discussing medical issues with him in the room.
‘Well done. Any other problem that comes to mind?’
Yvonne was looking directly at her now, and Lila had no choice but to make a suggestion. ‘Pressure areas?’
‘Another good point. Unlike the wards, the emergency department doesn’t have a routine as such. Emergency staff are busy dealing with the immediate and in some cases life-threatening problem that has caused the patient to present in the first place. So often elderly people lie on hard trolleys without the very basics of nursing care being addressed. By the time they get to the wards damage has been inflicted upon their frail skin. So what can be done?’
It was Lucy who responded this time. ‘Implement a system of assessing an elderly patient when they come in—if they need pressure area care then make sure it’s carried out regularly.’
‘It wouldn’t work,’ Lila said thoughtfully. ‘Maybe for a couple of weeks, but sooner or later everyone would slip back into the old ways. We could start doing four-hourly pressure area rounds, like on the wards. Anybody needing pressure area care would be treated then.’
‘A fantastic idea. What do you think, Hester?’
Yvonne turned and addressed the unit manager, who gave a thin smile. ‘Worth some thought, I’m sure,’ Hester agreed, though her tone could hardly be described as enthusiastic.
The meeting continued in the same vein. They bounced ideas off each other, trying to come up with solutions to the endless problems nursing threw up, but finally at ten to nine they were done, leaving justenough time to grab a quick coffee before the night shift started.
‘Thanks a bunch,’ Sue said good-naturedly as they picked up their bags. ‘If we don’t have enough work already, now the Horse will have us doing pressure area rounds. I came down to Emergency to escape all that!’
‘Sister Bailey, if I could have a quick word in my office?’ Hester’s voice was hardly friendly, and, forgoing any chance of a coffee, Lila turned and followed her boss down the corridor, closing the door behind her as Hester took a seat at her desk.
Anticipating a ticking off for her gymnastic display, Lila tried to keep her face impassive. Her lateness she could accept being told off for—after all, none of the staff knew the true extent of her mother’s illness. If they had she was sure they would have happily made allowances. However, Lila consistently refused to apologise for having a bit of fun now and then. Heaven knew, the staff worked hard enough in this department—between them they saw enough terrible sights to send even the most stable person searching their soul. Letting off a bit of steam at work did no harm, in Lila’s eyes; in fact, she felt it did a lot of good. It was a point she and Hester would never agree on, and one of the many reasons Lila preferred night duty. Away from the politics of days, away from the bureaucracy and the demands of admin, staff were able to get on with what they were paid to do—nurse.
But for now, at least, the waste of two hospital bandages wasn’t what Hester had on her mind.
‘I’ve been going through the applications for thenight associate charge nurse position, and I see you’re not amongst them.’
As she sat down on the chair Lila’s impassive expression slipped for a moment. ‘I thought it would be a waste of time,’ she admitted honestly, after a moment’s silence.
‘Why? Don’t you want the job?’ Hester’s voice was crisp, her stare direct, but, undaunted, Lila looked her directly in the eye.
‘On the contrary, I’d love the position. However, I know that we don’t always see eye to eye on my methods of nursing—’
‘Your nursing methods don’t worry me,’ Hester interrupted. ‘I don’t doubt for a moment that you’re an excellent nurse. If I had any concerns in that area you’d have been gone long ago. What concerns me is your disregard for detail, your casual attitude to the