The "Nurse on Call" theme explores the concept of genbaku (pseudo-incest or taboo relationships) through a professional lens. The nurse is an archetype of care and trust. By placing her in an "on call" scenario—essentially entering the private space of the "patient"—the film explores the fantasy of a caregiver who heals in unorthodox ways. It plays on the power dynamic where the patient is vulnerable, yet the nurse is ultimately the one who surrenders control.
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It was a typical Monday evening at the emergency room of Shiromine Hospital, with doctors and nurses rushing to and fro, attending to patients with various injuries and ailments. Amidst the chaos, one nurse stood out for her exceptional skills and calm demeanor - Miu Shiromine.
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| Time (ED local) | Event |
|------------------|-------|
| 07:12 | ED nurse (Emily Torres) contacts on‑call line reporting a 4‑year‑old male with worsening wheeze, O₂ Sat 84 % on room air, and increasing work of breathing. |
| 07:13 | On‑call nurse Shiromine acknowledges call, confirms patient identifiers, and initiates remote triage per PRE SOP. |
| 07:14 | Shiromine instructs bedside staff to:
1. Administer high‑flow oxygen (10 L/min via non‑rebreather).
2. Deliver nebulized albuterol (2.5 mg) + ipratropium (0.5 mg) every 20 min.
3. Obtain immediate capillary blood gas. |
| 07:20 | Capillary blood gas results: pH 7.22, pCO₂ 55 mm Hg, pO₂ 55 mm Hg – indicating acute respiratory acidosis. |
| 07:21 | Shiromine orders IV magnesium sulfate 25 mg/kg over 20 min and prepares for intubation if no response within 15 min. |
| 07:28 | Patient’s SpO₂ improves to 92 % after first nebulizer treatment and MgSO₄ bolus; work of breathing moderately reduced. |
| 07:33 | Despite improvement, ED physician (Dr. Patel) determines that the patient requires pediatric intensive‑care (PICU) level monitoring unavailable at ECHC. |
| 07:34 | Shiromine initiates transfer protocol:
• Contacts nearest PICU (Children’s Hospital – 30 km).
• Sends electronic transfer summary via Health‑Info Exchange (HIE).
• Arranges ambulance with pediatric transport team. |
| 07:45 | Ambulance arrival; patient is stabilized (SpO₂ 96 % on 2 L nasal cannula, HR 120 bpm). |
| 07:50 | Patient handed over to receiving PICU team; verbal handoff completed. |
| 07:55 | On‑call nurse confirms completion of Transfer of Care Checklist, logs all actions in OnCallPro™ and updates the ECHC EMR. |