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so today's topic is working at nights

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[Music]

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I'm just gonna talk about what I used to

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do when I was working in the UK as a

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mental health nurse

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been a nurse since 2007 and before I

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came to Japan and whenever I go back to

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the UK for a long period of time I

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usually do some nursing work one because

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I really love it I love being the nurse

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and and two because you know I need to

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answer money just like anyone else so

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well I loved going to work at night and

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I still do first thing is usually for a

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night shift to you you try and rest

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before getting up so while everyone's

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out in the daytime you might be in bed

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or just trying to relax as much as

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possible

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first nights usually the hardest because

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you have to change your routine to get

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into the night routine

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when you leave the house and I used to

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leave the house around 8 o'clock or 8:30

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to start a shift at 9:00 usually outside

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there's not too many people about

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there's not many cars on the streets and

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most people are usually am already at

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home you know trying to relax after a

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long day at work

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so while people are at home they're

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getting relaxed I'm just going out to

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work

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and I like that because yeah there's not

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much traffic on the road either so I

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used to cycle to work when I was in the

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UK and it's nice having the basically

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empty streets

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where I used to stay there was a big

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hill overlooking the town and I was

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staying on the top of the hill so it

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probably dark outside by then that the

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Sun had already gone down so at night he

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got the fresh air it's already dark and

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I'll get on my bike and at the top of

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the hill was quite flat so had quite a

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gentle downhill section the gentle

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gradient so gradient means the the angle

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of the of the slope like whether it was

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high or low but this was quite low so

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for the first part like a couple of

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minutes you just glide along

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and then it'll get steeper and we get

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quite a lot of steeper so you'd pick up

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quite a lot of speed but as I say it was

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nighttime so there was not many people

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around and then getting down to the

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bottom of the hill there was still

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another so with 10 20 minutes to cycle

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to work

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but I did it I used to cycle with my

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earphones in listening to music trying

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to get myself psyched up like getting to

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try to get myself in the right attitude

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for work and remember you know so

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there'll be some cars on this street but

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not many but apart from the cars at one

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point in my journeys to work and on my

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bike I used to cross the road and if I

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worked five times that week I probably

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see apart from one or two cars I'd see a

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fox are tears a fox quite a lot

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you know foxes tend to be quite

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secretive they don't like to be around

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people so I think that's why they like

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to come out at night - so he or he's he

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or she used to cross the road in front

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of my bike and I'd be okay so he's

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looking he or she's looking for some

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food

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you know I quite like that feeling

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because foxes are quite shy create

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creatures or they'd like to stay away

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from humans but that he was like a

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regular he or she was a regular feature

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of my journey to work and they kind of

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cheered me up to see seen that Fox

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for some reason they always looks kind

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of comical to me like they shouldn't be

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part of this world because have you ever

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seen a fox they're quite well the ones

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in Brighton they've got big fluffy tails

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it was colored very brightly it's even

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in the dark he kind of everything else

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was so dark colors

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but this Fox stood out every time I used

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to see it

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it's after seeing the Fox there'll be

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another couple of hills to climb up and

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then cycle down and then I'd be at work

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forgetting to work for nine o'clock in

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that hospital a lot of people did non

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they shift so they'd work for from the

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morning from 7:30 and they'd work until

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9:30 so if sometimes I'd see the same

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people when I when I got to work at

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night at 9:00 the people who were

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working in the day they'd be getting

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ready to go home and I guess they'd be

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looking really knackered you know

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because I'd spent a long day at work and

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a lot of things to deal with but

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sometimes in the morning at 7:30 when we

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were all tired the same people would be

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coming back to work you know so they'd

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have a rest they'd had a night in bed

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and they kind of got refreshed and

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recharged and it would be us that was

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looking knackered me and my colleagues

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and they

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shutting work it was time for a cup of

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tea because usually tried to get to work

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a few minutes before to get myself

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settled in and get my mind ready to

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start the shift and then two or three

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colleagues would come in you know just

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before 9:00 would you maybe a little bit

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after

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I guess people in the UK basically

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they're punctual and they're basically

0:07:03.520,0:07:09.550
there on time for things but it's not

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that strict and at least in the

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hospitals I've worked you know people

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are kind of easygoing as long as we get

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the job done

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but having said that it's not anyways

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after getting settles having a cup of

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tea having a bit of chitchat with chit

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chats talk having a bit of talk with you

0:07:33.450,0:07:37.830
know my colleagues in the day from the

0:07:34.980,0:07:41.910
day shift we'd get on with work we'd

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have a team meeting where the day staff

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tell us what's happened in the day so

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the day stuff give us a hand over so

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they tell us what's happened in the day

0:07:49.050,0:07:54.600
with all the patients so then myself and

0:07:53.070,0:07:57.450
my colleagues who are the night staff

0:07:54.600,0:07:59.790
then we all know what's happened so

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after the team meeting after we've kind

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of got an idea of what's happened in the

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day then there's kind of some routines

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to follow we when I go around the

0:08:07.680,0:08:12.390
hospital check everyone's okay with our

0:08:09.870,0:08:15.720
own eyes we've had a report from the

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day's staff but we also it's good for us

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to actually some meet and greet the

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patients on the in the hospital ward

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so we go around another staff we'll

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start one of the nurses will start to do

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medicine and like medicine that there

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and another staff and other staff would

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do supper though some snacks

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he had ed professor snacks and drinks

0:08:36.708,0:08:42.490
but the patients

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in this hospital it was like 20 patients

0:08:42.490,0:08:47.110
and 3-star fat nights that is a mental

0:08:46.269,0:08:50.730
health hospital

0:08:47.110,0:08:54.540
so that was my speciality working with

0:08:50.730,0:08:54.540
patients with mental health issues

0:09:01.280,0:09:04.920
for now though

0:09:03.209,0:09:07.800
to say that I really loved working I

0:09:04.920,0:09:11.899
still do really love working in mental

0:09:07.800,0:09:11.899
health hospitals they're very unique

0:09:12.130,0:09:19.399
but it's it's actually a nice

0:09:14.300,0:09:22.550
environment if you can put yourself into

0:09:19.399,0:09:24.050
that frame of mind a lot of people say

0:09:22.550,0:09:26.300
wow I can work in the mental health

0:09:24.050,0:09:29.240
hospital be too scary meeting all kinds

0:09:26.300,0:09:32.450
of mad crazy people

0:09:29.240,0:09:34.130
actually it's it's just about life you

0:09:32.450,0:09:36.770
know everyone has a hard time sometimes

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and it's just about supporting people to

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get better and I really enjoy that that

0:09:39.980,0:09:44.300
side of things

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yeah so after giving the medicine out

0:09:44.300,0:09:49.160
and getting supper and set meeting

0:09:46.250,0:09:51.529
greasing people usually people the

0:09:49.160,0:09:53.750
patient stay up until 12:00 and like

0:09:51.529,0:09:54.350
people are going to bed between 10 11

0:09:53.750,0:09:58.399
and 12

0:09:54.350,0:10:01.240
so last people up at 12 or hopefully

0:09:58.399,0:10:03.800
they're all in bed by 1:00 or 2:00 a.m.

0:10:01.240,0:10:06.140
so by that time you know we're feeling

0:10:03.800,0:10:08.480
like another cup of tea again so if

0:10:06.140,0:10:10.730
everything is quiet in the hospital and

0:10:08.480,0:10:12.730
there's no admissions that means there's

0:10:10.730,0:10:15.709
no people coming into the hospital to

0:10:12.730,0:10:19.130
the need to be in hospital from outside

0:10:15.709,0:10:21.640
then we can have a cup of tea and start

0:10:19.130,0:10:21.640
to do other jobs

0:10:23.700,0:10:30.100
we also arrange our breaks when all the

0:10:27.070,0:10:33.220
patients have gone to bed so you know

0:10:30.100,0:10:37.590
usually one person goes off on a break

0:10:33.220,0:10:37.590
at a time and leaves two other nurses

0:10:38.390,0:10:43.940
so after breaks about maybe it's around

0:10:41.450,0:10:47.600
four or five and then the patients may

0:10:43.940,0:10:48.910
start getting up at five or six five or

0:10:47.600,0:10:51.130
six o'clock in the morning

0:10:48.910,0:10:55.790
there's funny thing about mental health

0:10:51.130,0:10:58.640
a lot of people don't sleep very well so

0:10:55.790,0:11:00.350
they may not they you know they may not

0:10:58.640,0:11:03.110
be sleeping for seven or eight hours

0:11:00.350,0:11:04.850
they mind you be sleeping for well not

0:11:03.110,0:11:06.800
at all some people don't sleep at all

0:11:04.850,0:11:09.070
and some people would just sleep for a

0:11:06.800,0:11:13.329
couple of hours and then get up

0:11:09.070,0:11:14.800
maybe cuz their minds too active or you

0:11:13.329,0:11:17.970
know especially older people other

0:11:14.800,0:11:21.100
people who don't sleep much either and

0:11:17.970,0:11:23.470
part of our duty as in the hospital

0:11:21.100,0:11:25.840
outline is to check on each patient

0:11:23.470,0:11:29.110
every

0:11:25.840,0:11:31.570
every hour for patients who are we feel

0:11:29.110,0:11:34.500
are doing okay but for patients we are

0:11:31.570,0:11:39.250
concerned about we check on them every

0:11:34.500,0:11:41.230
15 minutes or every four patients we're

0:11:39.250,0:11:43.330
really concerned about maybe because

0:11:41.230,0:11:45.370
they're suicidal or something we check

0:11:43.330,0:11:46.480
on them where we have someone watching

0:11:45.370,0:11:49.080
them all the time

0:11:46.480,0:11:52.030
so that's called one-to-one observations

0:11:49.080,0:11:54.070
that's when one nurse has to stay with

0:11:52.030,0:11:56.910
that person even when they're sleeping

0:11:54.070,0:11:59.770
you kind of watch them through the door

0:11:56.910,0:12:01.930
or you have yeah you have to have

0:11:59.770,0:12:03.360
eyesight contact you have to see them

0:12:01.930,0:12:06.880
with your own eyes

0:12:03.360,0:12:09.030
there's also another type of observation

0:12:06.880,0:12:12.640
which is called arm's length

0:12:09.030,0:12:14.860
observations and that's when you're so

0:12:12.640,0:12:17.140
concerned about that person's safety you

0:12:14.860,0:12:19.570
have to be within touching distance of

0:12:17.140,0:12:22.400
that person to stop them doing anything

0:12:19.570,0:12:25.490
dangerous if they do something

0:12:22.400,0:12:28.120
is also two to one observations where

0:12:25.490,0:12:32.570
two of you have to be with that person

0:12:28.120,0:12:35.630
either eyes in eye contact or within

0:12:32.570,0:12:38.240
arm's length for that person I loved

0:12:35.630,0:12:40.130
heard stories about colleagues have

0:12:38.240,0:12:41.630
worked in prison have said they've

0:12:40.130,0:12:44.480
worked with patients where it has to be

0:12:41.630,0:12:47.900
four to one or five to one there's four

0:12:44.480,0:12:51.620
people watching one person because that

0:12:47.900,0:12:53.180
person is quite dangerous or dangerous

0:12:51.620,0:12:56.330
to themselves or dangerous to other

0:12:53.180,0:12:58.100
people but where I've worked I've never

0:12:56.330,0:12:59.690
had to deal with that and I guess I

0:12:58.100,0:13:01.640
would be quite scared if I had to deal

0:12:59.690,0:13:03.560
with someone who had to be watched by

0:13:01.640,0:13:06.670
four or five other people because people

0:13:03.560,0:13:09.920
were worried about them and their safety

0:13:06.670,0:13:13.570
though they would punch a staff member

0:13:09.920,0:13:13.570
or they try to hurt themselves

0:13:16.260,0:13:19.940
anyway

0:13:18.110,0:13:21.649
around five or six people started

0:13:19.940,0:13:23.870
getting up a few people start getting up

0:13:21.649,0:13:28.130
and funny thing about mental health

0:13:23.870,0:13:30.589
again people love to smoke so well now

0:13:28.130,0:13:32.630
there's a rule change in the UK

0:13:30.589,0:13:37.490
hospitals people are not allowed to

0:13:32.630,0:13:40.339
smoke in hospital grounds so in the old

0:13:37.490,0:13:42.200
days like two years ago and before

0:13:40.339,0:13:45.560
people could smoke we'd opened the

0:13:42.200,0:13:47.690
garden and people could smoke outside so

0:13:45.560,0:13:52.490
usually the hospitals have an outside

0:13:47.690,0:13:57.470
space a garden or a smoking area where

0:13:52.490,0:14:01.120
patients could smoke but nowadays in the

0:13:57.470,0:14:01.120
UK I guess they've got these new

0:14:01.360,0:14:06.200
electronic cigarettes so some hospitals

0:14:04.490,0:14:08.510
you can smoke the electronic cigarettes

0:14:06.200,0:14:10.839
inside at least if you're in your own

0:14:08.510,0:14:10.839
room

0:14:10.870,0:14:16.190
I'm not sure if that's a good thing or

0:14:12.920,0:14:18.410
not I guess there's less chemicals in

0:14:16.190,0:14:21.860
the electronic cigarettes than real

0:14:18.410,0:14:25.820
cigarettes that you burn with no made

0:14:21.860,0:14:28.120
from tobacco but yeah I'm not sure about

0:14:25.820,0:14:28.120
that

0:14:29.490,0:14:36.910
and then around 7:00 7:30 are depending

0:14:33.550,0:14:40.680
on the hospital the day staff come in to

0:14:36.910,0:14:43.570
replace the night staff so you know

0:14:40.680,0:14:46.600
breakfast starts around 8:00 to 8:30 for

0:14:43.570,0:14:48.910
the patients but before that the day

0:14:46.600,0:14:52.150
stuff come in and we have to give them a

0:14:48.910,0:14:54.590
report like a handover of what happened

0:14:52.150,0:15:00.260
in the night time

0:14:54.590,0:15:02.540
so yeah actually I'm a nurse so I'm in

0:15:00.260,0:15:06.730
the hospital you've got nurses doctors

0:15:02.540,0:15:09.380
another name for them is psychiatrists

0:15:06.730,0:15:13.190
occupational therapists and social

0:15:09.380,0:15:16.850
workers and the cleaners and support

0:15:13.190,0:15:19.010
workers and the managers so I'm one of

0:15:16.850,0:15:22.970
the nurses so sometimes I have to give

0:15:19.010,0:15:25.070
that report to the day staff you know in

0:15:22.970,0:15:26.750
the hospital I'm talking about at night

0:15:25.070,0:15:31.220
there's two nurses and one support

0:15:26.750,0:15:34.540
worker for 20 patients so me or the

0:15:31.220,0:15:36.850
other nurse usually gives the report

0:15:34.540,0:15:39.580
yeah I can give the report and it's not

0:15:36.850,0:15:41.680
a problem but sometimes I find if it's

0:15:39.580,0:15:44.200
been a really busy night my mind is

0:15:41.680,0:15:47.620
really frazzled and what I mean by

0:15:44.200,0:15:49.570
frazzled is ugly I'm tired I don't know

0:15:47.620,0:15:52.350
I'm not thinking straight you know I

0:15:49.570,0:15:55.660
haven't got a good clarity of thought as

0:15:52.350,0:15:58.420
no as when I'm fresh though my thoughts

0:15:55.660,0:16:00.970
all kind of mixed up yeah I find it

0:15:58.420,0:16:02.500
difficult sometimes especially if we're

0:16:00.970,0:16:04.450
really busy and we've been running

0:16:02.500,0:16:07.080
around trying to do lots of things

0:16:04.450,0:16:09.870
during the night

0:16:07.080,0:16:13.640
anyway so we gave the report hopefully

0:16:09.870,0:16:16.640
give a report which is understandable

0:16:13.640,0:16:19.340
and then it's time for us to go home so

0:16:16.640,0:16:21.050
if it's a good night you know say thanks

0:16:19.340,0:16:24.560
to my start where I've worked with a

0:16:21.050,0:16:26.600
nice one good job see you later see you

0:16:24.560,0:16:27.230
know for coming again to work tonight I

0:16:26.600,0:16:30.230
see you tonight

0:16:27.230,0:16:31.880
and he caught a good buzz like if

0:16:30.230,0:16:34.250
nothing's happened like if it all the

0:16:31.880,0:16:37.190
patients were safe if he got away with

0:16:34.250,0:16:40.529
you know a quiet night it feels good

0:16:37.190,0:16:44.050
it's a good sense of achievement

0:16:40.529,0:16:47.709
so after that like get on my bike and

0:16:44.050,0:16:50.620
it's this bike bike ride home now it's

0:16:47.709,0:16:52.360
the opposite I'm going home and it's

0:16:50.620,0:16:53.740
rush hour for people going to work in

0:16:52.360,0:16:56.620
the morning you know the streets all

0:16:53.740,0:16:58.209
busy this time all the traffic's going

0:16:56.620,0:17:00.399
in the opposite direction they're all

0:16:58.209,0:17:02.940
going into the town and I'm going out

0:17:00.399,0:17:02.940
over the town

0:17:03.530,0:17:07.369
again let's

0:17:05.119,0:17:09.859
Brighton's really hilly so there's some

0:17:07.369,0:17:13.309
big hills when you have to climb up and

0:17:09.859,0:17:14.949
there's some big downhill sections and

0:17:13.309,0:17:17.750
probably because I've worked all night

0:17:14.949,0:17:20.290
my head is a bit of a mess and like

0:17:17.750,0:17:22.780
because it's been busy and I'm frazzled

0:17:20.290,0:17:25.670
sometimes I love the journey downhill

0:17:22.780,0:17:27.579
like it's probably dangerous I've got my

0:17:25.670,0:17:30.500
earphones on on listening to loud music

0:17:27.579,0:17:34.220
there's more cars on the road I'm kind

0:17:30.500,0:17:36.200
of flying down the hill on my bike I've

0:17:34.220,0:17:36.800
got a bias as well from work like it's

0:17:36.200,0:17:39.170
finished

0:17:36.800,0:17:41.650
did okay like all the patients were

0:17:39.170,0:17:41.650
alright

0:17:42.130,0:17:46.780
it's a bit of a buzz on the way home

0:17:43.960,0:17:51.070
like a buzz by buzz I mean a good

0:17:46.780,0:17:53.440
feeling and then I get in the house try

0:17:51.070,0:17:56.470
and have a shower first thing because

0:17:53.440,0:17:58.720
possibly the work can be quite sweaty

0:17:56.470,0:18:01.990
and you can kind of smell a bit and

0:17:58.720,0:18:04.620
unfortunately yeah you know yeah you can

0:18:01.990,0:18:06.610
get dirty doing kospi the work because

0:18:04.620,0:18:09.830
sometimes you do have to get your hands

0:18:06.610,0:18:13.830
dirty doing one thing or another

0:18:09.830,0:18:16.979
and then to get myself a wish to have

0:18:13.830,0:18:20.940
some breakfast and going to bed I mean

0:18:16.979,0:18:23.570
that's a very simplified version I mean

0:18:20.940,0:18:25.730
one thing I'd say is that

0:18:23.570,0:18:30.230
my phone kind to bed by 10:00 or 11:00

0:18:25.730,0:18:34.190
is hard to actually sleep so you've been

0:18:30.230,0:18:37.210
awake since maybe eight or seven thirty

0:18:34.190,0:18:37.210
seven the evening before

0:18:37.320,0:18:42.720
with the daylight I've heard scientists

0:18:40.530,0:18:45.570
say it's hard to sleep when there's

0:18:42.720,0:18:47.730
sunshine and these you know I've worked

0:18:45.570,0:18:49.770
at night for quite a long time and that

0:18:47.730,0:18:53.220
is probably the biggest drawback is that

0:18:49.770,0:18:56.309
your sleep can get a bit messed up

0:18:53.220,0:18:58.559
you know it's hard to sleep in the day

0:18:56.309,0:19:00.570
so you have to have a really dark room

0:18:58.559,0:19:03.120
you know try not to listen to music or

0:19:00.570,0:19:04.470
watch TV before going to bed definitely

0:19:03.120,0:19:07.570
try not to look at your mobile phone

0:19:04.470,0:19:09.669
because that would just keep you awake

0:19:07.570,0:19:11.440
and it's really important to get to

0:19:09.669,0:19:14.679
sleep especially if you've got to work

0:19:11.440,0:19:18.249
again that night if you get home at

0:19:14.679,0:19:21.330
10:00 or get home into bed by 10:00 you

0:19:18.249,0:19:26.639
want to sleep as long as possible until

0:19:21.330,0:19:26.639
the afternoon or evening before work

0:19:26.720,0:19:31.500
okay that's a bit of a summary of

0:19:28.980,0:19:33.030
working at night in the hospital and

0:19:31.500,0:19:35.220
there is a few more things I could say

0:19:33.030,0:19:38.820
about it but I'll probably tell you next

0:19:35.220,0:19:40.510
time if that's okay anyway I'd really

0:19:38.820,0:19:42.580
love to hear about

0:19:40.510,0:19:45.550
any jobs that you've done especially if

0:19:42.580,0:19:47.560
he works at night so please if you found

0:19:45.550,0:19:49.030
anything interesting or you want to tell

0:19:47.560,0:19:51.580
me your own story about working at night

0:19:49.030,0:19:55.480
please leave me a comment on everyday

0:19:51.580,0:19:59.190
language dotnet my emails on their smart

0:19:55.480,0:20:01.980
admin everyday language done there

0:19:59.190,0:20:05.430
yeah and thanks for listening hope this

0:20:01.980,0:20:07.110
has been interesting and you have to say

0:20:05.430,0:20:10.010
if you've got any questions about the

0:20:07.110,0:20:12.600
language I've used or in the aspects of

0:20:10.010,0:20:14.700
know anything I've talked about about

0:20:12.600,0:20:15.900
working at night please let me know and

0:20:14.700,0:20:17.790
please tell me your own stories about

0:20:15.900,0:20:22.520
working we're really interested to hear

0:20:17.790,0:20:22.520
about them ok thanks very much bye