Pennod 10 Ward Plant

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-Ysbyty Gwynedd

-serves the largest area in Wales.

-Some children have to travel

-over two hours to get here.

-There's no knowing who will come

-through the door...

-..or what will be wrong with them.

-..or what will be wrong with them.

-

-He's just turned two.

-He's never had antibiotics

-or anything.

-Some have to have their teeth out.

-Some have to have their teeth out.

-

-I'm going to have four teeth out.

-To make room for the new ones.

-Others have spots all over them.

-Others have spots all over them.

-

-He has a rash all over his face.

-One little boy

-doesn't want his medicine.

-Shall I put him on my knee?

-Yes. Do that.

-Every single one receives

-the best possible care...

-..from a team of very special

-doctors and nurses.

-It's 8.00am.

-We're just finishing

-the night shift.

-We've been quite busy overnight.

-One of our nurses, Alison, had to go

-home at 2.00am because she was ill.

-So we've been one nurse down.

-We've had two staff nurses on

-and the healthcare staff.

-Unfortunately, the ward had to close

-because we only had two nurses.

-It's been quite full.

-We only have one empty cubicle.

-Luckily, the patients

-have been stable overnight.

-It's been manageable

-between two of us.

-So yes, it's been busy.

-I'm ready for my bed!

-There she is!

-Yay!

-We need a party popper!

-Today is a special day

-for one of the nurses.

-That's a big bag you've got.

-That's a big bag you've got.

-

-Are you getting emotional?

-I'm going away!

-This team of nurses has been

-together since graduating.

-Losing one of them is a big blow.

-Rachel is a very popular person

-on Dewi Ward.

-She's happy

-and she always makes everyone laugh.

-She has some people in tears

-from laughing so much!

-But she's also a brilliant nurse.

-She'll be a huge loss to the ward.

-The families and children

-all love Rachel.

-It will be a big loss.

-It's my last day!

-Emosh!

-After nearly seven years

-on Dewi Ward...

-..Rachel is moving

-to the department...

-..that cares for children

-with mental health issues.

-I'm looking forward

-to the challenge.

-I won't be on the ward

-in my little bubble.

-I'll be going out on my own.

-I'll be independent.

-I'll be working with

-what I've heard is a fantastic team.

-I know some of them already.

-I'm looking forward

-to the new challenge.

-I've been interested

-in mental health for years.

-I see it on the ward. More children

-come in with mental health issues.

-Not just teenagers.

-I've seen children under 10.

-Numbers are growing.

-I've seen that on the news.

-There are a lot of problems.

-When they come in,

-I enjoy talking to them.

-I want to understand

-what's going on in their heads.

-I want to try to help them

-to come out of this dark period...

-..in their life.

-But before Rachel leaves, she has

-one more shift on Dewi Ward.

-She has a little girl

-to accompany to theatre.

-I'm going to have four teeth out.

-To make room for the new ones.

-Ffion was premature.

-Her milk teeth are so tiny and

-they're not sure what's caused that.

-They think it might be genetic.

-She was such a sickly baby.

-They think that made her teeth

-get smaller.

-She's having four out from the top.

-She's also having two

-bottom teeth out.

-Usually, they would be able to do it

-at the community dentist.

-But she has cerebral palsy

-so she has to come here.

-She's proud of the fact

-that she has it. She tells everyone.

-She loves her splints.

-They have horses on them.

-I need help to walk.

-But when I wear these,

-I don't need help.

-My legs are a little bit clumsy.

-I fall over at home as well.

-I fell over on my scooter.

-I've tried to tell her

-that she should be happy.

-She needs to explain what it is

-if anyone looks at her.

-That's what she does.

-She tells everyone.

-I like these the most.

-Kelsey wants some of these.

-She's my little sister

-but she's six like me now.

-This is Dr Katerina.

-She's come from Ruthin to work on

-Dewi Ward for six months.

-She wants experience

-of working with children.

-I try to treat them in the same way

-as I would treat an adult.

-Obviously,

-the language is a bit different.

-But apart from that,

-when you go into the room...

-..it's important to speak to the

-child because they are the patient.

-So, I speak directly to the child.

-If the child is a bit scared...

-..you can go around the corner

-and speak to Mam.

-The child gets used to you

-after a while.

-Then I try to make the chat

-a bit more fun.

-It's like playing a game when you're

-listening to their chest and so on.

-That always helps.

-How old are you now, Ffion?

-I'm six.

-I'm nearly seven.

-Are you? When's your birthday?

-Are you? When's your birthday?

-

-Christmas time.

-I see. Are you preparing for it?

-Um.. yes. I've had this.

-You've had Wonder Woman!

-That's nice.

-Is she going to come with you?

-Is she going to help today?

-Good.

-Who brought you in today?

-Who brought you in today?

-

-Mam.

-And Nain.

-Do you know why you're here?

-I'm going to have six teeth

-taken out.

-Six?!

-All of these?

-No, these.

-Oh, right. OK.

-Have they been

-causing you some bother?

-Yes.

-I'm not sure

-what's happened to them.

-They want to take them out because I

-don't want them to stay in my mouth.

-I haven't started my training

-to become a GP yet.

-For me, it was very important...

-..to gain experience

-of a children's ward.

-You see a lot of children

-when you are a GP.

-It's good to be able

-to deal with things...

-..that relieve the pressure

-on hospitals.

-Also, my brother is four years

-younger than me.

-We don't have many children

-in the family.

-So just holding a baby

-was an experience in itself!

-Okey-doke.

-Is it OK if I ask Mam

-a few quick questions?

-Then we'll do a bit of doctoring.

-We'll have to use specific tubes.

-OK. So.

-Mam, a few questions.

-Pregnancy. Was everything OK?

-No, not really. I was so ill.

-I lost about five stone

-when I was pregnant.

-I had bad hyperemesis.

-She stopped growing at 26 weeks.

-She was IUGR.

-Then when she was born, she had to

-go to Glan Clwyd Hospital...

-..and she was on life support.

-So she was in special care?

-So she was in special care?

-

-Yes.

-How long for?

-How long for?

-

-In Glan Clwyd for a fortnight.

-That was in intensive care. Then she

-was in SCBU here for a fortnight.

-How's she been getting on

-since then?

-She's done well

-considering how ill she was.

-She looks fantastic.

-She has some problems but it's

-to be expected after being so ill.

-Compared with how ill she was,

-we've been lucky.

-You've done really well.

-Fair play. You're like Wonder Woman!

-While Wonder Woman

-gets ready to go to theatre...

-..in comes Deio Rhys, or Spot

-from Superted as he's known today.

-His father explains.

-We've just arrived this morning.

-He has a rash over his legs

-and his face.

-We came in on Friday night

-as it happens.

-We thought it was chicken pox

-at that point.

-He had a temperature.

-His heart rate was up as well.

-We were just a bit concerned

-this morning.

-You went to see the GP this morning,

-didn't you?

-They recommended that we come here

-just to be sure.

-I was in London all weekend.

-He didn't phone me until

-yesterday morning to tell me!

-I thought it was chicken pox

-and it would just run its course.

-I thought everything would be fine

-by this week.

-But things don't always go to plan

-with children!

-We're just worried,

-like all other parents.

-He's one of four...

-..so we're used to illnesses.

-It's nothing serious.

-The spots don't look very nice but

-it's nothing that can't be treated.

-Are you alright?

-We have some students here.

-A lot of people!

-Nice to meet you.

-I'm a senior doctor here.

-What is the problem today?

-What makes you worried?

-They said on Friday night

-when he was here...

-..that they thought

-it was chicken pox.

-The rash didn't look right

-this morning.

-So I made an appointment

-in the surgery.

-His heart was going very fast

-in the surgery...

-..and he had a high temperature

-this morning as well - 38.6.

-He's had a consistent temperature

-since Friday night.

-Hasn't he?

-It has come down after Calpol.

-Then it's been coming back up.

-The doctor has seen him

-and he thinks it's impetigo.

-It's quite a common infection

-in children.

-We see it quite often.

-It's contagious so it goes from

-one child to another.

-That means

-that we see it quite often.

-Usually they're not really unwell

-with it.

-Sometimes they just need paracetamol

-because it's a bit itchy.

-It can be painful

-especially around the mouth.

-So when they eat,

-it can be quite painful.

-A bit of paracetamol and antibiotics

-and they should be fine.

-Time for the fairies

-to replace Wonder Woman...

-..and take Ffion to theatre.

-She has to have some teeth

-taken out.

-But this little girl

-is a bit scared.

-She was a bit tearful in the lift.

-I think it's just the anxiety

-kicking in.

-You'll be OK, lovely.

-Don't cry.

-Give Mam a hug.

-Don't cry. You'll make me cry.

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-Ffion, under the care of Dr Sophie

-Gordon, is away with the fairies.

-I'm a community dentist.

-We tend to see children mostly.

-Children are referred to us

-from their own dentist...

-..if it's something they can't treat

-under local anaesthetic.

-We see children in hospital

-when they have medical problems.

-Some can't be awake to have

-a filling for example.

-Today, we've seen a little girl.

-We took out six teeth

-and filled two.

-She has cerebral palsy and asthma.

-That means she can't have

-ordinary treatment.

-One of them was quite tricky

-to get out.

-It was broken

-and only the roots were left.

-With the other,

-there was a big hole.

-Because the infection had been dealt

-with, they were easy to take out.

-She'll be numb for about two hours

-and won't be able to feel anything.

-We tell them not to eat any hot food

-for the first couple of hours.

-Hopefully she'll be fine again

-in the next day or so.

-Wonder Woman was able to stay

-throughout the operation...

-..to keep an eye on her.

-Today is Nurse Rachel's last day on

-Dewi Ward. Any excuse for a party!

-It's nearly lunchtime.

-Instead of Rachel going to buy

-lunch in the canteen...

-.we're having a little tea party.

-It's her last day.

-We've collected some money

-and bought a card.

-Just to thank her for her hard work.

-Is it a surprise?

-Yes. She has no idea.

-She has been dropping subtle hints

-all week that she wanted something!

-But I haven't said anything.

-Surprise!

-There was me

-thinking I was going to have chips.

-I'm going to miss all the staff.

-We're more than just colleagues.

-We're friends.

-We see each other outside work.

-I'm going to miss the children...

-..especially those children

-who come here regularly.

-I feel I've developed a close

-relationship with them...

-..over eight years.

-It's going to be...

-I think it will hit me on Friday.

-Friday afternoon is busy

-on Dewi Ward.

-Everyone needs to be seen

-before the weekend.

-Ollie has just come in.

-We're going to check his temperature

-and pulse and do a full assessment.

-Then I'll discuss with the doctor

-to decide on the next steps.

-It's what you expect

-at this time of year.

-Over the weekend, he got better.

-He was much better.

-Then on Monday, he was sick.

-I've just been

-keeping an eye on him.

-He was hot and cold and hasn't been

-eating or drinking properly.

-Obviously he hasn't had

-any wet nappies.

-So we held on but we went

-to the doctor this morning.

-She examined him

-but she wasn't happy.

-So she sent him home in the hope

-that he would drink...

-..and have a wet nappy.

-But he hasn't

-so that's why we're here.

-He's just turned two and he's never

-had antibiotics or anything.

-He refuses to take Calpol

-so that doesn't help.

-Sioned isn't just an ordinary nurse.

-Oh, no.

-She's a super nurse.

-I've been doing a Masters in

-Advance Practice for about a year.

-That will make me

-an Advanced Nurse Practitioner.

-That means working

-as a senior nurse.

-I'll be able to see new patients,

-care for them, treat them...

-..and send them home

-if they're well enough...

-..or send them to the ward

-for further treatment.

-You're a big boy, aren't you?

-..or anything like that.

-I can't really put my finger

-on anything specific.

-But his ear is red

-and his throat is red...

-..and he has a temperature.

-I'd say it's probably

-a viral illness.

-That doesn't mean

-that we don't know what it is.

-It means that it's not bacterial.

-Bacterial infections

-can cause real problems.

-I'd say it's a viral illness.

-You said he had a cold last week.

-I think it's just taking a while

-to clear.

-I'm not too concerned

-about him not eating.

-I just want him to drink.

-I just want him to drink.

-

-I'm not worried about the food.

-If we can get him to drink,

-he'll then have a wee. Plan?

-Lovely.

-Good luck with the paracetamol.

-We like a challenge.

-For one little girl,

-the worst is over.

-Four holes

-where there used to be four teeth.

-They've taken those teeth out.

-And they've taken the top ones out.

-I feel a little bit different

-without my teeth.

-Do you feel OK?

-Do you feel OK?

-

-Dr Sophie Gordon visits Ffion.

-Is your mouth a little bit numb?

-Does it feel strange?

-Can I just check that for you?

-Can I have a look in your mouth?

-We did two fillings as well

-in the bottom.

-We'll see how they go.

-We might do the caps on those

-when she comes back in.

-Lovely. Well done you.

-Just look up for me.

-Lovely.

-Great.

-Well done you.

-There we are.

-The bad teeth have gone.

-Well done.

-Lovely. I'm happy.

-If you feel well enough to have

-something to eat, you can go home.

-OK?

-Thank you.

-Ollie, will you take some medicine?

-In order to convince Ollie,

-everyone has moved to the playroom.

-What's that? Postman Pat.

-Wow.

-Do you want to try and give it?

-He's more likely to take it from you

-than from me.

-I've tried!

-Come and sit on my knee here.

-Look at this train.

-One, two, three.

-Wow! Look.

-He'll just spit it out.

-Oh, dear me.

-But Ollie's response

-is a clear no, never, no way!

-Shall I put him on my knee?

-Yes, you put him on your knee

-and I'll give the medicine.

-Ollie, look.

-The only other option

-is to give him a suppository.

-In his bum.

-In his bum.

-

-Yes.

-We can do that.

-We can do that.

-

-Is that like a painkiller?

-Yes, it's exactly the same

-but we put it in his bum.

-Do you want to try that?

-Yes, to see if it works.

-Otherwise we're not going anywhere.

-He's going to get weaker

-if he won't drink.

-Mam!

-We'll get rid of this.

-One little girl is going home

-with her little sister.

-Say goodbye.

-Meanwhile, Nurse Sioned is still

-trying to persuade Ollie...

-..to take some paracetamol.

-Ollie.

-Do you want some toast?

-What is it?

-Have a look at what I've got.

-Oh! What's that?

-No?

-You need to put it in your mouth.

-Look. What do you think?

-Unfortunately, he's connecting pain

-with swallowing.

-If he was older, you could explain.

-You can't reason

-with a two-year-old.

-He doesn't understand.

-He's decided it hurts

-so he's not going to do it.

-Hey, cheeky!

-But if he doesn't,

-we'll have to stay here.

-Ooh! What?

-Ooh! What?

-

-Train.

-It looks as though

-it might be a long night.

-Ffion is still waiting

-for her teeth to grow back.

-Deio's spots cleared completely

-after a week of antibiotics.

-In the end, Ollie took his medicine.

-But Mam isn't looking forward

-to next time!

-S4C Subtitles by Testun Cyf.

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