Amy Andrews - Alessandro and the Cheery Nanny

Add to that being awake half the night thinking about Julian’s situation, and she was totally wrecked. And then there’d been the other half of the night. Filled with images—very inappropriate images—of Julian’s father and his rather enticing mouth.

She’d known she was going to dream about that mouth.

‘Oh, good, you’re back. I need another experienced hand,’ Imogen Reddy, the nurse in charge, said as Nat wandered back. ‘It’s Looney Tunes here. Code one just arrived in Resus. Seventy-two-year old-male, suspected MI. Can you get in and give the new doc a hand? Delia’s there but she was due off half an hour ago and hasn’t even had time for a break. Can you take over and send her home?’

Nat looked at the bedlam all around her. Just another crazy day at St Auburn’s Accident and Emergency. And they wondered why she kept knocking back a full-time position. Nat’s stomach growled a warning at her but she knew there was no way she could let a seven-months-pregnant colleague do overtime on an empty stomach.

She smiled at her boss. ‘Resus. Sure thing.’

Nat stopped just outside the resus cubicle and pulled a pair of medium gloves out of a dispenser attached to the wall. She snapped them on, took a deep breath, flicked back the curtain and entered the fray.

‘Okay, Delia. You’re off,’ she said, smiling at her colleague who happened to be the first person she saw amidst the chaos. ‘Go home, put your feet up and feed the foetus.’

Delia shoulders sagged and she gave Nat a grateful smile. ‘Are you sure?’ She turned and addressed the doctor. ‘Are you okay if I go, Alessandro? You’re getting a much better deal. Nat here is Super-Nurse.’

Alessandro? Nat swung around to find Alessandro Lombardi, all big and brooding, behind her. The bustle, the sounds of the oxygen and the monitors around her faded out as she stared into those coalpit-black eyes.

They were alert, radiating intelligence, but if anything he looked more tired than he had yesterday. He stared back and Nat felt as if she was naked in front of him.

She dropped her gaze as some of the images from last night’s dream revisited. Bloody hell. He was the new doctor? Working part-time generally kept Nat out of the loop with medical staff rotations and she’d just assumed Imogen had meant a new registrar. Surely Julian’s father was a little too old to be a registrar?

So much for her surgeon theory.

Alessandro took in the woman who had been the cause of another sleepless night. A new cause, granted, but still a complication he didn’t need. She was different today, out of her shorts and T-shirt. Very professional looking in the modest white uniform with the zip up the front. Her hair was a little neater in her ponytail and in this environment he felt on a more even keel around her.

Still, his gaze dropped to the zip briefly and before he could stop it, an image of him yanking the slider down flitted across his mind’s eye.

He looked at Delia briefly. ‘Yes. We’ve met.’

Then he turned back to the patient and Nat felt thoroughly dismissed. If only he knew what he’d done to her in her dreams last night…

Had she had time she might have been miffed but her patient caught her attention. ‘Super-Nurse, hey?’ he croaked behind his oxygen mask.

Nat dragged her gaze away from the back of Alessandro’s head to look at the patient. He was sweaty and grey with massive ST changes on his monitor. Multiple ectopic beats were worrying and as she watched, a short run of ventricular tachycardia interrupted his rhythm.

His heart muscle was dying.

He was also in pain despite the morphine that she noted had already been administered, but there was still a twinkle visible in his bright eyes. He was obviously one of those stoic old men who didn’t believe in complaining too much.

‘Yes, sir.’ She reached for his hand and gave it a squeeze. ‘That’s me. To the rescue.’

The patient gave a weak chuckle. ‘Ernie,’ he puffed out. ‘Looks like I’m in safe hands, then.’

Nat glanced at Alessandro. She hoped so. She hoped he was better at doctoring than he was at communicating. At fathering. ‘The very best.’

‘What’s the ETA on the CCU docs?’ Alessandro asked no one in particular.

Seeing Nat Davies from the crèche was a bit of a surprise but he didn’t have time to ponder that, or her damn zip, now. He had to focus on his patient, who needed that consult and admission to the coronary care unit pronto.

Ernie’s ECG was showing a massive inferior myocardial infarction. They were administering the right drugs to halt the progress of the heart attack but these patients were notoriously unstable and with age against him, Alessandro worried that Ernie would arrest before the drugs could work. Or that his heart was already too damaged.

‘Couple of minutes,’ someone behind him said.

As it turned out, Ernie didn’t have a couple of minutes and Alessandro’s worst fears were realised when the monitor alarmed and Ernie lost consciousness.

‘VF,’ Nat announced as the green line on the screen developed into a series of frenetic squiggles. Her own heart rate spiked as a charge of adrenaline shot through her system like vodka on an empty stomach.

Alessandro pointed at Nat. ‘Commence CPR. I’ll intubate. Adrenaline,’ he ordered. ‘Charge the defib.’

Nat hiked the skirt of her uniform up her thighs a little as she climbed up onto the narrow gurney. She planted her knees wide and balanced on the edge of the mattress, a feat she’d performed a little too often, as she started compressions.

Any ill will she may have been harbouring towards Dr Lombardi fizzled in an instant at the totally professional way he ran the code. It was textbook. But that wasn’t doing him justice. It was more than textbook. He didn’t see a seventy-two-year-old man and give up after a few minutes. He gave Ernie every chance. It wasn’t until the down time reached thirty minutes that he finally called it.

He placed his hands on Nat’s, stilling their downward trajectory. ‘Thank you,’ he said. Then he looked at the clock. ‘Time of death fifteen twenty-two hours.’

Nat looked down at his hands. She could just see her own through the gloved fingers of his. She noticed for the first time his sleeves were rolled back to reveal the dark hair of his bronzed forearms and she absently thought how strong they looked. How manly.

She glanced at him and their eyes locked, a strange solidarity uniting them. She could see the impact of this loss in his bleak stare. As she watched, his gaze drifted briefly south, lapping her cleavage, and she felt her nipples bead as if he’d actually caressed them. When he looked back at her, all she could see was heat.

Two beats passed and then as quickly as the heat had come it disappeared and he was removing his hands, extending one to help her off the gurney. Dragging her gaze from him, she accepted, easing back to the floor.

Her knees nearly buckled and Nat snatched her hand away, grabbing for the edge of the trolley to steady herself.

‘Are you okay?’ he asked as he watched her wobble slightly.

Nat rubbed her at her knees. ‘Fine’

Except, staring down at Ernie, she knew it wasn’t. Ernie was dead. And whatever was going on between her and Alessandro didn’t matter next to that. Neither did it matter that she’d only known Ernie for only a handful of minutes—he was still dead. Gone. The twinkle in his eyes extinguished for ever. In fact, it made it worse that she didn’t know him. It was wrong that a person should die surrounded by strangers.

She felt as she always did, overwhelmingly sad.

Alessandro nodded. ‘We need to talk to his family.’