Pennod 10 Ward Plant

-Subtitles

-Subtitles

-

-Subtitles

-It's a new morning

-for Dewi children's ward.

-The staff prepare to meet the day.

-Dr Param says good morning

-to the X-ray machine.

-Sister Mel organizes the day.

-Mr Hill is on standby

-to take out adenoids and tonsils.

-Sally, the cleaner, is hard at work.

-Dr Chris Jones and Dr Helen Poole

-finish the night shift.

-But who is this? She's a new face.

-It's Catrin's first day.

-She's a first year student nurse.

-When did you start in college?

-Eight weeks ago.

-Students attend college and

-come here for practical experience.

-You're here for six weeks.

-Three weeks.

-It's been a busy day, so far.

-I haven't had a proper chat.

-I've explained the basics

-of what we do.

-I've shown her where the toilets

-and the staff room are.

-You're shadowing me today...

-..to see what we do.

-The busier we are, the more

-your confidence will grow.

-It's all new to you.

-You're doing well, fair play.

-Do you remember Carwyn Foster from

-Porthmadog in the first programme?

-He broke his arm.

-I was playing rugby with friends

-six weeks ago.

-I slipped and fell on my arm.

-It broke in two places.

-One bone broke in half,

-the other was cracked.

-The plaster is coming off today.

-Is that all that's happening?

-I'm having an operation

-to take out the wire.

-You'll have to put this on.

-OK?

-I'll model it for you.

-I hope there are ties on it!

-Put it on this way.

-Do you want another one

-to wear as a coat?

-I'll be fine with that.

-I'll be fine with that.

-

-Remember to wear pants!

-Okey-dokey?

-BELL RINGS

-A student nurse has to learn

-to keep an eye on the door.

-Not everyone is allowed in.

-Is the name down?

-It is, so come in Martin,

-Rhiannon's father.

-Rhiannon has been in and out

-of the ward since she was born.

-It's not getting any easier

-for her parents.

-She suffers badly

-when she has a cold.

-That's why we're here.

-We came in yesterday morning.

-We hope we can go home today.

-She has Wolf-Hirschhorn syndrome.

-There's a deletion of chromosome 4.

-When she has a cold,

-she suffers terribly.

-You look more tired

-than your daughter.

-Yes!

-I didn't sleep well last night.

-She's fast asleep.

-You've been up all night.

-You've been up all night.

-

-More or less.

-Does it happen often in winter?

-She's been quite good this year.

-This is the first bad cold

-she has caught this year.

-In previous years...

-..she had a cold

-in early November...

-..and was poorly through to March.

-It's improved this year.

-I hope it's the last time!

-Are you ready, Carwyn?

-Sian arrives

-to take Carwyn to theatre.

-Are you OK?

-Did I take you the last time?

-I think so.

-I'm a bit nervous.

-I'm having the operation now.

-And off he goes

-to have his operation.

-Dr Joishy has come to see Rhiannon.

-How has she been?

-The worst part probably is...

-..20 to 25 nappies in a day.

-Before this, she was

-in hospital back in February.

-Yes.

-Louise, Rhiannon's mother,

-arrives in time to hear the doctor.

-I was saying, she looks OK.

-She's making a little noise,

-as if she's in a bit of pain.

-She's in quite a bit of pain.

-She's in quite a bit of pain.

-

-Since when?

-A few days, on and off.

-I think it's her tummy.

-I'm convinced it's her tummy.

-It's happened in the past.

-The blood is becoming better now.

-The blood is becoming better now.

-

-A little bit.

-The stool has gone for culture,

-we'll see if it shows anything.

-Normally, it doesn't show anything.

-Normally, it doesn't show anything.

-

-Dr Joishy explained...

-..that Rhiannon

-passes blood in her stools.

-It happens every now and then.

-We have to make sure

-nothing more serious is going on.

-He's happy.

-She has a wheezy chest.

-We'll give her Salbutamol

-in the hope it'll help.

-What is Salbutamol?

-Salbutamol is a drug

-that opens the airwaves.

-It's easier for the child to breathe

-and gets rid of the wheeze.

-We'll try it to see if it works.

-He doesn't think

-there's an infection.

-We won't start her on antibiotics.

-That could make the diarrhoea worse.

-Can I go through her medications?

-8.5mls Epilim, twice a day?

-8.5mls Epilim, twice a day?

-

-Yes.

-3.5mls Azithromycin...

-..on Monday, Wednesday and Friday?

-Yes.

-A Clenil inhaler twice a day,

-in the morning and afternoon.

-Is there anything else?

-Is there anything else?

-

-Paracetamol if she needs it.

-And Buccolam if she has a fit.

-Have you had to use that?

-Have you had to use that?

-

-Yes.

-When did you last use it?

-When was the last time

-she had a fit?

-A good twelve months.

-Great. Thank you.

-OK. Thanks.

-Carwyn is in the Land Of Nod.

-The surgeon, Mr Mumtaz...

-..finishes

-what he started six weeks ago.

-The first thing to do

-is clean the wrist.

-That reduces the risk of infection.

-We made two small cuts

-where the wires were.

-Then we put some local anaesthetic

-and two stitches, and a bandage.

-And that's it. Carwyn's arm

-is like new - until the next time!

-.

-Subtitles

-Subtitles

-

-Subtitles

-Carwyn is back on Dewi Ward...

-..after having the pins

-taken out of his wrist.

-They'll keep an eye on him, to

-make sure blood flows to the hand.

-I'm just checking the hand

-blood circulation.

-Everything looks OK.

-It doesn't hurt?

-Rhiannon is fast asleep

-after a restless night.

-At least Dad has company this time.

-Louise is my partner.

-Can you go home, now Louise is here?

-Yes. I'll go home

-to sort out the farm.

-That doesn't sound like rest to me.

-That doesn't sound like rest to me.

-

-No!

-Will you be back if Rhiannon

-stays another night?

-Probably.

-He looks tired.

-He looks tired.

-

-Yeah!

-He's got to go home to work, though,

-not to sleep!

-Is this par for the course?

-Is this par for the course?

-

-You get used to it. It's how it is.

-Does it get any easier?

-Does it get any easier?

-

-No.

-You learn to live without sleep!

-You do get tired sometimes.

-We'll do Theo's obs now.

-I'll show you what to do.

-We'll collect the readings,

-and everything.

-Nurse Jess is giving

-student nurse Catrin a lesson.

-Hello, Theo.

-Hold his foot

-and make sure he's warm.

-That's his sats.

-This has to be higher than 92.

-That's his heart rate. His heart

-rate is higher because he's small.

-These readings are OK.

-That's slightly high.

-It'll be high because

-he's chesty, anyway.

-Great. Good boy, Theo.

-Good boy. What did you get?

-Good boy. What did you get?

-

-37.

-Fantastic.

-Good boy.

-I remember my first day here.

-I had a lot of support.

-I want Catrin to have the same.

-I'll try to show her

-as much as I can.

-I don't want to bombard her

-with too much information.

-It's a lot to take in.

-It's a lot to take in.

-

-Yes.

-I don't want to put you off

-in the first week.

-Will you be put off?

-Will you be put off?

-

-No.

-We're not that scary!

-This is Tyler Edwards

-from Porthmadog.

-It's his annual hospital visit.

-Tyler, do you know why you're here?

-Tyler, do you know why you're here?

-

-Yes.

-Why?

-Why?

-

-To have a blood test.

-You look so laid back.

-It doesn't bother you.

-Sometimes it does.

-He has an underactive thyroid.

-He often comes for a blood test.

-Every year.

-He's quite good, fair play.

-Have you had a cold spray before?

-Have you had a cold spray before?

-

-Yes.

-No!

-No!

-

-You haven't had the spray?

-I'm a bit scared.

-You've done this often.

-Oh, dear! My arm is coming off.

-I don't want to do it,

-Mr... what's your name?

-Look that way.

-I want Mam!

-Look at me.

-# Mae hen wlad fy nhadau #

-It's over.

-It doesn't even hurt.

-It's the cold that hurts.

-That's the spray.

-Is my arm coming off, mister?

-It's still cold.

-It's a big hole.

-No!

-Tyler, if you had to mark

-the doctor and nurse out of ten...

-..what would you give them?

-..what would you give them?

-

-One million.

-Oh, thanks!

-Do you want a sticker?

-Which one do you want?

-Can I have two?

-Have you been a good boy for Mam?

-I'm always a good boy for Mam.

-You can have two, then.

-Thanks, Tyler.

-What do you say?

-What do you say?

-

-Thanks.

-I can't see.

-Come on, then!

-Hi. What's the situation in Wrexham?

-That's been escalated then?

-Lovely, thank you.

-What's the problem?

-Wrexham children's ward has closed.

-A lot of children

-need one-to-one nursing.

-They've had to close temporarily.

-The young patients

-of North East Wales...

-..will have to go to

-Ysbyty Glan Clwyd or Ysbyty Gwynedd.

-But one bed on Dewi Ward

-is already taken.

-What are you going to be doing now?

-Just going to give her

-some paracetamol.

-She's in some pain,

-so just to see if that helps.

-OK?

-Shall I put them here?

-There should be enough for you.

-Rhiannon has her food and medication

-through her stomach.

-It's called a MIC-KEY button.

-There's a connection there.

-That goes straight in her tummy.

-She can't swallow.

-She has it straight to her tummy.

-She has her milk like that

-as well, straight to her tummy.

-This isn't why she has to wait.

-Rhiannon's results show

-she carries C.diff.

-We need another sample...

-..to see if C.diff

-is active in her body.

-We'll decide on treatment

-once we get the results.

-We'll look after her overnight...

-..and check how she is.

-Clostridium difficile is a bacteria.

-It can cause irritation of the large

-intestine if antibiotics are taken.

-I'm giving Alice

-750mg of paracetamol.

-The paracetamol doses are here.

-She's 15, so that's fine.

-She has that dose

-every four to six hours.

-I'm giving her 750...

-..divided by what she wants,

-so 250...

-..in what you've got,

-and that's 5mls.

-You can work that out in your head.

-I'll get this out, and then

-another nurse will check it.

-We saw Alice on the doctors'

-morning ward round.

-She's taken a slight step back.

-We put her on a two-hour inhaler,

-instead of three hours.

-She's much better this afternoon.

-She's on inhalers every three hours.

-We hope to stretch this later on.

-She's much better now.

-Ten puffs again.

-OK? Make sure

-you've got a good seal.

-Big breaths for me. Good girl.

-We're not sure when she can go home.

-Perhaps she needs to sleep

-before going home.

-Hopefully, by tomorrow, she can go.

-Maybe tonight, cross fingers.

-We can't be 100% sure. We'll see.

-It's Christmas in here!

-Rhiannon's father has finished

-his chores on the farm.

-He's brought Rebecca

-to see her sister.

-Do you want to give Rhiannon

-a cuddle?

-Wow!

-Oh!

-She has to stay in hospital tonight.

-He wasn't happy

-for her to come home.

-We hope she can come home tomorrow.

-How is her chest? Have you seen

-a difference since you arrived?

-I was home on the farm today.

-I've just come back

-and there's a big difference.

-She's better

-than she was this morning.

-Night falls on Ysbyty Gwynedd.

-The children are in bed.

-The girls take a break.

-I had a shift yesterday, and today.

-They were very busy.

-I didn't expect to be so busy.

-Many of the babies

-have bronchiolitis and tonsillitis.

-We've had a lot of that.

-It's going great.

-I'm enjoying myself.

-I'm learning a lot from my mentors.

-I'm enjoying it.

-Do you enjoy being this busy?

-Do you enjoy being this busy?

-

-I prefer to be busy.

-It's better to have plenty to do.

-I can learn more.

-What time do you finish tonight?

-Quarter past eight.

-It's been a long day.

-It's been a long day.

-

-I've been here since 7.30am.

-Another day ends on Dewi Ward.

-It's time to put away the toys...

-..and swap bedside chairs for beds.

-I'd say it's time for Rebecca

-to go home, too.

-Don't be afraid, Rhiannon.

-Your father will keep you safe.

-Rhiannon is back home

-on the farm in Llanrug.

-Tyler continues to take Thyroxine

-after his blood test.

-After six weeks in plaster,

-Carwyn is looking after his arm.

-Student nurse Catrin will return

-to the children's ward in June.

-S4C Subtitles by Gwead

-.