Evento Adverso

HOSPITAL DE EMERGENCIAS PEDIÁTRICAS MINSA
27 Nov 201517:06

Summary

TLDREl guion narra un día caótico en la vida de los médicos y enfermeras de un hospital, donde se preparan para realizar procedimientos médicos a una paciente llamada Mrs. Hughes, quien enfrenta compromisos laborales inminentes. Surgen imprevistos, incluyendo un accidente en la carretera que retrasa a Mrs. Hughes y un ataque cardíaco que lleva a una de las enfermeras a abandonar de manera repentina su turno. El Dr. Campbell, recién llegado, debe adaptarse rápidamente a la dinámica del hospital y asumir responsabilidades adicionales, mientras intentan mantener el orden y la atención al paciente en medio del caos.

Takeaways

  • 📞 La farmacia llamó al Dr. Livingston para confirmar un procedimiento doble para la Sra. Jane Hughes, quien tiene un compromiso de trabajo importante en unos días.
  • 👩‍⚕️ El Dr. Campbell es presentado al equipo y estará trabajando junto al Dr. Livingston durante las próximas semanas.
  • 📝 El Dr. Livingston asegura que el Dr. Campbell se encargará de las tareas clínicas y que puede realizar cualquier procedimiento necesario.
  • 🚗 La Sra. Jane Hughes llama para informar que llegará tarde debido a un accidente en la autopista, causando un retraso en su tratamiento.
  • 😰 La madre del Dr. Livingston llama para informar que su padre ha sufrido un infarto, por lo que el Dr. Campbell cubrirá su turno.
  • 💉 El Dr. Campbell se encarga de preparar la quimioterapia para la Sra. Hughes, pero hay cierta confusión sobre si todos los procedimientos necesarios están listos.
  • 🗂️ El personal del hospital verifica constantemente los detalles del tratamiento y la identidad de la paciente para asegurarse de que todo esté en orden.
  • 👩‍👧 La Sra. Hughes finalmente llega al hospital después de un largo viaje, pero el procedimiento se retrasa debido a problemas de coordinación y personal.
  • 🩺 Se verifica la presión arterial y los resultados de sangre de la Sra. Hughes antes de continuar con el tratamiento.
  • ⚠️ Al final del guion, parece que se ha cometido un error grave con la medicación administrada, lo que provoca una llamada urgente al Dr. Monroe.

Q & A

  • ¿Quién es Dr. Livingston y qué sucede con su padre?

    -Dr. Livingston es un personaje del guion que tiene que irse de prisa porque su padre ha sufrido un infarto (MI) y necesita estar a su lado.

  • ¿Qué tratamiento recibe Mrs. Jane Hughes y por qué es inusual?

    -Mrs. Jane Hughes recibe un tratamiento que incluye una inyección intravenosa (IV) y una quimioterapia (ineal), lo cual es inusual porque se están realizando ambos procedimientos el mismo día debido a un compromiso laboral que tiene en unos días.

  • ¿Qué papel juega Risha Pharmacy en el guion?

    -Risha Pharmacy llama a Dr. Livingston para confirmar una receta y discutir la posibilidad de un error en el tratamiento de Mrs. Hughes, ya que la farmacia solo había enviado un medicamento (Christin) y no el necesario para la quimioterapia.

  • ¿Quién es Dr. Campbell y qué tareas realizará en el hospital?

    -Dr. Campbell es un nuevo médico que se ha unido al equipo y trabajará con Dr. Livingston durante las próximas semanas, realizando prácticamente cualquier procedimiento que se le asigne y recibiendo apoyo del personal si es necesario.

  • ¿Por qué Sister Lynch tiene que irse temprano y quién la reemplazará?

    -Sister Lynch tiene que irse temprano para un compromiso dental, y Dr. Campbell la reemplazará para cubrir por ella durante esa tarde.

  • ¿Qué sucede con Mrs. Hughes que la retrasa en su llegada al hospital?

    -Mrs. Hughes se retrasa debido a un accidente grave en la autopista que ha causado un gran atasco de tráfico, lo que la hace llegar con al menos 2 horas de retraso.

  • ¿Qué ocurre con Sister Roberts cuando su padre sufre un infarto?

    -Sister Roberts recibe una llamada de su madre informándole que su padre ha sufrido un infarto, por lo que tiene que irse inmediatamente al hospital general para estar con él.

  • ¿Qué papel juegan los papeles y el número NN de Dr. Campbell en el guion?

    -Los papeles y el número NN de Dr. Campbell son mencionados como documentos que deberían llegar pronto, lo que sugiere que aún no está completamente documentado o registrado en el hospital.

  • ¿Qué problemas hay con la administración de la quimioterapia a Mrs. Hughes?

    -Se menciona que hay problemas en la farmacia con la preparación de la quimioterapia, lo que retrasa el tratamiento de Mrs. Hughes y causa frustración entre el personal médico.

  • ¿Cómo se maneja la situación de la falta de personal en el hospital durante el tratamiento de Mrs. Hughes?

    -A pesar de la falta de personal, se le pide a Dr. Campbell que revise y confirme la quimioterapia con Sister Roberts, y se hace un esfuerzo para que el tratamiento se realice a pesar de las circunstancias.

  • ¿Qué sucede al final del guion con la quimioterapia administrada a Mrs. Hughes?

    -Al final del guion, parece haber un error en la administración de la quimioterapia, lo que lleva a una llamada de emergencia a Dr. Monroe y una atmósfera de pánico y preocupación.

Outlines

00:00

😀 Encuentro en la clínica y planificación de tratamiento

Este párrafo presenta una conversación entre los médicos y el personal de enfermería en un hospital, donde se discuten los planes de tratamiento para una paciente llamada Mrs. Jane Hughes. Se menciona una llamada de Risha Pharmacy, que confirma un prescripción y se cuestiona la realización de dos procedimientos en el mismo día debido a un compromiso laboral inminente de la paciente. Se resuelve la inquietud y se le informa a los nuevos miembros del equipo, incluyendo a Dr. Campbell y Sister Lynch, sobre los procedimientos y responsabilidades, así como la llegada de Mrs. Hughes con retraso debido a un accidente en la carretera.

05:02

👋 Cambios de personal y preparativos para un procedimiento

En este segmento, se narra la llegada de Dr. Campbell, quien reemplaza temporalmente a Dr. Livingston, y se le presenta a Sister Roberts y Abby, una enfermera. Se preparan para el tratamiento de quimioterapia de Mrs. Hughes, quien está a punto de llegar. Se destaca la coordinación entre los miembros del personal médico y la importancia de la documentación y el registro de los procedimientos, así como la llegada de Mrs. Hughes y la necesidad de asegurar que su área de tratamiento esté lista.

10:02

🚑 Emergencia familiar y desafíos en el horario

Este párrafo muestra una situación de emergencia cuando Sister Lynch recibe una llamada de su madre informando que su padre ha sufrido un infarto. A pesar de la situación, Sister Lynch se compromete a cubrir sus responsabilidades médicas antes de irse. Se destaca la solidaridad del personal, especialmente de Dr. Campbell, quien se ofrece a cubrir su turno. También se menciona un intercambio de llamadas y mensajes relacionados con el retraso de Mrs. Hughes y la necesidad de adaptarse a las circunstancias cambiantes.

15:03

🛑 Incidente durante el procedimiento y llamada a la atención

Finalmente, se describe un incidente durante el procedimiento de quimioterapia de Mrs. Hughes, donde se detecta un posible error en la administración de la medicación. Se hace una llamada urgente a Dr. Monroe para abordar la situación. Este párrafo resalta la importancia de la atención al detalle y la comunicación en el cuidado médico, así como la necesidad de respuesta rápida en situaciones de emergencia médica.

Mindmap

Keywords

💡Dr Livingston

Dr Livingston es un personaje mencionado en el guion, probablemente un médico o especialista en el ámbito médico. Se refiere a su rol en la toma de decisiones sobre el tratamiento de un paciente y su interacción con otros profesionales de la salud, como se ve en el intercambio con Risha Pharmacy y Sister Lynch.

💡Prescripción

Una prescripción médica es un documento o comunicación escrita o verbal emitida por un profesional de la salud que autoriza el uso de un medicamento. En el guion, se menciona una prescripción relacionada con el tratamiento de Mrs. Jane Hughes, lo que indica la importancia de la prescripción en el proceso de atención médica.

💡Procedimientos médicos

Los procedimientos médicos son técnicas o intervenciones realizadas por profesionales de la salud para diagnosticar, tratar o prevenir enfermedades. El guion hace referencia a varios procedimientos, como la IV y la quimioterapia, que Mrs. Hughes debe recibir, destacando la complejidad de su tratamiento.

💡Responsabilidad

La responsabilidad en el contexto médico se refiere a la obligación de los profesionales de la salud de actuar en el mejor interés del paciente y asumir las consecuencias de sus decisiones. En el guion, se discute la responsabilidad de Fiona y Dr. Campbell en relación con el tratamiento de Mrs. Hughes.

💡Tratamiento

El tratamiento en el ámbito médico implica las acciones tomadas para curar, aliviar o gestionar una condición médica. El guion describe el tratamiento de Mrs. Hughes, que incluye varias sesiones de quimioterapia, subrayando la importancia de un enfoque cuidadoso y personalizado en la atención médica.

💡Comunicación en el trabajo

La comunicación en el trabajo es esencial para la coordinación y la eficiencia en el lugar de trabajo. El guion muestra múltiples ejemplos de comunicación entre colegas y con pacientes, como las llamadas telefónicas y las conversaciones cara a cara, que son cruciales para la organización del tratamiento y la gestión de las emergencias.

💡Emergencia

Una emergencia es un evento inesperado que requiere una respuesta rápida y apropiada. En el guion, se menciona una emergencia médica cuando un personaje tiene que irse debido a un infarto de su padre, lo que afecta la planificación y la atención de otros pacientes.

💡Cuidados paliativos

Los cuidados paliativos se centran en mejorar la calidad de vida de los pacientes con enfermedades graves, a menudo mediante el alivio del dolor y los síntomas. Aunque no se menciona explícitamente en el guion, el tratamiento de Mrs. Hughes implica un enfoque que podría incluir cuidados paliativos, dada la naturaleza de sus procedimientos médicos.

💡Personal médico

El personal médico incluye a todos los profesionales de la salud que trabajan en el cuidado de los pacientes, desde médicos hasta enfermeras y técnicos. El guion destaca la interdependencia y la colaboración del personal médico en el tratamiento de pacientes, como se ve en la introducción de Dr. Campbell y la ayuda de Sister Lynch.

💡Quimioterapia

La quimioterapia es un tipo de tratamiento médico que utiliza fármacos para combatir enfermedades, especialmente el cáncer. En el guion, la quimioterapia es un componente clave del tratamiento de Mrs. Hughes, y se discuten detalles como la preparación y administración de la medicación.

💡Cuidado del paciente

El cuidado del paciente se refiere a la atención y el soporte proporcionados a los pacientes durante el proceso de atención médica. El guion muestra cómo el personal médico coordina sus esfuerzos para brindar el mejor cuidado posible a Mrs. Hughes, a pesar de las circunstancias desafiantes y las emergencias.

Highlights

Dr. Livingston receives a call from Risha Pharmacy about a prescription for Mrs. Jane Hughes.

Mrs. Hughes is scheduled for both her procedures on the same day due to a work commitment.

Dr. Monroe has agreed to the treatment plan for Mrs. Hughes, despite the unusual timing.

Dr. Campbell joins the team and is introduced to Sister Lynch.

Mrs. Hughes is scheduled for an IV and a procedure in the afternoon.

Dr. Livingston's father has a coronary, causing her to leave work early.

Sister Roberts is informed about Mrs. Hughes' delay due to a motorway accident.

Dr. Campbell is asked to cover for Dr. Livingston due to her personal emergency.

There is a mix-up with Dr. Campbell's authorization on the IT register.

Mrs. Hughes arrives late for her chemotherapy due to traffic caused by an accident.

Dr. Campbell and Sister Roberts prepare for Mrs. Hughes' chemotherapy treatment.

A misunderstanding occurs regarding Dr. Campbell's presence on the procedure list.

Mrs. Hughes' chemotherapy medication is prepared and ready for administration.

Dr. Robinson assists with Mrs. Hughes' treatment in Dr. Livingston's absence.

An issue with staff availability is causing delays in treatment.

Mrs. Hughes receives her chemotherapy treatment with the help of Dr. Campbell and Dr. Robinson.

A critical error occurs, and Dr. Monroe is called urgently to address the situation.

Transcripts

play00:06

oh

play00:08

morning Dr Livingston yeah telephone oh

play00:11

thanks s excuse me

play00:13

Duncan hello Dr Livingston yeah it's

play00:16

Risha Pharmacy here yes it's about Mrs

play00:20

Jane Hughes I've seen this prescription

play00:23

for uh me to sake you sent down you've

play00:26

already got her down for her IV this

play00:28

morning and I've only sent herin

play00:30

Christin up I was wondering if um that'd

play00:34

be a mistake a I'm sorry I meant to talk

play00:36

to you about that Mrs Hughes is having

play00:38

both her procedures on the same day

play00:40

she's got a big work commitment in a

play00:41

couple of days time that she can't get

play00:43

out of yes but you see we discussed it

play00:45

with Dr Monroe and he's agreed that the

play00:47

treatment should go ahead he signed the

play00:48

prescription yes I see but look Fiona

play00:51

this is very irregular I assume that

play00:53

you'll be taking the full responsibility

play00:56

yes okay then look I'll uh prepare it

play00:59

for this afternoon thanks

play01:02

Rish sorry about that sister Lynch I'd

play01:05

like you to meet Dr Campbell he's just

play01:07

joined us and he's going to be working

play01:09

with me over the next couple of weeks I

play01:11

have to say Duncan you're going to be

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giving us some much needed support glad

play01:14

to hear it hello sister please to meet

play01:15

you welcome to the unit thanks very much

play01:17

oh by the way an Mrs Hughes will already

play01:20

be on your list this morning for her IV

play01:22

which is also having her ineal this

play01:24

afternoon she's got a big meeting at

play01:26

work in a few days time so we're going

play01:27

to try and fit her in for both

play01:28

procedures today I didn't know to gone

play01:30

back to work she's only just started

play01:32

she's taking it easy you're only a

play01:34

couple of days to begin with right so

play01:36

Duncan your papers and NN number should

play01:39

be through in a day or so but meanwhile

play01:40

welcome aboard thanks very much Ah

play01:42

that's my blue pile then I'll take it

play01:44

through here listen I'll see you both

play01:45

later okay sure Dr Livingston before you

play01:47

go I uh just wanted to be clear about

play01:49

the amount of clinical work Dr Campbell

play01:51

will actually be doing how much have we

play01:53

got he'll take on virtually anything I

play01:55

would if he's unsure about anything then

play01:56

I'm always here to help so he's familiar

play01:59

with the it rules

play02:00

well I would certainly expect so he's

play02:02

very senior and he can do just about

play02:03

anything I can but Fiona he's not on the

play02:06

it register yet is he no but I'm seeing

play02:08

Dr Monroe about that later and we'll

play02:10

sort it out then oh Simon I wanted a

play02:12

word so he's fine with any of our

play02:15

procedures well he's here on the

play02:16

personal recommendation of Dr Monroe's

play02:18

sister so as far as I'm concerned if Dr

play02:20

Monroe thinks he's competent I'm

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prepared to go along with that now he'll

play02:24

be acting as The Specialist registrant

play02:26

and I'm hoping that you and your staff

play02:28

will give him every assistance we will

play02:31

right but Jen Hughes ineal that will

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still be under your care won't it yes

play02:36

I'll be

play02:42

there hi Abby it's Jane Hughes here um

play02:46

Abby I'm going to be late I'm stuck in

play02:48

the most

play02:49

a Oh Sister Jane Hughes just phoned

play02:53

apparently there's been a really nasty

play02:55

accident on the motorway and she's

play02:56

caught in the tail back great yeah she

play02:59

say she's going to be quite late at

play03:00

least 2 hours what a day to be

play03:03

late look Abby I'll be off shift by the

play03:06

time she gets here I've got to leave a

play03:07

bit early for a dentist

play03:09

appointment I'll put everything in the

play03:11

notes but I'm going to miss the hand

play03:12

over so can you make sure that sister

play03:14

Roberts knows what's happening of course

play03:16

I'll get the notes ready for

play03:18

[Music]

play03:21

her all right darling you okay good boy

play03:25

being a really good boy we'll be there

play03:28

soon

play03:30

I'll be there as soon as I possibly can

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do try to calm

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down it should only take me half an hour

play03:38

at the most I'll see you as soon as

play03:43

possible is everything okay not really

play03:47

sister no actually that was my mother on

play03:49

the

play03:50

phone my father's had a coronary I've

play03:52

got to get over to the general oh I'm so

play03:55

sorry yes obviously you must go thank

play03:58

you look Dr Campbell will cover for me

play04:01

could you show him around and take him

play04:02

through the notes when you get a chance

play04:04

uh yeah I mean I haven't had a chance to

play04:06

see the notes myself yet but I I'll do

play04:08

what I can oh I'm sure we'll manage

play04:10

don't worry just come be with your

play04:12

father I hope he's okay thanks I'll call

play04:15

in

play04:20

later yeah can you cover for me this

play04:22

afternoon sure I'm sorry about the late

play04:25

notice it's my father he's had an MI and

play04:28

I want to be with him oh my God I'm

play04:29

sorry of course no problem thank you

play04:32

I've asked sister RS to go over a few

play04:34

things for you I'm sure between you

play04:36

you'll manage find sure good luck thank

play04:43

you Dr Robinson Simon it's Fiona

play04:46

Livingston I'm sorry about the short

play04:48

notice my father's had a car enry I've

play04:50

got to get over to the general oh I'm

play04:52

sorry to hear that okay yeah

play04:57

sure excuse me I'm Dr Campbell covering

play04:59

for Dr Livingston today oh hello Dr

play05:01

Campbell hi there listen have you seen

play05:04

sister anywhere sister Roberts yeah

play05:07

there she is down there by the nurses

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station sister Roberts thanks very much

play05:10

okay sister Roberts I'm Dr Campbell

play05:12

covering for Dr Livingston today um I

play05:14

understand she's arranged for an S to

play05:15

give us a hand this afternoon Dr Simon

play05:18

Robinson is he here yet no not yet Abby

play05:22

has Mrs Hughes arrived yet please no

play05:24

she's just called in she's about 10

play05:25

minutes away she she she's one of mine I

play05:27

about to get down to Pharmacy for the

play05:28

chemo thanks very much see you later

play05:32

okay when Mrs Hughes arrives can we make

play05:35

sure that Bay's ready for her please yes

play05:38

thank

play05:47

you come in hi I've just come over from

play05:52

Steven's unit I'm covering for Dr

play05:53

Livingston I've come to pick up the

play05:54

chemotherapy for Mrs Jane Hughes ineal

play05:56

Methotrexate she's under Dr Monroe all

play05:58

right I didn't know we've met have we Dr

play06:00

Campbell I'm Charlotte Green and you'll

play06:02

be performing the procedure today will I

play06:04

will be yeah right I'll just check the

play06:05

register just procedure

play06:08

um I don't think to have you down well

play06:11

it should have been sorted out with Dr

play06:12

Manu by now and I think that Dr livon

play06:14

spoke to Mr sha earlier on okay then

play06:17

sorry about this take a seat let's have

play06:19

a look on the

play06:22

database it's Campbell Duncan

play06:25

Campbell I mean it should be there

play06:27

there's no question it should be there

play06:29

sorry I'm just a bit pre for time that's

play06:32

all oh yes there you are sorry about

play06:35

this hello

play06:38

Pharmacy yes yes that's

play06:42

right and what's the patient's name

play06:48

again uh sure that's fine be ready by

play06:50

four this afternoon okay great bye um it

play06:54

seems he I just put you on the list um

play06:57

now your patient would that be a

play07:00

Jane Hughes right I'll just check this

play07:02

is ready for

play07:08

you definitely running wait

play07:20

now here we are doctor track say 2 Mig

play07:24

and 2

play07:26

Ms

play07:28

Right this this

play07:44

pen sorry doctor excuse me for a moment

play07:46

while I take this hello

play07:48

Pharmacy yes he is but I'm afraid he's

play07:50

on lunch at the moment can I take a

play07:52

message what sten is

play07:55

that fine

play07:57

bye now where were we Jane

play08:01

Hughes Hospital number 326

play08:05

7980 date of birth

play08:08

26274 batch number BX

play08:11

437

play08:13

294 excellent good stop uh now if you

play08:16

could just sign here and block capitals

play08:20

here with

play08:22

[Music]

play08:28

pleasure

play08:33

[Music]

play08:52

bye-bye sweetie hi Jane oh hi oh you

play08:56

must have had a nightmare J I'm so sorry

play08:58

I feel awful worry gosh wasn't he grown

play09:01

yeah he's into everything where are we

play09:04

today Abby well I'm not quite sure

play09:05

what's happening today they're having a

play09:07

few problems but I'm pretty sure we're

play09:10

in Bay

play09:11

eight yes it's this one look can I take

play09:14

your bag oh thanks

play09:17

okay ah sister has Mrs Hughes arrived

play09:20

yet yes she is just setting in now great

play09:22

look would you check this method track

play09:23

out with me please MH

play09:25

sure thanks a

play09:28

lot

play09:30

Hugh number 326

play09:34

798 birth 26th

play09:38

December can I borrow your pen can I've

play09:40

left mine in Pharmacy there we go thanks

play09:43

a lot look would you put this in the

play09:46

fridge for me while I go and deal with

play09:47

this thanks a

play09:54

lot hello sister hi Simon is Mrs Hughes

play09:57

here yet yeah she's just checking in now

play09:59

thanks for helping out I've left our

play10:01

notes on the side and I'll be with you

play10:03

in a minute no

play10:15

problem so how's George he's a bit hot

play10:18

and bothered actually he had a terrible

play10:20

tanter in the car on the way here I

play10:23

don't really blame him we were stuck

play10:24

bumper to bumper for hours it was

play10:26

awful anyway he sing down with is Dad

play10:29

now so could you pass me my Walkman Abby

play10:32

it's in my bag I'll just do your blood

play10:34

pressure then I get it for you hi Abby

play10:36

oh hi Simon don't see you here very

play10:39

often not being on nights just come on

play10:41

oh oh could you get James wman out of

play10:43

that bag for me

play10:46

please so what can I do for you Dr

play10:49

livson asked me to give you hand this

play10:51

afternoon seems like she's got her hands

play10:52

full oh great sorry um Mrs Hughes isn't

play10:56

it yes I'm Dr Robinson

play10:59

Hi how are you feeling pretty awful

play11:01

actually I've been stuck in the car for

play11:03

hours I'm so sorry to hold you all up oh

play11:05

no problem no

play11:07

problem hi Mrs Hughes I'm Dr Campbell

play11:09

coming from Dr Livingston this afternoon

play11:11

hi Dr Campbell I heard about her father

play11:13

it's awful will you be all right I'm

play11:15

sure he's in very capable hands ah you

play11:17

must be Dr Robinson thanks very much for

play11:19

helping us out at such short notice no

play11:21

worries happy to

play11:22

help now uh Mrs Hughes you understand

play11:25

what treatment you'll be having this

play11:26

afternoon yes I do right let's let's

play11:29

have a look at Mrs Hugh's blood results

play11:30

then shall

play11:32

we yep that all looks fine and the

play11:35

consent form yes I

play11:37

have observations all right yeah fine

play11:40

right did you check the wristband with

play11:41

me

play11:42

[Music]

play11:45

please right it's Mrs Jane Hughes

play11:47

Hospital number 326

play11:50

7980 date of birth 26

play11:54

1274

play11:57

good lovely perfect

play12:03

can get some help

play12:06

please Abby got to go to

play12:10

Dr if they need is I presume they'll

play12:12

call let's just get on with

play12:17

[Music]

play12:23

this I'll get that great look listen

play12:26

before you do that would you just um

play12:28

check the local with me then I'll prep

play12:29

the skin

play12:34

sure look I've asked Dr Campbell twice

play12:36

today to call me will you pass him a

play12:38

message please

play12:40

[Music]

play12:57

yeah now you will feel just a little bit

play12:59

of pressure

play13:01

here there we

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are

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wonderful that's

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great anything important I'm not sure

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really I've taken a

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message there you

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go

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right so uh who was it someone from

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admin they want me to give him ring

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that's the third time

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today right I'm ready for the chemo now

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Simon I'm sorry would you mind going and

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picking up from the from the fridge I

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think we've lost staff US completely now

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certainly seems like I think there's a

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problem on the W I'll find out what's

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happening thanks very

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much is everything all right Mrs Hughes

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won't be much longer

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now

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here we are I'm afraid ab's going to be

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a while yet I've just seen him rushing

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around look we can't afford to waste any

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more time you'll just have to check it

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with me is that okay okay

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fine Jane Hughes yeah Hospital number

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326

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7980 do

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26274 yeah expiry date

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08903 everything okay Simon Dr Campbell

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yeah everything's fine fine I'm

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understand You' got a bit of a problem

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on the ward yes uh I'm sorry sta night

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shouldn't be too much longer actually

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we're nearly finished here now tell me

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is my next it patient arrived yet yeah

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he's in the waiting room I have explain

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we're running mate uh can you check his

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blood results they're not looking good

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thanks all right ignore it just ignore

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it you will thank Dr Livingston for me

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won't you it's such a help you're

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fitting me in like this of course I will

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it's not a problem

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thanks is that okay okay

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fine VN Christine 2 Mig in 2

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Ms

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right okay that's it got a

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plaster

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excellent okay

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minut sorry to hold you up you can't

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have finished already yeah we have here

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I've got the meal

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trate so what have you given

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her oh my

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[Music]

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God can someone call Dr Monroe please

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[Music]

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[Music]

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[Music]

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