tv We are England BBC News February 6, 2022 12:30am-1:00am GMT
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the queen has announced she wants camilla, the duchess of cornwall, to be known as queen consort when her eldest son, prince charles, becomes king. she expressed what she called her "sincere wish" in a message to mark the 70th anniversary of her reign. a five—year—old boy in morocco who fell down a well on tuesday has died, following a huge rescue effort. he was finally pulled from the 30—metre—deep shaft but his death was later confirmed by king mohammed — who passed on his condolences to the boy's parents. the uk prime minster, borisjohnson has announced two new major appointments to his downing street team, saying the shake—up will improve operations following weeks of turmoil. the cabinet office minister, steve barclay, becomes chief of staff — and the formerjournalist, guto harri, is the new director of communications. now on bbc news —
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birmingham heartlands hospital has one of the busiest intensive care units in the region. we follow three nurses over the course of a night shift to find out what it's really like to be an intensive ca re nurse. no one dies alone in intensive care. it is me that sits there and hold your relative�*s hand. it's me that talks to them in their last few minutes. it is me that make sure they are comfortable. no two days are the same. you don't know what you are going to walk into. our aim is to make patients better so they can go home to their families.
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covid has changed - intensive care completely. the demand for the service isjust extraordinary. - we need to look after ourselves and be the best nurses we possibly can be. we cry together and we feel our emotions together and i think that is so important. i do like a busy shift, it makes you think a lot and it puts your nursing skills to the test. i am really proud to be an intensive care nurse. i am proud to make such a difference in people's lives and i am even more proud of the team i have got around me.
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working for the nhs, it does fill me full of pride, to be honest. i know it's hard and i know a lot of people don't feel the same, but it is something i personally enjoy. hey where you and with today? i am armed with niamh and charlene. it should be a good shift. i am proud to be part of the intensive care team. come on, everybody, dinner is ready. - family is so important to me.
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i have got through some of my toughest times because of my family. how was work today, dad? busy, very busy. that is lovely. is it nice? rating out of ten. zero. excuse me! we have family time together before i go to work. it adds to that togetherness. it just itjust adds it just adds that togetherness. i'm off then. i enjoy work because no two days of the same.
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you don't know what you are going to walk into. i love myjob and it's down to a few reasons. i love my team, first of all. if we didn't have the team we have, it would be a struggle. ourteam are amazing. we are full of love and we really try to radiate good vibes because it's been so difficult lately. we are not fake about it. bed number two. we cry together, we feel our emotions together and that is so important. everybody understands that and everybody has empathy. birmingham is just so diverse.
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you get people from every single background and i think that is a beautiful, beautiful thing. singing. on intensive care we care for critically ill patients. i think we have a huge responsibility to our patients, to each other, to theirfamilies to keep that person safe. i want to make patients better so they can go home to their families.
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just look in all the drawers. got some. neelam is one of the most beautiful souls i have ever met. she is one of the most caring nurses i have ever worked with. she really takes her patients into her heart. i love niamh so much, she is just the light. i reckon we are going to get stuck together for a while. have to take you to the ward like this. just cold?
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some people think in itu we have this magic machine called life support. that is the button we can press on and off and just runs. it takes us in the bed space to keep doing those things and keep those machines running and respond to the changing needs of the patient to keep them alive. antibiotics are in. to work on itu, it is very much you either love it or hate itjob. we are very particular about things, we go through lists, we are meticulous. i am going to go and get some drugs out. i have grown up in birmingham pretty much my whole life. i remember always wanting to be a nurse. when i was 12, my dad had quite a nasty brain haemorrhage. he was only 40 and he spent a month in intensive care at good hope.
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unfortunately, he passed away and in those last hours when we were called in to spend time with him before he died, i sat at his bed space with the family around him. once he had gone, everyone was hugging each other. in the midst of the chaos i think i was forgotten about. i remember crying and i remember the nurse coming to me and holding her in my arms and just telling me it was going to be ok. i rememberjust sobbing to this nurse. i still remember her now, she had a massive impact on my life.
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you know, my dad has final hours, to know that she cared enough and she was crying with me. ijust wanted to be able to make a difference like she did for me for someone else, to give something back like that, because she was a special lady. so, he is quite settled. i have put him onto the big cepap mask to sleep. we can take people from the brink of death back to the start of theirjourney. to be able to offer someone that in their worst time of need is an honour to be part of. all right, take care. goodbye. at home, there is the three of us. there is me, my husband gary
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and my 18—month—old son. a lot of the night shift workers on the itu are the mum crew. a lot of the new mum is coming back to work after maternity leave come on the night shift because it works better with childcare. being a night shift worker does have an impact on your relationship, more than you realise initially. gary really has to pick up the slack at home with me working nights. he will swap over the childcare role. can mummy have a lie in tomorrow? gary has always been supportive with my career. we have been together from when i started training. we have kind of grown up together, our son is the third person in our relationship. —— nursing the juggling aspect of mum life and work life is intense. i finished a night shift last night and i have had probably
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two and a half hours sleep, but i know i have to get up because i have a small window to get a fewjobs done before lenny is home from nursery and we start the bath and bed routine with him. then i need to go back into work again. it can turn into this 24/7 rolling list ofjobs. when you have good teamwork and intensive care unit, it is very well oiled routine. our staff ratio is one to one because it is so risky. it is a riskyjob and if something happens and you are not anticipating it, you have got to do something very quickly. that is why there is an adrenaline rush. you patient could be fined one minute and then not find the next. you have got to use your brain and definitely stay on your toes.
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i always think if it was my family member in that bed, how would i want them to be treated? treat them to the best of your ability and do your best with them. hello. my name is neelam, i am looking after you tonight, ok. you are perfectly safe here. it is ok, it is ok. she can hear what we are saying. the reassurance for them is really important. it's something they often remember when they wake up. we all try to talk to our patients all the time. let me listen to your chest, darling. any doctors around there? why? her heart rate is ridiculous. you were joking? yes. at the desk.
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i think she is having a vomit. with that patient, she was getting extremely, extremely agitated. it is a state you don't want your patients to be in. all the numbers start to go off, hers did. they don't look right in the face, she was coughing. she was a little bit too awake and not appropriate, i would say. where are we.
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she was trying to move her arm. you have to be very mindful because if they move their arm up too much they can unhook their thing around the tube, they can pull it out. that is an emergency situation. give her five mg if she is still like this. - by that, we knew she wasn't ready to be woken up properly and she needed to rest overnight. sometimes some patients need an extra few hours and some sedation and let the ventilator take over and do the work and just have a rest. it can help a lot. this patient wasn't going to survive and i knew his family, if they were here would have prayed for him. i am the same faith as them,
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so i did that for him. there were a few others in the bed space, we didn't leave his side. he passed away peacefully. about a week later i still had the son of the patient on my mind. i wondered if he knew what had happened, or what he did. i asked my manager if i could ring him. she said yes. i gave him a call. i think he was really grateful for that, it gave them, as a family, a lot of closure. we really need to get him on the bed. i need to take that line out of your neck.
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lam birmingham born- and bred, so working in one of the hospitals in birmingham, looking after the people - of birmingham, - i absolutely love it. where else would i want to be? i'm going to take this- dressing down, like a big plastic off your neck. charlene will always have your back. she is the go to for a cup of tea and a chat when things are tough. she is a good shoulder to cry on, she is a strong, mother—like figure, i think. that is all over- with now, all right? i do like a busy shift, - it makes it go very quickly. i don't mind it, it makes. you think a lot and put your nursing skills to the test. it is only when i sit back and look at myjob rolel and what it entails, it is quite intense l and demanding.
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at any given moment a patient can deteriorate and their livesl are ultimately in our hands. you have really got to know your stuff. j our friend and colleague, amy, she worked with us. we were really, really close with her as friends. she took her own life before the pandemic. outwardly, she was the happiest person that you could meet. she was so funny, so caring. everything that you would want in a friend, was amy. but little did we know she was obviously struggling. and that was difficult. she wasn't going to tell us.
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so i think since then we make the conscious effort to look after each other. we say, i love you, all the time. even if we are just going for our break, we say, i love you. we all genuinely care for each other. notjust because we have two, but we want to. we value each other so much. tonight we have had admissions, discharges, deaths, patients dropping blood pressure and becoming sick. it never stops, especially in a hospital as busy as this one. the demand is always there, no matter what time of the day or night it is. it is intense. i am going to do a mid week tonight. you need it with this weather, don't you? j post night shift as well, cosy. beef stew.
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crusty bread. loads of butter. plenty of pepper. you are talking i dirty to me now. if you don't have anyone - to have a laugh with on shift, it will be a long night. sometimes going for a quick walk around the unit, - we have been known to dance to wake ourselves up. - having someone to have a chat with can lift the mood. - i need to go back. death is a really big part of working in intensive care and to work there you have to be prepared to face it. just closing the window. the patient in this bed space has passed away.
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it is an old wives tale on the ward. if you're patient has passed away, you need to leave the window open to let the soul find its way out, otherwise it gets trapped in the hospital. it is something that has stuck everywhere. always have the window open. we have these. it is a memory box. it has got a little sympathy card that we have started to fill in from the unit, just saying, sorry for your loss. they have little things like this in, they are quite different. they have teddies in so one can stay with the patient and one can go with the relatives, they are always matching teddy bears. we never leave a patient, no one dies alone in intensive care. it is me that talks to them
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in their last few minutes. it is me that make sure they are comfortable. i try and play the radio. i don't like people to die in silence and sometimes i even sing to them. we went home one night after a day shift and then came back the next day and it was carnage. it had flipped upside down overnight and we had no idea what was happening. we knew so little.
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covid has changed intensive care completely. the demand for the service isjust extraordinary. the world is trying to carry on, but covid is still rife and taking over our intensive care units up and down the country. if i am completely honest, people are burnt out, eople are exhausted, people are frustrated, overworked and the demand doesn't stop. we still need to be there and we still want to give 110%, but it gets difficult. at this point i actually feel ok. i would like to say it is a wind down, but it's more like a mad rush to get everything done. i want to make it a smooth transition for the nurse that
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comes on for the day. just tidy up so it doesn't look too messy. there's nothing worse than coming into a messy room to start your day because then you are already starting on the back foot. we wouldn't be at this point where we are ready to go if it wasn't for teamwork. we rely on that help and support from each other, even though we only have one patient, what we have to do, we are just run off our feet. it came to us about two o'clock this morning. the plan is to wake this morning. hopefully it will go plain sailing. is that all right? the best part of ourjob has got to be my colleagues. with anyjob, anywhere in the world, your colleagues will make or break a shift and we are one big family. i absolutely love
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the people i work with. yesterday, they tried to wean her off the drug. they switch them off and started her on something else. she is just quietly settled. going home now, my darling. my hope you get well soon. got to get better and go home. i really enjoy, when i look at the patient at the end of the night i think, i have actually made a difference and i have made them a little bit better. that is just the best feeling. see you later. it was really quite breathless last night and dropped his stats. then he seemed really settled overnight. i am really proud to be itu nurse. it is a special place to work and i think there is so much
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potential to progress and the knowledge i have picked up in four years, i can only imagine what it's going to be like in another four years. i am proud to make such a difference in people's lives. and at the end of people's lies. i am proud of the work i do and i am even more proud of the team i have got around me. bye everyone, have a nice day. let's go, girls.
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hello there. the rain is pushing southward, the snow is returning to the north. with a real risk of some quite significant snow through the remainder of the night and the start of sunday. our weather front slowly meandering south bringing that milder, wetter and windier weather. quite a contrast as we go towards dawn. the prospect of several centimetres of snow piling up over the hills of scotland and even a few centimetres at lower levels, blowing around in those strong to gale force winds. of course with that, temperatures close to freezing as well. blizzards in places, in contrast, the rain is quite heavy, pushing its way further southwards across england and wales with a relatively mild in contrast, in fact, temperatures more akin to what they would be in the daytime at this
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time of year. so we've got that north, south split during the morning strong winds throughout, blowing that rain away we think by the end of the morning for most parts, certainly the heavier rain. but a strong width row, blowing that rain away we think by the end of the morning for most parts, certainly the heavier rain. but he could linger in southern and western areas, still that strong wind, potentially gales through the channel by the north and west a lot of wintry showers following him behind with hail and thunder as well as sleet and hail. a blustery day throughout which will accentuate the chill. in fact, we've got that cold, arctic air with us. these are temperatures to start the day, they will dip away is the day goes on across the southern half of the country. we are into the cold airagain on sunday but it doesn't last long. i think we will have quite a chilly night here under the starry skies. temperatures will fall away and we are more likely to see a frost quite widely by the time we get to monday morning. this is monday morning. a further north and west, we've got the cloud gathering once again and the rain, our next weather
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front toppling in. doesn't look as if it will give a significant rain because the high—pressure building towards the south. but that weather front here in the northwest at least on monday will give us fairly wet weather. so let's watch the progress of that as it topples into the day. brightness and sunshine further south and east and a relatively mild day in contrast once again a real topsy—turvy with our temperatures as we've seen throughout the week and that continues into the start of next week. high pressure will start to build through, i think there will be a lot of cloud around through the day on tuesday and indeed into wednesday but still a lot of dry and settled weather to end the week. as ever, the warnings are on the website.
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this is bbc news — i'm rich preston — with the latest headlines for viewers in the uk and around the world. the queen celebrates the 70th anniversary of her accession to the throne and says she'd like her daughter—in law, camilla, to become queen consort. it indicates not least that the queen is thinking about what happens at the end of her reign and settled is one of the big unresolved issues about chances rain, what camilla will be known as. moroccan officials say a five—year—old boy, who spent four days trapped down a well, has died. a powerful storm strikes madagascar — bringing floods, landslides and winds of 180 kilometres an hour. aid agencies are setting up emergency shelters. hoping to steady the ship. uk pime minister borisjohnson
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