They say that travel broadens the mind.
I had just finished the second year of my nursing degree in the States when I got the opportunity of going to London for a year.
I arrived in London and was a tourist for a month before settling down and registering with a nursing agency. I was so naΓ―ve. Blonde, a loud American accent, slim -- my very being screamed 'American tourist.' I had done two years of nursing training in the Sates, but I wasn't actually a nurse. I was only 20. But I could be what they called a Nursing Assistant. The study I had already done would qualify me for that.
The small hospital I was sent to was quite old-fashioned. Instead of normal scrubs, we had to wear old uniforms: a pale blue dress with buttons up the front, with a white collar, short sleeves, and made from this awful polyester-cotton blend. Complete with a bib. It was like going back in time. The uniform became hot and uncomfortable to wear. I found out that the nurses didn't wear panties or tights, but only knee-stockings. As long as I didn't bend over and flash everyone, I would be safe.
I helped out with various shifts, but as time went on, I took on more and more responsibility. Way above pay grade. It would never happen in the States. The patients on my ward were almost all orthopedic. Young men. Sports injuries and some car accidents. All of them were 'rehabilitative'. That meant that someone with an injured leg, for example, would be put in splints or weights and left in bed for weeks. In the States, people like that would have been sent home.
I started doing the night shift. 11.00pm to 7.00am. Fairly soon I became the 'Senior Nurse in Charge.' I wasn't the senior nurse on the ward -- I was the only nurse. And I wasn't even a nurse. I hadn't even finished my nursing degree! It was crazy. As these men were young and otherwise healthy, they decided that I could be trusted with them. During the night shift, getting them an extra bottle to pee in would be the most challenging of my duties.
It went OK for a couple of days, but I could tell that something was wrong. Comments were left in the day book about the patients being 'cranky' or 'restless.' The day staff seemed a bit cold towards me when we did the change-over. I couldn't work out why.
A West Indian nurse acted as my mentor. She asked me if I was doing my H duties at the beginning of the shift. I asked what they were. Her eyes rolled up so far inside her head that I could only see white. I was referred to as 'one of you young nurses.'
I was told what H duties were and I could hardly believe my ears. This would NEVER happen in the States. So after some instruction, I found myself waking up a patient at 11.30pm to perform 'H duties.'
The ward was quiet. I pulled the curtain around the patient's bed. The ward lights were out, so I put on the table lamp. I focused the lamp light towards the wall and down towards the floor. Any other direction and my silhouette would have been crystal clear on the other side of the bed curtain. Everyone would have seen. There was no rule saying specifically I couldn't do what I was about to do. But I understood that there was no specific rule saying I could do it. Like taking a headache tablet from the medicine cupboard. Not authorized, we shouldn't do it, but everyone knows it happens.
I woke 'the patient.' I still remember his name, but I am trying to keep this professional. He was naturally puzzled at first, but smiled A LOT when he knew what I was there for. I helped him to sit up. Both his hands were in splints from a bicycle accident.
I asked him if he knew why I was there. He said that he 'hoped so.' I undid the old-fashioned pajama cord around his waist and he thrust his pelvis towards my face -- so that I could pull the pajamas down.