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the-ace-with-spades · 11 months

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I have the urge to write a seven-season-long medical drama, so here is a concept for Top Gun Hospital AU with ER hate-to-love hangster AU that no one asked for.

as a warning: this is a bit incohesive and silly

All the aviators are doctors and all the WSOs are nurses. With the exception of Bradley (but there’s an explanation for it).

Mav — cardiothoracic surgeon; Ice — former neurosurgeon and Chief of Surgery, current Head of Patient and Medical Services (so, entirely admin). I imagine they have the same kind of relationship as House and Cuddy in this, including Ice keeping an entire legal team for Mav’s unconventional practice methods. They've met during med school and had been rivals up until they both finished general surgery residency. Slider is an OR nurse turned anesthesia nurse. Goose was an ER nurse and met Mav during his rotation as a med student and died after an incident in the ER during Mav’s residency (that was the moment he switched from emergency medicine to surgery).

Phoenix — emergency, but she managed the impossible (like Mav) and switched from obgyn residency after the first year (only chose obgyn in the first place because of her mom, a renowned obgyn in Oregon), she's still really passionate about the obgyn field but didn't enjoy the work enough to do it for the rest of her life; Javy — general surgery; Payback — emergency with sub-spec in pediatrics; Friz — respiratory medicine; Omaha — oncology; Yale — ortho surgery.

Bob — a former OBGYN nurse, left because of a toxic work environment, working in the ER six months now, Phoenix's favorite nurse now, duh; Fanboy — started in peds oncology, had to switch because it was too hard on him mentally and is now peds emergency; Halo — started as a palliative care nurse, switched to oncology after a few years; Harvard — OR nurse, switched from general team to ortho

Hangman is the new trauma surgeon starting in their ER. Born and raised on a ranch, was expected to take over the ranch but never wanted to. Thankfully, he had too perfect grades to not send him to college — his parents wanted him to be a vet, which obviously didn’t happen, so he could stay close to the family business. He moved to California for his MD. He has terrible bedside manners with patients and patients’ family, but is surprisingly decent with kids, has lost respect for nurses sometime during his first residency year, and had a terrible case of Ego hit him during his trauma surg fellowship.

Now, about Rooster:

Bradley got into a pre-med program, Mav (who had set up Bradley’s college fund) said he’s not going to pay for it since he doesn’t want Bradley to be a doctor (long hours, lack of work-life balance, burnout, high stress, etc. It was more complicated because Mav still has the Goose trauma). So they had the fallout, Bradley moved out and deferred college to find a way to pay for it and, wanting to gather hospital experience, started working as a CNA in Peds ICU at a children’s hospital which accidentally was having a new CNA intake at the time. He liked it, actually loved it, and started hesitating whether he should continue with pre-med and be like Mav or go for nursing, like his dad. Year after, he got an offer from the hospital that said hey, we’ll fund some of your BSN as long as you work for us while you study and then work for us for another four years after getting your license. So he became a nurse, got certified as peds nurse after working two years in PICU and after another three, switched to the Pediatric Rapid Response Team, where he stayed for another two years before getting a spot as a senior nurse in adult/peds ER in a different hospital.

His relation to Mav and Ice only came to light a few months after the hiring process, as Bradley didn’t even know they worked there when he applied and it’s still a hash-hash topic in the ER. He’s been in the ER for almost three years now and has become an unofficial second-in-command as one of the few with substantial experience.

I imagine he’s definitely one the best nurses you could have as a patient — he’s honest but in an empathetic way, he’s worked in the most demanding environments with the most complex patients (ICU and RRT), he’s skilled and experienced in most procedures. Because he is one of the few male nurses, he’s the one dealing with inappropriate patients, aggressive patients, patients that need restraint, frequent flyers, etc. and he genuinely doesn’t mind — he is the perfect mix of calm and firm that makes him very reliable in most difficult situations. He is absolutely most reassuring and guiding with new stuff, be it new nurses or med students that don’t know what’s happening, and he doesn’t judge. It does help, too, that he was partially raised by two very cocksure surgeons and therefore knows how to deal with doctors that turned a bit too arrogant.

Before I go to the hangster part of this shit, I want y’all to know it all started because I found this Rooster-coded scrubs:

I imagine that he buys most of his scrubs since the work-issued scrubs don’t fit well on men (most unisex ones are very much just female fit stamped with unisex label) and peds nurses can have lots of cute ones so the kids feel less nervous around them

Also, this is a warning that yes, Bradley is trans in this scenario, too, because I said so. It's relevant to a few scenes, I think?? and there's tw for transphobic OC

Now, a bunch of scenarios I can see for this AU:

On the first day at his new workplace, Jake makes a reputation for himself. He confuses Nat, in her hospital-issued scrubs and with her doctor tag clearly on display, for a nurse and literally talks over her in front of a patient. Same thing happens with Billy because he’s Filipino and there is a large number of Filipino nurses everywhere and he’s stereotyping. Then he makes another patient’s parents agitated. This is when he meets Bradley — he takes over to talk to the parents and calm them down before it can escalate, basically shushing Jake out of the room. Jake doesn’t clock he’s a nurse at first — he’s a big, very fit, very well-built, very handsome dude with a questionable mustache who looks comical in a pastel pink scrub top with a teddy bear pattern and a matching headband on his forehead, but also the sheer shock of how different to all the nurses he looks gives Jake a pause — so he doesn’t say anything even if it pisses him off a nurse just forced him out of the room.

It starts innocently with Bradley though — Bradley comes up and asks, “Jake, can you put the narcotics order into the system for Lily?” and Jake scoffs and corrects, “Doctor,” tapping his full tag with Dr. Jacob Seresin.

Bradley, as the nurse’s tag says, raises an eyebrow and says, “Doctor Jake, can you put the narcotics order for Lily?” Natasha, standing behind him, snorts. Jake doesn’t even have the time to tell him off because he’s already gone when his brain processes.

Natasha drops off a patient on him — a taxi driver who had a stroke while driving and had been in a car accident, that had been thrombolysed but might need emergency surgery because of a suspected GI bleed. He’s stable, so they're going to check if he can be admitted to neurosurg and wait for his turn there or if Jake will need to take over before that.

Bradley hands him a tablet the minute he walks into the room.

“What’s that?”

“Results,” he supplies before going back to setting up an oxygen cylinder at the bottom of the bed.

“I didn’t order that,” he notes. The blood and urine panels are what he would order with suspected operable GI bleed but he’s barely looked at the patient’s case before he walked in there.

“I did,” Bradley tells him as he switches the oxygen from the wall socket to the tank supply. “Faster this way.”

“No,” Jake says, blood boiling. “You do exactly what I tell you to do and only that.”

Natasha raises her eyebrows, high on her forehead. Bradley doesn’t hesitate — waves on Bob from behind the glass wall and they both grab each side of the bed.

“I supposed you want to put the CT order yourself then,” Bradley says as Bob takes the small back monitor and attaches it to the frame. He steps on the bed brake and rolls out the bed, straight into Jake and Nat, fast enough that he moves out of the way on instinct. “Better do it fast because it’s free now and I’m going.” *

“Did you see that? Who the heck does he think he is?” Jake asks Nat.

“Better put that CT scan order,” is all Natasha replies as she walks away.

It’s Reuben’s patient, an eleven years old boy with blunt trauma, and Jake makes a verbal order to Bradshaw, who is the boy’s nurse. “I understand but I think that—” and Jake goes, “If I want your opinion, I’ll ask for it.”

The whole room gets quiet and everyone looks to him — Reuben, Mickey, and the technician are wide-eyed.

Bradley just says, “Alright,” in a perfectly leveled voice and leaves the room.

Mickey is not making eye contact as he quips under his nose, on his way out of the room, “You do realize he basically runs this ER, right? You’re making your life a lot harder.”

Jake orders IV fluids for one of his patients which is also in Rooster’s section that day and he bleeps the order info to Rooster. Fifteen minutes later he sees that it hasn’t been filled and is like, hah, I knew there is a reason I hate that guy. Finds him when he passes Jake in the corridor and is like, “I want you to start the IV for room 7. Now,” and Rooster just tells him, “No, do it yourself or find someone else.”

They have a little back and forth as Jake follows him down the corridor which ends with another, “No.”

There’s still no charge nurse in the ER (she’s on medical leave that will most likely end with her leaving employment, from what Jake gathers) so he makes a datix and the ER nurse manager (Warlock) following up is apprehensive because obviously, he knows Bradley, and hears about what actually happened — Bradley was getting an igel for a toddler from the peds side and deemed it more important than starting a bag of saline to bust someone's blood pressure.

Jake feels like an idiot.

Jake and Reuben are charting next to each other and Reuben gets bleeped his patient’s lab results. Jake, who is also waiting for lab results, complains about how he sent a pod to the lab before Reuben. Reuben just gives him a look and says, “Yeah, that’s because I asked Bradley to put my request in.”

And Jake is like, “What does he have to do with anything?”

Reuben looks at him like he’s dumb and says, “He has more sway with the lab,” and walks away with his tablet.

Javy is doing a consult for Nat and stops to chat to Jake (they know each other from residency days) and Bradley comes by and says, “Maggie’s becoming hypotensive again,” and Javy observes as Jake looks at the nurse that came, gives him a very long, very detailed look and licks his lips.

He manages to think Oh before Jake asks, “Maggie?”

The nurse looks seconds from rolling his eyes. “Mrs. Lawrence? Room 5?”

“That's Margaret.”

“She prefers Maggie.”

And it goes on, with Jake standing there rigid, puffing up his chest and cocking his hip out. “Did you start the fluids?”

“Finshed already.”

“Start another bag.”

The nurse looks unimpressed and instead of confirming says, slowly, like he’s talking to a child, “Her fluid balance is positive. She’s usually on pressors.” Jake’s face gets red and he goes, “Then put an order for her.”

It’s kind of funny to observe and to be fair, the nurse does give Jake a minute to go over what he said, leaning his elbow on the counter, eyebrows raised, before he points out, in that damn slow, unimpressed tone, “I can't put orders for things like pressors."

He hands Jake the closest tablet and starts walking away.

Jake calls after him. "What, you're not even going to draft it for me?"

He doesn't even turn around and Javy is silently shaking from the laughter he's holding in, "I thought I wasn't allowed to do that, doctor."

Mav comes down to the ER to talk to Rooster on a slower day — about how they’re about to sponsor a new CRNA for the cardiothoracic surg unit and maybe he could put a good word for their development team for Bradley and yada yada.

It happens like that: Mav comes down, Bradley is charting next to the monitors station, Jake is going over a scan on the opposite side when The Dr. Mitchell himself comes down and stops next to Bradley. He gives Bradley and his pink Paw Patrol scrubs a look and clears his throat a couple of times before Bradley raises his gaze toward him, turning away a second later and ignoring him again.

Jake is freaking out — this is The Dr. Mitchell and one of the reasons Jake wanted to work in this exact hospital, along with the rumored to-be-announced cardiothoracic surg fellowship under Dr. Mitchell he had his eyes on. He’s been thinking about how to make contact with Dr. Mitchell since he started in the ER and here he is, telling unresponsive Bradshaw, “I heard you’re looking to go back for your Master’s in the near future.” Bradshaw doesn’t say anything and Dr. Mitchell adds, “We have a CRNA development spot for—” and Bradley tells him, not turning away from the screen, “I’m not an OR nurse,” and then taps his card on the computer’s reader to log out and walks away.

Dr. Mitchell is a fucking legend, a VIP of this hospital, so Jake just stands there, contemplating how the heck Bradshaw could do that and hears him mumbling under his breath, “Really slick, Mav,” and jumps on the opportunity to say, “I’ll be talking to his supervisor about this, his attitude is unacceptable, Dr. Mitchell.”

And Dr. Mitchell turns to him, raises an eyebrow and asks, “Excuse me?”

“The nurse you were talking to. He might be senior in here but his attitude’s been horrible and I’ll personally step in. This won’t happen again.”

Dr. Mitchell gives him a look before slowly saying, “I suggest you mind your own business, Dr. Seresin,” and walks away.

Nat is silently laughing a few feet away and Jake asks her what’s so funny. His heart dead-ass stops when she says, “You do know Dr. Mitchell is Bradley’s dad, right? They might not be on the best of terms but that’s still his son.” And Jake has the urge to bang his head on the keyboard in front of him.

TW for transphobia.

There’s a new nurse practitioner to be (graduated, about to get her cert) that's rumored to be a candidate for the charge nurse position. Izzy. She’s quite young for that, younger than Bradley for sure, must have barely worked in the clinical area before going for her Master’s. Jake doesn’t know if it’s on purpose but the nurse manager and Bradley keep on putting her in his section.

She’s—well, she’s a bit too in his face. She agrees with everything Jake says and doesn’t roll his eyes at him, which is boring, and she’s, for an NP, not that knowledgeable. She doesn’t argue with him, which is a change, and Jake starts to hate it after about five hours. Her voice is saccharine sweet, she keeps on standing a bit too close to him at all times, and she’s decent with patients, but she keeps on asking him about the smallest of things.

Jake’s section is less busy, usually, since he deals primarily with trauma in the ER, but she never bounces off to help others when she is free, like Bradley did. She’s clinging to his section, a little bit, and he doesn’t get why. It’s not like he is any nicer to her than to Bradley or any other nurse.

She is busy taking bloods and Bradley finds him when he has a second alone, finally, and enlightens him about why.

“If you don’t believe me, you can just ask any other nurse. Everyone noticed.”

“If you really think that then why do you keep putting her in my sections?”

“I don’t. She’s senior as an NP, she’s taken over allocation from me now.”

Jake’s mind only focuses on one detail. “You were allocating yourself to my sections?”

“Only because no one wants to work with you and because I’m actually certified in trauma.” That makes sense. It’s not like Bradley would work with him voluntarily. “Look, all I’m saying, you watch out — you fool around with her and then reject her and she’s going to HR. I know the type.”

“The type?”

“You know, the girl that thought she’ll become a nurse, snag a rich doctor and never work again? Well, it’s not always women, there are guys who do that too, but in this case, she’s very much the type.”

“And you think she’s trying to—snag me?”

“She’s certainly not going after the residents that are getting paid twelve bucks an hour or Reuben who is married,” he points out. Which, again, fair, even if he didn’t know Reuben is married prior to this strange conversation.

Jake stares at him, processing, until he blurts out, “I’m gay.”

“Then you’ve got nothing to worry about,” Bradley says after a second, eyes barely noticeably a bit wider, before he walks away.

“Was he bothering you, doctor?”

She calls him doctor, always, and it honestly makes him grit his teeth. Now even more. He’s got a bad feeling about it.

It gets confirmed later when Jake is taking care of a six-year-old girl who had fallen down the stairs. She’s dehydrated and Izzy’s just tried to put a cannula on her three times before Jake told her to grab the bedside ultrasound and not make the girl cry even more.

Bradley passes by the room and Jake’s learned that he can’t leave a distressed child alone, so he comes in and gets the parents and the girl relaxed. He’s about to go in and tell him to leave it alone until Izzy brings the ultrasound when Nat grabs him by the arm and tells him, “He was in a Rapid Response Team, I’m pretty sure he can put a cannula in blind. Just let him do it.”

And he does let him. Watches, expecting the girl to burst into tears at any moment but she never does. Bradley’s literally been in the room for less than ten minutes and it’s all back to calmness.

Izzy comes back with the ultrasound. It should not have taken her so long to grab it. “What is he doing there? That's my patient.”

"He said he can put the IV line without the ultrasound.” Well, Nat said so. Jake can’t believe he’s saying but, “He’s a peds nurse, he’ll be fine.”

“I’m sure the girl's parents wouldn’t want him anywhere near her.”

This sets alarm bells in Jake’s head. “What do you mean?”

"People like him shouldn't be around kids," she says, to his horror. She leans in, way closer than needed, and conspiringly whispers, "Dr. Seresin, haven't you known that he is, you know, a she in disguise?"

He’s dumbstruck. "I'm sorry?"

"He's actually a woman, just pretending to be a man because he's mentally—You're the doctor, I'm sure you know better than I how the brains of people like them work. He shouldn't be around that girl, is what I'm saying. I certainly wouldn't like him around my child, if I had one."

Jake didn’t know this about Bradley but he understands what she means, even with how awful she is about it. This, however, should not be a piece of information thrown around in public if Bradley didn't wish to disclose it, and certainly not in such a manner. "And how do you know that, exactly?"

"Nurses share a locker room, it's not hard to notice how she, you know, mutilated herself."

Jake doesn’t say anything out loud but mentally he is preparing datix report in his head. He catches the ER’s nurse manager before he goes home, too, because that’s some shit he doesn’t stand for. He might be an asshole but he’s not a bigot.

Next time he comes to work, Bradley is back in his section and Izzy is no longer employed.

“Thanks,” Bradley says, when they’re at the station, next to each other, in a relatively slow moment. “If I went on my own, we’d have a weeks-long investigation that would probably end with her or me moving to a different unit.”

“She said this shit to your face?”

“Kept calling me she in front of patients,” Bradley admits after a moment. “I think most of them thought they misheard but—I knew.”

“Well, good riddance then.”

Bradley snorts, but he’s looking down at the tablet in his hands, smiling, and wow, the apples of his cheeks are so round and his eyes so bright and Jake can't breathe for a second.

---

(there might be a second part coming because I meant seven-season-long medical drama literally-- including Jake realizing he's an idiot, Mavdad drama, Jake having his hands inside Bradley (in the literal, surgical sense) and jealousy that could rival the McDreamy/Dr. Grey drama)

#this is unrealistic b/c its a med soap drama-like #not the actual chaos of er-like #as in med nonsense to be precise #also I don't know how american ers work #ive talked to a trauma surgeon twice in my life so sorry #i’ve mostly written it while trying to stay awake in the break room at 2am or to not fall asleep on the bus home #still having cluster headaches btw we're just too short-staffed to not go to work even if I have to sit out for an hour in the break room #bradley rooster bradshaw #jake hangman seresin #hangster #icemav mention #tgm #tgm au #trans bradley rooster bradshaw #<< im going to fill that tag even if it takes me years #op #charlie writes #hangster hospital au

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