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shygeek1999 · 3 years

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How to Write a Realistic Hospital Au/Setting

Because I’m frustrated with real life work stuff :( I’ve decided to distract myself by doing this. Disclaimer: I obviously only have my own country (the Handsome Ryan Factory) as reference, so if this isn’t how it is where you’re from, sorry. :/

The Environment

Hospitals do not smell like disinfectants. Hospitals smells like….nothing. If it’s a nice hospital and the facilities are relatively new/renovated, hospitals are generally scentless places (the ventilation system is better). The only time it’ll smell like disinfectants is when the housekeeping staff just cleaned a room after a patient has been discharged. Older hospitals and units like internal medicine which takes care of a lot of longer term patients and older folks smell…well not great. It seems like people and bodily fluids.

Hospitals are cold. The OR is even colder (unless for whatever reason you need it to be warm for a specific procedure).

Background noise. There are machines making noises the background, little beeps of the IV pumps or the heart monitor. Normal beeps are slow, alerts are fast.

Intercom - every time something happens that requires a code to be called, it’ll come on the intercom and the entire hospital hears it. Common ones are: code blue = adult cardiac arrest (ex: Code Blue - K6, Code Blue K6) They tell you what the code is and where to go. The code team (usually an ICU team) will show up. Code pink = neonatal cardiac arrest. Code red = fire. Code yellow = missing patient. Code white = violent encounter (security will be called up). Code orange = external disaster (a train derailed). Code Silver = deadly weapons (gun, knife). Code Brown = hazardous spill. Code Black - bomb threat/suspcious object. Code Green= evacuation Etc.

There will be rooms on “precaution”. Signs will show up on certain doors/rooms, because that patient might have some kind of communicable disease through contact/droplet/air.

The Staff

Nurses are not rude (unless you’re writing a rude character). I see a lot of “the good tough nurse” caricatures where it’s like jab and shove - No. A good nurse can be assertive, can be knowledgeable, can be no non-sense, but they shouldn’t be rude and patient consent is always present. If a patient says they don’t want a shot, they don’t get the shot. No matter how seasoned, how tough, how burned out a nurse is, everyone is habituated to start a conversation with introducing themselves. “Hi, Mr/Ms/Mrs/Miss ____, my name is _______ and I will be your nurse today.” Once the nurse and the patient is acquainted with each other, they can be a little bit more casual.

Hand washing is a constant thing. The most often thing you see is staff rubbing their hands together in and out of rooms because they just pumped a handful of hand sanitizer.

There are other people other than the medical and nursing staff. Personal Support Workers (PSWs) are very present and they help with the washing and the bathing, and changing incontinence briefs. Nurses also do this as well in some hospitals. You might see Nurse Managers come around for administrative stuff (ie discharge), Physiology Therapy and Occupational Therapist will make their rounds on those that need it (especially after an accident), Speech Language Pathologists for those with swallowing problems after a stroke. Social Worker for those who are going through a difficult life situation.

The medical team gets confusing. Because there are medical students (clerks), junior residents, senior residents, and there are attendings. Your patient character can be confused.

Internal Medicine - the “ologys” : general internal medicine is where typically a lot of folks get admitted. The doctors who take care of these people are internists. Other popular sub specialties of internal medicine that sometimes get their own wing/unit are: cardiology, neurology, respirology and oncology. If a specific specialty is needed, the doctors of that specialty is paged for a consult.

Surgery - do not have every surgical specialty in one team. That’s not how the surgical teams are divided. If one of your character is in Gen surg, and the other is in Neuro, they’re not gonna be spending their day constantly bumping into each other unless their surgeries are adjacent OR rooms for some reason. Their patients probably won’t even be on the same unit.

If you’re writing surgery, don’t forget Anesthesiology. Patients coming out of surgeries can either go to PACU Post Anesthesia Care Unit or the ICU (intensive care unit).

Specialists can read scans by themselves, but most of them time, they need a Radiologist to do it. Biopsies are processed and read by pathologists.

The Action

If a patient flat lines, don’t “shock” or defibrillate them. TV shows constantly gets it wrong. The only two shock-able rhythms are ventricular fibrillation (V-fib) and ventricular tachycardia (v-tach). (There are other pathological rhythms that require cardioversion, but we won’t get into it). Your fictional patient could still have a rhythm and be unconscious.

If a patient is unconscious or has either V-fib or V-tach or flatlined, call Code Blue. Literally have one of your character say it, “Call Code Blue.” Or press the code blue button that’s above the bed on the wall.

If a patient flat-lines, your characters should start CPR and inject epinephrine (1mg and every 3-5 minutes).

Don’t “lost 3L of blood”. If they did…they’re gone. Exsanguinated…unless they’re being transfused at the same time. A 70 kilo man typically has 5L of blood. A lot of preg fics have the woman lose a ton of blood during childbirth. Remember 500cc or 500 mL of blood in a nonsurgical setting is considered hemorrhage, and 1L in surgical setting. As a 5′3′’ female I can tell you I probably only have 2-3L of blood in my body.

Things to talk about in conversation between two staff: heart rate (normal in adult 60-100), blood pressure (ex” 120/80 systolic/diastolic) normal systolic 100-140 normal diastolic 60-90); respiratory rate (normal 12-20 per minute), O2Sat (you want most people above 95%), temperature.

Red blood cell count and hemoglobin being low indicate anemia. High white blood cell count typically mean infection. Electrolytes can be out of wack: sodium, potassium, calcium, magnesium, are some of the typical ones. Blood pH can be either high or low. High pH is alkalosis. Low pH is acidosis.

Hypothermia (because this is a popular one). Don’t do what Rose did in Titanic. You’re not dead until you’re warm and dead. Rewarming for severe hypothermia should be slow and in a hospital setting. For mild to moderate hypothermia, if it helps with your plot, yeah they can cuddle skin to skin.

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shygeek1999 · 3 years

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Bakugou from @wowow-its-a-tree and I’s RP. Military AU with Sergeant Bakugou.

#my work #bnha #mha #mha bakugou #mha aizawa #aizawa #bakugou katsuki #my art #katsuki bakugo fanart #fanart

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shygeek1999 · 3 years

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Military AU for MHA!

#aizawa #aizawa shouta #baldzawa #my hero academia #mha #boku no hero academia #bnha #bakugo katsuki #katsuki bakugo fanart #midoryia

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shygeek1999 · 3 years

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...yup that’s what my FBI agent sees😂

This was recommended for me on Facebook today (oh shit, they’re onto me! :D ) and of course it immediately made me think of my lovely whumper friends. :D

#fanfic #angst #fanfiction

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shygeek1999 · 3 years

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Resources For Writing Deaf, Mute, or Blind Characters

Despite the fact that I am not deaf, mute, or blind myself, one of the most common questions I receive is how to portray characters with these disabilities in fiction.

As such, I’ve compiled the resources I’ve accumulated (from real life deaf, mute, or blind people) into a handy masterlist.

Deaf Characters:

Deaf characters masterpost

Deaf dialogue thread

Dialogue with signing characters (also applies to mute characters.)

A deaf author’s advice on deaf characters

Dialogue between deaf characters

Mute Characters

Life as a Mute

My Silent Summer: Life as a Mute

What It’s Like Being Mute

21 People Reveal What It’s Really Like To Be Mute

I am a 20 year old Mute, ask me anything at all!

Blind Characters:

The 33 Worst Mistakes Writers Make About Blind Characters.

@referenceforwriters masterpost of resources for writing/playing blind characters.

The youtube channel of the wonderful Tommy Edison, a man blind from birth with great insight into the depiction of blind people and their lives.

An Absolute Write thread on the depiction of blind characters, with lots of different viewpoints and some great tips.

And finally, this short, handy masterpost of resources for writing blind characters.

Characters Who Are Blind in One Eye

4 Ways Life Looks Shockingly Different With One Eye

Learning to Live With One Eye

Adapting to the Loss of an Eye

Adapting to Eye Loss and Monocular Vision

Monocular Depth Perception

Deaf-Blind Characters

What Is It Like To Be Deafblind?

Going Deaf and Blind in a City of Noise and Lights

Deaf and Blind by 30

Sarita is Blind, Deaf, and Employed (video)

Born Deaf and Blind, This Eritrean American Graduated Harvard Law School (video)

A Day of a Deaf Blind Person

Lesser Known Things About Being Deafblind

How the Deaf-Blind Communicate

Early Interactions With Children Who Are Deaf-Blind

Raising a DeafBlind Baby

If you have any more resources to add, let me know! I’ll be adding to this post as I find more resources.

I hope this helps, and happy writing! <3

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shygeek1999 · 3 years

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Too funny not to

Friend: So what helps you fall asleep at night?

me: fantasizing about tied-up boys straining to hold in tortured screams while writhing in agony.

Friend: …what?

me: what?

#hahaha #well you asked #not a serial killler #...#of real life people anyway #whump #whump humor

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shygeek1999 · 3 years

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I’m Sorry

Disclaimer!

As much as I love My Hero, these are not my characters. They belong to someone else and I just like to make them suffer. With that on to the fic!

It started with a small fight. What about? Neither boy could tell you. One second they were fine and the next Bakugou and Midoriya were screaming at each other in the middle of the dorm buildings kitchen. Horrible words spilled from the enraged blonds mouth. Cursing the green haired boy loudly, drawing the attention of all of class 1A. The class watched on from the hallway leading into the kitchen as the boys fought, completely unaware of their presence. It was then that the whole argument turned against them.

“STOP IT DEKU! YOU ARE SO FUCKING ANNOYING! JUST LEAVE ALREADY!”

“IF THAT’S HOW YOU FEEL THEN MAYBE I WILL TAKE YOUR ADVICE AND KILL MYSELF!”

They both fell silent. Bakugou stared at Midoriya in shock while Midoriya covered his mouth. “I…I’m so sorry…” He muttered.

“What is he talking about Bakubro?” Kirishima asked as he steped forward, making them both aware they had an audience and have had one for a while. “You didn’t actually say that….did you?” Bakugou’s head had dropped and he stared at the floor, unable to look his friend in the eye. “Bakugou tell me you didn’t tell him to kill himself!” Kirishima demanded. Still the blond kept his eyes to the floor. Tension rose in the air as Kirishima got pissed. “TELL ME YOU DIDN’T SAY THAT!”

“I CAN’T!” Bakugou yelled back. Finally making eye contact with the fiery red head. “I DID IT! I TOLD HIM TO AND I CAN”T TAKE IT BACK!”

Yelling broke out amongst the students as they all looked at Bakugou. He took each hurtful word, knowing he deserved it. They all called him horrible things which he knew he deserved. His friends taking turns to yell and even slapping him a few times.

Shouts of “How could you”s rang through the dorms as the Deku Squad carefully pulled Midoriya away. He too had crossed a line. There was an unspoken rule between them that the “incident” would never be talked about. He had broken the rule and now Bakugou was paying the price for it.

“I’m sorry. I’m sorry, I shouldn’t have said that.” Midoriya mumbled to his friends.

“You did nothing wrong Deku. Bakugou should never have said that to you.” Uraraka said as she pulled him into a hug. “Don’t worry. We will take care of everything.” He cries at her words. Knowing that she didn’t know the whole story, or how they both had grown. It just made everything worse as he cried harder.

After he had calmed down he explained everything to his friends and how Bakugou had changed since coming to UA. It made Bakugou sound worse. Especially when they found out Bakugou hurt Midoriya physically, with and without his quirk. They told him it was ok to tell them and everything would be fine.

Things weren’t fine and absolutely not ok.

That day Aizawa was informed about what happened and many things happened. A new seating chart was made with Midoriya in Hagakure’s seat and Midoriya in Uraraka’s. Jirou was switched with Sero and Bakugou’s old seat was now Satou’s. Bakugou was now surrounded by people that could physically stop him if he became aggressive. He was also forced to wear a quirk suppressor collar, to ensure no quirk use was possible. He had mandatory counselling three days a week, community service on the weekends, and was no longer allowed to be less then three yards away from Midoriya. And so much more.

In less words, his life became hell.

Bakugou attempted to talk to his friends but they ignored him or pushed him away. When he tried to answer questions in class he was overlooked. Even when he got hurt in training now Recovery Girl healed him to the bear minimum before kicking him out of her office. No one wanted him.

The realization of this hit him like a ton of bricks. No one cared about him anymore. They all hated him and for good reason. Who would want a bully as a friend? This caused him to spiral into his darkest thoughts. I hate myself. Unworthy. Cruel. Mean. Villain. Villain. Villain….

His thoughts were repeated every second of everyday. The words left a bitter taste in his mouth, making him nauseous. He stopped eating to get the feeling to go away but it didn’t work. Neither did the sleepless nights he started to have more frequently. He had taken to writing out his thoughts. His counselor thought it would help to get his emotions out in a less destructive manner.

This worked for awhile but as he became more depressed so did the writing. His depression made him uncaring, not his usual way but worse. He stopped caring about basic needs like eating, sleeping, bathing and things of that nature. He stopped caring about school and homework. He didn’t care about his perfect attendance anymore. Bakugou had become a shell.

When he explained it to his counselor she prescribed him an antidepressant that was supposed to help…….That was weeks ago. And Bakugou had never felt more sad and alone since.

(START OF TRIGGER WARNING FOR SELFHARM)

He found that pain helped him feel alive after stubbing his toe one day. It was the first time in a long time that he felt anything besides crushing despair. He started with small things. Pinching himself. Running into things on purpose. But that got boring fast.

He stepped it up after getting a paper cut from his journal. The small cut caused him to feel so much more and he craved it. He started cutting himself with his razor, scissors, pencil sharpener and any thing else he could find. He took to wearing long sleeves and sweatpants. He never cut his upper arms as they were visible in his hero suite. They all stayed where his gauntlet would cover.

Finally feeling something, he got back into school work. He had started putting up a front that he was ok. Fooling everyone, even his counselor, except for the small green haired boy who knew him best.

(END OF TRIGGER WARNING AND START OF A NEW ONE FOR MAJOR CHARACTER INJURY)

His secret came to light during training. Bakugou and Satuo were teamed up to fight a special hero guest, Gang Orca, when a building with “hostages” started to collapse. Before Satou could turn or Orca says that that wasn’t a part of the training, Bakugou moves.

He didn’t think. It looked like Midoriya out there instead as he moved into the building. Everyone in the booth watched as “hostages” were thrown out of the doorway. One. Two. Three, four. On the fifth one the building fully fell, trapping Bakugou inside.

“KACCHAN!” Midoriya yelled as he raced out of the booth and to the rubble. His class followed him but stopped short when he, Aizawa, and Gang Orca started trying to dig him out. “HELP US!” He yelled.

“Midoriya….why should we help? He’s been nothing but mean to you. He’s just a villain.” Mineta said.

Midoriya turned to him. “Why? Because he’s my friend! Because even after everything he has done, I know he is a good person! Everyone makes mistakes! He never actually meant it! He had already apologized but you all made him feel horrible! Its your fault, all of you, for making him so sad!” he yelled. “If you don’t help, then you are not a hero. You are a villain, and I’m not friends with villains!”

His words shocked everyone to their core. Midoriya was right. They had seen the change but didn’t care. If the situation had been reversed they knew Bakugou would secretly help them. He would have talked them through it. Because he had to live with the guilt every day. And they made it worse.

Slowly they all broke up and started to help uncover the blond. It wasn’t until Kirishima moved a large slab of concrete that things got worse.

Bakugou was under it, barely awake and breathing hard. His head was bleeding profusely as were the parts where the rebar were sticking out. His gauntlet was destroyed and gave everyone a good look at his arms. The scars and new cuts on full display as he struggled to breathe.

“BAKUGOU!” Kirishima yelled. He got down next to him and started trying to stop the bleeding with parts of his costume. “SOMEONE GET RECOVERY GIRL! CALL AN AMBULANCE!”

Bakugou coughed a bit as he looked up. “Ki-kiri?”

“I’m right here man. I’ve got you.”

“I’m……I’m sorry.”

Kirishima teared up. “No. We did this to you. You have nothing to be sorry for. I’m sorry ok? Please, please just hang on for me.”

“It-…It doesn’t hurt…..not- not anymore.” Bakugou mumbles. “I’m dying…..aren’t I?

“No. You are going to be fine. Just hold on.” Kirishima pleads.

“It’s ok…I’m finally…what I wanted to be. I’m-….I’m free.” Bakugou smiles as he closes his eyes. A cough causes blood to well up into his mouth as the rest of his former squad comes over. They speak softly to him, apologizing for not being there when he needed them. For being mean. He just chuckled around the blood. “Idiots. I never h-hated you…….” He says weakly. His eyes slip closed as he mutters “I f-forgive y-you….” and falls limp.

THE END….For now.

If you would like to see a part two where everyone says sorry then like this post and give it tons of attention. Bakugou isn’t dead I promise so don’t worry about that. Hope you enjoyed and feel free to request more fics. Stay Angsty!!!

#fanfic #bakugou katsuki #angst #mha angst #mha bakugou #mha #timezone rb #bnha #kirishima #midoriya izuku #injuries #my wriitng

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