by K. Darblyne
*******************
The daylight shift had begun to receive report on the remaining patients in the emergency room when the loud shrill beeps of the trauma pager went off. With a sigh of relief, Rosie handed Steve the pager saying, "Here’s your report. It’s the only thing I was handling last night." She smiled and began to walk away.
"Trauma page, trauma page. Level 1 trauma, MVA car into pole. Female unrestrained driver complaining of shortness of breath. ETA to your facility is 4 minutes. Level 1 trauma page."
Steve closed his eyes murmuring, "It’s going to be one of those days, I can tell." His eyes drifted over to the assignment board to see whom he would be working with. "Dr. Trivoli! Well, it can’t be that bad now." He took off down the hall to the trauma room to get ready.
Rosie waited for her friend to finish giving report to the oncoming nurse as she watched the activity around the desk. Out of the corner of her eye, the nurse saw a flurry of excitement. In the center of it was the E.R. Attending, Ian McCormick. He was trying to fight his way through the gathering of staff clogging the hallway. Without warning, he stopped, throwing his hands up in the air. "Will everyone please clear the hallway!" His face grew red as the decibels raised with his thundering voice. As if by magic, the sea of human bodies parted and a clear path was made the entire length of the hallway leading to the trauma rooms in the rear. Seeing that his words were heeded and a little embarrassed about the fact that he yelled, Ian sheepishly repeated his appreciation for the path as he made his way hurriedly to the trauma room. Reaching the area, he quickly searched for the formidable Dr. Trivoli. He had made his mind up after that first day never to let her beat him to the O.R. without seeing a trauma patient in his emergency room first.
The door at the end of the hall opened and the tall surgeon emerged, her presence immediately was felt in the hallway. The hectic ritual of dressing for the trauma became a relaxed routine when she was there. The staff had come to respect and appreciate her quiet but commanding demeanor.
Ian eyed her closely as she made her way towards him, flustered that he had been caught wiping his baldhead with a handkerchief. He thought of her as strikingly beautiful as well as a damn good surgeon. She definitely didn’t need to be someone’s ‘little woman’ to feel good about herself. He thought about that for a moment and considered his own choices in the women that had adorned his past. None had been strong or self-sufficient like Garrett Trivoli. Instead, they had all looked up to him as the great and all-knowing doctor. Well, that was until they divorced him. He frowned as he thought about his three failed marriages and the huge amount that was missing from his paychecks each month as it was divided between the alimony payments and child support. The only thing he had to show for the few short years of combined marriages was a son, Jonathan who lived with his third wife in New Jersey and a daughter, Elaine, in Florida now attending college. He hadn’t been a strong fixture in her life but was proud that she was following in his footsteps with a major in Pre-Med.
He thought about his first wife and how she had been so frail and quiet until the night she caught him with another woman, walking into his office at the hospital. She had packed and taken the small baby girl with her before he could get off of his shift. He closed his eyes and breathed deeply. Perhaps, if he were different, he would not be a three-time loser in love. You learn from your mistakes, and now, Ian realized that marriage for him was nothing but that, a mistake. What he needed was someone who didn’t need to be in a committed relationship, or who didn’t have time to worry about the infidelities of a partner. He wondered about the tall surgeon, his mind questioning if she played just as hard as she worked. His eyes twinkled with delight at that thought, and he decided to find out the answer for himself.
She strode past the Chairman of the Emergency Department and over to the rack of lead aprons. Choosing one, she began putting it on as she walked over in his direction. She said, smiling coyly at him, "So, I see you come a little faster these days, Dr. McCormick." She adjusted the Velcro closure to secure the apron in place.
He tipped his head in her direction, a slight smile tugging at his lips. "I like to get the most out of my efforts, Dr. Trivoli. Sometimes that means you have to adjust your approach." He watched her pick up a gown and thrust her arms down into the sleeves. "Perhaps we could discuss it over lunch."
She looked at him with an eyebrow hovering upwards, as her hands secured the gown. She opened her mouth to speak, but the overhead page alerting everyone that the trauma was in the department broke the silence. "Maybe another time, I’m a little busy at the moment."
He watched her smile become masked by the protective shield that she tied in place. He was fascinated by the agility with which her hands eased into the gloves, his mind wondering what they would feel like on his body. He looked around to see if anyone had noticed the smirk on his face, but the arrival of the trauma patient had captured all of their attention.
*************
Steve sat blurry-eyed, staring down at the papers in front of him. It was late afternoon but he felt as though he had been there in the trauma room for days on end. The constant bombardment of injured patients from various scenarios of accidents was taking its toll on him. He was glad that his shift would soon be over and the remainder of the night would be his for rest and relaxation.
The nurse looked over to the tall woman leaning against the wall. Her body begging for its support to keep her upright. She had seen every patient that Steve had taken care of and the four others that had been picked up by the back-up trauma nurse, Lori, when he was unavailable. It seemed to be taking its toll on her as she started to be a little on edge and quick to snap with a reply when asked a question. He wondered what made her do it, to willingly punish her body with the long hours and grueling conditions. Then he remembered the look on her face when she was able to tell the patient that the injuries would heal and not to worry. That was the driving force behind the surgeon, the patient’s recovery. He admired her for her unselfishness, her urge to put the welfare of others above her own.
Steve rubbed his eyes in an attempt to see the writing better, to complete his paper work before yet another trauma patient could come in. The beeper was engaged in alerting the team again before he could finish compiling all of the needed paperwork into the trauma folder. It was as though some god was playing a cruel joke on them. The nurse dropped his head, breathed in deeply, and then with an exaggerated sigh, pushed himself into an upright position. He staggered over to the rack of lead aprons and began the process all over again.
Steve spun around to see Dr. Trivoli next to him, reaching for a lead apron. "Looks like we are going for a record today."
The surgeon looked at him, her eyebrow raising, "Just my luck, too." She was tired from lack of sleep and by the looks of things, the prospect of her getting any shut-eye tonight was nonexistent. For once in her life, Garrett wished that there would be nothing more to do; no patients in need of her skills. Mindlessly she dressed in the gown, mask, and gloves, waiting for the traumatized patient to arrive.
"Trauma’s in the department, Trauma’s in the department."
The squawking of the overhead voice brought her back to the present. The surgeon shot a questioning look at the nurse next to her.
Noting the bewildered look on her face, Steve leaned in toward her jogging her memory with the whispered words. "Multiple stab wounds."
She nodded her head, now remembering the report that was given with the trauma alert. Mentally she prepared herself for another grueling session in the O.R. suite. She looked up at the clock on the wall, it was only 1752. ‘Only twelve more hours to go,’ she thought. ‘How many more can we possibly get?’
*****************
Danni lingered at her computer, reading through her E-mails. It was close to the time that she should be leaving for work, but she wanted to leave a note for Garrett just in case the night became too hectic. She thought about her roommate and her troubled sleep, wanting to
help her in any way that she could.
Garrett,
I’m off on the weekend and would like to spend some time relaxing. If you are able to, we could take in a movie or go for a drive out in the country to look at the fall foliage. I know some great roads that offer wonderful scenery this time of the year. I’d love to show them to you. Let me know if this is possible.
Danni
"There, that should make it sound like I need the rest and relaxation." Her nose wrinkled as she smiled. "The only way to get her to take it easy is to make her think that I need it. Well, so be it." With only her friend’s best interest at heart, she struck the enter key, sending the E-mail on its way.
Danni noticed the time on her computer, it was 1815. "Damn, I’m going to be late if I don’t hurry." She quickly shut down her terminal and gathered her knapsack and keys. She walked briskly through the house as she pulled her coat on. Opening the door, her eyes scanned the horizon. ‘Well, it doesn’t look like any storm hit today while I slept. Hmmm…I wonder if it passed us by.’ The small woman shrugged her shoulders, then made her way to her car parked several spaces down the street. She entered it, and turned the key in the ignition. Using the moment to check her appearance in the vanity mirror, she let the engine warm up. Securing her seatbelt in place, the young woman looked up and down the street then hastily pulled out of the parking space on her way to work.
*************
Rosie stood adjusting her scrubs as the door opened and a small blonde figure darted in hurriedly, making her way to the locker that housed her apparel for work. The nurse had finished putting the stethoscope around her neck when she eyed her friend’s rushed mannerisms. "You running late or just that anxious to get in to work?" She shook her head. "You got time. Besides, I understand that Garrett just took a trauma patient up to surgery about a half an hour ago."
"Oh!" She cleared her throat. "You are just coming on, right?" Danni wondered how Rosie had known about Garrett’s whereabouts.
"Yep, but I ducked in and looked at the assignment board first. That’s when I heard them talking about how bad it’s been with traumas today." She closed her locker door and turned to face her friend. "You and me in trauma, it should be a good night," she smiled.
The petite nurse quickly dressed, pulled her necessary accessories off of the shelf, and closed the locker. "So, I guess I’m Trauma One, huh?"
Rosie laughed, "You better believe it. I was that last night, remember?"
Danni slide into her shoes. "Yeah, I hope the night isn’t too busy." She hoped with all her heart for her friend’s sake. She stood upright and made a final adjustment to her pants, "Well, let’s get out there."
The taller nurse sauntered over to the door, holding it open she motioned for the woman to advance through it. "Age before beauty…er…I mean…after you," she joked. Danni just smiled and shook her head.
They went down the hall through the main entrance of the E.R. where a stern-looking charge nurse met them. Karen sat at the desk peering over her reading glasses at the two nurses. She motioned to her watch and gave a dissatisfied frown. That was all she did, words were not necessary to convey her meaning.
"We must be a minute late," Rosie whispered.
"Shh! She’ll hear you," Danni turned and whispered back. "Sorry, Mom." Her face full of innocence as she watched Karen begin to smile, causing them all to giggle.
"You two like to push it to the last second, don’t you?" Karen shuffled the papers on the desk. "I’ve been waiting to see you two."
The bewildered nurses looked at each other, each one trying to think of what they could have possibly done wrong. They approached the older nurse cautiously. "You wanted to see us about what, Mom?" Rosie always used the term of endearment, hoping that it would lessen any possible problems.
The charge nurse sighed. "Why do you always think that it’s something bad? Hmmm? Is there something you need to worry about?" She eyeballed the taller nurse, waiting to see if she offered any information.
"No, nothing to worry about. Honest!" The answer came back quickly from the small blonde.
"Yeah, right. What she said," the auburn-haired nurse said, pointing to the blonde. The look on her face was one of complete, forced innocence.
Karen rolled her eyes, "You two are going to be the death of me." Each of the nurses smiled trying her best not to laugh. "I just wanted you to help Steve finish up his paperwork on the traumas, so that he can get out of here at a reasonable time. He’s had a pretty busy day." She used her hands to shoo them along. "He’s in the back, now go. Danni…"
"I know, Mom, I’m Trauma One, I’ll get report too." She smiled at the older nurse, then turned and headed down the hall.
Karen winked, "That’s my girls!" She watched them with the loving eyes of a mother.
They rounded the corner to see Steve sitting at the long desk, mounds of papers stacked in neat piles lining its length. The male nurse looked as though he had waged a long and tiring battle with the gods that controlled the flow of traumas. The expression on his face was one of relief when he saw his co-workers coming over to him. "Thank god!" He clasped his hands together in mock prayer. "My prayers have been answered. Finally this day from hell is over." He made no attempt to conceal his disdain for the last 12 hours of work.
"I’m your actual relief. Anything I need to know about?" The petite blonde studied his face. It was drawn and tired looking. Danni wondered how badly her roommate looked at this point. She accepted the trauma team pager from him and clipped it to her scrub pants after she cleared the previously issued pages.
Exhausted, Steve shook his head. "Nothing coming in at this time. I just have to send off all of the paper work." He motioned to the desk full of piled papers. "It’s been so busy, I haven’t had the time to get to it." He sighed deeply. "I hate to stick you with it."
Holding her hand up, Danni spoke. "We’ll take care of it. You just go and head home."
Steve got up to leave. "Thanks, I appreciate it." He slowly started down the hall to the locker room.
"Hey, Steve! Be careful on your way home, we wouldn’t want you coming in as a trauma now, would we?" Rosie yelled after him to get his attention. The tired man just kept on walking, glad to have a chance to go home to relax. She turned to her fellow nurse, "I guess he can’t take a joke." They laughed openly and started in on the task at hand.
***************
The tall surgeon trudged from the doctor’s lounge with a cup of dark, black coffee in her hand. She slowly brought it up to her mouth, praying with each sip that it would keep her awake. She was amused that last night when she could sleep, she hadn’t been able to, and now when it was imperative that she be awake, able to function at a moment’s notice, she could barely keep her eyes open. She could try for some shut-eye but she was afraid that she would not wake up when the trauma pager went off. "By the gods!" She looked down at the beeping pager. "Not again!"
The crackling voice began its recital. "Trauma page, Trauma page. Twenty-year-old male patient unrestrained passenger involved in a minor MVA. Level 2 trauma page. ETA 5 minutes to your facility via ambulance."
Glancing at her watch, she shook her head and wondered when it would all stop. It was only 1953 and already she had seen a total of 15 traumas since 0600. She could feel herself becoming tired and irritable. ‘Perhaps this night will be over soon,’ she thought. ‘Yeah, fat chance of that.’ With that thought in mind she chugged down the remainder of the coffee, praying that it would do the job. She paused only long enough to dispose of the now empty Styrofoam cup before making her way down to the Trauma Room to await the next patient’s arrival.
The team was moving sluggishly as they donned the trauma apparel. The lead aprons seemed to weigh twice as much as when they had started thirteen hours ago. The medical school students appeared to be the ones showing the lack of energy the worst. It was their inexperience with the long grueling hours that was their undoing.
Garrett had dressed at her usual pa
ce, and took her position on the left side of the empty stretcher. She leaned stiff-armed on the bed, trying to take some of the weight off of her back and legs. She closed her eyes in an effort to summon all of her strength to make it through the remainder of the night. She could hear the lively talking and joking of the fresh set of nurses as they waited for the patient to arrive. The only energy in any abundance seemed to be held by them. She thanked the gods for sending her a team of nurses that she knew and worked well with. As she saw it, this would be the only saving grace to the rest of the night.
