Intensive care has a pace and an order which is rather unique.
Even when a unit is busy, the work always seems structured, calm and for the want of a better word discliplined.
That is the nature of the beast.
The unit is roughly organised into a horse shoe shape. The critically ill patients situated on the outside of the shoe, the most senior nurse occupying the "heel" position, a vantage where he or she can survey the "workers" with eyes and an all overseeing monitor.
Each bed is allocated a trained member of staff, who takes charge of that bed for a 13 hour shift.
The bed spaces,monitors, pumps, ventilators,haemofiltration machines and the like are that nurse's domain, and pride,ego and peer pressure dictate tidiness, order and calmness in your own fifteen foot space.
Help is always only feet away. . More often than not the patient is sedated and compliant (though not always)
and terrified at doing anything wrong, family and friends generally are in awe of the proceedings and remain manageable and well supported.
There are huge stressors in this claustrophobic environment...but like a duck, swimming on a lake......everything on the surface is calm.
Last night I was asked to help out on an acute elderly admission ward.
30 patients. Two staff members. The walking senile...the incontinent, the confused, the slow, the distressed, the demanding and the needy.
Welcome to the real world.
As one bottom was cleaned and checked and the sheets and blankets arranged to help with a good night's sleep, another bottom needed sorting. The man with Alzheimer's had to be retrieved from sorting the linen room out, and the lady in bed four was late for her iv antibiotics.
Three buzzers rang out , unanswered as we turned and cleaned a stroke patient in his side room, and as I tried to locate the sluice and fresh bedding, another buzzer sounded, with a shrill beeeb beeb...bloody beeb
The two full time staff, a slightly harassed but cheerful scouser and an unflappable Filipino, were uncomplaining and hard working.....they were also resigned to the fact this night was generally "the norm" in our modern, stretched and flagship nhs, however, by working together all of the jobs eventually got done, and by midnight some order was restored.
One shift a week on Intensive care!
Bloody hell..how lucky am I?