Pennod 1 Ysbyty

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-Ysbyty Gwynedd, Bangor

-is a busy yet homely place.

-Its 530 beds and 3,500 staff...

-..serve the people

-of North West Wales.

-Every aspect of life is seen here.

-Excitement at the Accident Unit,

-joy at the Maternity Unit.

-They treat sick children

-and care for the elderly.

-Operations, deaths and births...

-..cleaners, chefs,

-maintenance workers...

-..and laughter.

-This and more in Ysbyty Gwynedd.

-It's 5am as Nigel Jones

-arrives in the kitchen...

-..to start his job

-as an Ysbyty Gwynedd cook.

-The most important meal

-is the first on the menu.

-The orders have arrived.

-We usually cook 500 breakfasts,

-mostly porridge.

-There are 500 breakfasts,

-lunches and evening meals.

-We cater for 1,500 a day,

-seven days a week.

-We're ready for breakfast.

-It usually lasts an hour.

-We finish at eight o'clock.

-Then we start to prepare for lunch.

-There are 67 kitchen staff.

-Feeding the patients and

-canteen customers is quite a feat.

-Breakfast heads out to the wards.

-There's no respite for the staff.

-The lunch orders arrive.

-The numbers are here.

-There are 228 haddock...

-..53 cheese and potato pies...

-..25 beef salads, 22 coleslaw...

-..46 ham sandwiches,

-32 egg mayonnaise...

-..30 bread and butter,

-27 white bread and butter...

-..and 194 apple pie with custard.

-It's getting busy!

-Outside the theatre...

-..anaesthetists Dr Gareth Roberts

-and Dr Ifan Rees...

-..prepare for a hernia operation.

-There we are, Gordon.

-This is the anaesthetic room.

-As a consultant anaesthetist, there

-are several aspects to my work.

-We assess patients before surgery.

-We explain the procedure

-and the type of anaesthetic.

-They are our responsibility

-for the next 24 hours.

-This is a local anaesthetic.

-You'll feel a little scratch.

-It's like being a chef...

-..we take

-ingredients from the cupboard...

-..and prepare the best anaesthetic

-for the patient.

-A scratch now.

-It's frightening to be put

-to sleep before an operation.

-The anaesthetist calms the patient

-and explains the process.

-Breathe the oxygen now.

-That's it, in and out.

-You'll feel yourself

-falling to sleep.

-The patient is asleep.

-We continue administering

-anaesthetic gas...

-..or he'd wake up

-in 5 to 10 minutes.

-One final check

-on his blood pressure - it's OK.

-Everything's fine, we can

-go in to start the operation.

-A clinic opens

-at the Children's Unit.

-Dr Mair Parry starts her duties.

-I see children

-with all sorts of ailments...

-..asthma, indigestion, walking

-difficulties and constipation.

-I also have specialist clinics,

-but anything goes this morning.

-In his letter, his doctor says

-Ben finds it difficult to throw up.

-Not all the time. I'm worried

-because he once had reflux.

-Are there periods when he isn't ill,

-or is it always there?

-It's always there,

-but he doesn't do it every day.

-He's eaten well for three weeks.

-He wasn't sick at all?

-He wasn't sick at all?

-

-No.

-Rest your hand on his forehead.

-Open your mouth, Ben.

-He's a big boy! Great.

-Good boy!

-I like children -

-you have to like children.

-It's more fun and there's

-greater variety from day to day.

-I enjoy not knowing what

-I'll see from day to day.

-Children tend

-to be more open and honest.

-There are less agendas.

-They say it how it is,

-which I find easier.

-They recover quicker.

-The different fields of medicine

-appeal to different personalities.

-Paediatricians are impatient,

-we want patients to recover.

-I laugh every day

-and not everyone can say that.

-This is a prescription

-for three months.

-I'll want to see him halfway through

-to see how he's coming along.

-Lovely, great! Thank you.

-Ta-ra!

-Back in the kitchen,

-lunch preparations are underway.

-Nigel prepares meals that

-have been designed for the hospital.

-We've got

-a book of standard recipes.

-They've been created

-for the kitchen.

-I've followed the recipes over

-the years so I know what to do.

-Nigel wasn't a cook

-when he first arrived.

-I worked part-time

-for Caernarfon County Council.

-I asked a lad who worked here

-if there were any vacancies.

-I started off in the kitchen,

-washing pans and cleaning.

-I did that for thirteen years.

-A manager had the idea...

-..that all of the kitchen

-staff should learn to cook.

-I went to college, and I've

-been a cook for almost ten years.

-I'm still enjoying it.

-Two hours after breakfast...

-..500 lunches

-are ready to go upstairs...

-..to the wards and canteen.

-We're ready to set up

-on the conveyor belt.

-The food will leave at 11.15am.

-The operation is going well.

-The anaesthetists ensure

-the patient is comfortable.

-While surgeons work on the hernia...

-..they keep an eye

-on the sleeping patient.

-We look out

-for a couple of things...

-..blood pressure...

-..his heartbeat...

-..the gasses we use

-and what's coming out.

-It's stable at the moment.

-It's going alright, so far.

-After 17 years in anaesthetics...

-..I've seen horrendous things.

-We occasionally

-see horrible things...

-..for instance the aftermath

-of a serious car accident.

-With five minutes

-to go to lunchtime...

-..Nigel hurries

-to finish the food orders.

-Cooking for patients

-brings its own unique challenges.

-The most stressful job is the diet.

-We cater for diabetics...

-..and cook food

-that's gluten free and dairy free.

-Dairy free is tricky because

-milk is in almost everything.

-There are also

-the low-potassium diets.

-If you're on nights, it's not bad.

-You have until 5.00pm to get ready.

-The morning shift

-get their cards at 10.00am...

-..and only until 11.15am

-to finish everything.

-Even though

-it's a hospital kitchen...

-..the cooks take

-their work as seriously as any chef.

-The patients have high expectations.

-Luckily,

-everything is going smoothly.

-I'm relieved everything's OK.

-I hope we don't get any complaints!

-In part two,

-a crisis in the Call Centre.

-A detailed discussion about faeces.

-Will they wake Mr Jones?

-Will they wake Mr Jones?

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-Mr Jones!

-Mr Jones!

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-The Outpatients Reception is one

-of the hospital's busiest areas.

-The staff

-are on hand to greet the public...

-..after they've arrived

-for their appointments.

-Hello, Outpatients.

-The patients arrive and we enter

-their names in the computer.

-We send them to the clinics

-and show them where to go.

-They return and we arrange

-a follow-up appointment...

-..using whatever documentation

-the doctors or clinics gave them.

-Some of the patients

-are awkward customers.

-They can be nasty.

-A few months ago, I half expected

-a patient to hit me with his stick!

-I try my best

-because it's nobody's fault.

-Often, clinics get cancelled.

-The doctors are not supermen.

-We all get ill.

-If the appointment clerks

-haven't had a chance...

-..to tell them the clinic

-is cancelled, we get the blame.

-Good people skills are essential.

-Everybody's in a hurry

-to see the doctor.

-Some patients arrive

-two hours early.

-We can't book them into

-the afternoon clinic until 1.30pm.

-That causes problems!

-I get angry,

-but it's part of my job.

-I have to be professional

-and carry on.

-I like chatting to patients

-and having a laugh with them.

-They're frightened when they arrive.

-I want to make them feel

-as relaxed as possible.

-Many of the patients return to the

-same clinic, so we get to know them.

-That's nice because

-they remember us, too.

-It's impossible for us

-to remember 500 faces every day.

-It's easier

-for patients to remember one face.

-Mr Gordon Jones

-is having a hernia removed.

-The surgery

-can take up to three hours.

-It's vital the anaesthetic

-lasts throughout the operation.

-We're two thirds of the way

-through the operation.

-While he's under the anaesthetic...

-..we maintain

-his blood pressure levels.

-We use a drug to paralyze

-the patient during surgery.

-We gave him a dose at the start...

-..and we keep on giving him

-doses throughout the operation.

-The surgeons

-have finished their work.

-The anaesthetists must make sure

-the patient wakes safely.

-We've switched the anaesthetic off.

-The neuromuscular drug is reversed.

-Once he starts

-to breathe and opens his eyes...

-..we'll remove the tube.

-At the Children's Unit,

-Dr Mair Parry is as busy as ever.

-She treats

-a child with a bowel condition.

-Does she have accidents,

-does she poo in her knickers?

-Does that happen every day?

-Does that happen every day?

-

-Almost every day.

-Is there a lot of poo

-or just a little?

-Just a little.

-Are they big, hard poos?

-Are they big, hard poos?

-

-No.

-Are there a lot of these?

-The chart is incredibly handy.

-Children and parents

-don't like to discuss poos.

-It's often part of the problem.

-We use this lovely

-Bristol Stool Chart.

-We ask the children which poo

-most resembles their poo.

-I call the top one sheep poo,

-which people around here understand.

-They use the chart

-to change the medicine dose.

-Some need more than others.

-It's unbelievably useful.

-She doesn't realize that she needs

-to go and she can't help it.

-We need to get rid of these

-so that the signals return.

-The sad times are very rare.

-Most of my day-to-day duties

-make me happy.

-I always say I earn my living

-in the space of an hour a year.

-There is one hour

-when only I can solve the problem.

-The rest of the time,

-I'd do it for nothing.

-Thank you, good girl! Ta-ra.

-Mr Jones is breathing normally.

-We'll wait for the anaesthetic

-level in his brain to drop...

-..and he'll open his eyes.

-Mr Jones, open your eyes, please!

-Mr Jones.

-Wake up, now.

-Gordon!

-Gordon!

-It's over, you need to wake up!

-It's time to wake up.

-Mr Jones!

-While Mr Jones sleeps...

-..the Call Centre staff

-are busy on the phones.

-Ysbyty Gwynedd Health Board.

-Doctors

-call to talk to consultants...

-..and we direct their calls.

-It's a different job,

-everyday is different.

-You have to know

-how to handle people.

-I can't be bad-tempered. I want

-to be angry, but it's not possible!

-People are unhappy

-if they can't get through.

-They blame us,

-but it's not our fault.

-Most people are nice.

-They know I have a job to do.

-Ysbyty Gwynedd.

-When they ask for a ward...

-..I have

-to work out which ward they want.

-I get a lot of that.

-Prysor Ward becomes Prisor Ward.

-Tryfan Ward is Triffin Ward.

-I'm used to it

-and I know which ward they want.

-The staff

-must be ready for anything.

-PHONE

-Emergency.

-Sorry?

-What's there, a cardiac arrest?

-Cardiac arrest,

-ground floor, eye clinic.

-Cardiac arrest,

-ground floor, eye clinic.

-If there's

-a cardiac arrest in hospital...

-..the emergency line rings.

-We stop whatever we're doing

-to deal with the emergency.

-We log it

-so at least we've done our job.

-We also make a note of the time.

-I never know what's going

-to happen from one hour to the next.

-I have to be ready for it.

-Ysbyty Gwynedd Health Board.

-A quick response

-and expect the unexpected...

-..that's the life

-of Ysbyty Gwynedd staff.

-Part of the appeal of the work

-is that everyday is different.

-Mr Jones! Mr Jones!

-And it helps to be patient, too!

-Mr Jones.

-Mr Jones, time to get up.

-Open your eyes.

-Mr Jones... ah, here you are!

-I enjoy never knowing

-what will come through the door.

-That always makes

-my heart beat faster!

-We get called Guardians of Sleep.

-We look after patients

-while they're asleep.

-People assume that's all we do.

-It used to be said...

-..that people

-opted to become anaesthetists...

-..to avoid talking to patients!

-That's not true!

-We treat them

-before and after an operation.

-On the next Ysbyty -

-there's no bed for this sick baby...

-..maintenance work...

-..someone receives a new knee,

-and rather unusual patients.

-S4C Subtitles by Gwead

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