- Have you heard or seen anything even remotely like that happen? - No no no.
(buzzer ringing) Like that could never happen. - I have been notified that there is a new medical
drama called Nurses. I needed a nurse to help me understand what's going on in the show. Welcome back Bianca
Antisera to the channel. - Thank you so much for having me. I am an ER travel nurse. I specialize in trauma. I believe this show kind
of highlights ER nurses, so I feel like I'll have
like a really good insight onto what we're about to see here. (upbeat music) - Can you take my photo? (laughing) - That is so you. I feel like you would take a selfie. You would ask a patient with an IV pole to take a selfie. - I could tell she was near too because like when she's walking in, she's like, "Oh my God." Like here's the hospital
and it's just this. - Listen up I'm your charge nurse Damien, but you can call me Sir Or Sir Damien or Damien sir. - For those who don't know, can you tell us what a
charge nurse's duties are? - Yes so a charge nurse is basically kind of like what you
would assume a manager is in most roles that are
outside of medicine. The charge nurse is basically
going to say who goes where into what unit and who's
assigned to what things. If you have an issue your
first line of defense is going to be your charge nurse to try to rectify the issue. Or if you happen to need
backup on a situation, you're gonna wanna to
talk to your charge nurse. So not only do they handle
like the managerial side of it, but they also assist
you clinically as well. - I want you to know who
you are and what you are. Because when you're elbow-deep
in a 75-year-old man who's cursed with anal boils
or checking the lady business of a half-dilated laboring
woman who's bellowing like a gorilla you won't be a rockstar. You'll be the one thing
between that old guy and the death of his dignity. - I love that she said
that actually right there, because one of the things that you're gonna realize very early on, especially being a nursing student or like a fresh new graduate nurse, is you have to maintain dignity. And there's dignity in
things that most people would look kind of down upon. But you have to remember that everybody that you're dealing with is a human being with a whole history and a whole life and emotions and everything. And if you put yourself
into those situations, especially medically speaking, you never want somebody to
be scared to talk to you about an issue because they're embarrassed or they just don't want
to be seen in that light. - Someone who's vulnerable
is opening up to you, allowing you to see them
in this vulnerable light. That should be something
that's appreciated and I feel like nurses at least
the ones I've worked with, have been the ones that
get so much positivity from those moments. Someone might say, "Oh I
don't want to help someone. "I'm tired," like this. But a nurse will say, "I'll go help," and then reap the mental health benefit from helping that person. - All right listen up. As you've no doubt seen
a van's just driven into a courtyard of people
down at the art college, so not the kind of day
that anyone expected. Rise up lives depend on it. Whatever comes through that door is yours. - John Doe we're patching
up the neck wound, plugging it down in the
abdomen the FAST is positive. - Internal bleeding no kidding. - And now I'm having
problems in ventilating. - Okay let's prepare to intubate. - Blast lung. - What? - Nothing is just - It's a team sport I wanna hear from you. - EMS reported that there
was a propane barbecue that the vehicle went into
causing a mini explosion. - I love the fact that the doctor asked the nurse to speak up because she was obviously
being nervous and hesitant. It is a team sport. And I think hospital
systems that encourage that type of speaking up actually
give better patient care. Have you ever felt a doctor perhaps not allowing you to do that. - All the time actually (laughs) especially like when we get
like a new set of residents, they all kind of come with
a different mentality, but they kind of want to show that they know what they're talking about. So they're gonna give you
all different types of differentials and stuff like that, of what could be happening and what could be affecting this patient. However the nurse is the one typically who has the experience to say yes like I understand
what you're talking about, but from a nurses mindset set, especially in a trauma situation, a lot of us have what's called
like a TNCC certification, which is a trauma certification. We have a very specific algorithm
that we're going through and so in our heads we're
like time is of the essence. - All right we need the 18
gauge needles in both arms. We need to undress the
patient do a full body scan. And no one is allowing you to do your job because they're trying
to get like electrolytes on the patient or something
that can be done later. And they're doing it out of order. - Excuse me doctor - Uh nurse. - Oh sorry I just assumed. - It's all good. - So I was near the Sororon Art Institute. I saw the whole thing happen. I fainted right on the sidewalk - Were you dehydrated? - I don't think so. - Have you had a cough recently? - No. - Any cardiovascular condition? - Why is he out of nowhere
like passing by in the hallway and then questioning the
patient I'm confused. - This is funny too. Cause as soon as she said she fainted, I was like they may think they're okay especially when I started
out on the ambulance, you have people who are
kind of like in shock and they're walking
around and they feel fine cause they have that
adrenaline pumping through their bodies but in
reality whenever you know, you're taking their vitals
and stuff like that, they could have very high heart rate, very low blood pressure. So they're showing signs
of internal bleeding, but they may not be aware of
it when she said she fainted. I would have questioned her
a little bit more as well, especially once I saw that she's pregnant. - Yeah absolutely. I think whenever adrenaline's going, you might not feel certain symptoms. My issue with sort of how
this happens you know, it's very structured when you
walk into an emergency room, at least where I've been, where they have a nurse assigned to a specific group of patients so that if someone's just
passing in the hallway and someone says, "Hey
by the way I passed out." The answer would not be,
"Okay what's going on?" Even though that's the
correct line of questioning, it would be okay let me get your nurse or let me get your doctor and we can have that
conversation established. Because if everyone just
kind of strolled the hallways and started questioning patients, patients would end up getting frustrated because they continuously
have to repeat the story. And when they do that
they feel less inclined to give the same amount
of details each time. - Blast lung's gonna make the
anesthetist's job real tricky. - Yeah if he makes it to the OR. There's no type O negative I mean, we could push hydroxyethyl starch but. - Why do they not have old blood? - And they seem like they're
in a very large city as well. So they should have this. - It's a level one trauma center like. - What are you doing? - I'm O negative universal donor we can buy him some time. Hook me up to him. - What are you serious? - People do whole blood transfusion. They do it on the battlefield that's pretty much what
we're looking at here. - Okay chances are he'll react negatively. - Chances are he's gonna die. - I have never seen that happen nor do I think that's ethical nor do I think that
should ever be happening. I mean like have you
heard or seen anything even remotely like that happen? - No. Like that could never happen. God forbid what if he had something that this patient could contract from him? He may not even be aware of it, you know what I mean? Like you could possibly
do more harm than good. - Is there something wrong? - Could you shift just a
little to your left please? - Please tell me what's wrong. - I can't find a heartbeat. - What? - I need some help here. - While it's important to figure out what's going on on the ultrasound, it's more important to
make sure that the patient is comfortable and understanding the process that's going on. - I believe that he's quite new. So for him to be using
this ultrasound as well, especially not with anybody watching him, of course this is a crisis situation. So I have to give them
the benefit of the doubt. However with his hand
shaking and what he's doing, and he's saying that, "I
can't find the heartbeat." He doesn't seem like
he's very well equipped to be handling this ultrasound, nor is he like possibly
checked off or certified to use this ultrasound. - I just bumped my head please
go take care of my students. - Acute head trauma is a priority. We have to rule out parenthesia
autoria and rhinorrhea. - She has to rule out
Rhinorrhea and Otorrhea? - I feel
- Like nasal discharge? Is she just rattling
off medical vocabulary? - Please just go take care of my students, - I will right after I give
you a full neuro workup. But in order to do that, I'm gonna need a pen light be right back. - Nurse if you see my (mumbles). - We need help over here. - What's his name? - Nathan Richie - Nathan look at me can you hear me? Nathan his pupils are
blown must be brain bleed. - I would have liked to see the doctor instead of rush to use the pen light, to actually check a pulse and see if the patient is not
going into cardiac arrest. - He should have been triaged. We should have had a set of vitals. His pupils should have been checked. All these things should have been checked. - Having a different sized
pupils also known as Anisocoria is a sign that there is some sort of neurological
defect happening. The steps they are taking it are valid, It's just the order of
the steps seems off. - You're welcome to assist in the OR. - No they need me on the floor thanks. - I'll page you when he's in recovery. - Take care of him. - We'll do our best. - Are they really in the
O.R without face masks?. - Yeah so I was like they are. - Who are you? - I am Nazneen Khan I'm new. - Nice scrubs. Do they come in your size? Mr Richie he's just out of surgery, where should I leave him? - You shouldn't I'm down two nurses to a Shawn Mendez concert and now this. - We have a video where you talk about 'nurses eating their young.' Is that what you feel is happening here? - First off I'm not
sure if she was a nurse or if she was like the unit secretary, but I can definitely tell
that this girl Naz this nurse, she has what I feel is
a romanticized version of what her first day is gonna be and how it is gonna be in a nurse that I'm gonna come in here
and I'm gonna take charge. She's got to learn really quick that like, you're not gonna walk in
here and find your patient, like on page five of your textbook. - You should know Nathan suffered
a subarachnoid hemorrhage. There's still significant swelling. We are hoping that that subsides. - And what if it doesn't? - The damage will be irreparable
but there's still hope. - That's a tough situation, especially in trauma where
you have mass casualties. And I understand that they're kind of like in a crisis situation. However I do not think that was her place to explain that at that moment, she should have had the care team. She should have had a
discussion with the doctor and the doctor should have explained that to the family member and the
doctor would have been there to answer any questions
that she would have had. - Also you know they mentioned
the subarachnoid hemorrhage. Usually that presents with a really bad like worst in your life headache. He did not have a headache so that was really unusual
from a medical perspective I will say that there are many times where another part of the healthcare team will start explaining things
to a patient prematurely and sometimes inaccurately
where I have to go in and then debrief the patient on what they've already been told
and what they already know. And then sort of put the things back into their correct place. It's a tough scenario
where you want everyone to speak up and educate, but at the same time you
want to just make sure that it's done accurately. - Our John Doe was the
driver who did this. - They saw him trying to save people. - Yeah well they got it wrong. I was just sitting there
holding his hand comforting him when he told me it was him. - Linda call security. - He's alive because of us. - Grace we didn't know. - Okay if you did know, would that have changed your management? Our job is not to play judge or jury, our job is to focus on one thing and one thing only that's helping patients irrespective of their criminal status, race their ethnicity, whether they're nice they're
mean or anything like that. - At the end of the day, your job is to save lives
in the best way possible. Regardless of her feelings
towards the situation, she doesn't need to notify the police and she does need to
get security involved. That way this patient does not
end up harming other people, but yeah it should not have changed the way that she rendered care at all. - And Bianca how common is it for folks who have traumatic brain injury to say wacky things that are not true. - Extremely common. - Lydia I'm Dr. Banks and we're gonna be
delivering your baby today. - Wow that sounds so surreal. - Hi I'm, - The noob who couldn't
find the heartbeat. - Yeah you're already a bit
of a legend around here. - One of my biggest gripes in medicine is that conversation could have
happened away from the patient that should not have been said
- Yes - In front of the patient because one it undermines the
nurse and it affects the trust that the patient has in that nurse. And it also affects the
way that the patient sees the doctor. That should have been
something that was discussed behind closed doors. - The only time I will give
the benefit of the doubt in a situation is if it's
in the midst of an emergency or trauma and you have to make
a correction in that moment, this is not one of those instances. - (patient coughing) Nice try Mr.Tippit. Code blue we have a chronic bleed in 68 - Why is she calling a code blue? In my hospital code blue is
a person who has pulseless. - We don't call code blues
cause I am essentially a part of the code blue team So I would have been there and
we would have had the staff to have handled the situation anyways. - Everything's a code blue
- Correct. in the ER - This one's from seven years ago. - No. - What? - No one ever changes
their emergency contact. - Ooh no no. (phone ringing) - [Voice On Phone] This
is Sarah talk at the beep. - Sarah hi I'm calling from St. Mary's. Lydia is in the hospital. - HIPAA alert
- Yes HIPAA breakage alerts. - That is a thing
specially with nurses being at the bedside so often they get attached and you
have to be very careful. You have to be careful with
the personal information that you give but you
also have to understand his patient was coherent. Okay at this point if that
patient wanted to call Lydia, whoever the emergency contact was, she had every right to do so. - Patient information is a
protected asset rightly so. Everyone's entitled to their own confidential healthcare record. And the fact that he just thought it's the right thing to do, even if it works out it's
the wrong thing to do. And it's potentially a reason
why someone could get fired. - My name is Wolfe. I'm a nurse here and I've actually been looking for you all day. - Don't tell me you have my fingers. - Actually. - Oh wow I was just joking. - But due to the length of time
that they've been separated from your hand they're toast. - That wouldn't be his call to make because there could be
viable tissue there, there could be tissue that can be cut off, and the rest of the
finger can be reattached. There's a lot of options here that I wouldn't even feel
comfortable making as a doctor, as a family medicine doctor
I would only be comfortable if a hand dedicated hand
plastic surgeon would say that. - Mrs. Richie we've been
closely monitoring Nathan as his ventilator support was removed while we conducted an apnea test. Unfortunately his test
results are positive. - What does that mean? - A positive result is
defined by the total absence of respiratory efforts. It means Nathan has no brain activity. - That call would never be made within 24 hours of the accident. You would wait for inflammation to subside for the patient's blood
levels to return to normal, electrolytes returned to normal. And only after a designated period of time of doing these tests repeatedly could you even come close to making a recommendation like this. I mean I think you got out of
surgery a couple of hours ago. Like how do you possibly know?
- Yeah that his seizure could
be wearing off.(laughs) - Seriously no I'm 100%
there with you too. Like this is literally like the same day that this is happening. In no way can you call
something this quickly, especially with the
inflammation and everything like you're talking about. - Yeah and the neurological system is notorious for recovering slowly. (soft music) - For anybody who's
wondering why they're lined outside of the OR they're
honoring the patient for his organs so that he
will go on to save more lives. - Any thoughts on the show? Bianca what do you
think accuracy one to 10 I'm low I'm sitting at a four. - I wanna say more of
like a five out of a 10. Yeah I feel like this is one
of the shows that I've seen that goes kind of above
and beyond to show nurses in their capacity. However I feel like it's always like, they'll show you nurses, but then they show too little of doctors. Like it's very hard to
find a show that shows the proper dynamics between them. - Well I hope you enjoyed Bianca and I watching the first episode of Nurses, we actually also played a
game of would you rather. Check it out here, click on it as always
stay happy and healthy. (upbeat music)
