#the attending on my med team right now is an asshole and im very scared of him

[thefactsofthematter]

had to present in bedside rounds all by myself today and i was really brave about it

[t0sshii]

ginhiji hospital au??

I needed to get this off of my brain and I can’t draw or write so here it goes... Ginhiji but Hijikata is a nurse working in a hospital and Gintoki is the new resident who comes off as lazy but is actually a really good doctor (which surprises our boy Toushi)

More thoughts under the cut? (I have more thoughts about hijikata because.... i have more experience there LOL)

I’ve been a working nurse for more than half a year now so I kind of know what I’m talking about? (but not really because i’m definitely still a baby nurse that’s still learning OTL) but really im a baby don’t ask me specifics

I got into Gintama super late and I have so many regrets because it’s taken over my life. 

hijikata working in either medsurg, ICU, or emergency because it’s not slow, needs great time management skills and working under pressure /but i have a bias for medsurg because that’s where i am right now... but i feel like he would definitely be the same kind of intense that some ICU nurses i know are... 

he’s definitely the type to not take a proper break at work... would probably eat saltines from the nutrition room 

reason 1: he’s too busy

reason 2: hates to go on break if he has to leave hella shit for the person covering him (so he give all his meds, clean his patients, give pain meds...make sure they NEVER call the person covering him on break) but that also means when things don’t calm down he feels like there’s never an opening for one

meanwhile he will give meds, clean patients, and do everything for whoever he covers for break 

when this happens kondo sends yamazaki to cover him for breaks because you can’t tell patients to eat their food when you haven’t eaten toushi 

is really good at putting in IVs, nobody on the unit even tries to put them in when he’s working they’ll just ask him to do it for them

a charting superuser lol

his brain... impeccable. a work of art. a pinnacle of organization. made his own because the hospital issued one doesn’t work for him

probably looks something like this

note: allows you do just quickly circle things during shift change instead of writing it all down...i would probably make past medical history section bigger though (do i use a sheet like this? no because i am... organized chaos and writing it down helps ME--but toushi probably wants to take as little time possible writing shit down) 

reads his work e-mail, even the newsletters from the hospital

kondo is nurse manager and is a very supportive one (the potlucks!!! tries his best to make sure everyone feels supported at work ; w ;) hired hijikata..

when hijikata is charge, the work is distributed evenly thank god 

also “it’s an hour until shift change and if this patient doesn’t come up in 10 minutes they’re not coming until after shift change” 

everyone asks him for help because he knows all the hospital policies

what nurse isn’t frustrated with doctors lets be real 

exhibit A: “my patient is in TEARS with 10/10 pain and the doctors have the audacity to ask if THEY TRIED TO DISTRACT THEMSELVES WITH ART?” (this is a literal conversation I’ve had with a resident before) 

hates talking to interns because he ends up having to teach them how to do their job 

hates talking to jaded attendings

only attending he likes is shouyo

used to have long hair in nursing school but cut it after his ponytail got into some shit during a bed bath 

still smokes.. kondo hates it because we’ve all seen what it’s done to our patients and you still smoke?

has tried to quit but never works out

gintoki also gets on his case about it

just imagine hijikata in those black figs joggers scrubs UGH 

in this universe they’re called digs because copyright and this is still gintama we’re talking about

these scrubs are unnecessarily expensive so he didn’t actually buy them himself ( “why the fuck would i buy expensive scrubs if i am going to get literal shit on it”).. if left to his own devices he will wear those ugly ass hospital issued scrubs

Kondo and his other friends split the price for the black joggers and a 3 pocket scrub top -- because we all know hijikata puts ALL his supplies in his pockets. he NEEDS pockets

Gintoki thinks his ass looks good in those joggers UGH 

Hijikata won’t admit it but the digs are his favorite pair they are so comfortable. still won’t buy them with his own money though

student nurses are scared of him because he’s intense and asks hard questions, really strict... doesn’t bully but pushes students and orientees really hard

but also any one who can survive being trained by him becomes an excellent nurse

that nurse that’s on top of their shit and THINKS instead of just following orders

“saw his potassium is high. can we do something about that?”

“there wasn’t continuous oxygen monitoring ordered but i put them on because it doesn’t look good. can we get an order for that” 

all the doctors trust him because he’s just so goOD

gets on gintoki’s case about looking like a bum at the hospital all the time

if he EVER catches wind of doctors talking down to his nurses or older nurses bullying the newer ones (which never really happens because kondo is a great manager who fosters a very nontoxic work culture) they will...FEEL. HIS. WRATH. 

also will not tolerate patients treating him (or his coworkers) like shit. will be more professional dealing with patients tho than with the MDs. but if it’s an MD berating a nurse, they better be ready to get their ass KICKED

Gintoki is the new resident along with katsura and takasugi in.... internal medicine? surgery? idk? 

i mostly just wanted write this one: hijikata has a patient in a pain crisis 10/10 pain, given all available pain meds, tried everything possible but still no relief. paged the new resident working with this patient 

hijikata fully expects either a call saying “sorry i can’t order any more pain medicine for this patient” or just another IV medicine ordered with no communication at all 

but gintoki comes into the patient’s room (first thing hijikata notices is unprofessional hair, wrinkled jacket, mismatching socks and thinks this doctor is going to be lazy AF), speaks to the patient with great bedside manner, talks to the patient about pain management strategies and WORKS WITH THEM for a better plan for medication. walks with the patient in the hall and even takes them to the bathroom 

hijikata is FLOORED. because this never happens with MDs.

(this has actually happened and me and all my coworkers were SO PLEASANTLY SURPRISED)

hijikata once sent gintoki a message asking if he wanted to lower the dose for a medication because the lab for it was high 

gintoki thought he was the pharmacist because hijikata is just that good

likes the sound of hijikata’s voice on the phone so he always returns his pages even if it’s just to say “ok i’ll put the order in” 

secretly gets excited when he sees hijikata’s name on the chart under the care team 

one because he’s hot

two because he’s a good nurse

actually learns a lot from hijikata

gets to know hijikata’s bad break habits and gives him a coffee whenever he notices he’s working (but is absolutely disgusted when he brings out the mayonnaise)

“how can you tell your patients to be healthy when you put that shit in everything you eat?” 

hijikata counters with “you can’t tell me what to eat when you’re on your way to diabetes asshole” 

tries to be the kind of MD shouyo is 

being in healthcare is hard so the two of them do drink together if their days off line up to vent....

hijikata complains about dumb MDs (gintoki makes mental notes on how to not be an annoying MD), how busy his days are, and why are we always understaffed... how can we run out of IVs? 

gintoki complains about all the calls he gets, how stressful residency is, why are rounds so early, that midget takasugi, the long ass working hours, being on call fuckin sucks

both bond over sharing crazy stories about patients or how their day went....also hospital complaints because what healthcare worker doesn’t complain about their hospital 

get into “who’s job is more stressful” arguments a lot

on particularly hard (emotionally, physically, mentally) days the other would show up with a bag of food and drinks? 

when the two start dating, it’s usually just... hanging out at work? 

if somehow by some miracle, they get their breaks together (if at all) they eat together

if they do have days off together they usually spend it sleeping (literally you guys) or relaxing at one of their apartments

sleep deprived healthcare workers lead to many....petty...arguments but they make up by the end 

it’s late and i have more thoughts? but i have work tomorrow. but i needed to get this OUT OF MY BRAIN.

also feel free to message me about any of this!! :) asks are always open hehe