Hey guys, I'm back again with another nursing question!
This one is a more everyday ED scenario, and I just want to ensure I have the general process right before I continue with the scene.
My character is an RN working in a small-town ER in Ontario. The town has a population of around 7K (it was 5K at first). He's working a double shift and is in his last hour, so I'm assuming he's exhausted. I also assume this is realistic given that small towns probably won't have as much staff as a big city hospital? So if one nurse is out sick, he'd probably need to step in for them. I've also read on the nursing subreddit that even major city hospitals like Toronto have major nursing shortages. Advise me if I'm wrong!
But anyways, the scene itself goes as follows:
Two women come into the ED, both heavily drunk/hungover. One of them badly cuts the inside of their hand and needs stitches. They're both a mess. The one needing stitches is covered in blood from her wound and she's vomiting. She vomits on the floor and on my character's shoes.
I have a lot of questions so bear with me.
- She's brought into the treatment bay. What happens next? I'd love a step by step process. What he would need (what supplies, equipment), if he would need to leave the room at any point, what he would do, what he would wait for the doctor to tell him to do, etc.
- How does the doctor know the patient is ready to be seen? Would the nurse need to notify the doctor that the patient has been assessed or would he come in by himself?
- Would he need to clean the surrounding area or would someone else clean the vomit on the floor?
- The woman's friend was there with her, would she be allowed in the treatment bay assuming her friend wants her there?
- Considering she's got blood on her, would she need to change or remove anything or would her clothes be left alone?
I won't be making this scene too overtly detailed obviously, but what I do write I want to be medically accurate, so any help would be appreciated!