0:00:00 > 0:00:00- Subtitles
0:00:00 > 0:00:02- Subtitles- - Subtitles
0:00:32 > 0:00:36- The children's ward - doors never close.
0:00:36 > 0:00:41- Most little ones decide to be - ill in the night or very early...
0:00:41 > 0:00:43- ..like Ioan Dafydd from Penisarwaun.
0:00:44 > 0:00:47- Hi. I've met you before, haven't I? - Is that for me?
0:00:48 > 0:00:50- Do you want to share?
0:00:50 > 0:00:54- This morning, he woke up with - a very gunky eye on the left side.
0:00:54 > 0:00:58- Some eyelashes were - inverted, under the eyelid.
0:00:58 > 0:01:01- I pulled them out - and cleaned the gunk off.
0:01:01 > 0:01:06- My husband took him to the GP. It - looked like he'd scratched the eye.
0:01:06 > 0:01:10- I went to work and got a phone call - telling me he was here.
0:01:10 > 0:01:12- Only since this morning?
0:01:12 > 0:01:16- Yes, he went to bed fine. - It happened overnight.
0:01:16 > 0:01:22- The doctor thought there might be an - infection in the skin round the eye.
0:01:24 > 0:01:25- See you later.
0:01:25 > 0:01:27- Say ta-ta.
0:01:27 > 0:01:28- Ta-ta.
0:01:28 > 0:01:30- Bye!
0:01:30 > 0:01:31- Bye-bye.
0:01:33 > 0:01:34- Thank you.
0:01:35 > 0:01:38- They're going - to give him antibiotics.
0:01:38 > 0:01:41- Hopefully, that will settle things.
0:01:41 > 0:01:46- But if not, he'll need - intravenous antibiotics.
0:01:46 > 0:01:51- But first, they want - the eye specialist's opinion.
0:01:51 > 0:01:56- There's a possibility - he's scratched the front of his eye.
0:01:56 > 0:02:00- He might need - further treatment for that.
0:02:00 > 0:02:03- We'll see. - We're waiting for the specialist.
0:02:04 > 0:02:05- Aren't we?
0:02:08 > 0:02:13- Usually, on Dewi Ward, - the nurse in dark blue is the boss.
0:02:13 > 0:02:14- But not today.
0:02:15 > 0:02:17- The boss is wearing purple.
0:02:18 > 0:02:23- Jo Hewitt is in the final year - of her nursing degree course.
0:02:24 > 0:02:27- You have a lot - of responsibility today.
0:02:27 > 0:02:29- Yes, a bit.
0:02:29 > 0:02:31- I had a taster on Friday.
0:02:31 > 0:02:33- Yes, it went fab. Brilliant.
0:02:34 > 0:02:39- What do you have to do in addition - to your usual work as a nurse?
0:02:40 > 0:02:44- I have to make sure - the ward runs smoothly...
0:02:45 > 0:02:47- ..and everyone knows what to do.
0:02:47 > 0:02:53- I have to know what everyone is - doing and the children's condition.
0:02:54 > 0:02:58- How long have you been - in charge today?
0:02:58 > 0:02:59- Er...
0:03:00 > 0:03:01- ..an hour.
0:03:02 > 0:03:04- How are they doing?
0:03:04 > 0:03:06- Not bad at the moment. They're OK!
0:03:09 > 0:03:13- In Minffordd Ward, - this is Ted Goodwin from Llanfaelog.
0:03:14 > 0:03:16- Why have you come to hospital?
0:03:17 > 0:03:20- Because one tonsil is bigger...
0:03:26 > 0:03:28- ..than the other one.
0:03:28 > 0:03:30- Can I see?
0:03:31 > 0:03:33- I can't see. Say Ah!
0:03:34 > 0:03:35- Aah!
0:03:36 > 0:03:40- Is the bigger one - on this or that side?
0:03:41 > 0:03:43- I think this side.
0:03:44 > 0:03:45- There.
0:03:47 > 0:03:48- And who is this?
0:03:49 > 0:03:50- Mam.
0:03:51 > 0:03:53- Does Mam speak Welsh?
0:03:53 > 0:03:54- No.
0:03:54 > 0:03:57- A bit! I'm learning Welsh.
0:03:59 > 0:04:03- From a mother learning Welsh - to Doctor Elsayed...
0:04:03 > 0:04:05- ..who is also learning Welsh.
0:04:06 > 0:04:09- This could be interesting.
0:04:09 > 0:04:10- IN WELSH
0:04:10 > 0:04:12- Hi. How are you today?
0:04:12 > 0:04:16- I think I have seen - Edward in the clinic.
0:04:17 > 0:04:22- I think he has lots of tonsillitis, - six attacks in the last 12 months.
0:04:22 > 0:04:24- He is snoring at night.
0:04:25 > 0:04:29- We are going to take - his tonsils and adenoids out.
0:04:29 > 0:04:33- We'll send the right tonsil, - which is bigger...
0:04:33 > 0:04:37- ..for examination, - just to exclude any problem.
0:04:38 > 0:04:39- IN WELSH
0:04:39 > 0:04:41- Where do you live?
0:04:41 > 0:04:42- Llanfaelog.
0:04:43 > 0:04:47- How many minutes driving - from home to the hospital?
0:04:48 > 0:04:50- About 25 minutes.
0:04:50 > 0:04:52- OK.
0:04:55 > 0:04:57- IN WELSH
0:04:57 > 0:04:58- He can...
0:05:00 > 0:05:03- ..go home today, this afternoon.
0:05:04 > 0:05:05- He will be fine.
0:05:05 > 0:05:08- It's a straightforward operation...
0:05:08 > 0:05:10- ..like ten minutes.
0:05:11 > 0:05:14- He will be fine, - he will just need to...
0:05:14 > 0:05:16- ..have food and drink...
0:05:17 > 0:05:19- ..and then will be fine.
0:05:19 > 0:05:20- Thank you very much.
0:05:20 > 0:05:21- Thank you very much.- - Thank you.
0:05:31 > 0:05:32- Uniform checks?
0:05:33 > 0:05:35- Yes, then just go through this.
0:05:36 > 0:05:41- It's the daily checklist, - to see everything has been done.
0:05:41 > 0:05:43- What is an uniform check?
0:05:43 > 0:05:47- To see if everyone - is wearing the correct uniform.
0:05:47 > 0:05:48- What if they're not?
0:05:48 > 0:05:50- Instant sack!
0:05:51 > 0:05:52- It's noted!
0:05:54 > 0:05:58- Don't sack anyone this morning. - We're too busy.
0:05:58 > 0:05:59- This is Elliw.
0:05:59 > 0:06:03- She is having grommets - and an adenoidectomy.
0:06:03 > 0:06:05- What is the problem?
0:06:05 > 0:06:09- Before she started school - and started to speak...
0:06:09 > 0:06:12- ..we noticed she might - have trouble hearing.
0:06:13 > 0:06:17- She had tests and we had to wait - a bit to see what was going on.
0:06:17 > 0:06:20- The tests showed she had glue ear.
0:06:20 > 0:06:23- After that, - there were other symptoms.
0:06:23 > 0:06:26- She wakes a lot at night and snores.
0:06:26 > 0:06:29- She has asthma too, - which probably doesn't help.
0:06:30 > 0:06:32- She often has colds - and a blocked nose.
0:06:33 > 0:06:35- We hope the problem will be sorted.
0:06:35 > 0:06:37- You don't hear Mam at all?
0:06:37 > 0:06:40- Do you hear Mam - telling you to go to bed?
0:06:42 > 0:06:46- Do you hear Mam telling you - there's money to buy sweets?
0:06:49 > 0:06:51- Do you hear Mam telling you off?
0:06:52 > 0:06:55- You don't want to hear that!
0:06:56 > 0:06:59- This gentleman - should be on his honeymoon.
0:06:59 > 0:07:03- And the baby should be - with his grandmother.
0:07:03 > 0:07:05- But it didn't work out like that.
0:07:08 > 0:07:10- Liam's leg has swollen.
0:07:11 > 0:07:13- No-one is sure why.
0:07:14 > 0:07:17- They haven't done a scan of the hip.
0:07:19 > 0:07:22- The leg temperature is down.
0:07:23 > 0:07:25- The knee looks much better.
0:07:25 > 0:07:28- He's looking well at the moment.
0:07:29 > 0:07:31- Hopefully, he can go home soon.
0:07:31 > 0:07:33- But they have to X-ray the hips...
0:07:34 > 0:07:39- ..just to confirm - there are no other problems.
0:07:40 > 0:07:42- He looks like his grandfather!
0:07:42 > 0:07:44- I'm not sure.
0:07:44 > 0:07:46- He's better looking than me.
0:07:49 > 0:07:51- He slept very well last night...
0:07:52 > 0:07:54- ..and he's eaten well.
0:07:56 > 0:07:58- He's making up for what he missed.
0:08:00 > 0:08:04- Have you asked Taid for a holiday to - make up for missing the honeymoon?
0:08:05 > 0:08:06- No!
0:08:06 > 0:08:10- We're going to take - the family abroad.
0:08:10 > 0:08:13- We're taking everyone to Florida.
0:08:13 > 0:08:15- That's in five years!
0:08:15 > 0:08:17- Well...
0:08:20 > 0:08:23- Liam got the last bed on Dewi Ward.
0:08:23 > 0:08:28- Jo has to go back to - the whiteboard and rearrange things.
0:08:29 > 0:08:30- Who's there?
0:08:30 > 0:08:31- Ioan.
0:08:33 > 0:08:35- This will have to be Minffordd.
0:08:36 > 0:08:38- We're not full, then.
0:08:38 > 0:08:39- But we are now.
0:08:40 > 0:08:41- You are, with Minffordd Ward.
0:08:41 > 0:08:43- You are, with Minffordd Ward.- - Yes, but they can go there.
0:08:43 > 0:08:46- Yes. Ioan can go there.
0:08:46 > 0:08:48- Then Minffordd's can come.
0:08:49 > 0:08:50- Ioan can go here.
0:08:50 > 0:08:52- What is he?
0:08:52 > 0:08:53- Ophthalmology.
0:08:58 > 0:09:03- Nerys Pritchard, manager of - the Ysbyty Gwynedd children team...
0:09:04 > 0:09:08- ..explains the system - to the new manager.
0:09:08 > 0:09:10- This is our ward status board.
0:09:11 > 0:09:15- You have to think of the situation - when the ward is full.
0:09:15 > 0:09:20- You could be closed or on the verge - of closing, so you follow this.
0:09:20 > 0:09:24- In the event of closure, - you must phone the bed manager.
0:09:24 > 0:09:25- Have you done that?
0:09:25 > 0:09:26- Have you done that?- - Yes.
0:09:26 > 0:09:29- Send the details - to the senior management.
0:09:29 > 0:09:32- Tell me and I'll email - and escalate them.
0:09:32 > 0:09:37- So if you close, phone neighbouring - Paeds in Wrexham and Glan Clwyd.
0:09:37 > 0:09:41- Consultant on call, - you escalate him to Registrar.
0:09:41 > 0:09:45- The Registrar lets - the Consultant on call know.
0:09:45 > 0:09:49- If you only have the Reg, he or she - can do an emergency ward round.
0:09:49 > 0:09:53- If the Reg is busy - with a sick patient...
0:09:53 > 0:09:58- ..the Consultant on call could come - in and do the emergency ward round.
0:09:59 > 0:10:00- You have to let these know.
0:10:01 > 0:10:04- I'd phone ED now and say, - "I don't have many beds now.
0:10:04 > 0:10:08- "We haven't closed, but heads up. - We're tight."
0:10:09 > 0:10:13- I don't like the word "closed", - I like "tight".
0:10:13 > 0:10:17- If we really have closed, - there's an email there.
0:10:18 > 0:10:20- The email details are here.
0:10:20 > 0:10:24- You have to email them - and explain who you are...
0:10:24 > 0:10:29- ..how many beds are closed, what the - situation is for the coming hours.
0:10:30 > 0:10:34- Phone them every moment you can. - Things change.
0:10:34 > 0:10:36- OK.
0:10:36 > 0:10:38- I'll phone ED now.
0:10:38 > 0:10:41- Do I phone Wrexham - and Glan Clwyd now?
0:10:41 > 0:10:43- Only if you have really closed.
0:10:43 > 0:10:45- But you haven't yet.
0:10:45 > 0:10:46- We don't have any beds left.
0:10:46 > 0:10:47- We don't have any beds left.- - Not yet.
0:10:47 > 0:10:50- What we do - is the Consultant on call.
0:10:50 > 0:10:54- To ask if they can do - an emergency ward round.
0:10:54 > 0:10:56- If the Reg is free, she'll do it.
0:10:56 > 0:10:57- If the Reg is free, she'll do it.- - OK.
0:10:58 > 0:11:00- I'll talk to Helen and phone ED.
0:11:00 > 0:11:02- Lovely. Thanks.
0:11:08 > 0:11:12- Hello. I'm calling - from Dewi Ward, the children's ward.
0:11:12 > 0:11:16- It's really tight at the moment. - I wanted to let you know.
0:11:17 > 0:11:18- OK?
0:11:22 > 0:11:24- OK, lovely. Ta-ra.
0:11:25 > 0:11:28- That's one person I've told.
0:11:30 > 0:11:34- I don't even need to tell you - that we're nearly closed.
0:11:35 > 0:11:38- I have to tell you again. - We're nearly closed.
0:11:38 > 0:11:41- Is it something - about an emergency ward round?
0:11:42 > 0:11:44- We're just about to have a handover.
0:11:45 > 0:11:50- I'll come and have a quick look, - but there's nothing else.
0:11:50 > 0:11:53- Will you do me a favour - to free a bed, Helen?
0:11:53 > 0:11:56- For you, Tracey, anything.
0:11:57 > 0:12:01- Dr Helen has good news - for one child.
0:12:01 > 0:12:04- We're going home.
0:12:04 > 0:12:07- He has had antibiotics to take home.
0:12:08 > 0:12:12- We're coming back at 9.30am - tomorrow to see the doctor.
0:12:13 > 0:12:17- Then we'll see - the eye specialists...
0:12:17 > 0:12:19- ..to see if they're happy or not.
0:12:20 > 0:12:22- We'll be back here.
0:12:22 > 0:12:26- If everyone is happy, - he'll be on antibiotics for a week.
0:12:26 > 0:12:31- If they're not happy, we'll stay in - and he'll have it intravenously.
0:12:31 > 0:12:35- Cross fingers, isn't it, Ioan? - We're going now.
0:12:35 > 0:12:36- Ta-ta.
0:12:36 > 0:12:37- Ta-ta.- - Ta-ra.
0:12:40 > 0:12:40- .
0:12:47 > 0:12:47- Subtitles
0:12:47 > 0:12:49- Subtitles- - Subtitles
0:12:55 > 0:12:59- I thought this was - a children's ward...
0:13:00 > 0:13:04- ..not the location - of a Dr Who adventure.
0:13:05 > 0:13:07- What are these, Daleks?
0:13:10 > 0:13:12- The machine cleans the cubicle.
0:13:13 > 0:13:15- There have been bugs in there.
0:13:16 > 0:13:20- It needs to be cleaned - more intensely than usual.
0:13:21 > 0:13:26- It cleans the air, surfaces - and everything inside.
0:13:26 > 0:13:28- I haven't seen the machine before.
0:13:28 > 0:13:31- I haven't seen the machine before.- - We don't use them often.
0:13:31 > 0:13:34- We have a traffic light system.
0:13:34 > 0:13:38- Once we've identified - what bug was in the room...
0:13:38 > 0:13:41- ..we know how to tackle - cleaning the cubicle.
0:13:42 > 0:13:45- For how long - will the room be closed?
0:13:46 > 0:13:51- A couple of hours. It can be used - as soon as the machine finishes.
0:13:51 > 0:13:54- Elliw is still waiting - for an operation.
0:13:55 > 0:13:58- This is a fun way to fill the time.
0:14:06 > 0:14:09- Ted's big moment has arrived.
0:14:09 > 0:14:13- He has an appointment - with Dr Elsayed.
0:14:20 > 0:14:22- How is it going, Mr Elsayed?
0:14:24 > 0:14:26- Fine, thanks.
0:14:27 > 0:14:29- You're washing your hands.
0:14:30 > 0:14:34- Yes. We need to scrub - for the operation.
0:14:35 > 0:14:38- Although it is not completely - sterile...
0:14:38 > 0:14:42- ..we still need to be sterile - for adenoids and tonsils.
0:14:43 > 0:14:45- And so...
0:14:46 > 0:14:50- ..my operation starts now...
0:14:51 > 0:14:54- ..in five minutes.
0:14:55 > 0:15:00- Hurry, Ted. You only have - five minutes to get there!
0:15:03 > 0:15:08- Not always, but usually both tonsils - increase in size at the same time.
0:15:09 > 0:15:12- If one is growing more - than the other one...
0:15:12 > 0:15:16- ..we suspect it might be a cancer, - or something like this.
0:15:16 > 0:15:20- It is not common in children.
0:15:20 > 0:15:23- This is not the only cause - for surgery.
0:15:23 > 0:15:28- There is also up to six attacks - of sore throats...
0:15:28 > 0:15:29- ..a year.
0:15:30 > 0:15:34- Six attacks of tonsillitis - in one year is a good indication.
0:15:34 > 0:15:37- We get two benefits...
0:15:37 > 0:15:41- ..take the tonsils out - so we won't have any sore throat...
0:15:41 > 0:15:46- ..and at the same time, we send - the contents for examination...
0:15:46 > 0:15:50- ..to make sure there is - no cancer or anything wrong.
0:16:20 > 0:16:22- Can I start? Safe?
0:16:42 > 0:16:45- And that's the big, ugly tonsil.
0:16:47 > 0:16:50- It'll go straight to the laboratory.
0:16:54 > 0:16:55- Next, please.
0:16:57 > 0:17:00- Have you got shoes or slippers?
0:17:02 > 0:17:06- Elliw Roberts from Cwm Coryn?
0:17:06 > 0:17:11- Lovely. Do you want to wear - slippers? Then we'll walk up.
0:17:14 > 0:17:18- If everyone was as happy - as Elliw going to theatre...
0:17:19 > 0:17:21- ..it would be so much easier.
0:17:38 > 0:17:40- The first grommet.
0:17:42 > 0:17:44- And the second grommet.
0:17:51 > 0:17:53- The tonsils. Next.
0:17:57 > 0:18:00- While Elliw comes round, - Ted is back.
0:18:01 > 0:18:04- Mam can have a ride, too.
0:18:09 > 0:18:10- The first one?
0:18:10 > 0:18:12- The first one?- - This one.
0:18:26 > 0:18:29- Back on Dewi Ward, - legs are under the microscope.
0:18:31 > 0:18:34- This little boy has pain - in his legs.
0:18:35 > 0:18:39- Josh has had pain in his legs - for the last few months.
0:18:39 > 0:18:41- Six months ago...
0:18:41 > 0:18:43- ..he couldn't walk.
0:18:43 > 0:18:46- The same thing happened again - this morning.
0:18:46 > 0:18:51- We're waiting for the blood results - to see what's going on.
0:18:51 > 0:18:55- What happened this morning? - Did you call an ambulance?
0:18:55 > 0:19:01- We got up and Josh's legs - gave under him at breakfast.
0:19:01 > 0:19:04- He had no sensation in his legs.
0:19:04 > 0:19:07- I drove him straight to hospital...
0:19:07 > 0:19:09- ..and explained what happened.
0:19:10 > 0:19:12- They took a blood sample.
0:19:12 > 0:19:15- We're still waiting for the results.
0:19:15 > 0:19:17- Can you move your legs now?
0:19:17 > 0:19:19- Can you move your legs now?- - Yes.
0:19:19 > 0:19:22- How did it feel - when you couldn't move your legs?
0:19:23 > 0:19:25- They didn't work at all for you.
0:19:25 > 0:19:28- No.
0:19:30 > 0:19:31- Were your arms working?
0:19:31 > 0:19:32- Were your arms working?- - Yes.
0:19:32 > 0:19:33- Was your mouth working?
0:19:33 > 0:19:35- Was your mouth working?- - Yes.
0:19:36 > 0:19:39- What is Josh usually like?
0:19:39 > 0:19:43- He likes to play football, - he's on the go, doesn't stop.
0:19:45 > 0:19:47- Very hyperactive.
0:19:47 > 0:19:49- Full of life.
0:19:50 > 0:19:55- This is a shock, from - being hyperactive to no movement.
0:19:56 > 0:19:58- Shocking and scary.
0:19:59 > 0:20:01- Elliw is back.
0:20:01 > 0:20:04- But the smile - has disappeared for now.
0:20:11 > 0:20:14- Elliw lives half an hour - from the hospital.
0:20:14 > 0:20:17- She and her mother - will stay overnight.
0:20:17 > 0:20:20- It's an extra headache - for manager Jo.
0:20:21 > 0:20:23- We are full now.
0:20:26 > 0:20:29- We've reserved three beds...
0:20:29 > 0:20:35- ..for children from Minffordd Ward - who have had an operation.
0:20:35 > 0:20:38- The staff over there can come here.
0:20:38 > 0:20:42- We're full. - I need to let Tracey know.
0:20:42 > 0:20:47- She'll have to tell the site - managers that we've closed...
0:20:48 > 0:20:50- ..so A&E don't send anyone else up.
0:20:51 > 0:20:54- Elliw will spend - the night on Dewi Ward.
0:20:54 > 0:20:58- She can have a nap after breakfast.
0:20:58 > 0:21:00- Are you going to eat?
0:21:01 > 0:21:06- You've eaten loads of chocolate, - but nothing else.
0:21:07 > 0:21:09- Eat a little.
0:21:10 > 0:21:12- No?
0:21:15 > 0:21:18- Do you want to go home - or do you want to stay here?
0:21:18 > 0:21:21- I want to go home.
0:21:23 > 0:21:26- You have to eat something, Elliw.
0:21:26 > 0:21:28- How about a piece of toast?
0:21:30 > 0:21:33- Eat the first one.
0:21:33 > 0:21:35- There you are.
0:21:35 > 0:21:38- Will that bring the smile back?
0:21:41 > 0:21:42- Nice?
0:21:44 > 0:21:47- You've had something to eat now.
0:21:50 > 0:21:54- Jo's busy day is almost over.
0:21:55 > 0:21:57- It was quiet this morning.
0:21:58 > 0:22:00- But it's been a hectic day.
0:22:00 > 0:22:02- I've learnt a lot.
0:22:02 > 0:22:05- It's nice to have an insight...
0:22:06 > 0:22:11- ..into what the nurse in charge - has to go through...
0:22:11 > 0:22:13- ..especially on a busy day.
0:22:14 > 0:22:17- I can appreciate - what they have to do.
0:22:17 > 0:22:22- I'm ready to go home now, - after a really, really busy day!
0:22:22 > 0:22:23- Yes!
0:22:34 > 0:22:38- Ioan's eye has cleared and - he didn't have to see a specialist.
0:22:39 > 0:22:43- There was no problem - with Ted's large tonsil.
0:22:43 > 0:22:48- Elliw can hear her mother - after her operation.
0:22:48 > 0:22:52- The Daleks are still looking - for Doctor Who!
0:23:08 > 0:23:10- S4C Subtitles by Gwead
0:23:10 > 0:23:10- .