‘Exactly my point.’ Flicking back the curtains pulled around the empty ward and seeing the coast was clear, Lila picked up a couple of finger bandages and unravelled them. ‘Watch and learn,’ she said to her delighted audience, and, executing a perfect pirouette, she twirled the ribbons as she danced around the room, egged on by the laughter coming from her colleagues. Too wrapped up in her impromptu routine, she didn’t notice the laughter had suddenly changed to a fit of embarrassed coughing.
‘When you’ve finished wasting the hospital supplies, Sister Bailey, perhaps we can get on with the evening’s lecture?’
Turning, Lila stopped in her tracks, her face turning pale as Hester Randall marched in, accompanied by a couple of medical personnel. Lila took her seat next to Sue, concentrating on rolling the bandages—anything rather than look up. It wasn’t Hester’s untimely appearance that had upset her; Lila was far too used to that by now. The trembling in her hands, the rapid rise in her heart rate, were exclusively due to the, oh, so familiar grin that had greeted Lila’s eyes as she’d spun around.
‘Before we start I’d like to take a moment to introduce two new faces that are soon going to become very familiar to us all. Yvonne Selles is the hospital’s new geriatric registrar, and will be delivering tonight’s talk. Yvonne has moved to Melbourne all the way from Scotland, so I trust you will do your utmost to make her feel welcome. The other new face belongs to Dr Declan Haversham, our new emergency registrar. Theoretically he shouldn’t be starting for another month, but as you know we are short of a night doctor for the next few weeks, and Declan has agreed to step in.’
Lila had known this day would come—that one day their paths would cross again. But the eight years that had elapsed since their last meeting, or rather parting, had almost convinced her that she was worrying unnecessarily. Almost convinced her that maybe she could get through the rest of her life without coming face to face with Declan.
It was no big deal, Lila tried to convince herself as she finished rolling the bandages. It was just an ex-boyfriend—hardly big league stuff; she could handle this!
But it was a big deal, she finally acknowledged. Eight years might have passed, but not a day or night had gone by when Declan hadn’t been in her thoughts. His tousled black hair, the grey eyes that crinkled around the edges when he laughed, or softened when he gazed into hers…Correction, Lila reminded herself, the same eyes that had mocked her when she had tentatively told him her plans, and the same cheeky grin that had turned into a scornful laugh.
Peeking up from under her fringe, she saw that he was staring directly at her. Feigning uninterest, Lila flicked her gaze away, but not before she saw a smile tug at the corner of his lips. That small glimpse was enough to tell her the years had treated him well. His hair was shorter, neater now, and he looked even taller, if that was possible. And the suit under his white coat had obviously set him back a bit. His eyes still crinkled, though, she mused, desperately trying to focus on Yvonne Selles’s lecture, and nothing could diminish the impact of those eyes on hers…
‘My intention is to highlight to the staff here the special needs of elderly patients in the accident and emergency department.’ Yvonne’s lilting Scottish accent forced the staff to listen more carefully. ‘Would any of you like to suggest what specific problems they might face during their time here?’
‘Missing out on their regular medication?’ Sue suggested.
‘Excellent. Their GP will have spent a lot of time educating them, insisting that they take their medication at a certain time, stressing the importance of not missing a dose. The elderly patients might suffer with dementia, might be confused, but they know that at six p.m. they have to take their blue tablet—or their insulin, perhaps. Then they come into Emergency and, lo and behold, a nurse tells them that as it isn’t prescribed they can’t have it, and, anyway, missing out on one dose isn’t going to cause a problem. It can take weeks to undo that sort of damage when in truth it could be so easily prevented. Can anyone suggest how?’
‘By getting them seen more quickly, perhaps,’ Lila suggested. ‘Even if not for a full assessment, at least a doctor could write up an interim order for their regular meds, enabling the staff to give them if required.’
She could feel Declan’s eyes on her and couldn’t help a small blush as she spoke. It felt surreal, 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 just enough 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 the night 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