Sam Tubin-Evans is part of the highly specialised team that cares for our sickest patients. It’s intense work – and Sam loves the challenge.
My job involves...
A high level of intense one-to-one care: our patients are seriously ill and need constant, round-the-clock monitoring.
I am always on the alert for signs of infection, or problems with blood pressure and heart rate. There is a lot of personal care involved too. I keep my patients’ skin dry and clean, reposition them in bed, ensure they remain hydrated and that their artificial airways are secure. If a patient is unable to speak because they have reduced consciousness or a tracheotomy, I’m on the lookout for a tiny change of expression, such as a frown or a grimace. As I’m watching them so closely, I feel as if I really get to know them.
The atmosphere in the unit is...
Quite intense compared to a general ward. As well as beeping monitors, loud warning alarms are triggered when a patient’s condition suddenly and significantly deteriorates: everyone including consultants and the nurse in charge immediately run to offer assistance. I like the fast dynamics and there is great teamwork. In the middle of the night it can be quieter – then I sometimes catch up with some nursing studies by reading at a patient’s bedside.
You might be surprised that...
We play different kinds of music or radio programmes, depending on what patients or their family say they like or dislike. Above each bed is a sign which says their preferences such as “likes Radio 5”, “likes peace and quiet” or “is an Arsenal fan”. One patient’s family asked us to keep the radio on during particular football matches – so we did. Research has shown that it can really impact on a patient’s feeling of well-being.
The worst thing about my job...
Having to document every element of care you provide to a patient. Of course, it is vital, but it’s still not the most favourite part of my job! The absolute worst is when a patient deteriorates unexpectedly.
The best thing about my job...
Having the time to devote to caring for one or two patients. The very best is when a seriously ill patient recovers enough to leave the unit. That is the nicest feeling ever.
If I could change careers...
I wouldn’t. I can’t think of any job I’d prefer to do.
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