Posted by Lieutenant John McCandless (Head Nurse) in Op42, Infirmary- Bar Room Antics

Posted by Lieutenant Commander Alexis Kane (Assistant Chief Medical Officer) in Op42, Infirmary- Bar Room Antics

Posted by Lieutenant John McCandless (Head Nurse) in Op42, Infirmary- Bar Room Antics
Posted by… suppressed (48) by the Post Ghost! 👻
Dira, John, and the medic materialized in the Infirmary and the medical team there leapt into action. They moved John to a surgical bed, knowing he’d need some sort of extra intervention in the very least. The team immediately began assessing his vitals and the extent of his injuries.

Dira stepped back and tapped her commbadge, ignoring he blood that was all over hands currently. =/\=Myqian to Ogawa I’m on the Outpost in the Infirmary with Lieutenant McCandless. He’s been stabbed. Their medical team is working on him, but it would be good to have someone from our team beam over with John’s medical history they might not have here. Lieutenant Sutret is on the scene with Security. Have Commander Haven coordinate with them for the investigation.=/\= She exuded calm but only because she was so highly trained and had been in enough crises.

OOC: Someone(s) from med can jump in here.

Captain Myqian, CO

Bump

Lucky for McCandles Alexis was still on duty. Before the comm closed she had the new Head Nurse’s medical history on a PaDD and was materializing through emergency transport in front of Dira. “Where is he?” She asked without stopping. Her eyes scanned the area, spotted him and walked over. She didn’t say excuse me or please. She handed off his file while she let the scrubbers clean her hands. Then she just started issuing orders for medications and equipment as she read the readings on the displays.

Lt. Cmdr. Kane, AMO

The readings weren’t great. He had lost a lot of blood, his blood pressure was very low as a result, he was bleeding from his chest and lower torso. He looked deathly pale and it was some sort of miracle that he was still conscious. He groaned from the floor, breathing hard. He looked up to Dira and then over to Alexis. He finally relaxed. She would save him.

Lt John McCandless, Head Nurse

He had been moved to a biobed so Dira stepped out of the way so she wasn’t interfering. “Best we know Sutret was on the scene soon after but not sure of the total elapsed time,” she told Alexis.

“We have you,” she called over to John, her telepathy honed in on him while he was still conscious.

Captain Myqian, CO

Quiet and stoic, two security officers from the USS Ogawa took positions near the door of the portion of the Infirmary where McCandless lay prone being tended by a plethora of doctors and nurses in an attempt to save his life. Both had extensive medical training and were watching the proceedings with a keen eye. There was no indication that this was random or personal. Zoi had erred on the side of caution and made sure there were security present close enough to intercede should they have to. They were there for the Lieutenants protection but they stayed far enough away from the actions of the doctors and nurses that they were not a hindrance to their work.

Zoi had already spoken to the head of the Infirmary to make sure Ogawa doctors and nurses would have priority access to work on McCandless and to get permission for the security personnel to be present. It hadn’t taken much, she silently thanked the gods. She trusted the two she had placed on the victim, to watch over him and his recovery. Her job was elsewhere on the station and to that, she now attended.

Haven, CoS

“Engage cardio-pulminary support. Terran blood type AB-, push 1g cefazolin by hypo. High push plasma infusion unit. Begin depriding the wounds,” Alexis ordered as she stepped through the surgical scrubber and came out in surgical reds. One nurse was doing as ordered the rest were looking around as if asking were they supposed to listen. “You can do as ordered or I’ll have you removed.” She stepped up to the surgical frame and bent over the microscopic viewer and gave the staff no more notice. The wounds were severe and were going to need a lot of fine intense attention. After engaging the drechtal beams to stop his pain, Alexis started by clamping off the severed arteries to stop him from losing blood. Both wounds were severe and needed immediate attention. She couldn’t do both at the same time. “I need a second surgeon. If you can’t find one, get Kane,” she tossed out to Myqian. Moving her fingers over the controls for the autosuture she began to repair the damaged arteries and veins in his abdomen.

Lt. Cmdr. Kane, AMO

For John, one moment he was awake and the next he was under the influence of the anaesthesia and the world went black. The staff rushed in to action at the curt tone of Alexis. The clamps worked and stemmed the flow of blood and prevented John from losing anymore, something he couldn’t afford at the moment. This was going to take time, the extent of the damage was severe, Alexis had a long few hours ahead.

Lt. John McCandless, Head Nurse

Drake came into the infirmary. He had gotten a call that they needed a surgeon there. He carried a set of surgical tools with him. He called in to the people gathered “Ogawa crew? Traumatic injury?” After a second, he spotted Alexis and strode over to her.

-Lt Cmdr Drake Marshall, M.D.

“Two puncture wounds to lower trunk and mid thorax. Hemorrhaging has caused hypovolemic shock and hypotension. Pressure infusion started, arteries clamped.” Alexis was glad to hear Marshall. He could be arrogant, but he’d earned it. He was an exceptional surgeon. “Which wound do you want, Dr.?”

Lt. Cmdr. Kane, AMO

Drake looked it all over for a second and then said “I’ll take the thorax, you take the trunk?” He unpacked his surgical kit and sterilized his hands.

-Lt Cmdr Drake Marshall, M.D.

Alexis nodded, and stepped down two steps, “Autosuture,” and held her hand out to the nearby nurse as she put her eyes to the view screen looking for any broken pieces of whatever was used to stab McCandless. Then she had to clear the wound so she could see to begin the suture process - arteries first.

Lt. Cmdr. Kane, AMO

The nurse nodded and handed Alexis the auto suture. Fortunately the wound was clear of broken pieces, it looked like whatever had been used had been a sharpened blade. It had done a lot of damage the arteries would need to be repaired, the damage was deep but fortunately this particular wound had missed his intestines.

Lt. John McCandless (Head Nurse)

Drake set to work tending to the wound. Though it was raising a question in his mind, which he did eventually have to voice. “How did this happen? I only know I was paged to an emergency surgery.” He figured someone in the room would have the whole story on how the Head Nurse ended up in this state.

-Lt Cmdr Drake Marshall, M.D.

The nurses and attendings didn’t answer. They had nothing to add. The wound in the chest was deep, it looked like it had reached his left lung.

“Take a forensic scan of the wounds for security,” Alexis told the nurse. A 3D rendering of the wound would allow security to match the weapon. Alexis didn’t know how it happened, that wasn’t her job, so she didn’t answer Drake. Instead she focused on the patient in front of her. The intestines had been spared at least. Alexis focused on closing up the arteries. Blood flow had to resume quickly or risk losing tissue.

Lt. Cmdr. Kane, AMO

The nurse nodded and began to take the scan of the wounds creating a 3D model for Security. The arteries were closed one by one. As she closed the arteries she would note that his gallbladder had been pierced.

Lt John McCandless Head Nurse

McCandless could live without a gallbladder, but she would try to repair it. She clamped off the bleed in the gallbladder and finished with the arteries. “Removing arterial clamps.” Carefully one at a time, Alexis removed the clamps, watching for leaks or weak sutures. “Read me his vitals.” He needed blood flow back before the tissue and nerves died.

Lt. Cmdr. Kane, AMO

Bump

The clamps were removed slowly and gradually. Blood began to flow again supplying the surrounding tissue. As Alexis watched she would note that there was a slight leak at the cystic artery, the main artery that supplies blood to the gallbladder. It would make sense given that John’s gallbladder had bit been by the knife. It would need to repaired if the gallbladder was going to be salvageable.
“Pulse- stable, respiratory rate- low but holding, blood pressure- low but stable, oxygen saturations- stable.” Came the reply from one of the nurses.

John McCandless, Head Nurse

Alexis narrowed her imager on the cystic artery and began to suture the leak. “Get me the microtome. I want detailed cellular xrays of his gallbladder. I want to know if it’s salvageable or needs to be removed before I proceed.”

Lt. Cmdr. Kane, AMO

The Nurse knew enough not to reply and just nodded as she took the required scans of the gallbladder. It didn’t take long for the image to pull through. Looking at the scan Alexis could see that, where she thought the blade had just skimmed it, it had actually pierced a quarter of the Gallbladder instead. She could salvage it but it would take time, which, in John’s state she didn’t have. It would need to be removed.

Lt. John McCandless Head Nurse

Alexis looked over the images. “Beginning cholecystectomy. Keep a steady supply of blood ready. Get donors if possible. He will do better with real blood than synthetic.” Then she went quiet except to give out the occasional order.

Lt. Cmdr. Kane, AMO

Someone nodded and ran to go and get the blood to keep it flowing. John’s vitals remained stable while the operation to remove the gallbladder.

Lt. John McCandless, Head Nurse
Bump

Alexis worked steadily and efficiently. Once the gallbladder was removed, she made sure the surrounding veins and tissues were closed off or connected correctly. Then she began to close. “Closing lower abdominal incision. Autosuture.”

Lt. Cmdr. Kane, AMO

An autosuture appeared and was placed in Alexis’ hand so that she could finish up her part of the surgery. John was better but he wasn’t out of the woods yet.

Lt. John McCandless, Head Nurse

While all that happened, Drake attended to the injuries in John’s thorax. He was particularly concerned with maintaining the integrity of the lung. Keeping the Head Nurse alive and breathing. Drake was calm, working the patient in front of him.

-Lt Cmdr Drake Marshall, M.D.

Bringing this forward

OOC: Thanks Linds and sorry for the delay!

IC:

John’s left lung had partially collapsed, blood had been pooling into the space between his lung and rib cage. It would seem John had been lucky, the wound was deep and had narrowly missed his heart.

Lt. John McCandless (Head Nurse)

“Suction.” Drake held out his hand and a tube was placed in it. He guided the tube into the pleural cavity to drain out the blood. “I want a needle aspiration on standby if pneumothorax isn’t resolved when the blood is evacuated.” He never looked up while he gave orders, just trusting the rest of the team.

-Lt Cmdr Drake Marshall, M.D.

A Nurse nodded waiting at the ready with a needle aspiration. The drain revealed that the blood was coming from a hole in John’s lung, repairing that would most likely stem the bleeding.

Lt. John McCandless (Head Nurse)

“Excellent.” Drake muttered to himself before speaking to the rest of the operating team. “Hang on tight, John you’re gonna be just fine. Somebody hold the suction stable, and I need a tissue regenerator.” When the regenerator was in his hand, Drake gently closed the hole in John’s lung. “Once the blood is clear and we’ve done a check for any additional damage, we can make sure the lung is functional.”

-Lt Cmdr Drake Marshall, M.D.

-bump-

-Lt Cmdr Drake Marshall, M.D.

The assistant nodded and held a steady hand with the suction, ensuring the area was clear enough of blood that Drake could work efficiently. The hole in the lung closed, Drake’s expertise was clear to all in the room. There was no other obvious damage to the lung it was ready to check the functionality. John’s vitals remained low but stable.

Lt. John McCandless (Head Nurse)

“Let’s see if his lung still works. Withdraw the suction.” Drake worked to get the Head Nurse breathing bilaterally. “Come on John, you got this” They weren’t particularly close, but they were each heads of medical departments on a hospital ship. On the same hospital ship. Nurse McCandless had to pull through.

-Lt Cmdr Drake Marshall, M.D.

Time seemed to drag. Seconds felt like minutes while Drake and the team waited for John to breath on his own. Fortunately, Drake was an excellent surgeon and John was strong, a fighter. The lung began to function again. The nurses all let out a sigh of relief, the suction was removed and the nursing staff waited for the next lot of instructions.

Lt. John McCandless (Head Nurse)

“Now that the blood is cleared out of the chest cavity, do a repeat scan for additional injury. Anything we might need to repair while we’re here.” Drake hoped for the best, that John wouldn’t be too badly hurt.

-Lt Cmdr Drake Marshall, M.D.

-bump-

-Lt Cmdr Drake Marshall, M.D.

OOC: Apologies, I could have sworn I’d replied to this!

IC:

The attendings nodded and ran the scans, nothing else showed up. It looked like Drake had managed to fully repair the lung. John had been lucky, very lucky.
“There isn’t anything Doctor. It looks like we’ve repaired everything.” An attending stated with relief in his voice.

John McCandless, Head Nurse

Alexis stood on the other side of McCandless, having finished her work of surgery. She was watching John’s vitals with hawk like attention to assist if Marshall needed it.

Lt. Cmdr. Kane, AMO

“Let’s close up and let Intensive Care take over.” Drake took a tissue regenerator, and set to work closing all the incisions. When it was done, he looked to Alexis. “Dr Kane, I think longer term care is more your field than mine, but it looks like everything is done here.” His relief was immediately evident.

-Lt Cmdr Drake Marshall, M.D.

Alexis nodded, “We’ll take it from here.” She nodded to the nurses who moved in to remove the surgical frame and set John up in the ICU. “Good work, Dr. We’ll let you know of any changes. Once he’s out of ICU, I want to move him back to Ogawa.”

Lt. Cmdr. Kane, AMO

John’s vitals continued to remain stable and he lay in the bed in dreamless sleep.

---

It had been a long night and he lay peacefully in the ICU. The nurse kept a close eye on the monitor as it “beeped”. The nurse yawned and stretched in her chair. A Doctor came by, looked at the monitor and nodded. She glanced at John and turned to the nurse.
“How’s he been?” She asked.
“Oh just fine, nothing major to report. I suspect he’ll be ready for moving soon.” The Nurse replied and the Doctor nodded.
“Yeah, I suspect so. Doctor Kane is due to visit shortly. Make sure we have him ready to move if we need to. I need to go and prepare a handover.” She stated and scurried away, Doctor Kane had a reputation for wanting detailed handovers.

Lt John McCandless, Head Nurse

OOC: HAHAHAHA This made my day!

Anxious about the status of one her crewmembers and not having heard anything, Dira stepped in, looking for anyone of her team. She found where John was and approached. “How is he?” she asked, worry etched all over her face.

Captain Myqian, CO

The Doctor spun round expecting Alexis, she immediately relaxed slightly when she noticed it was Dira.
“He’s doing okay, it’s been dicey but he’ll pull through. I’m just waiting for Doctor Kane to approve him for transfer this morning.” The Doctor replied.

McCandless, Head Nurse

“I am here. Unless you were expecting the other Dr. Kane,” and lucky for them. The other Dr. Kane was even more troublesome than she was, “but I am not sure why you would be.” She was carrying a PaDD and looking over John’s stats and records for the night before already. She nodded to Myqian, “Captain.” She looked at the Doctor. “Shall we get started?” she asked expecting the doctor to begin going over John’s case and last few hours in minute detail.

Lt. Cmdr. Kane, AMO

The Doctor fought down an urge to panic when she heard Alexis’ voice.
“No Doctor, I was talking about you. I mean....I was just explaining that you......That I was waiting for the transfer to be approved so we can move the patient overtotheOGawa.” She replied nervously, her words rolling into one at the end of the sentence.
The Doctor took a breath and then began to go over Johns’ status.
“Well, his vitals have remained stable throughout the night. He had a slight drop in blood pressure at approx....” be precise damnit! She thought to herself and then continued.
“At exactly, 0302 hours. But he was given some fluids and it stabilised. The surgical site remains clean and there are no signs of infection. He has been given 2 units of blood at 0600 hours as requested and his HB has increased from 65 back up to 120.” She finished and stood waiting uncomfortably for the barrage of questions that would likely come in the next couple of seconds.

McCandless, Head Nurse

“Current BP and HR?”

“What is his oxygen saturation and respiration rate? Is he still hooked up to the respirator? At what percentage?”

“What is his GCS (Glasgow coma scale)?”

“Any signs of internal bleeding from the puncture wounds?”

“What is he on for pain? When and what was the last dose? What about his antibiotics? Is he still being sedated or has he been weaned off?”

Lt. Cmdr. Kane, AMO

The Doctor groaned.... inwardly of course, she wouldn’t have been caught dead doing it aloud. She’d be skinned alive. She felt the constant barrage of questions was highly unnecessary, she’d graduated top of her class at the Academy and had trained under the best Doctors in Starfleet. She breathed and then reeled off the stats from memory.
“SPO2 is stable at 92% on 2L of O2, we tried weaning him down but they dropped too low. His resp rate is 10. GCS is 14. There’s been no internal bleeding, the puncture wounds remain clear and clean. We’ve given him morphine for the pain, the last dose was…” She paused to check.
“An hour ago, 5mg. We’ve held of weaning the sedation until he’s been transferred back to the Ogawa. His antibiotics were given an hour ago as well.” She replied hoping there wouldn’t be more.

McCandless, Head Nurse

“Thank you, Doctor.” Alexis turned to Myqian. “Caotain I think it is safe enough to move him, but I strongly recommend manual transfer. The shock of transport could be too much for his system right now.”

Lt. Cmdr. Kane, AMO

The Doctor nearly collapsed with relief. Thank you!? I got a THANK YOU!? She thought to herself oozing with pride. She couldn’t wait to tell her parents. She stood patiently waiting for the Captain to respond.

Lt. John McCandless, Head Nurse

Dira nodded in agreement. “Yes, let’s proceed with an abundance of caution. Carry on with the transfer, I’ll deal with it administratively, but as soon as he’s awake and able to talk, I know both Commander Haven and outpost security will want to talk to him. Hopefully we can get to the bottom of who did this,” she said. Her words were said in a calm tone, but there was an anger underneath and that spoke to her fierce protectiveness of her crew.

Captain Myqian, CO