Vera's Accident By Zrathie The following log details a failure in the nurse call system for Bed 07 in Ward 05. The Patient Involved: Patient Vera is a twenty-seven-year-old female anthro, white-tailed deer. (for complete patient information, please access file 4565-876-C) Location: Bed 07 in Ward 05 is a private, high-security bed for psychiatric care. The room is monitored by a nurse AI called Gaz. A single hidden camera mounted in one of the ceiling panels can view the entire room without blind spots. It is also equipped with audio monitoring and recording equipment. Background: The nursing staff dressed patient Vera in a standard patient uniform monitoring unitard, which captured telemetry, including the patient's heart rate. As a necessary precaution to prevent self-harm or injury, nursing staff secured the patient in medical restraints, including a standard-issue straitjacket and leg cuffs that the staff secured to her bed, leaving her legs spread apart. Start of Log Log Entry: 001 Patient Vera's telemetry indicated a slight elevation in heart rate. Gaz evaluated her elevated pulse as an early sign of bladder urgency. Vera's hydration records and last known toileting access reinforced the AI's determination. Response: Gaz determined that no response was required. Log Entry: 002 Patient Vera exhibited a slight shift in her posture, indicating potential discomfort. Her legs demonstrated subtle movement as she attempted to adjust her position, but her leg shackles prevented much movement. Gaz interpreted her attempted repositioning as indicating increased muscle tension, likely related to rising bladder pressure. Her heart rate was 92 beats per minute, above her established baseline. Response: Gaz logged this physiological change; however, as the readings remained within normal limits, the AI did not issue an alert for intervention. Log Entry: 003 Patient Vera's movements became more pronounced as she shifted her body. Her respiratory rate had slightly increased, and her heart rate rose to 98 bpm, which suggested increased stress and potential bladder urgency. Audio Transcript: Patient Vera (murmuring): "Hello, I need the toilet." Response: Gaz logged her physiological changes and recognised her oral request for the toilet. It then attempted to call a nurse to escort Vera to the nearest toileting facility. However, the request did not reach the system due to a malfunction. Log Entry: 004 Patient Vera's raspatory rate had further increased. Her body stiffened as her legs fidgeted, pulling at the leg cuffs. Her actions were most likely an attempt to alleviate growing lower abdominal discomfort. Her heart rate had increased to 104 bpm, signalling that the patient's bladder pressure had become more urgent. Response: Gaz noted this but could not activate the nurse alert system due to the ongoing malfunction in the alert system. Log Entry: 005 Gaz observed that patient Vera's body became tense on the monitoring camera. Her movements became more erratic, with her legs tugging at her ankle cuffs. This indicated severe bladder pressure. A brief spike in heart rate to 112 bpm was detected, suggesting that the bladder urgency was reaching a critical point. Audio Transcript: Patient Vera (breathing heavily): "I can't hold it... Please, someone, help me...!" Response: Gaz noted this but could not activate the nurse alert due to the ongoing malfunction in the alert system. Log Entry: 006 Patient Vera was visibly straining. Her face showed signs of distress, and her posture was rigid. Using the unitard's sensors, Gaz detected a further increase in heart rate, reaching 118 bpm. The monitoring camera noted a sudden increase in patient Vera's body tension, indicating an imminent involuntary bladder release. Audio Transcript: Patient Vera (desperate): "No... I... I can't wait any longer..." Response: Gaz escalated the nurse response to a high priority, but the system did not receive this signal due to the ongoing failure. Log Entry: 007 Patient Vera's body shakes as she shifts again. She is visibly fighting against her straitjacket. Her thighs flex, unable to close due to her leg shackles. This is a known strategy used to control bladder pressure. Her breathing was shallow, and her heart rate spiked to 126 bpm. The physiological data confirmed that her bladder pressure had reached its critical limit. Audio Transcript: Patient Vera (whimpering): "I can't... I can't hold it anymore…" [Shifting fabric] Response: Gaz registers this but cannot respond appropriately due to the malfunction. Log Entry: 008 Gaz, using the monitoring camera, detected a growing stain emerging from the crotch and inner thighs of patient Vera's unitard, consistent with a urine release. The unitard sensors confirmed the presence of urine; the release continued for 38 seconds with an estimated total volume of 672 mL. The unitard recorded a notable decrease in patient Vera's heart rate, indicating a slight physical relief; however, signs of distress persisted. Patient Vera remained visibly tense. The urine volume was sufficient for a quick glycosuria, proteinuria and hematuria test using the unitard's auto-diagnosis functionality. Audio Transcript: Patient Vera (quietly, almost in a whisper): "I didn't want to... not like this..." [Audible hiss of urine.] Response: Gaz continued to monitor the situation but could not initiate a call for assistance. Log Entry: 009 Patient Vera remained in place; her body was tense from residual discomfort and anxiety. Her heart rate stabilised but remained above baseline at 102 bpm. Unitard Test Results: The unitard test for glycosuria returned negative. The unitard test for proteinuria returned negative. The unitard test for hematuria returned negative. Auto Diagnosis Notes: The results confirm that the patient has no significant renal health issues that would contribute to an involuntary bladder release. The negative glycosuria test suggests that diabetic high blood glucose wasn't a contributing factor in this incident. Response: Gaz compiles a post-incident recovery report. End of Log.