KAYLE: You got to catch it. I'll give you the ball. You tricked me. Now you're hugging me. Come on, get it. You laid an egg. You got to catch me.
Come on. You're tired.
Come on. Get the ball. All right, I'm gonna go
talk to Mom for a minute. Throw the ball
up in the air, I'll come back,
we'll keep playing. He's really gonna miss you
when you leave, you know. I'm only going
two hours away. I'll come back and visit. Come back
and visit you too. Promise? Yes, I promise. I want to go to the pool. Okay, I'll make you a deal. We can go to the pool
if you can catch me. Can you do that?
Deal? Oh, here we go. I'm gonna lose. On three. One-- Go! Come on! Come on! Come on! Catch me! No, no.
That doesn't count! It counts. REPORTER: (on TV )
News reports claim Israeli jet fighters bombed
a guerrilla base, killing at least 29 soldiers,
13 civilians-- Doctor. Angela? Thanks.
I'm okay. I'm fine. Dr. Carr, I was wondering
for room 14, Mr. Ortega, I got his antibiotics going,
but he spiked a fever. Can we give him
some Tylenol? Sure.
One gram PO. Thanks. Hello, Mr. Ortega,
how are you? We're gonna get
your temperature down, okay? Just a little Tylenol
is all we need. How you doing?
You look like when I was 14. Of course, I was cuter. I'm kidding. All right, let's see
what we got here. Good. Now that's gonna make you
feel better. All right, I'm gonna come back
in a couple hours. Get some rest, okay? I'm telling you! I'm telling you,
I'll have another one, right here in this lobby
and die! Mr. King,
you need to calm down. None of you even care! Mr. King, we all know
you've never had a real seizure. You need to calm down. How dare you!
How dare you call me a liar! I'm not calling you a liar,
Mr. King. Mr. King? Let go of me. No, no, no, relax, hey.
Turn around. It's Kayle.
What's up, buddy? Oh, hi, Kayle. Coffee?
Get some coffee. Take a sip. Let's go take a seat
over there. Thank you, thank you. Come on, come on, let's go
and sit on the bench. I'm gonna put this down
right next to this.
Set you up. No, no, I can't--
I can't have you lying down. You got to sit up. You got to sit up
or they're gonna kick you out. And don't forget
to put your names-- I wanted to tell you that
you look beautiful
in these colors. Hey, about time there.
I'm glad you could join us. Wouldn't want
to be anywhere else
but here with you, Floyd. Hmm. All right. Change the names on
as the night goes on, 'cause Gail is coming
through in the morning, and you know
she is gonna burn your ass for not keeping it
like that. And keep your rooms clean. You missed a crazy night
last night. I went on a ride,
but not on a horse. What was his name? Fair enough.
Fair enough. ...that you gave antibiotics
before you drew blood. Yeah, yeah, yeah.
That was Curtis. Not me. All right.
Any questions? Nope. All right then. Here's your assignments. Yeah, and Curtis and Kayle,
my office. I want to speak
to both of you. Amanda and Jimmy,
don't go anywhere. Curtis, you're gonna be training
Jimmy tonight. You're kidding me, right? All right, great, thanks. Don't, just don't say anything,
don't ask any questions. Follow along
and watch what I do. Your preceptee is Amanda. Floyd, you know
I don't train anybody. She's Dr. Newman's daughter. You got no choice. You know, Mr. Floyd,
sir, if he doesn't want-- Sweetie,
he doesn't have a choice. ( alarm beeping ) I got to go.
That's, that's the code team. Hey, Kayle!
Hey, Kayle! Honestly, he's-- Wait for him to get back.
He'll train you. Does he have a pulse? I need you to get me
the crash cart really quick
right now, go ahead. I need you to start
chest compressions,
start breathing for him. Pass me the EKG
leads, come on. And, who's
the primary nurse here?
I'm the primary nurse. All right. Talk to me.
Fill me in. The outgoing nurse told me
he was sleeping quietly, he hadn't been a bother all day,
he was doing good. Does he have a line?
Uh, 22. That's it?
That's-- I need to give him
a bigger line. Let me get the epi,
please, epi. I need you to push this,
please. I'm not ACLS certified.
I can't. The IV is on your side. I can't.
I'm not ACLS. I am ACLS.
I need you to push the medi-- I can't. Forget it.
Just move.
Can you give me the pads? Are you at least
certified to do that?
Come on. Let's go. Give me a bigger line.
I need a bigger line right now. I'll get it. Let's roll him over
and get the pads on his back. All right? Chest. Start charging
the defibrillator. Thank you. Ready? Clear! Shock! Good, go.
Continue compressions. Give me another round of epi
and atropine now, go. Run the blood pressure
again. Thank you. It's recycling. Keep doing compressions,
keep going. Recycle blood pressure. Recycling. All right.
Hold compressions. Hey, Kayle.
Hey, doc. What do we have? A pulse. We gave him about
four rounds of epi
right now and atropine. We've been through the whole
thing, compressions are done. He's got
a palpable pulse at 68, 99% on the bag
with 100% oxygen. That's fine work. Anyone have the chart? Here you go, sir. Whose patient is this? Mine. Did you read the chart? Well, he was unresponsive
when I walked in-- Of course you didn't.
He's a DNR. Did anyone bother
to read the chart? Now I have
to call the family and explain to them
that Mr. Yanis here, who's been painfully dying
from pancreatic cancer for the past six months, has been resuscitated
against his wishes. Thank you. Kayle. ( monitor beeping
steadily ) I got it, just go.
Step out of the room.
I'll take care of this. I'm sorry.
Get out of the room. (steady beeping
continues ) ( beeping slows ) ( flatline alarm
sounds ) ( elevator dings ) Kayle! Floyd, I can't right now.
Give me a minute. You're sweating.
You sick? No, I'm not sick.
I'm fine. Through those doors, son. Just for tonight. ( distorted voice )
I already have Curtis... Listen, I could have
put you with him, but do you think
if I had any other options, I would keep bothering you
with this? Now look, either you train
or you go home, but you won't be
coming back. All right, fine.
I'll train her. Hey, great.
I'm gonna head over... Amanda,
meet Kayle. Hey.
I'm Amanda Newman. Kayle.
Nice to meet you. I'm sorry about that.
Oh, no. Amanda graduated first
in her class, passed the NCLEX
on the first try, and she came
highly recommended. Now I'm gonna leave you, teach her everything
you know. What... I'm sorry,
what was your name again? It's Amanda. I'm a little distracted.
I apologize. Hey, Kayle. Hey, Danny, what's up?
How did the code go? He didn't make it.
Oh, poor thing. He's better off. Why do you say that? Because he was sick.
I mean, he was-- Yeah,
we're in a hospital. Everyone's sick. If we just
write them off, we can't really
save anyone then. That's nice and sweet, but I got to get home
and take a shower. Are you ready,
sweetie? For what? For the report.
Oh, my God. For the report. He's been waiting
like a half hour, you're gonna get yours,
and I'm gonna get mine. Oh, yes, you will.
Let's go. Come on. All right.
Room eight, seven and six. Eight is Mr. Ramirez,
34 years old, ingrown toe nail
in the right foot, no allergies
except for pain. Dr. Carr's
gonna come over, she's getting
the suture cart ready. You okay? Oh, yeah, yeah. Keep up. Seven is Miss Jackson,
16, pregnant for a third time, two abortions before,
but plans to keep this one. She's already seen by Dr. Carr,
waiting for the GYN. And that's her partner in crime
eating her face over there. It's disgusting,
right? Um, by the way,
that's her mom, she's a big contributor
to the hospital, so just make sure
you treat her right. Here you go. Six is Michaels,
15 years old, fell off his bike
and broke his arm. Lucky's gonna cast it
when the X-rays come back. Mom is filling out
the paperwork, Dad stepped out
for a smoke.
Any questions? No, sir, I got it. Sir?
What am I, 40? All right. Assess your patients,
and I'll meet you back here in about five minutes,
okay? What? You have assessed
patients before? Of course, but I just thought
that you were gonna-- Assess your patients,
I'll meet you back here in about five minutes. I need to finish
getting a report from him, I'll meet you here.
Okay. Okay? All right.
Okay. Come on. Hey, Room 14 is actually
a poor guy, Mr. Ortega, from the nursing facility. Sixteen,
you know, UTI. He's ready to go home. All you need to do is
call for transport. When did he get here? This morning.
Yeah. It's actually a sad case,
he's been comatose for years. Is he alone or did any family
come with him today? I don't know.
I think he's alone. Why? Look, here's some Dilaudid
in case of crisis again. Yeah? What about,
what about the other rooms? They're empty,
so you're good. All right. Great.
Thank you. Enough! Who is your supervisor? Can I help you,
lady? Oh, hello, doctor.
My name is Susan Jackson. My husband is
Thomas Jackson. Amy here-- It's Amanda. Amanda is new. I need someone
with more experience to take care
of my daughter. Would you help me out
with that? Sure. Amanda, you will be
getting my Room 14 and I will take care
of Mrs. Jackson. That's wonderful.
Thank you, doctor. Nurse. I could have handled it. Okay, what I need you to do
right now is take Ortega, get him out of here
as fast as you can. He's all wrapped up
and ready to go. He's been here
since this morning. Okay, but--
I know, I know. He's really easy,
it's a really easy case. Do me a favor,
just take care of that. Handle that and
I'll give you more. Okay. All right. "He wants
the Princess Emma, exclaimed Simon. Yes! They've come calling." Hi. Hi.
May I help you? Yeah.
My name's Kayle. I'll be taking care
of your daughter tonight. Carmen. Nice to meet you. Are you good with kids? This is kind of
a difficult case. I like him, Mommy. I guess that settles that. What's your name? Emily.
Emily. Hi.
My name's Kayle. I'm gonna,
I'm gonna help
you get better. I'm going to help you. Okay, Emily. She's not normally
like this. Is she in
the hospital a lot? Oh, sorry.
Hi, I'm Amanda. Carmen.
I'm going to be
with Kayle tonight. So Emily is lucky enough
to have two nurses. Princess. Oh, Princess Emily. She was diagnosed
with bone marrow cancer three years ago and her
immune system's been
weak ever since. And has there been
any progress or improvement? No. We're almost
at my favorite part where the knight saves
the princess from the dragon. Oh, yeah?
What else happens? She struck a fever at home, and they thought it'd
be best to bring her in
so they can watch her. And is it terminal? Mommy's scared,
but I'm not. You don't have to be. Okay. Mom, we're gonna do
a few things to start helping her
get better quick. First, we're gonna
put a mask on you... to protect you from
all the sick people in here. Is that okay? If you need us for anything,
please, hit the call light, we'll come in,
and we'll help you out with anything
that you need, okay? Thank you, Kayle. See you later? Bye. Little Emily
should get a mask. She doesn't have cancer. I was so excited,
I was great in the-- Now, Amanda,
I need you to pay attention. One second.
Put the notebook away. Just one second. Put the notebook away!
Listen to me! You just start treating
that little girl like a human being
and not a homework assignment. Okay, everything
you asked her mom
can be found in the chart. All you're doing
is unsettling her with every single
question you have. I'm sorry. I was trying to help. I need you
to get her reverse isolation, I need you
to draw blood cultures and I need you
to get her on some fluid. Start running anything,
normal saline, I don't care. Something. MAN: ( on PA )
Kayle, new patient. I just got one. You need to keep up.
Okay? If you do not keep up,
I cannot have you with me. Do you understand?
Mm-hmm. Okay.
Let's go. I really need you
to get him out of here for me. Please.
Yeah,
I just tried to send-- I don't want to
ask you again. Just do what you have to do,
get him out of here. We're gonna fall behind. What?
We just got two. We can't keep getting
patients like this. That's not my problem. Let Amanda
take care of her. I've only got... Yeah, I'm sorry-- Floyd, Floyd,
listen to me. Both patients need
immediate care. I don't trust her with
that little girl on her own-- Mr. Ortega
has a fever of 102.3. He's not ready to go yet. I can't teach her anything if you keep drowning us
with patients. Actually, this sounds
like a great opportunity for you to teach her
how to prioritize. Room 6. Alcoholic, homeless,
lethargic. Thanks. Do whatever you have to do
to get Ortega out of here. I will meet you in room 6
after you're done with that. Wait, Kayle, wait.
Are you okay? I just-- I need you to do
what I'm asking you to do. Go to Room 6,
take care of it please. Okay, but I'm just trying
to ask you questions, and all you're doing
is cutting me off. I don't have time to be
answering all your questions. Okay,
this is an emergency room. You need to keep up
or you need to get out. Shit! ( alarm beeping ) We're supposed to respond
to that, right? Yes. Yes.
What were you doing in there? I was-- I was just getting
the stuff for it. I'm gonna go to the med room,
I'll meet you in-- No, no, we need to go
to the room now. Kayle, you need to do this--
Let's go. I will, I will meet--
Okay. Let's go. The patient's name
is Mr. Townsen, 55-year-old Caucasian male,
chest pain. Come on, let's go, Arnold. Chest pain started
about 20 minutes ago, watching TV, called us. Tachy at 150.
Hey, Kayle. I need you to cross your hands
over your chest, please. One, two, three. You guys drop a line?
No. Give him any nitro?
Yeah, we gave him three. All right. Cool. He's still having
chest pains. All right, guys. This isn't good. Help me.
I'm gonna die. Ow! Stay still, Mr. Townsen,
we're setting you up for an EKG. How bad is the pain? It's really bad. Zero to ten?
Twenty. It feels like something's
crushing my chest. Just try to stay calm,
Mr. Townsen. Okay, your cardiac muscle
is hypoxic, needing oxygen, so the more
you excite yourself, the less oxygen
you're gonna receive. Amanda. Amanda, go get me
the crash cart, please. What the fuck
is she talking about? Don't-- Don't listen to her. I'm sending off the-- ( chattering ) Did the nitro help at all
when they gave you the nitro? Mr. Townsen,
my name is Dr. Gomez. Are you still having
chest pain? Yes. I can't breathe.
Don't let me die. Okay.
You're having
a heart attack. Oh, my God.
Don't let me die.
Please don't let me die. I'm going to give you
some medication to get your,
uh, heart circulation back, okay, but there's
a risk of bleeding. Are you okay with this?
Yes. Yes. Okay, let's get
him going, guys. Where's my wife?
Can somebody call my wife? Mr. Townsen, I'm giving you
the medicine right now. We're gonna get you down
to the cath lab, and I'm gonna
call your wife.
Okay? You just let me know--
How's the pain, Mr. Townsen? Mr. Townsen?
Oh, he's in V-fib. Oh, shit. I need the pads.
Give me the pads. Roll him over.
Help me, help me. I got it.
Hand me the tray. I have it. All right,
start chest compressions. Oh, I got it,
I got it, I got it. Amanda, you're not ready. Pen. If you're gonna do it, you got
to push harder than that. You're not pushing
hard enough. I need you to push harder. If you're gonna do this, you got
to push harder than that. I am.
I need you to push harder
than that. Don't stop.
Finish it. Finish it. You've got to finish. Keep pushing, don't stop. Focus on the number
of compressions. One, two, three, four... Clear!
Clear. No change.
Continue compressions. Go! Go, go! ...24, 25, 26, 27... Take over. Push here. Hundred beats per minute.
Got to keep the pace. Pressure, pressure,
right here. Put pressure.
Hold this. Clear. Clear! Pressure.
Got a pulse? Yeah, I got a pulse.
Yeah. ( steady beeping ) Okay, I got you. Got you. Come on.
Breathe for him. Let me take yours. Go. Go. Lower. One more. We're good. It's in.
Strong work, guys. Get him down to the cath lab,
I'll call his wife. Kayle, I feel really bad.
I'm sorry that I pulled away. He wants you to teach him.
He looks up to you. Mom, I already made plans to go
out with my friends tonight. But we talked about this. Kayle! Mom, he's gonna
have to wait. I'll finish teaching you first thing
in the morning, okay? First thing in the morning. Don't pull back next time. You're gonna start something,
you finish it. It won't happen again. Let's go to Room 6. He's yours? Yeah.
All right. Mr. King, ETOA, started
having seizures in the lobby. Yeah.
Withdrawals, right? Uh, yeah.
Couldn't get a history
'cause he's so out of it. Homeless.
Frequent flyer. Can you scoot back
a little bit? I need to work here. Allergic to morphine,
Toradol, Phenergan. Basically anything
you can think of. He's gonna be here
all night. You want to put it into the pot,
the level is right. Yeah, what's the-- AMANDA:
Can I have a go at that?
He's a really hard stick. You're gonna have to wait
on this one. He's so out of it,
he won't flinch. Just let her give it a shot. Get in here now. All right. 50 bucks in the pot,
if you are in. Allen started
with 10 bucks, he's in for 10,
I'm in for 10 on 415. Curtis at 450,
Jenn at 400. We'll do ten at 401. Slick.
What is that? If you can guess what's closest
to his blood alcohol level without going over,
winner gets the pot. That's a little insensitive. That sounds
insensitive to you? Are you serious? After what you pulled
in the other room? Kayle--
All right, look. I just need you
to do your job. Okay?
Okay. Clean up his arm. Check where you'd
normally check for the IV. Check his AC,
check his forearm. Okay, I got one. Secured?
Did you secure it? Oh, shit! I need-- I need--
I need another 18 gauge now! Breathe. Breathe.
Come on. It's okay. I need Dr. Phillips in here! ( alarm beeping ) Oh, my God!
I'm so sorry! Did you just kill him? Just relax, pumpkin,
all right, slow down. Why are you
in such a rush? Uh, we have a patient,
he's bleeding out. Flush pigtail and an 18. Thank you.
Thank you, Curtis. Hey, hey, hey, hey, hey. Doctor is going to ask
for these, all right? Relax. I'm sorry, Jimmy. I'm sorry, Jimmy. Jimbo, two liters
and a full setup. Come on,
get it together, man. Suction. All right.
That's good. The other side. Come on, come on. One, two, three. All right. I'm in. Let me get
your stethoscope. Listen for breath sounds. Got you. I got it in. Go. Breathe. Okay, again.
Good. Again. You got it?
One more. Yeah, we're in, we're good.
All right. All right. Protonix 80 milligram bolus,
and then start the drip. Acutret 25 microgram bolus,
and then start the drip. Oh, I have them. Great. Chest X-ray,
type and screen, infuse four units
of O-neg PRBCs and two of platelets
immediately. I'll call GI and I'll get him
a bed in ICU. Keep an eye on his pressure
and let me know if you guys need
anything else. Good work. Kenya, can you do us
a favor, please? I need you to, I need you
to watch him for a minute for me
while we go take care
of Emily in the other room. No problem.
The hard part's done. Amanda, let's go.
Please. Are you cold?
Huh? Your feet?
All right. Can you get me
a bag of saline?
Hey. Just get me
a bag of saline, please. Hey, guys. You do know you're
supposed to be wearing
that mask, right? She doesn't want
to keep it on. It's itchy. All right,
then I'll make you a deal. I have to draw blood. If you don't cry,
you get to keep the mask off. Deal?
Deal. I lost on that one,
I know. So how you feeling? A little bit better.
How do you feel? I'm feeling fine,
I guess. Well, I'm going
to change that. Emily, let Kayle
do his job, okay? ( whispering )
Mommy gets nervous
when you do this. Okay,
then we'll be quiet. All right.
On three. One, two, three. Good job. No, good job, you.
You didn't even move. We're used to it. I'm gonna hang
a little bit of fluid, it's gonna start
helping you feel a lot better, really, really quick. Fine. Thank you. Do me a favor.
Get me another set
of vital signs on Ortega and I will get you
the paperwork so we can get him
out of here, okay? Have I done
something wrong? What? In the beginning
of the night, you took away my first patient,
you're not letting me help with Emily's care,
you are constantly just sending me off
to do pointless things, and now you're having me
get vital signs? Kayle, I've done all this,
I know how to do all this. I'm supposed to be
learning from you, okay? Not doing
your grunt work. That's grunt work?
Yes. What have you done about
his temperature? I'm working on
getting it down. What about Ramirez
and the other kid
that had the broken arm? The broken arm,
he's discharged, because I had to send him
to another nurse. Okay, so basically
what you're telling me is that I've given you
every opportunity possible tonight
to get something done
and you've done nothing. Technically, no.
Because we've been busy. This is what I need you
to do right now. Okay. Get his vital signs
and get him out of here. That's it.
I will do that. I will go in and do that,
but you need to respect me, because I know
what I'm doing. Don't treat me
like a child. Floyd, you need to assign her
to someone else. I can't keep doing this. Have patience with her. All she wants
to do is ace the test. She's not ready for this,
it's not about that. If you can only manage
to teach her that. I don't want to teach.
Okay? I want to stay
at the bedside, it's where I can do
the most good. Imagine
how many more patients you could help
if you could teach other nurses
to care as you do. You were just as hard
to train as she is. Teach her to care. Hey, Kayle, I just checked
his blood pressure, and it is 128/78,
heart rate 101, and his temperature's
down to 101.8. Guys, I need your help
in Room 9 real quick. Hold on a second--
Trust me, Kayle. We need both of you.
Come on. We'll get back
and figure it out. Let's just help-- I thought you guys
could help me get him over
to the other stretcher. Well, come on. If this bothers you, you got
into the wrong business. Oh, my God, guys,
I'm so sorry I'm late. Curtis told me to be here
a long time ago, and I just totally forgot. Just in time.
Stay right there. Kayle and I will pull
and you two push him over. Is this a dead body? Grab on.
Come on. On three. One, two-- Wait, guys,
is the bag moving? What? You guys, the bag is moving!
What are you talking about? No, it's not.
There's some-- He's alive. He's breathing! ( screams ) Who hit me?
Who, who hit me? Kayle? No, man, it wasn't me. It must have
been your little, little girl then,
because there's no way that little shit
could have done it. Yeah, I wish that I had. Oh, Curtis,
I'm so sorry. I didn't know
that you were in there. Get up, get up! Curtis, I'm so sorry. I'm really sorry. Nice, man! Not bad, you know,
you caught me by surprise, but that was
pretty solid. I have a yellow belt. You do?
Yeah. ( heart monitor beeping ) I've already given
him ibuprofen. Okay, good. We'll check his
temperature in another hour. Kayle, how can you guys be
so insensitive? What? That wasn't funny. Look, once you get
to know Curtis, you'll see how much
he actually deserved that. You're gonna have
to thicken your skin if you're gonna work
down here with us. I'm just gonna go. No, wait, wait,
wait, stop. Look, I've made tonight
way more difficult
than it has to be. I didn't take into consideration
the fact that you're training. I'm sorry. Don't wipe your face.
I'm not. Do you want
to take a break? I think we can
both use a break. Yeah.
( clears throat ) Let's go get something to eat.
No more crying in here. He doesn't like
to see people cry. Wash your hands
on the way out. Do you always eat
the patients' meals? I never have time
to make my own, so, yeah. Oh, I'm so embarrassed. I don't remember
the last time that I cried. About, about
two minutes ago. You're a jerk. I'm gonna have a hard time
getting used to this. You've just got to work
your three in a row, your body
will get used to it. You'll be fine. No, I mean, nursing. I just didn't think
it would be like this. Not all nights
are like this. The nights that you actually
make a difference whether with,
with a "thank you" or, or a hand held or just a smile,
those nights... they'll help you
get through these. It's difficult,
but it's rewarding. And when you actually
make a difference... you're not gonna
want to let it go. You're really great
at what you do, Kayle. Your family must be
so proud of you. I haven't seen my family
in six years now. They don't know what I do. Why? My mom and I disagreed on how to take care
of my brother...
and that's it. And your brother?
You haven't seen
him in six years? It is what it is. I'm really glad
you're my preceptor. I didn't have
much of a choice. Okay? I got Floyd
running me down, forcing me to train you
and your dad, your dad is
the biggest
doctor in town. I want to let you know
I didn't get this job
because of him. I worked really hard
to get here. I'm not trying to say
that you got a free ride. Just wondering
why you didn't take it. I've just grown up my whole life
watching him work... and he's very intelligent. And he's the one that
makes all the decisions. But he's not out there
with the patients, and that's what I want to do.
I want to be part of
their lives. I want to help them. Why? I don't know. I just care
about people. Okay, that sounds...
that sounds great, but why? I-- I'm not sure. You lost someone? Grandfather, uncle... Um... I don't really talk about
that kind of stuff. Look. Floyd thinks you can be
a great nurse. Okay, I agree with him
and I want to help you
get there, but you're gonna
have to help me. You're gonna have to be
honest with me. You're gonna
have to open up. A lot of us do this
for the same reason... so what happened
to our own, doesn't-- Happen to others. I'm really sorry about
what happened to you. I'm sure you loved
that person very much. "I'm sorry" doesn't help,
but thank you. You're right. "Sorry" is a worthless word. It was my mom. I don't really remember
that much of her. Especially
towards the end. Because he stopped
striving for her to stay alive. Not such a great
guy now, huh? Maybe she just
wanted to-- No. You do whatever
it takes to save the patient. That should always be
the case. Don't you think so,
Kayle? "Always" is a pretty
worthless word, too. But yeah,
you do whatever it takes. ( siren wailing ) ( imitating fanfare ) You left me alone,
all by myself, walking in. We just came in to see
how the little princess
was doing. All right, a little better.
Good. Actually, Emily has
something for you, so. Okay. For me?
Open it. Oh. Wow. I love that. Very nice.
Very, very nice. You're my knight. Thank you. We're just waiting for
a few more labs, and a few more results
to come in. As soon as we get them,
we'll know more. Thank you so much, really.
I really appreciate it. Do you mind watching
her while I go to the restroom? Yeah. Yeah.
I'll show you where it is. Thank you. So I'm gonna sit with you
for a little while. Okay.
Until Mommy gets back. You like that book? Yeah. What happens
in that story? Amanda... Thank you
so much for taking such good care
of my little girl. It's just been really,
really tough to see her suffer as much as she has. It's been hard on us. I don't know what I would
do without my Emily. She's gonna be fine. Thank you so much. The princess is saved by
her knight in the story. That's not bad.
What's it about? I saw you have the knight
and the horse, and the princess. Yes, he takes away for her
to be safe from the dragon, but he has to hide her
where no one can find her. Not even her mommy. She can't see her mommy? That's really sad. ( sighs ) I wish I could go away. What do you mean? I don't want to hurt
Mommy anymore. Why do-- Why do you think
you're hurting Mommy? Because she has to go
through all this pain and seeing me like this. No, we can get--
We can get you better. We can send you home. I don't want that. I leave, I'll just be
back here in a few days. Can you help me hide? Do you understand
what you're asking me for? Yes. You're not scared? No. Mommy's back. Hola, corazon. EMILY: Can you help me? How is it going?
Training Amanda? Great. I was just about
to meet her in 14. Ah. Has it been
rough on you? Nothing I can't handle. Well, you look
like crap. A little help? You're not the only one
who's having a hard time. Nights like these... sometimes you need a hand. You know, I can't let you
walk around like this. Next time, ask. If I would have known, I wouldn't give you
this assignment. It's not a big deal. We're almost done. I'm gonna change to-- No, don't do that. Well, I can't let you-- Technically, I'm not.
She is. You take him
away from her, you're gonna take away
the one thing she's been working all night
to get done. She needs to
finish with him. There won't be any problems.
We'll get him out of here. Okay. Clean yourself up. I'll see you
on the floor. Hey, Kayle.
I just checked on Ortega. His fever's
down to 98.9. Call transfer,
just get him out of there. Kayle!
Room 2, hypotensive! Come on! ( alarm beeping ) ( heart monitor beeping ) Everything okay?
Is she okay? When was the last time
you saw her? What? I need you to get
me Dr. Phillips. Baby girl, please. Please wake up,
baby girl, come on. Wake up for Mommy.
Please? Wake up for Mommy,
baby girl, huh? What's going on? She's burning up,
she's hypotensive, she's having a real
tough time breathing right now,
she wasn't like this. We were just in here
like two minutes ago. Mrs. Rodriguez... Emily's having
a very difficult time
breathing on her own. The chest X-ray shows
that the cancer has gotten to her lungs. No. No.
No. Please. The only thing
I can do now to help her is put a tube down
her throat-- Do whatever it takes to keep
my daughter alive. Just do whatever it takes,
just keep my baby girl alive. Mrs. Rodriguez,
the way her-- Just do it! Please. Okay. All right. If you'd please
step outside for a minute. I need ketamine
and an intubation tray. Doc. Doc, come on. What do you
want me to do?
You heard her mother. You're not serious, right? Help me reposition her. Call respiratory for me. Floyd!
I need respiratory! FLOYD: On the way. I got all of Ortega's
paperwork together, so I'm gonna call
to get him out of here. Okay? Give me a minute, okay? "...fall before him. Are we ready,
it piped. The next evening
while the queen lay asleep, Simon and Emma packed..." It's her favorite book. Miss Rodriguez, I know
this is a very difficult time for you and your daughter. I just wanted to come
and talk to you for a minute. I heard the doctor tell
you that the cancer
had reached her lungs. I remember you saying
how difficult the last three years
have been for both of you. Just for her, mainly. Let's make it easy
for her. Let's make it so she doesn't
suffer anymore. There's something
called a DNR. It allows us to not have
hurt your daughter in the event
that her heart stops. But she's gonna be okay,
right? She's gonna be okay? Miss Rodriguez,
Emily is dying. And there's nothing
we can do to stop
that right now. You need to leave. You need to leave now. I'm just trying to-- You need to leave now!
Stop it. Okay, so let's see,
where did I leave off? What were you guys
talking about? Nothing.
Kayle, tell me. I can't let happen to her
what was happening to him. Hey, Kayle, I got a patient
in section 2. You mind covering me
while I go on break? Yeah, sure, I'll--
Yeah, we can do that. All right. ALLEN: Rose,
98 years old, history of dementia,
came in when she spiked
a fever in a nursing home. Urine in her Foley was thick
so I sent urine, blood, sputum cultures
all down to the lab. Came back positive
for a UTI. The contracture of her
joints make it difficult to find a good position
for her to lay, all bony joints have
at least stage three ulcers, both hips,
both ankles, both heels. Her sacrum is at stage four
with tunneling, and her shoulders are starting
to break down as well. She's a retired RN,
they say, supposedly as strong
as an ox before the dementia, and actually
requested a DNR when she knew which way
things were headed. But the family stepped in
and overturned her DNR when she couldn't
make decisions for herself. That's possible? Yeah, that's possible. Selfish, if you ask me. She's been coded four times
already tonight, and she's come back
strong each one. Her pressure's
not holding, so we'll probably be coding her
again here in a few hours. Anything else? Cool.
Oh, almost forgot. Ten of Dilaudid. Hold on
to it in case she needs it. I used it to change
her dressings. She's got an order
for two milligrams. Thanks again, bro. Help me
turn her and then-- ( murmurs incoherently ) Help me turn her,
you can get out... I can help you. Help me by getting
Ortega out of here, please. I just called
Transportation, and they'll be here
within the hour. ( moaning ) All right, go, go to the
other side, help me turn her. Drop the side rail. Grab the sheet. Just, um-- I'm gonna
turn the monitor back on. No, no, no, no.
Don't5 worry about it. ( monitor beeps irregularly ) One of her leads
must have come off while we changed
her dressings. It's okay, just--
No, Kayle. Kayle, they're all on. All right.
We need a coder. Listen, listen.
Leave her alone, Amanda. Kayle, she's dying.
We need to help her. Amanda.
She's dead. I'm sorry, just go.
I'll take care of this. You did this on--
You did this to her on purpose? No, I did it for her. Kayle.
No, we need to save her! ( alarm beeping ) Amanda.
No, stop, stop! Listen, listen, no!
Kayle! Just help me,
Kayle, help me! Fine, fine.
I'll do CPR. Kayle, we need
to save her. Okay.
Okay. Begin chest compressions. One, two, three,
four, atropine in-- We need a doctor in here! Please, we need
a doctor in here! Please! We need to code her!
She's dying! Please.
She's fine. Okay, let me talk
to one person, please.
Kayle, what's going on? Okay, we started cleaning her up
about 30 minutes ago, we turned off the monitor
and we just turned it back on, she doesn't have
a heartbeat. How long has
she been down? I don't know. She's 98 years old,
she's a dementia patient, she's septic
and she's a DNR. She's not a DNR.
She is a DNR. She's not. Look at
her paperwork, doctor.
She's not a DNR. The only reason
she's not is because
her family changed it. It was her choice
to be a DNR. Listen, we've already
coded her four times. She's been here for
at least eight hours now. Okay? We're gonna
code her a fifth time? Her pressure's
not even holding up. This is Rose. Yes, it's Rose. Rose was a nurse here
when I first started. I'm not putting her
through another code. Time of death, 4:49. Bring me the paperwork
so I can sign it. I'm asking
to be switched. Fine. Kayle, do you honestly
think that what you did
in there was right? Kayle, we're nurses,
that's why we're here, we're supposed to be
saving people's lives. Is that why you
became a nurse?
Yes. And you think
you're doing it, right? Yes. Whatever helps
you sleep. Is that why you do drugs? I may be new to nursing,
but I'm not blind. You're sweating
and shaking. The moment that I met you,
your eyes were pin point. You've been
a nurse now for what? Eight, nine hours? You don't know shit. And you think
that you know everything. You're selfish, Kayle. Selfish?
Yes. Selfish was letting
that old lady die? Selfish was keeping her
from suffering one more night in that bed? You are a nurse, Kayle.
People trust you. And it is your job
to save people's lives. I'm here to make
lives better... whatever it takes. That's crazy. Where do you
draw the line? Between being alive
and actually living your life? That just isn't
your decision to make. Whose decision is it? It's her family's decision. The same family
that won't come visit? The same family who took
that choice away from her? You don't know
the situation. What if it was one of your
family members lying in that bed? Would you kill them too? ( alarm beeping ) Ask for your switch.
I'm done with you. ( door opens )
I need you guys. The little girl in Room 2
isn't doing good. Floyd, I want
to switch preceptors. No.
Please? Mrs. Rodriguez,
this day has been
coming for a while now. Maybe,
maybe it would be better if we just
let her go peacefully. No, no, no. You do whatever
it takes for my daughter. I am begging you.
I'm begging you. Please do something,
please. Mrs. Rodriguez, please,
I know this is hard.
I know. I'm just trying
to do what's best for
your daughter right now. No. Once her heart stops,
every single guy in this room is gonna take turns
pushing on her chest. We're gonna do CPR.
We're gonna do CPR, and we will bring
her back to life. Carmen, I... What does that mean? That means her heart stopped. No, no, no, no. Don't tell me that.
No! No.
Do you want us to start CPR? Do you want us
to begin CPR? Yes, we can do CPR. Do you want us
to begin CPR? I don't know.
I don't know. Carmen, let us. We can do it.
I promise. Do it. Do it. All right,
let go, go, go! Emily.
( sobbing ) Excuse me. Oh, Emily!
Miss Rodriguez, please. Guys, stop it,
stop, stop! Listen to me.
Look, Floyd. They want him
out for now. Doc. Look, listen to me. Floyd, give me a second. Let me just go in there. You need
to take a break. You've done your work
for the night here. But--
Listen to me. You're this close
from being suspended. Now either you take a break
or I'll have security escort you
out the building. Floyd, you don't--
Kayle! DOCTOR: We've coded
him four times already. ESTHER: What? I'm sorry, there's only so much
a little body can take. CARMEN: No, you do
whatever it takes. Come on, baby girl!
You hear me? Please, I'm begging you. No, no, no, no, please! ESTHER: He's my little boy.
Please don't let him die. Unfortunately,
due to how long his brain was deprived of oxygen,
there was a lot of damage. ESTHER:
No, he's getting better. I can tell. Okay, he's laying
in the bed, he's got a tube in his stomach
to help him eat. What are you
talking about? KAYLE: I'm talking--
I'm talking about your son. Okay, I'm talking
about my brother. What is wrong with you? What's wrong with you?
How dare you? You're gonna give up
on your brother? You're gonna give up
just like that? Then just go. Just go! I don't know
how many more
of those she can take. But for now, she's alive. We'll be keeping
a close eye on her. Thank you. I love you, baby girl.
I love you so much. Thank God you're alive. She turns
seven tomorrow. I did everything
that I could for her. ( chuckles ) What's funny? It's taken me eight years... and training you... to figure out the worst thing
about nursing. Knowing I could have
done more. You are so drugged
out of your mind. I have to tell Floyd. I'm obligated. You have your obligations... and I have mine. ( vomiting ) ( crying ) ( gasps ) Jenn, have you seen Floyd? Is everything okay? Yeah, I just need
to find Floyd. Jimmy.
Hey. Could you help me out? I need to log into
the system but the system
keeps kicking me out. Yeah, sure, yeah. Thanks. FLOYD: You doing better?
KAYLE: Yeah. Good. Let me know
if you need anything. Jimmy,
have you seen Floyd? Are you okay?
Jimmy, have you seen Floyd? I just walked by him
not too long ago.
He looked fine to me. Floyd, I'm positive... Look, if one of my nurses
has a drug problem and is out to kill
one of our patients, I think
I would know about it. If I'm wrong, then I'm wrong
and nothing happens. But if I'm right and we don't
do anything about it, another innocent person
is gonna die. MAN: Room 2,
back from CT. Hey, look here, before you start
making wild accusations-- Hey, Floyd, line one,
it's the pharmacy, something about
Kayle's profile. This is Floyd. KAYLE: Remember
the promise I made. That if I could
do anything about it that I would, I would. I wouldn't let anybody else
suffer the way you suffered. Kayle! Open the door! Kayle! Open the door.
There's not much time left. Come on. Hey, Kayle!
Open this door right now! Get security. And honestly, if it was
the other way around, you'd be doing
the same thing for me. ( grunts ) All right.
Okay. I already miss you. Sleep with the angels. ( no audible dialogue ) If I had known
that was his brother... I never would have given him
the assignment. I can't say I... agree with what he did... but at the same time,
I can't say that I disagree. Yeah. It's-- He's still the best nurse
I ever had. "The princess
turned to him. She will be sad... but she will know
that I will be safe
from the dragon... and that's all that matters."
