Knight on the Children's Ward Read Free Page B

because this rotation she had to do well.
    â€˜He’s fifteen years old, Type 1 Diabetes, noncompliant…’
    Luke Winters, Annika learnt, was causing not just his family but the staff of the children’s ward a lot of problems.
    It was his third admission in twelve months. He was refusing to take his insulin at times, ignoring his diet, and he had again gone into DKA—a dangerous, toxic state that could kill. He had an ulcer on his leg that had been discovered on admission, though had probably been there for some time. It would take a long time to heal and might require a skin graft. His mother was frantic—Luke had come to the ward from ICU two days ago and was causing chaos. His room was a mess, and he had told the domestic this morning, none too politely, to get out.
    He was now demanding that his catheter be removed, and basically both the other patients and the staff wanted him taken to an adult ward, though Ross Wyatt was resisting.
    â€˜â€œTeenagers, even teenagers who think they are adults, are still children.”’ Caroline rolled her eyes. ‘His words, not mine. Anyway, Luke’s mum is at work and not due in till this evening. Hopefully we can have some order by then. Okay…’ She stared at the patient sheet and allocated the staff, pausing when she came to Annika. ‘I might put you in cots with Amanda…’ She hesitated. ‘But you haven’t been in cots yet, have you, Cassie?’
    When Cassie shook her head and Caroline changed her allocation Annika felt a flood of relief—she had never so much as held a baby, and the thought of looking after a sick one petrified her.
    â€˜Annika, perhaps you could have beds eight to sixteen instead—though given it’s your first day don’t worry about room fifteen.’
    â€˜Luke?’ Annika checked, and Caroline nodded.
    â€˜I don’t want to scare you off on your first day.’
    â€˜He won’t scare me,’ Annika said. Moody teenagers she could deal with; it was babies and toddlers that scared her.
    â€˜His room needs to be sorted.’
    â€˜It will be.’
    â€˜Okay!’ Caroline smiled. ‘If you’re sure? Good luck.’
    Lisa, who was in charge of Annika’s patients, showed her around the ward. It was, as Cassie had said, completely different. Brightly painted, with a detailed muralrunning the length of the corridor, and divided pretty much into three.
    There were cots for the littlest patients—two large rooms, each containing four cots. Then there were eight side rooms that would house a cot or a bed, depending on the patient’s age. Finally there were three large four-bedded rooms, filled with children of various ages.
    â€˜Though we do try to keep ages similar,’ Lisa said, ‘sometimes it’s just not possible.’ She pointed out the crash trolley, the drug room, and two treatment rooms. ‘We try to bring the children down here for dressings and IV’s and things like that.’
    â€˜So they don’t upset the other children?’ Annika checked.
    â€˜That, and also, even if they are in a side room, it’s better they have anything unpleasant done away from their bed. Obviously if they’re infectious we can’t bring them down, but generally we try to do things away from the bedside.’
    Annika was offered a tabard to replace her navy one. She had a choice of aprons, all brightly coloured and emblazoned with cartoon characters, and though her first instinct was to politely decline, she remembered she was making an effort, so chose a red one, with fish and mermaids on it. She felt, as she slipped it over her head, utterly stupid.
    Annika started with the obs. Lunches were being cleared away, and the ward was being readied for afternoon rest-time.
    The children eyed her suspiciously—she was new and they knew it.
    â€˜What’s that for?’ A mother demanded angrily as her first