Pennod 5 Ward Plant

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-Ysbyty Gwynedd serves

-one of the largest areas in Wales.

-Some children have to travel

-over two hours to get here.

-She screamed all the way

-to hospital.

-It was the hardest thing

-I've done as a mother.

-You never know

-who will come through the door.

-We don't know

-what the future holds for Mia.

-A bowel or liver transplant

-possibly.

-Don't say sorry. I'm glad we sorted

-it without you going to Manchester.

-The staff members on the children's

-ward give everyone a warm welcome.

-Can you wriggle your fingers?

-We get to know the child,

-the family.

-They become part of our family

-on the children's ward.

-Thank you! Goodbye.

-Ysbyty Gwynedd's children's ward

-never closes.

-That's good news for the families

-of our future athletes.

-I had a phone call

-from the people at gymnastics.

-They said she'd hurt herself.

-I could hear her crying

-in the background.

-I went straight there.

-She was in incredible pain.

-I was doing gymnastics

-and I did a leapfrog.

-My arm went backwards.

-Has she had any ibuprofen?

-Has she had any ibuprofen?

-

-No.

-I'll get her some now and then

-hopefully she'll sleep better.

-You're in a bit of pain, aren't you?

-We went straight to hospital. She

-screamed all the way to hospital.

-I think it's the hardest thing

-I've done as a mother.

-I just want to check

-some of her observations.

-Then I'll leave her alone.

-I had to go to...

-..the nurse.

-The nurse gave me a bandage.

-After that, I had to go...

-..for an x-ray.

-This is Efa's x-ray.

-She's broken a bone

-on the elbow joint.

-If you look here,

-there's a sharp bit.

-The part that comes down here

-should be attached to that.

-It's broken

-and been pushed out to the side.

-You can see it on this image

-as well.

-This is broken and it should be

-attached to this bit.

-On the outside, you can see

-the half plaster they put on in A&E.

-It's a support to keep it still

-so that it doesn't move any more.

-The fuzzy stuff

-is the flesh around the bone.

-They're very nasty fractures.

-Very painful and difficult

-to put back in place.

-What they'll do

-is pull the bottom of the arm...

-..to try and get the bone

-back to its right shape.

-They'll use pins to attach the

-bigger part to the smaller part...

-..to make sure it won't move

-after coming out of theatre.

-They'll then put a large plaster

-around everything.

-They'll want to see her in a week's

-time to check it hasn't moved.

-They don't want it to move again.

-Efa's elbow will have to wait

-until tomorrow before it's fixed.

-Before that, there are 10 hours left

-of the night shift on Dewi Ward.

-We start at 7.45pm until 8.15am.

-When we come in, we just go around

-and say hello to everyone.

-Part of the night shift

-responsibility...

-..is to check blood pressure,

-temperature, heart rate and so on.

-We do that normally

-at ten, two and six o'clock.

-One of the children

-I'm responsible for, Gwilym...

-..needs it done every two hours.

-He's come in with a temperature

-and non-blanching spots.

-That can be a cause for concern

-in children.

-They've taken bloods

-and we're waiting for the results.

-It's more reassuring with him

-because he's perked up...

-..since coming to the ward.

-He hasn't had any more

-temperature spikes...

-..so maybe it was just a viral bug.

-Curtis is next

-on Nurse Alison's list.

-He's also broken his elbow

-and is still in quite some pain.

-What did you have?

-Chicken nuggets or a burger?

-Cheeseburger.

-Cheeseburger.

-

-Did you save some for me?

-Where's mine?

-Didn't you bring me one?

-One thing that's crucial

-to keep an eye on...

-..is the circulation of blood

-to the hand.

-Can you wriggle your fingers?

-Can you try to move them for me?

-If Curtis can move his fingers and

-if they're pink rather than white...

-..Nurse Alison is happy

-that there's no clot.

-Well done. Can you feel that?

-Yes?

-I like night shifts.

-There aren't many people around

-but you still have lots to do.

-But it's hard to sleep the next day.

-I don't manage to sleep much.

-I have children of my own.

-Many people don't like doing nights

-but I do.

-Can we do your finger?

-Good boy.

-One parent is allowed to stay

-with their child overnight.

-I don't think it would be very nice

-for a child...

-..to have to stay on their own.

-I know that's how it used to be

-in the old days.

-Now, a parent is allowed to stay.

-I think that's a great help.

-They can then be part

-of the child's care.

-It's like teamwork.

-When your arm still hurts after the

-doctors have put it back together...

-..it's nice to have Mam next to you.

-Curtis is complaining

-that his arm hurts.

-So I'm going to put it in a cast

-that we call Braun Frame.

-Basically it's a cast

-that holds the arm up...

-..to reduce the pressure on the arm.

-The swelling can get worse

-which then causes pain.

-I'm going to give him this now.

-Can you come towards me in the bed?

-I couldn't put it up

-because the cast was higher.

-The cast wouldn't fit

-around his arm.

-I've propped it up

-on more pillows...

-..so hopefully

-that will reduce the pressure.

-We'll just check on him overnight

-to make sure he's OK.

-I'll get some ibuprofen for him.

-As night turns to day,

-Dewi Ward starts to wake up.

-It's the end of the shift.

-Time to go home to bed.

-It was an OK night. Not too bad.

-Not too busy either.

-I'll be back for more tonight.

-See you. Bye.

-Sister Mel arrives for her shift.

-Her first job

-is to organize the day.

-Toni? Were you here yesterday?

-Toni? Were you here yesterday?

-

-I haven't been in since Thursday.

-Anyone here today

-that was here yesterday?

-No.

-I know what's wrong with everyone

-from the handover.

-We try to allocate the same nurse

-if we can.

-That's why I was asking

-who was here yesterday.

-If they had a patient yesterday...

-..it makes sense to have them again

-to give continuity.

-For us because the nurse

-knows what's going on...

-..but also for the patient

-and the parents.

-They see the same face

-and they feel they know someone.

-I also look at the skill mix

-of the nurses who are here.

-I know who's been here a long time

-and can do everything.

-Some are newly qualified

-so I may avoid putting them...

-..in charge of a really sick patient

-in HD.

-There's no science to it.

-I just do it.

-As the nurses get to know

-their new young patients...

-..one little girl has been looking

-forward to the day starting.

-She's slept a little bit. She slept,

-woke up, slept again, woke up again.

-She's thinking now

-about what's going to happen.

-I'm trying to be positive for her.

-Hopefully someone is coming to see

-her now to tell us what time...

-..we'll be going in

-for the operation.

-They're going to take me

-somewhere near a fish tank...

-..and they're going to give me

-an oxygen mask...

-..and then they're going to

-give me an operation.

-Have you had an operation before?

-This is the first.

-Because the doctors have decided she

-needs urgent surgery on her elbow...

-..Efa is first on the list.

-I'm trying to be as positive as

-I can. I don't want her to worry.

-To be honest, she's been fine

-about it. She hasn't been worried.

-As a parent, you worry about

-everything, every scenario.

-Even the most unlikely.

-You can't help worrying.

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-One of the best experiences

-for the nurses on Dewi Ward...

-..is seeing children get better.

-Hello!

-Someone looks better.

-He's perked up a lot

-in the last half hour.

-Haven't you, mate?

-Rhys has had his adenoids

-and tonsils taken out.

-He's had to stay in overnight

-because of a high temperature.

-There we go. It's OK now.

-Well done.

-Your temperature

-has come down a lot.

-Thank God.

-Isn't that good?

-And your face looks better.

-The ENT doctors came to see him.

-He had a high temperature

-overnight.

-He wasn't eating or drinking

-this morning. He felt rubbish.

-We've given him IV fluids

-and some painkillers.

-He's had a saline nebuliser...

-..to get some moisture into his nose

-and throat and make him feel better.

-He looks much better.

-He had a lot of gunk in his nose

-because he had the nose done too.

-That seems to have cleared.

-He's a different boy.

-OK? I'll see you in a minute.

-Are you just staring?

-Efa has been in theatre for an hour.

-There's no sign of her yet.

-Orthopaedic doctors underestimate.

-They told Mam an hour

-and I was like well...

-He just thinks

-about the bit he wants to do.

-He doesn't consider the bit before

-or what comes after.

-They're naughty.

-They do it all the time.

-And it's normal for them

-but it isn't normal for me.

-I've been walking up and down

-the corridors worrying about her.

-I just hope she'll be OK.

-I just want to see her little face

-smiling at me again.

-She's been in so much pain.

-She's much quieter than usual.

-That's making us worry, of course.

-They'll have to wait while others

-keep arriving on Dewi Ward.

-This little girl is called Mia.

-She's been in and out of Dewi Ward

-since a very young age.

-Mia is one of twins.

-Everything was fine

-during the pregnancy.

-I had a planned Caesarean

-at 37 weeks.

-Mia was put on a life-support

-machine because of poor breathing.

-She had fluid on her lungs.

-She came out of theatre at 8.30.

-The surgeon came to us

-to tell us to prepare for the worst.

-Mia had a clot

-on the side of her bowel.

-Mia and Jac were christened

-at 11.30pm.

-They called in the family.

-The next day,

-they took Mia back into theatre.

-We found out that she had 10cm

-of her small bowel left.

-Mia Martin?

-Hello, Miss. Where's Mam?

-She's parking the car.

-She's parking the car.

-

-I know you're not Mam!

-I've seen her enough.

-Right, a line, is it?

-Is it completely blocked?

-No, it's just stiff.

-Cube 8?

-Mia has come in this morning...

-..because Mam is having trouble

-with the central line she has in.

-Mia has a central line

-because her bowel is very short.

-The bowel is where your body

-absorbs everything...

-..from the food you've eaten.

-That happens during the journey

-through the bowel.

-The body leaves behind

-anything it doesn't need.

-Because Mia's bowel is so short...

-..she can't absorb

-anything she needs from food.

-She can't eat

-or go to the toilet like we can.

-Everything just goes through her.

-We don't know

-what the future holds for Mia.

-Possibly a bowel

-or liver transplant. We're not sure.

-Shall I take it all off

-for you to see?

-When is the TPN supposed to go up?

-Four.

-But it doesn't matter if it's

-a little bit later than that.

-At home, her mother gives Mia TPN

-five nights a week.

-It's basically a bag of fluid

-which looks like milk.

-Then that's filled up

-with everything Mia needs.

-Sugar, salt, the different elements

-like magnesium.

-It goes straight in through

-the central line and into the blood.

-It's used in that way.

-One night a week, she just has

-fluids with sugar in them.

-On the seventh night,

-she doesn't have to have anything.

-Her mother does all of this at home.

-Mia hardly ever has to come in.

-The only time she comes is when her

-mother has trouble with the line.

-When they take her off the TPN...

-..they flush the line

-and clamp under pressure.

-But this morning,

-the line was really stiff...

-..and they struggled to flush it.

-Her mother was worried

-there might be a problem with it.

-She's come in so that we can put

-what we call urokinase in the line.

-If there is a build-up of blood

-or a clot in the line...

-..it will dissolve it and hopefully

-the line will work properly again.

-Is that normal now?

-It's even better than usual. Sorry.

-Don't say sorry. I'm glad we sorted

-it without you going to Manchester.

-Rhys is next to go home.

-As long as he takes his medicine

-and eats something.

-But Rhys hasn't quite understood

-what he needs to do.

-Can you sit here?

-Like that? OK. Open your mouth.

-Well done. Down it goes.

-They don't like it.

-They already feel rubbish.

-As Rhys' mother demonstrated,

-you do it for their own good.

-Good boy.

-I know, mate.

-Down it goes.

-All gone.

-It's being cruel to be kind really.

-We don't like to see them crying

-not wanting their medicine...

-..but it's for their own good.

-If he was a bit older, maybe you

-could reason a little bit with him.

-But really

-you're just dragging it out.

-It's better to do as Rhys' mum did

-and just get it over with.

-Hopefully it'll make him feel better

-so that he eats and drinks.

-After nearly four hours in surgery,

-Efa is back.

-No-one is happier about that

-than her parents.

-Ready, steady, slide.

-Good girl.

-OK?

-Are you OK? You've been very brave.

-Do you feel hot?

-Yes?

-If you want anything,

-Mam's here, OK?

-I want some water.

-Water? OK.

-She can have a couple of sips.

-Just in case.

-I've brought some bowls anyway.

-I'm just going to have a chat

-with the nurse and I'll come back.

-Do you want anything?

-Water.

-She's thirsty.

-I know, I know.

-We'll give it five minutes.

-Just make sure that water stays down

-then we can give you some more.

-I'm going to get water.

-Takes five minutes.

-OK? I'll just have a quick chat

-with the nurse.

-OK?

-There's only one thing stopping Rhys

-from leaving and Sister Mel has it.

-Here we are.

-Right then.

-Will you eat a little bit for Mam?

-Will you just try some?

-A little bit.

-That side is hot, OK?

-I'll be back in a minute.

-I'll be back in a minute.

-

-Thank you.

-What do we have today, Rhys?

-Let's have a look.

-We have lasagne and chips.

-I'm not staying here again tonight.

-Will you eat a little bit?

-Let's settle down first.

-That horrible medicine upset you,

-didn't it?

-Is it burning?

-We have to find different ways

-of doing everything we do.

-I can be practically

-under the bed...

-..trying to give some children

-their medicine.

-But if that works for them,

-it works for us.

-Rhys' favourite food

-is Taid's tomato soup.

-Here it is but it's come straight

-from Ysbyty Gwynedd canteen.

-Are you going to tell them

-what this is?

-Taid's soup.

-Taid's tomato soup.

-Is it?

-Taid's getting all the glory.

-If Taid's tomato soup has this

-effect, I'll have some too please.

-I'm going home now.

-It doesn't matter.

-It's a drink.

-No two days are the same here.

-Ever.

-Are you ready to go home?

-Wehey!

-There's always something

-that's different.

-Once children are better,

-they're better...

-..and you can see

-that what you've done has helped.

-We're going home!

-We're really happy.

-Parents are grateful.

-That's always nice.

-OK? Bye.

-Are you going to say thank you?

-Are you going to say thank you?

-

-Ta-ta. No, he isn't!

-He's had enough.

-OK?

-OK?

-

-Thank you very much.

-I don't think I'd want to do

-any other job.

-Efa had to have another operation

-on her arm.

-She's in a swimming competition

-even though she's still in plaster.

-Six weeks after being in hospital...

-..Curtis had the pins

-taken out of his arm.

-Mia goes to Manchester Children's

-Hospital every two months.

-Rhys still loves Taid's soup.

-S4C Subtitles by Testun Cyf.