$ And I
think he thought: *y mum&s gone, I&m going to lose
*arilyn at the same time$
2#:00:00 IN-VISION TAN$A
I am e'cited a#out it, ,ro#a#ly a #it a,,rehensie as well,
#ecause it&s something so new !or us$ 1ut at the end o!
the day, we&re all going there to hae !un, and I think i!
the children come away haing had !un, then, you know, I
think we&e achieed a ery im,ortant goal$
2#:10:00 IN-VISION PARACHUTE INSTRUCTOR
As you e'it the ,lane, you&re going to #e a#le to see the
ground, the #ottom o! the aero,lane, and then the ground
again$
2#:20:00 IN-VISION MIKE PETERS
It&s alright, I won&t show your knickers to any#ody$
IN-VISION PATIENT
/ell, they were clean on this morning
Oh, well in that case(

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00:32:00 VOICE-OVER NARRATOR

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