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0:00:00 > 0:00:02- Subtitles- - Subtitles
0:00:15 > 0:00:18- It's a new morning - for Dewi children's ward.
0:00:19 > 0:00:21- The staff prepare to meet the day.
0:00:22 > 0:00:26- Dr Param says good morning - to the X-ray machine.
0:00:28 > 0:00:30- Sister Mel organizes the day.
0:00:31 > 0:00:35- Mr Hill is on standby - to take out adenoids and tonsils.
0:00:37 > 0:00:40- Sally, the cleaner, is hard at work.
0:00:42 > 0:00:46- Dr Chris Jones and Dr Helen Poole - finish the night shift.
0:00:50 > 0:00:53- But who is this? She's a new face.
0:00:53 > 0:00:57- It's Catrin's first day.
0:00:58 > 0:01:01- She's a first year student nurse.
0:01:02 > 0:01:05- When did you start in college?
0:01:06 > 0:01:08- Eight weeks ago.
0:01:09 > 0:01:14- Students attend college and - come here for practical experience.
0:01:15 > 0:01:18- You're here for six weeks.
0:01:19 > 0:01:22- Three weeks.
0:01:22 > 0:01:26- It's been a busy day, so far.
0:01:26 > 0:01:29- I haven't had a proper chat.
0:01:29 > 0:01:32- I've explained the basics - of what we do.
0:01:32 > 0:01:37- I've shown her where the toilets - and the staff room are.
0:01:37 > 0:01:40- You're shadowing me today...
0:01:41 > 0:01:43- ..to see what we do.
0:01:44 > 0:01:48- The busier we are, the more - your confidence will grow.
0:01:49 > 0:01:54- It's all new to you. - You're doing well, fair play.
0:02:02 > 0:02:07- Do you remember Carwyn Foster from - Porthmadog in the first programme?
0:02:08 > 0:02:10- He broke his arm.
0:02:12 > 0:02:17- I was playing rugby with friends - six weeks ago.
0:02:17 > 0:02:20- I slipped and fell on my arm.
0:02:20 > 0:02:22- It broke in two places.
0:02:23 > 0:02:27- One bone broke in half, - the other was cracked.
0:02:27 > 0:02:30- The plaster is coming off today.
0:02:31 > 0:02:35- Is that all that's happening?
0:02:35 > 0:02:41- I'm having an operation - to take out the wire.
0:02:41 > 0:02:43- You'll have to put this on.
0:02:43 > 0:02:44- OK?
0:02:45 > 0:02:47- I'll model it for you.
0:02:49 > 0:02:51- I hope there are ties on it!
0:02:51 > 0:02:54- Put it on this way.
0:02:56 > 0:03:00- Do you want another one - to wear as a coat?
0:03:00 > 0:03:02- I'll be fine with that.
0:03:02 > 0:03:05- I'll be fine with that.- - Remember to wear pants!
0:03:06 > 0:03:07- Okey-dokey?
0:03:09 > 0:03:11- BELL RINGS
0:03:11 > 0:03:17- A student nurse has to learn - to keep an eye on the door.
0:03:18 > 0:03:20- Not everyone is allowed in.
0:03:22 > 0:03:24- Is the name down?
0:03:25 > 0:03:28- It is, so come in Martin, - Rhiannon's father.
0:03:38 > 0:03:42- Rhiannon has been in and out - of the ward since she was born.
0:03:42 > 0:03:45- It's not getting any easier - for her parents.
0:03:46 > 0:03:49- She suffers badly - when she has a cold.
0:03:49 > 0:03:53- That's why we're here. - We came in yesterday morning.
0:03:56 > 0:03:58- We hope we can go home today.
0:04:01 > 0:04:03- She has Wolf-Hirschhorn syndrome.
0:04:04 > 0:04:06- There's a deletion of chromosome 4.
0:04:09 > 0:04:13- When she has a cold, - she suffers terribly.
0:04:17 > 0:04:20- You look more tired - than your daughter.
0:04:21 > 0:04:23- Yes!
0:04:24 > 0:04:26- I didn't sleep well last night.
0:04:27 > 0:04:29- She's fast asleep.
0:04:31 > 0:04:32- You've been up all night.
0:04:32 > 0:04:34- You've been up all night.- - More or less.
0:04:36 > 0:04:39- Does it happen often in winter?
0:04:40 > 0:04:42- She's been quite good this year.
0:04:45 > 0:04:50- This is the first bad cold - she has caught this year.
0:04:54 > 0:04:57- In previous years...
0:04:58 > 0:05:01- ..she had a cold - in early November...
0:05:01 > 0:05:04- ..and was poorly through to March.
0:05:05 > 0:05:07- It's improved this year.
0:05:07 > 0:05:09- I hope it's the last time!
0:05:12 > 0:05:14- Are you ready, Carwyn?
0:05:14 > 0:05:18- Sian arrives - to take Carwyn to theatre.
0:05:24 > 0:05:26- Are you OK?
0:05:27 > 0:05:29- Did I take you the last time?
0:05:29 > 0:05:31- I think so.
0:05:48 > 0:05:50- I'm a bit nervous.
0:05:51 > 0:05:54- I'm having the operation now.
0:06:02 > 0:06:05- And off he goes - to have his operation.
0:06:17 > 0:06:20- Dr Joishy has come to see Rhiannon.
0:06:22 > 0:06:25- How has she been?
0:06:26 > 0:06:29- The worst part probably is...
0:06:30 > 0:06:33- ..20 to 25 nappies in a day.
0:06:34 > 0:06:39- Before this, she was - in hospital back in February.
0:06:39 > 0:06:40- Yes.
0:06:40 > 0:06:45- Louise, Rhiannon's mother, - arrives in time to hear the doctor.
0:06:46 > 0:06:49- I was saying, she looks OK.
0:06:49 > 0:06:54- She's making a little noise, - as if she's in a bit of pain.
0:06:54 > 0:06:56- She's in quite a bit of pain.
0:06:56 > 0:06:57- She's in quite a bit of pain.- - Since when?
0:06:58 > 0:07:00- A few days, on and off.
0:07:00 > 0:07:04- I think it's her tummy. - I'm convinced it's her tummy.
0:07:05 > 0:07:07- It's happened in the past.
0:07:07 > 0:07:09- The blood is becoming better now.
0:07:09 > 0:07:11- The blood is becoming better now.- - A little bit.
0:07:11 > 0:07:15- The stool has gone for culture, - we'll see if it shows anything.
0:07:16 > 0:07:17- Normally, it doesn't show anything.
0:07:17 > 0:07:19- Normally, it doesn't show anything.- - Dr Joishy explained...
0:07:20 > 0:07:24- ..that Rhiannon - passes blood in her stools.
0:07:24 > 0:07:27- It happens every now and then.
0:07:27 > 0:07:31- We have to make sure - nothing more serious is going on.
0:07:31 > 0:07:33- He's happy.
0:07:33 > 0:07:36- She has a wheezy chest.
0:07:36 > 0:07:40- We'll give her Salbutamol - in the hope it'll help.
0:07:41 > 0:07:43- What is Salbutamol?
0:07:43 > 0:07:48- Salbutamol is a drug - that opens the airwaves.
0:07:48 > 0:07:53- It's easier for the child to breathe - and gets rid of the wheeze.
0:07:54 > 0:07:57- We'll try it to see if it works.
0:07:57 > 0:08:00- He doesn't think - there's an infection.
0:08:01 > 0:08:03- We won't start her on antibiotics.
0:08:04 > 0:08:06- That could make the diarrhoea worse.
0:08:11 > 0:08:14- Can I go through her medications?
0:08:16 > 0:08:19- 8.5mls Epilim, twice a day?
0:08:19 > 0:08:20- 8.5mls Epilim, twice a day?- - Yes.
0:08:21 > 0:08:23- 3.5mls Azithromycin...
0:08:23 > 0:08:26- ..on Monday, Wednesday and Friday?
0:08:27 > 0:08:28- Yes.
0:08:28 > 0:08:32- A Clenil inhaler twice a day, - in the morning and afternoon.
0:08:33 > 0:08:34- Is there anything else?
0:08:34 > 0:08:36- Is there anything else?- - Paracetamol if she needs it.
0:08:37 > 0:08:40- And Buccolam if she has a fit.
0:08:41 > 0:08:42- Have you had to use that?
0:08:42 > 0:08:43- Have you had to use that?- - Yes.
0:08:44 > 0:08:46- When did you last use it?
0:08:48 > 0:08:51- When was the last time - she had a fit?
0:08:52 > 0:08:54- A good twelve months.
0:08:54 > 0:08:56- Great. Thank you.
0:08:56 > 0:08:58- OK. Thanks.
0:09:03 > 0:09:06- Carwyn is in the Land Of Nod.
0:09:06 > 0:09:08- The surgeon, Mr Mumtaz...
0:09:09 > 0:09:12- ..finishes - what he started six weeks ago.
0:09:14 > 0:09:17- The first thing to do - is clean the wrist.
0:09:17 > 0:09:20- That reduces the risk of infection.
0:09:20 > 0:09:23- We made two small cuts - where the wires were.
0:09:24 > 0:09:29- Then we put some local anaesthetic - and two stitches, and a bandage.
0:09:32 > 0:09:36- And that's it. Carwyn's arm - is like new - until the next time!
0:09:41 > 0:09:41- .
0:09:44 > 0:09:44- Subtitles
0:09:44 > 0:09:46- Subtitles- - Subtitles
0:09:48 > 0:09:50- Carwyn is back on Dewi Ward...
0:09:51 > 0:09:54- ..after having the pins - taken out of his wrist.
0:10:14 > 0:10:18- They'll keep an eye on him, to - make sure blood flows to the hand.
0:10:21 > 0:10:25- I'm just checking the hand - blood circulation.
0:10:26 > 0:10:30- Everything looks OK.
0:10:30 > 0:10:33- It doesn't hurt?
0:10:38 > 0:10:43- Rhiannon is fast asleep - after a restless night.
0:10:43 > 0:10:46- At least Dad has company this time.
0:10:46 > 0:10:48- Louise is my partner.
0:10:49 > 0:10:51- Can you go home, now Louise is here?
0:10:52 > 0:10:56- Yes. I'll go home - to sort out the farm.
0:10:58 > 0:10:59- That doesn't sound like rest to me.
0:10:59 > 0:11:01- That doesn't sound like rest to me.- - No!
0:11:02 > 0:11:07- Will you be back if Rhiannon - stays another night?
0:11:07 > 0:11:09- Probably.
0:11:12 > 0:11:13- He looks tired.
0:11:13 > 0:11:14- He looks tired.- - Yeah!
0:11:15 > 0:11:19- He's got to go home to work, though, - not to sleep!
0:11:20 > 0:11:21- Is this par for the course?
0:11:21 > 0:11:24- Is this par for the course?- - You get used to it. It's how it is.
0:11:25 > 0:11:27- Does it get any easier?
0:11:27 > 0:11:29- Does it get any easier?- - No.
0:11:30 > 0:11:33- You learn to live without sleep!
0:11:36 > 0:11:39- You do get tired sometimes.
0:11:41 > 0:11:44- We'll do Theo's obs now.
0:11:45 > 0:11:47- I'll show you what to do.
0:11:48 > 0:11:52- We'll collect the readings, - and everything.
0:11:53 > 0:11:57- Nurse Jess is giving - student nurse Catrin a lesson.
0:12:02 > 0:12:04- Hello, Theo.
0:12:08 > 0:12:10- Hold his foot - and make sure he's warm.
0:12:11 > 0:12:15- That's his sats. - This has to be higher than 92.
0:12:15 > 0:12:20- That's his heart rate. His heart - rate is higher because he's small.
0:12:21 > 0:12:24- These readings are OK. - That's slightly high.
0:12:25 > 0:12:29- It'll be high because - he's chesty, anyway.
0:12:32 > 0:12:35- Great. Good boy, Theo.
0:12:38 > 0:12:40- Good boy. What did you get?
0:12:40 > 0:12:41- Good boy. What did you get?- - 37.
0:12:41 > 0:12:43- Fantastic.
0:12:47 > 0:12:48- Good boy.
0:12:49 > 0:12:51- I remember my first day here.
0:12:52 > 0:12:56- I had a lot of support. - I want Catrin to have the same.
0:12:56 > 0:12:59- I'll try to show her - as much as I can.
0:13:00 > 0:13:04- I don't want to bombard her - with too much information.
0:13:04 > 0:13:05- It's a lot to take in.
0:13:05 > 0:13:06- It's a lot to take in.- - Yes.
0:13:06 > 0:13:10- I don't want to put you off - in the first week.
0:13:10 > 0:13:11- Will you be put off?
0:13:11 > 0:13:13- Will you be put off?- - No.
0:13:13 > 0:13:15- We're not that scary!
0:13:17 > 0:13:20- This is Tyler Edwards - from Porthmadog.
0:13:21 > 0:13:23- It's his annual hospital visit.
0:13:27 > 0:13:29- Tyler, do you know why you're here?
0:13:29 > 0:13:30- Tyler, do you know why you're here?- - Yes.
0:13:31 > 0:13:32- Why?
0:13:32 > 0:13:34- Why?- - To have a blood test.
0:13:34 > 0:13:37- You look so laid back.
0:13:41 > 0:13:43- It doesn't bother you.
0:13:43 > 0:13:45- Sometimes it does.
0:13:45 > 0:13:47- He has an underactive thyroid.
0:13:48 > 0:13:50- He often comes for a blood test.
0:13:50 > 0:13:53- Every year.
0:13:54 > 0:13:58- He's quite good, fair play.
0:13:58 > 0:13:59- Have you had a cold spray before?
0:13:59 > 0:14:01- Have you had a cold spray before?- - Yes.
0:14:02 > 0:14:03- No!
0:14:03 > 0:14:05- No!- - You haven't had the spray?
0:14:05 > 0:14:07- I'm a bit scared.
0:14:07 > 0:14:10- You've done this often.
0:14:11 > 0:14:14- Oh, dear! My arm is coming off.
0:14:17 > 0:14:21- I don't want to do it, - Mr... what's your name?
0:14:23 > 0:14:26- Look that way.
0:14:26 > 0:14:28- I want Mam!
0:14:30 > 0:14:32- Look at me.
0:14:32 > 0:14:34- # Mae hen wlad fy nhadau #
0:14:41 > 0:14:43- It's over.
0:14:46 > 0:14:48- It doesn't even hurt.
0:14:49 > 0:14:51- It's the cold that hurts.
0:14:52 > 0:14:54- That's the spray.
0:14:54 > 0:14:57- Is my arm coming off, mister?
0:14:57 > 0:14:59- It's still cold.
0:15:00 > 0:15:02- It's a big hole.
0:15:03 > 0:15:04- No!
0:15:07 > 0:15:12- Tyler, if you had to mark - the doctor and nurse out of ten...
0:15:13 > 0:15:14- ..what would you give them?
0:15:14 > 0:15:15- ..what would you give them?- - One million.
0:15:15 > 0:15:17- Oh, thanks!
0:15:19 > 0:15:22- Do you want a sticker?
0:15:25 > 0:15:28- Which one do you want?
0:15:30 > 0:15:34- Can I have two?
0:15:34 > 0:15:37- Have you been a good boy for Mam?
0:15:37 > 0:15:39- I'm always a good boy for Mam.
0:15:39 > 0:15:41- You can have two, then.
0:15:42 > 0:15:43- Thanks, Tyler.
0:15:43 > 0:15:45- What do you say?
0:15:45 > 0:15:46- What do you say?- - Thanks.
0:15:50 > 0:15:52- I can't see.
0:16:00 > 0:16:02- Come on, then!
0:16:04 > 0:16:07- Hi. What's the situation in Wrexham?
0:16:08 > 0:16:12- That's been escalated then? - Lovely, thank you.
0:16:14 > 0:16:16- What's the problem?
0:16:16 > 0:16:19- Wrexham children's ward has closed.
0:16:19 > 0:16:23- A lot of children - need one-to-one nursing.
0:16:23 > 0:16:26- They've had to close temporarily.
0:16:27 > 0:16:31- The young patients - of North East Wales...
0:16:32 > 0:16:36- ..will have to go to - Ysbyty Glan Clwyd or Ysbyty Gwynedd.
0:16:36 > 0:16:41- But one bed on Dewi Ward - is already taken.
0:16:43 > 0:16:46- What are you going to be doing now?
0:16:46 > 0:16:50- Just going to give her - some paracetamol.
0:16:51 > 0:16:54- She's in some pain, - so just to see if that helps.
0:16:55 > 0:16:57- OK?
0:17:02 > 0:17:06- Shall I put them here? - There should be enough for you.
0:17:12 > 0:17:16- Rhiannon has her food and medication - through her stomach.
0:17:18 > 0:17:20- It's called a MIC-KEY button.
0:17:22 > 0:17:24- There's a connection there.
0:17:24 > 0:17:28- That goes straight in her tummy. - She can't swallow.
0:17:28 > 0:17:31- She has it straight to her tummy.
0:17:33 > 0:17:37- She has her milk like that - as well, straight to her tummy.
0:17:39 > 0:17:42- This isn't why she has to wait.
0:17:42 > 0:17:46- Rhiannon's results show - she carries C.diff.
0:17:48 > 0:17:50- We need another sample...
0:17:51 > 0:17:55- ..to see if C.diff - is active in her body.
0:17:56 > 0:18:00- We'll decide on treatment - once we get the results.
0:18:01 > 0:18:03- We'll look after her overnight...
0:18:04 > 0:18:05- ..and check how she is.
0:18:05 > 0:18:08- Clostridium difficile is a bacteria.
0:18:08 > 0:18:14- It can cause irritation of the large - intestine if antibiotics are taken.
0:18:21 > 0:18:26- I'm giving Alice - 750mg of paracetamol.
0:18:28 > 0:18:31- The paracetamol doses are here.
0:18:31 > 0:18:34- She's 15, so that's fine.
0:18:34 > 0:18:38- She has that dose - every four to six hours.
0:18:38 > 0:18:40- I'm giving her 750...
0:18:41 > 0:18:45- ..divided by what she wants, - so 250...
0:18:45 > 0:18:48- ..in what you've got, - and that's 5mls.
0:18:48 > 0:18:52- You can work that out in your head.
0:18:53 > 0:18:58- I'll get this out, and then - another nurse will check it.
0:19:03 > 0:19:07- We saw Alice on the doctors' - morning ward round.
0:19:07 > 0:19:10- She's taken a slight step back.
0:19:10 > 0:19:15- We put her on a two-hour inhaler, - instead of three hours.
0:19:15 > 0:19:18- She's much better this afternoon.
0:19:18 > 0:19:21- She's on inhalers every three hours.
0:19:21 > 0:19:26- We hope to stretch this later on. - She's much better now.
0:19:28 > 0:19:30- Ten puffs again.
0:19:32 > 0:19:35- OK? Make sure - you've got a good seal.
0:19:35 > 0:19:37- Big breaths for me. Good girl.
0:19:38 > 0:19:40- We're not sure when she can go home.
0:19:41 > 0:19:44- Perhaps she needs to sleep - before going home.
0:19:44 > 0:19:49- Hopefully, by tomorrow, she can go. - Maybe tonight, cross fingers.
0:19:49 > 0:19:52- We can't be 100% sure. We'll see.
0:19:55 > 0:19:57- It's Christmas in here!
0:19:58 > 0:20:02- Rhiannon's father has finished - his chores on the farm.
0:20:02 > 0:20:05- He's brought Rebecca - to see her sister.
0:20:10 > 0:20:13- Do you want to give Rhiannon - a cuddle?
0:20:17 > 0:20:18- Wow!
0:20:23 > 0:20:24- Oh!
0:20:28 > 0:20:30- She has to stay in hospital tonight.
0:20:31 > 0:20:35- He wasn't happy - for her to come home.
0:20:36 > 0:20:38- We hope she can come home tomorrow.
0:20:39 > 0:20:44- How is her chest? Have you seen - a difference since you arrived?
0:20:44 > 0:20:46- I was home on the farm today.
0:20:46 > 0:20:50- I've just come back - and there's a big difference.
0:20:50 > 0:20:53- She's better - than she was this morning.
0:21:01 > 0:21:05- Night falls on Ysbyty Gwynedd. - The children are in bed.
0:21:05 > 0:21:08- The girls take a break.
0:21:09 > 0:21:12- I had a shift yesterday, and today.
0:21:12 > 0:21:14- They were very busy.
0:21:15 > 0:21:17- I didn't expect to be so busy.
0:21:17 > 0:21:22- Many of the babies - have bronchiolitis and tonsillitis.
0:21:22 > 0:21:24- We've had a lot of that.
0:21:25 > 0:21:28- It's going great. - I'm enjoying myself.
0:21:29 > 0:21:32- I'm learning a lot from my mentors. - I'm enjoying it.
0:21:33 > 0:21:35- Do you enjoy being this busy?
0:21:35 > 0:21:37- Do you enjoy being this busy?- - I prefer to be busy.
0:21:37 > 0:21:40- It's better to have plenty to do. - I can learn more.
0:21:40 > 0:21:43- What time do you finish tonight?
0:21:43 > 0:21:45- Quarter past eight.
0:21:45 > 0:21:46- It's been a long day.
0:21:46 > 0:21:49- It's been a long day.- - I've been here since 7.30am.
0:21:49 > 0:21:52- Another day ends on Dewi Ward.
0:21:53 > 0:21:55- It's time to put away the toys...
0:21:56 > 0:21:59- ..and swap bedside chairs for beds.
0:22:04 > 0:22:08- I'd say it's time for Rebecca - to go home, too.
0:22:10 > 0:22:13- Don't be afraid, Rhiannon.
0:22:13 > 0:22:16- Your father will keep you safe.
0:22:19 > 0:22:24- Rhiannon is back home - on the farm in Llanrug.
0:22:26 > 0:22:31- Tyler continues to take Thyroxine - after his blood test.
0:22:32 > 0:22:37- After six weeks in plaster, - Carwyn is looking after his arm.
0:22:38 > 0:22:43- Student nurse Catrin will return - to the children's ward in June.
0:23:00 > 0:23:02- S4C Subtitles by Gwead
0:23:02 > 0:23:02- .