00:32:00 VOICE-OVER NARRATOR

Now on Nurses:
DIY comes to A&E
On the urology ward dedication is what it
takes
00:40:00 IN-VISION PETE THOMAS
Prior to my holiday, I would hae walked out o!
the "o#$
00:44:00 VOICE-OVER NARRATOR
And old !riends gather to say good#ye to
midwi!e %o$
00:47:00 NURSES STING
00:51:00 IN-VISION MIKE PETERS
I&e come to !i' your head(
00:54:00 VOICE-OVER NARRATOR
It&s the #eginning o! another shi!t at A&E
!or )ta!! Nurse *ike Peters and he&s got a
head in"ury to deal with
01:00:00 IN-VISION MIKE PETERS
+his ,oor gentleman has !allen and
#um,ed his head, and he&s got a little cut
that we&re going to sta,le closed !or him$
01:08:00 VOICE-OVER NARRATOR
)ome head wounds can #e sta,led rather
than sutured - it&s .uick, clean
00:32:00 VOICE-OVER NARRATOR
Acum la Asistentele:
DIY ine la A & E
n salonul de urologie deotamentul
ine de

nainte de acan /, a0 !i l/sat slu"#a$

1i echii ,rieteni se adun/
s/20i ia la reedere de la moa0a %o$


Am enit s/2 i a0e3 ca,ul (
Este nce,utul unei alte ture la A & E
,entru asistentul *ike Peters,
care tre#uie s/ se ocu,e de
o ran/ la ca,
4ietul om a c/3ut 0i s2a loit la ca,
0i are o mic/ t/ietur/
,e care o om ,rinde n co,ci$
5nele r/ni la ca, ,ot !i mai degra#/
,rinse n co,ci dec6t suturate$

and doesn&t need local anaesthetic$ +his
,atient in"ured his head while hammering
in !ence ,osts$
01:19:00 IN-VISION OUT-OF-VISION MIKE PETERS
I&m "ust going to se,arate the skin in
cases like this so that I can see how !ar
the cut goes, #ecause some ,eo,le can
hae .uite a nasty cut, and when the
edges o! the skin get ,ressed together,
you can&t actually see where it ends$ You
can hardly see the "oins, sir( Oh
wonder!ul$
Now !or the sta,le gun two little
,rongs that come !orward, to ,ut the
sta,le into the skin$
7hat we do is we start in the middle o!
the wound$ It&s going to hurt a little #it$
8ere we go: one, two, three and !inally
!our$
4y holding the wound together, that&ll
sto, it #leeding$ 7as that too #ad9 Not
#ad at all, really$ It&s sur,rising what you
can do to ,eo,le without it hurting too
#adly
OUT-OF-VISION PATIENTS FRIEN
)titches used to hurt, didn&t they9
IN-VISION MIKE PETERS
Este ra,id, igienic 0i nu necesit/
aneste3ie local/$
Pacientul s2a r/nit n tim, ce
#/tea cu ciocanul ,arii de la gard$
n ca3uri ca acesta, oi se,ara ,ielea
ca s/ ad c6t de ad6nc/ este t/ietura,
,entru c/ unii oameni ,ot aea
o ran/ ur6t/ 0i atunci c6nd
marginile ,ielii se unesc,
se ede locul n care se s!6r0e0te$
: A#ia se mai o#ser/ cusatur/, domnule
(
: ;ro3a (
Acum, doi din i mici de !urc/, n !a /,
,entru ca,sator, s/ !i'e3 co,cile n ,iele$
nce,em de la "um/tatea r/nii$
O s/ doar/ ,u in$
;ata: unu, doi, trei, ,atru 0i gata$
nchi36nd rana, se a o,ri s6ngerarea
: A !ost chiar a0a r/u 9
: Nu a !ost r/u chiar deloc$
Yes$ )titches hurt a lot more in a lot o! ways, #ecause you hae to hae
a local anaesthetic, and that stings, it&s like haing a #ee sting$ And
you&re almost #etter not to hae an anaesthetic !or a small wound$
IN-VISION MIKE PETERS
7ell that&s that done, we&ll "ust take this
o!! the #ack o! your hand, and then you
can go home$
02:43:00 VOICE-OVER NARRATOR
+he ,atient will #e #ack in a !ew days to
hae the sta,les remoed$
02:49:00 IN-VISION PATIENTS FRIEN
I! we&re ,re,ared !or a three hour wait (
IN-VISION MIKE PETERS
You know what it&s like$ You could read
two o! those #ooks, couldn&t you, in that
time9
02:53:00 IN-VISION PATIENT
Pass my a,ologies on to the Doctors !or
#eing grum,y, and a little con!used earlier
on
IN-VISION MIKE PETERS
Este uimitor ce ,o i !ace ,entru oameni,
!/r/ s/2i r/ne0ti ,rea tare
<us/turile erau durerose, nu2i a0a 9

Da$ <us/turile sunt mult mai dureroase
din mai multe ,riin e,
!iinc/ necesit/ aneste3ie local/,
iar n e,/turile sunt ca cele de al#in/$
1i e0ti mult mai #ine dac/ nu !aci
aneste3ie ,entru o ran/ mic/$
Ei #ine, asta2i tot, i om scoate asta
de ,e m6n/ 0i a,oi ,o i ,leca acas/$
Pacientul a reeni n c6tea 3ile
ca s/2i scoatem co,cile$
Dac/ suntem ,reg/ti i
,entru o a0te,tare de trei ore (

1ti i cum e$ Pute i citi dou/ din
c/r ile acelea ntre tim,, nu2i a0a 9
Pre3enta i scu3ele mele doctorilor
,entru c/ am !ost 6!nos
Yes, i! you were grum,y I&ll certainly do
that$
+ake care, now$ All the #est$ 4ye #ye$
03:11:00 VOICE-OVER NARRATOR
At the neonatal intensie care unit,
community midwi!e %o Arkwright ,ays a
isit to the ,roud mum o! tri,lets
03:20:00 IN-VISION !O ARK"RIGHT
8i %ulie, how are you9 4rilliant(
03:25:00 VOICE-OVER NARRATOR
%ulie was carrying nearly twele ,ounds
o! #a#ies until =iam 2 who was the
heaiest at !our ,ounds nine and a hal!
ounces - and his sisters 8arriet and ;race
were deliered #y caesarian section$ %o
assisted at the #irth when the #a#ies
arried within a total o! three minutes$
+hey were a little ,remature #ut they&re
doing !ine$
03:42:00 OUT-OF-VISION !O ARK"RIGHT
)o, has Daddy #een doing lots o! na,,y
changing9

0i ,u in con!u3 mai dereme$$$
Dac/ ai !ost 6!nos, sigur le oi s,une$
=a reedere (
<omunitatea de moa0e %o Arkwright
i !ace o i3it/ m/micii de tri,le i,
la sec ia de tera,ie intensi/
,entru nou n/scu i
# 4un/ %ulie ( <e mai !aci 9
: *inunat (
%ulie c6nt/rea a,roa,e cinci kg n ,lus,
,6n/ i2a n/scu i ,rin ce3arian/

,e =iam, cel mai greu, a6nd n "ur de
dou/ kg, 0i surorile lui, 8arriet 0i ;race$

%o a asistat la aceast/ na0tere n care
#e#elu0ii s2au n/scut n trei minute$
Erau ,rematuri, dar ntr2o stare #un/$

Oh, he&s done more than me(
OUT-OF-VISION !O ARK"RIGHT
And they didn&t hae to hae any hel,
with their #reathing, or +hey&e taken
straight to !eeding they&re not going to
#e in ),ecial <are !or ery long at all, are
they9
OUT-OF-VISION MUM
+hey&e done ery well #ut I don&t
know, I was told it may #e until they&re
the e.uialent o! !ull2term, which would
#e the middle o! %uly$
IN-VISION !O ARK"RIGHT
7ell, yes, I think they say that as a guide$
And then anything earlier is a #onus isn&t
it9 4ut the way they&re going, "ust take it
as it comes and he&s great$
+hey&re all deelo,ing their own little
indiidual characteristics already, aren&t
they9
)o, the e',ert na,,y changer9(
IN-VISION A
No I&m not( I&e done it once or twice I
think$

03:42:00 OUT-OF-VISION !O ARK"RIGHT
A0adar, a schim#at tata multe scutece9
A !/cut mai mult dec6t mine (
1i nu au aut neoie de a"utor
ca s/ ,oat/ res,ira, sau

au !ost trecu i direct ,e hran/
Nu or sta la +era,ie ),ecial/
,rea mult tim,, nu2i a0a9
1i nu au aut neoie de a"utor
ca s/ ,oat/ res,ira, sau

au !ost trecu i direct ,e hran/
Nu or sta la +era,ie ),ecial/
,rea mult tim,, nu2i a0a9
)2au descurcat !oarte #ine$$$
dar nu 0tiu, mi s2a s,us a dura
,6n/ la s!6r0itul termenului,
care a !i la "umatatea lunii iulie$
<red ca ei s,un asta ca ,unct de re,er$
1i dac/2i mai dereme, este ca un #onus9

Do you think he&s a #it wi!!y - that&s
,ro#a#ly what it is isn&t it9
04:37:00 IN-VISION A
*y ,rimary concern is !or %ulie, rather
than !or the #a#ies, initially$ 4ecause
%ulie&s #een with me !or twenty2odd
years, you know, we&e grown u,
together more or less, and as such I&d #e
lost without her$ )o, when she was
!eeling !aint, and eerything, I was
looking u, at the monitors and you know,
heart #eats dro,,ing and one thing and
another, and "ust asking a !ew .uestions$
4ut it was good, #ecause eery#ody had
e',lained to us what was going to
ha,,en, and you know, #a#y num#er one
is coming and to actually look u, and
see this #a#y was un#eliea#le, "ust
indescri#a#le, really$
05:09:00 VOICE-OVER NARRATOR
Dad Edward was .uite oerwhelmed #y
the deliery o! his large, new !amily$
05:13:00 VOICE-OVER A
>rom my ,oint o! iew as well,
something that I will always cherish is
Dar, du,/ cum se descurc/, o luam
a0a cum este 0i e gro3a$

De"a 0i de3olt/ !iecare mici
caracteristici indiiduale, nu2i a0a9
A0adar, e',ertul n schim#at scutece9(

IN-VISION A
Nu, nu sunt ( Am !/cut2o o dat/
sau de dou/ ori, cred$
<re3i c/ e cam mirositor2
asta e, nu2i a0a9
Prima mea gri"a a !ost ,entru %ulie,
mai mult dec6t ,entru #e#elu0i$
Pentru c/ %ulie e cu mine de ?@ de ani,
0tii, am crescut m,reun/ ntr2un !el
sau altul 0i a0 !i ,ierdut !/r/ ea$
Atunci c6nd era gata s/ le0ine,
m/ uitam ,e monitor 0i #/t/ile inimii
sc/deau, una ,este alta,
,uneam doar c6tea ntre#/ri$
Dar a !ost #ine ,entru c/ ni s2a e',licat

#eing a#le to take a camera in with us,
and to take a ,icture o! the #a#ies within
seconds, you know, when they had only
"ust #een #orn$ 7e&e #een through low
,oints when we&e tried !or children, and
it&s not worked$ And this is the highest
,oint o! our lies$ =ast night, when we
were sat in here, %ulie, mysel!, and %ulie&s
mum, and we had the three children with
us, it was "ust a moment that we thought
we would neer, eer see$ It was "ust
un#eliea#le$
05:50:00 NURSES STING
05:55:00 VOICE-OVER NARRATOR
Pete +homas is a charge nurse and
manages a surgical urology ward where
men with urinary and im,otence
,ro#lems are dealt with as well as
,rostate cancer$ Nursing wasn&t the
career he&d !irst thought a#out
0$:0$:00 IN-VISION VOICE-OVER PETE THOMAS
I really wanted to teach the dea! and
dum#, or to #e a et$ *y mother was
su!!ering !rom a chronic illness, so I was
used to ill2health around me$
ce aea s/ se nt6m,le 0i c6nd se na0te
,rimul co,il 0i l e3i, este uimitor
0i, ntr2ade/r, de nedescris$
05:09:00 VOICE-OVER NARRATOR
+/ticul Edward a !ost col,e0it
de l/rgirea noii sale !amilii$
05:13:00 VOICE-OVER A
=a !el 0i din ,unctul meu de edere,
ceea ce oi dori ntotdeauna a !i
o camer/ nauntru ca s/ !otogra!iem
co,iii n ,rimele secunde de la na0tere$

Am trecut ,rin cli,e grele c6nd
n2am dorit co,ii 0i nu am ,utut aea$
Acesta este ,unctul culminant
al ie ii noastre$
Asear/, st6nd aici cu %ulie 0i cu mama sa
0i a6nd cei trei co,ii cu noi, a !ost
cea ce nu credeam s/ edem reodat/$
A !ost ,ur 0i sim,lu de neimaginat$
And when one o! my !riends at school was going o!! to #e a nurse, she
had the ,ros,ectus, and I "ust ha,,ened to hae a read o! it and a,,lied$
)o, it was "ust on a whim, really$
Each ward is ery di!!erent, eery#ody is an indiidual$
And the management structure is ery democratic$ I&m ery much into
the hollistic kind o! a,,roach to the deliery o! care$ +he ,atient then
gets inoled with their own care$ 7e need to know what they can do,
and the #its they can&t do, the nurse will do$ 4ecause they&e come into
hos,ital, it doesn&t mean they hae to leae their #rains outside on the
doorste,, they can think !or themseles, they can make decisions$ And
we encourage them to make these decisions, we gie them in!ormation
and they can make an in!ormed consent o! what they can and cannot do
- which I think is ery im,ortant$
07:13:00 IN-VISION VOICE-OVER PETE THOMAS
%o Pu#lic likes us in the main$ 5ntil we&e done something to u,set
them, and then we might get criticised$ 4ut on the whole, I think that
the serice what we o!!er is ery good$
07:25:00 IN-VISION PETE THOMAS
You&e got a stitch there, and a stitch
there$ I&m going to clean around there,
and then what I want you to do you
know when you&re trying to ,o, your ears
on an aero,lane
Pete +homas este asistent 0i conduce
sec ia de chirurgie urologic/,
unde sunt trata i #/r#a ii cu ,ro#leme
urinare 0i de im,oten /, la !el 0i cei
carea u cancer la ,rostat/$
ngri"irea #olnailor nu !usese cariera
la care se g6ndise la nce,ut
0$:0$:00 IN-VISION VOICE-OVER PETE THOMAS
*i2am dorit mult s/2i n/ ,e suro2mu i,
sau s/ !iu eterinar$

*ama mea su!erea de o #oal/ cronic/,
a0a c/ eram o#i0nuit cu #olnaii$
<6nd una din colegele mele de la 0coal/
oia s/ ,lece ca s/ dein/ asistent/,
aea #ro0ura la ea, ,e care s2a nimerit
s2o citesc 0i am a,licat$

A0adar, chiar a !ost o toan/$
>iecare sec ie e di!erit/,
!iecare e n !elul s/u, iar structura
de conducere este democratic/$
07:38:00 VOICE-OVER PETE THOMAS
Each day in hos,ital is ery di!!erent$ )o,
we might hae A@ emergency admissions
today, and tomorrow we might hae B@@$
And then we do a "uggling act, and
,rioritise the routine ,atients that need to
come in, #ut then we hae to gie our
,riorities to the emergencies$ And I think
i! you kee, ,atients in!ormed o! what&s
going on, they understand more$ 7e&re as
disa,,ointed !or the ,erson that can&t get
into hos,ital as what they are$ Patient
comes in, the money !ollows the
,atient so it&s in our interests that we
get routine ,atients in, as much it is to get
emergency ,atients in, #ut ,eo,le must
acce,t there&s not enough #eds, and this in
the !uture might alter$
08:28:00 OUT-OF-VISION PETE THOMAS
As you can see, I think I&e done a ,ig&s
ear o! it(
08:33:00 IN-VISION PETE THOMAS
Prior to my holiday, I would hae walked
out o! the "o#, there and then$ It has a lot
o! stress !actors, and when that clicks in,
it&s ery di!!icult to motiate yoursel!,
and you can
)unt im,licat ntru totul n ngri"ire$
Pacientul nce,e s/ se ngri"easc/
de s/n/tatea sa$
+re#uie s/ 0tim ce ,ot ei s/ !ac/,
iar ce nu ,ot !ace ei, a !ace asistenta$
Dac/ au enit la s,ital, nu nseamn/ c/
tre#uie s/20i lase mintea la intrare,
,ot g6ndi 0i ,ot lua deci3ii ,entru ei$
i ncura"/m s/ !ac/ asta, i in!orm/m,
iar ei ,ot consim i cu #un/ 0tiin /
ce ,ot 0i ce nu ,ot !ace, ceea ce este
!oarte im,ortant$
07:13:00 IN-VISION VOICE-OVER PETE THOMAS
n ,rinci,iu, %o Pu#lic ne ,lace$
Asta, ,6n/ l su,/r/m 0i nce,e
s/ ne critice, ns/, una ,este alta,
sericiile o!erite sunt !oarte #une$
07:25:00 IN-VISION PETE THOMAS
Ai o cus/tur/ aici 0i una aici$
Coi cur/ a 0i a,oi, reau ca tu s/
#ecome !airly negatie$ 4ut, I won&t let
that inter!ere with the care that&s #eing
o!!ered on the ward, or my e',ertise$ At
the end o! the day, you know you&re
caring !or ,atients and their well#eing and
their sa!ety, and this is in the #ack o! the
mind$ And when you !eel you&re losing
the ,lot, and de2motiation comes in,
more stress leels, and you get !airly
angry, and you "ust don&t want to ,lay
anymore, you don&t want to do this thing
anymore
09:20:00 IN-VISION PETE THOMAS
And his wi!e&s got that "o#, so that she
can sit and talk to him and hold his hand
wont she$ 4e loe#irds again$
0tii, a0a cum ncerci s/2 i des!un3i
urechile n aion
07:38:00 VOICE-OVER PETE THOMAS
>iecare 3i n s,ital este di!erit/$
A0a c/ ,utem aea A@ de ,rimiri

de urgen /, iar m6ine ,oate B@@$
A,oi "ongl/m ,u in 0i d/m ,rioritate
,acien ilor o#i0nui i care in 0i
,e urm/, acord/m nt6ietate urgen elor$
Dac/ i ii ,e ,acien i la curent
cu ce se mt6m,l/, ei n eleg mai mult$
Ne ,are la !el de r/u ca 0i lor ,entru
,ersoana care nu ,oate a"unge n s,ital$
Pacientul intr/ 0i #anii du,/ el
a0a c/ e n interesul nostru s/2i ,rimim

,e ,acien ii o#i0nui i, dar oamenii
tre#uie s/ acce,te c/ nu sunt destule
,aturi, dar c/ se ,oate schim#a n iitor$
08:28:00 OUT-OF-VISION PETE THOMAS
Du,/ cum e3i, cred c/
am !/cut2o de m6ntuial/ (
08:33:00 IN-VISION PETE THOMAS
nainte de acan /, a0 !i renun at
la slu"#/ ,e loc$
)unt mul i !actori de stres 0i c6nd
te a"ung, este !oarte greu s/ te motie3i
0i ,o i deeni !oarte negatiist$
Dar, nu2i ,ermit s/2mi a!ecte3e aten ia
,e care o o!er n sec ie sau ,rice,erea$
=a s!6r0itul 3ilei 0tii c/ i ,as/ de
,acien i, de s/n/tatea 0i siguran a lor$
<6nd sim i ,/ ,ier3i !irul 0i interin
demotiarea, stresul 0i nerii,
nu mai rei s/ mergi mai de,arte,
nu rei s/ mai !aci asta


09:20:00 IN-VISION PETE THOMAS
1i so ia sa are slu"#a aceasta, a0a c/
,oate sta, or#i cu el 0i2l ,oate
ine de m6n/$
Pot !i din nou ndragosti i$