Socialite...Or Nurse In A Million?

Socialite…

or Nurse

in a Million?

Molly Evans

www.millsandboon.co.uk

MILLS & BOON

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Table of Contents

Cover

Title Page

About the Author

Dedication

Chapter One

Chapter Two

Chapter Three

Chapter Four

Chapter Five

Chapter Six

Chapter Seven

Chapter Eight

Chapter Nine

Chapter Ten

Chapter Eleven

Chapter Twelve

Chapter Thirteen

Chapter Fourteen

Chapter Fifteen

Chapter Sixteen

Chapter Seventeen

Chapter Eighteen

Epilogue

Copyright

Dear Reader

Thank you so much for picking up a copy of SOCIALITE … OR NURSE IN A MILLION? This is the second book I’ve set in the city where I live—Albuquerque, New Mexico. When I came to New Mexico for the first time as a travel nurse I didn’t fall in love with it right away, but I found that I kept returning for more assignments and staying for longer periods of time.

The high desert is high-altitude living, at over 5000 feet. The textures, the colours, the scents are incredible—and very different from where I grew up. Each walk out into the desert brings a new breathtaking sight. I’ve tried to infuse some of my love for the high desert into this book. It was a surprise to me that I fell so in love with the culture and landscape here, and I hope that you enjoy reading about it.

Falling in love in and with New Mexico is easy. This state is called the Land of Enchantment for good reason, and I hope that you find the romance between Vicky and Miguel as enchanting as I do.

Love

Molly

About the Author

MOLLY EVANS has worked as a nurse from the age of nineteen. She’s worked in small rural hospitals, the Indian Health Service, and large research facilities all over the United States. After spending eight years as a Traveling Nurse, she settled down to write in her favourite place: Albuquerque, New Mexico. In days she met her husband, and has been there ever since. With twenty-two years of nursing experience, she’s got a lot of material to use in her writing. She lives in the high desert, with her family, three chameleons, two dogs and a passion for quilting in whatever spare time she has. Visit Molly at: www.mollyevans.com

Dedication:

This book is dedicated to healthcare workers in the trenches, who get the job done every day

CHAPTER ONE

Albuquerque, New Mexico, USA

VICTORIA Sterling-Thorne walked into the South Valley Healthcare Clinic and knew she looked as wide-eyed and green as a student nurse on her first day of clinicals, because that’s exactly how she felt. That wasn’t going to stop her, though. It was just nerves on the first day of a new job. That was all. She’d been through it in the past, and she’d get through it now. On this first day of May, it was the beginning of a new month and a new way of life for her. One she hoped would be an exciting chapter in her life and some great experience in her pocket. This clinic had a great reputation, and she wanted to be a part of it.

She chewed on her lower lip. Had she made the right choice by coming here, by not hiding who she was, changing the name that made people see dollar signs? The past had a strange way of casting its reflection forward, and she hoped that wasn’t going to be the case now. Indecision made her stomach churn. With any luck she’d made the right decision, and it was too late to turn back now.

Although she was an experienced nurse, this was a venture out of her comfort zone. Her father’s chiding words and her brother’s laughter still stung her pride. Determined to prove them wrong and, more importantly, to prove to herself that she could handle it, she had deliberately chosen this clinic far from her usual world of controlled, private hospitals and clinics. The mission statement here was closer to what her original goals in nursing had been. The time had come to make it happen.

For too many years she’d lived with the influence of her family hanging around her shoulders like a too-tight scarf she couldn’t take off. Now she just wanted to be a nurse who took care of people. That’s all.

She approached the glass door and opened it.

The clinic was packed with people. Some sat, some paced, some comforted small children, and they were all waiting for appointments. She’d never seen so many people lined up before a clinic even opened. That spoke silently of the great need of this community, but also of the quality of care they received there. Even though her nerves still tingled with anticipation, she knew this was the right move for her. She hadn’t taken her career choice lightly when she’d entered nursing school despite the protests of her family, and she wasn’t stopping now. Anyone who stood in her way could just get lost, including her family. Helping people who needed it gave her satisfaction that matched nothing else in her world. Somehow she saw parts of her mother in each patient she took care of. For her mother it had been too late, even before she’d been diagnosed. Cancer had invaded before she’d even known what had been wrong. Vicki wanted to help keep others from experiencing the same loss that had changed her life as a teenager. But this atmosphere was at complete odds with the type of hospital she had been working in for the past five years.

Looking around, she quickly found the nurses’ station. “Hi, I’m Vicky, your new nurse.” She hoped the woman remembered her from the interview last month.

A thin, gray-haired woman, who looked as if she might have known Florence Nightingale personally, peered up at Vicky over half-moon magnifier glasses. “Yes, Vicky Sterling-Thorne?” she asked in a cheerful and kindly voice.

“Yes. I prefer just Thorne, though. Makes the paperwork easier.”

“Right. Just to refresh you, I’m Tilly McGee. Come on back, and I’ll show ya round.” She rolled her wheeled desk chair back and opened a side door for Vicky to enter. “As you can see, we’ve got a full docket today, so you may have to work on your own some, check vitals here and there, that sort of thing. Orientation could be a little unorthodox.” She shook her head, as if knowing something that Vicky didn’t.

“That’s okay. I’ll try to be helpful where I can. That’s why I’m here.” She turned and bumped into someone who had entered the station right behind her. “Oh, sorry.” She looked at the handsome man, who took a step back from her. The blue scrubs failed to identify his status at the clinic. “Are you one of the nurses?”

A crooked smile crossed his face, and his deep brown eyes lit up for a second. “Some days I’m everything. Nurse, unit secretary, lab tech and clinic doctor all rolled into one.” The smile he tossed her way was brief but welcoming.

Vicky blinked. “That’s an impressive job description,” she said, intrigued at his response. Here was a man who could multitask.

“It is.” The welcoming smile faded away to what could only be an expression of mistrust. What had she done already to invite that? He sighed. “I guess you’re the new nurse, aren’t you?”

“Yes. You look disappointed already.”

“I wouldn’t call it disappointment.”

Wariness stirred inside her. Had her family reputation preceded her so quickly? She gave a sigh of her own and hoped to head off any bias from the get-go. “My name is Vicky and, despite what you may think, I’m a nurse, that’s all.”

He nodded. “Just to let you know, quickly, our last nurse didn’t return from maternity leave, and we’ve been shorthanded for weeks.”

“The agency nurses worked for a while, but we need a full-time nurse, not a stopgap.” Tilly grumbled her words without looking up from the computer.

Vicky nodded and gave a tight smile, understanding some of the man’s reluctance. Despite the glowing references she had sent over, he had no confidence in her skills as a nurse. Time would change all that. “Well, I’m here to help. Where do we start?”

“Introductions, I guess.” He glanced around. “Carlos is around here somewhere. He’s the assistant extraordinaire, don’t know what we’d do without him. And I’m Dr. Miguel Torres. We’re not too formal, so call me Miguel.”

Reluctantly, he stretched a hand out and shook hers in a firm but brief grasp. His hand was warm and not soft, like most of the men she knew who made money with their hands, but nothing else. The texture of Miguel’s hand made her think he used his hands for building things and a slight shiver rocked her. She hoped that wasn’t an omen. Work was her reason for being there and she hoped that she didn’t have to remind herself that the boss was a hands-off relationship.

“Glad to be here.”

Stepping back from her, Miguel glanced at the purse and lunch bag in her hands. “Tilly, can you set her up with a locker? By the look of that bag, she’s going to need one.”

She watched Miguel stride toward the triage area and wondered if there was anything behind that comment or was she just too wary of new people based on the experiences of her past?

“Come on, honey. I’ll get you set up.” The two women completed the task in a few minutes. Tilly returned to the desk to organize the patients, and Vicky noticed Miguel engaged in what looked like an urgent situation. He was trying to take a blue-faced baby from a young mother.

“He’s not breathing, he’s not breathing!” the woman cried, and clutched the infant more tightly, not knowing she was harming him further.

“Let’s have a look,” Miguel said, his soothing voice trying to gain control over the situation, but the anxiety of the mother was overwhelming.

Vicky rushed forward. Unable to interrupt the conversation, she leaned closer to the baby and blew a puff of air onto his face.

Startled, the infant jumped and took in a breath. And then another. And in seconds it turned from a ghastly blue to a lovely, normal shade of pink.

Openmouthed, the mother gaped at Vicky. Miguel raised amused eyes at her and gave a surprised look. The situation lost its tension in just a few seconds.

“What?” she asked as she looked between them. Had she done something wrong already? Seemed as if she was always stepping in it somewhere, but she didn’t want to do that her first day on the job. This was a job she wanted and needed. Messing up was not an option, no matter how much money her family had. It wasn’t hers. She paid her own way based on her nurse’s salary.

“What did you do to him?” the mother asked, her demeanor much calmer than it had been moments ago, though she still breathed rapidly.

“I just stimulated his breathing reflex. Something I learned in my first rotation in the nursery at my previous hospital.” She gave Miguel a concerned look. “Once in a while newborns just forget to breathe, and if you blow a puff of air on their faces it startles them, and they take a breath. That’s what baby reflexes are for.” Vicky reached a hand out to the mother and patted her back in a soothing manner, trying to ignore the intense way that Miguel watched her, but the fluttering in her stomach wasn’t going away. The intensity of him was going to take some getting used to. “Is it okay if we take a look now?”

“Yes, yes, yes. Dr. Torres, I’m so sorry!” Tears now poured down the mother’s face as she relinquished the baby to Vicky.

“It’s okay,” Miguel said, and squeezed her shoulder. “We’ll take a look and make sure everything is okay, just to be sure.”

Vicky handed the baby boy over to Miguel and engaged the mother in small talk to help calm her down and give herself a moment to beat her nerves down. “What’s your name?”

“Tina.”

“Why don’t you have a seat for a second? I’m sure that you’re worn-out.” Vicky guided her to a nearby chair.

“I am. I’m shaking.” She rubbed her hands up and down her arms, as if she felt chilled from the experience. “I thought he was going to die.”

“He’s okay now.” Vicky raised her eyes to Miguel, who gave her a reassuring nod, which calmed her own nerves a bit. Having such a strong team leader who didn’t get ruffled was going to be a wonderful experience. “It’s scary when babies do that, isn’t it?”

“Yeah, it is. Still, I bet this boy’s going to be a champ one day.” He wrapped the baby up in the soft blue blankets and tucked him against his body, talking to the infant as if they were old friends.

Vicky tried not to stare. The man was gorgeous with those incredibly dark eyes of his and hair to match, but coupled with a smile and a soft voice when talking to a baby? Absolutely stunning. Nothing like the men she knew in her part of the world far away from this clinic. Something cramped inside her chest, maybe a long-lost hope or dream of having a family. Since her divorce two years ago she’d not allowed herself to dredge up those forgotten dreams. A man with a baby was an intoxicating sight, but she’d learned long ago that not every beautiful man had a heart to match. And not one could be taken at his word. She finally had to look away when Tina asked her a question.

Miguel had seen infants like this come and go since he had taken over the clinic a few years ago. Some stayed healthy and survived, some didn’t. His hope was that when they grew up, none of them would succumb to the influence of gangs and drugs, like his younger brother, Emilio, had done, but he knew that was probably unrealistic. Emilio’s death at the hands of a gang was one of the reasons he himself fought so hard for every child that entered his clinic. Each battle to save a life was a battle with a gang or disease and every one was a battle he intended to win. Death was not going to defeat him or take the life of his patients. Not if he could help it. Back then he hadn’t had the skills to save his brother, but he was different now. One day, maybe some of his patients could get the education they deserved and would live long, healthy lives far away from the tragedies of life. If he had some small part in helping that happen, all the better. It would help pay back the debt of honor he owed. Family was everything, and he owed much to them.

With the infant sleeping in the crook of his arm, he knelt beside Tina. “He’s okay now. You did the right thing by bringing him in. The nasal congestion should go away in a few days with some medication I’ll give you, but if it doesn’t, bring him back.”

“Seriously?” She looked at him, her eyes wide with shock, and tears welled again in her eyes. “That’s all it is?”

“Seriously.” He patted her shoulder again and gave her a smile. “That’s all it is.”

With a nod, Tina accepted the baby back. By watching her, how she continued to look at his face, the way she stroked his cheek with her finger, she had certainly bonded well with him and that was half the battle with very young mothers.

“You’ll be fine. You just need to rest a little more and worry a little less,” Vicky said.

“Thank you. You don’t know how much that relieves my mind.” She let out a shaky breath and brushed away the tears. “I always think the worst.”

“Me, too. That way, if it doesn’t happen, then it’s good, right?” Vicky said, and gave Tina an encouraging smile.

“You’re right. I guess that’s what I do, too.”

“There are times you will need to think with your mind and not your heart, even though it’s really hard. I learned that a long time ago. You can try that little trick I showed you if he decides to stop breathing again.”

“I will. Thank you.”

Miguel watched the exchange with interest, wondering what the princess of the Sterling-Thorne vineyards was talking about. Surely she’d never had to suffer a day in her life, so he couldn’t understand her words. As he watched her, though, she seemed to genuinely believe what she was saying to the young mother. Somehow these two had found a common bond that allowed Tina to relax a little. So very different, light and dark, they were a visual contrast to each other. Miguel could see by simple observation that Vicky wasn’t from this part of town. Knowing her family history, he imagined she lived in a castle with an ivory tower. But if she fit into the clinic, he didn’t care as long as she was a good nurse, and that was the reason she was there. Most people with her financial status simply made charitable donations. What she was doing there in the flesh was anyone’s guess. Right now, none of it mattered when he had a waiting room full of patients. People with real needs were why he was here.

“Did you come by yourself or is there someone here with you?” Miguel asked Tina, and stood, directing his gaze away from Vicky’s distracting beauty.

“My mother is in the waiting room.”

“That’s good. Is she helping you out at all?” Vicky asked as she walked with them out to the front.

“Yes. She helps me every day. I don’t know what I’d do without her.”

“Why don’t you bring him back in a few days so we can do a well-baby checkup?” Vicky asked, then paused with a quick glance at Miguel. “Sorry. I should ask first. Do you actually have a well-baby clinic or something here?”

“Yes, we actually have one,” he said with a little starch in his voice. “We’re really a full-service clinic, though it may not look like it. One day a week we have a nurse practitioner come in. I’m hoping to increase her clinic to two days a week, but for now it’s just one.” He touched the sleeping baby again and marveled at the softness of his skin. They started out so innocent.

Wariness eased into Vicky’s eyes, but she spoke kindly to Tina. “Oh, good. I’ll look forward to seeing this little guy again. Let’s have Tilly make an appointment for you.” Vicky smiled, looking up at Miguel for confirmation. He nodded, his voice suddenly stuck. When Vicky smiled, it went all the way to her eyes and the outer corners turned up, making him wonder what secrets lay in their dark blue depths. He stepped back and cleared his throat, surprised by the attraction that surfaced in him. Now was not the time to be attracted to a coworker. Especially not one with a background that was totally at odds with his. In his experience, that sort of situation never turned out right. “Go ahead. I think he’s fine now. See if she can make your appointment for about a week from now.”

“Okay.” She turned with Vicky and released a tremulous sigh.

Miguel watched them go and then prepared himself for the next patient of the day.

CHAPTER TWO

“SO, is that your typical emergency around here?” Vicky asked Miguel as she followed him down the hall and around the corner to the staff lounge, which looked as if it had once been a large closet.

“We really see anything and everything here,” he said, and put two cups of water in the microwave. “Coffee?”

“Sure.”

In minutes he had heated water for the both of them and as Vicky watched, he opened a jar of instant coffee, spooning an uncertain amount in each cup. Hiding a grimace, she accepted the offering from him.

“Here’s to your first day.” He sipped and then sat at the small table. “We’ve only got a few minutes before we have every room full, so I’ll give you the orientation of how I do things as we go. It’ll be easier that way, rather than just telling you about it.”

“I learn better that way, too.” Vicky sipped from the cup, anticipating a vile brew. She wasn’t disappointed. She tryied to hide her revulsion then reached for the sweetener on the table. “I think this needs a little sugar.”

Miguel chucked. “You’re being too kind. It needs a lot more than that, but my taste buds were nearly destroyed by residency. If you’re wanting good coffee, you’ll have to bring your own in a thermos or something. The coffee fund went away with the budget cuts.”

The stuff was despicable beyond description. Reaching into her jacket pocket, she pulled out a pack of mints and popped one in her mouth, hoping that it would kill the taste. “Oh. No worries. I’ll figure something out, but I hope you won’t be offended if I don’t drink this,” she said, and started to pour it into the sink.

“Wait, I’ll take it.” Miguel reached for the cup.

The poor man. No coffee fund? Horrors. She thought a second about a friend who had a coffee delivery business. She was going to have to talk to him. “So, tell me some more about the clinic.”

“Oh, right.” In just a few minutes Miguel had given her the quick history of the clinic, how he had taken it over on the brink of closure and brought it to life again. “The really unfortunate part is that our grant money is ending and the city is uncertain whether they can find money for this place. The state of the economy has hit them, too.” He tugged at the lapel of his lab coat, and his lips pressed together firmly for a second. “I’m working every angle I can but it’s just not coming together yet. There’s got to be something else that will help.”

She could see the worry etched on his lean face. He put a lot of energy and probably his heart into this clinic. “What about having a fundraiser?”

“The only fundraiser I’ve held myself is a bake sale, and we can’t have enough of them to fund the clinic. The community has put together some car washes, stuff like that, but it’s just not going to be good enough for long-term funding.”

“No, I mean a big fundraiser where people and corporations donate large amounts of money for tax deductions. That’s the kind you need.” She’d put together a few of them herself and knew what it was all about. At least that’s how things got done in her family’s world. Things just snapped into place when a Sterling-Thorne wanted something done. You called your wealthy friends for donations or put on dinners and gave everyone a good time for their money. Couldn’t that be done in this community, as well? Though it was foreign to her, there had to be some common ground.

Miguel heaved a sigh that spoke of long frustration and Vicky sensed that she’d unwittingly brought up something she shouldn’t have. “I’m sorry. I didn’t know the clinic was in a bind.”

“You couldn’t know.” He gave an unhappy smile. “We’ve fortunately had a benefactor for several years. He died last year and the family has decided not to continue his charity work. The city might come through, but maybe not. We won’t know until July or so what they can do, when their budget is finalized.”

Anger surfaced in her at the injustice. She’d just started there and now it was in danger of closing. “That’s just wrong. Is this a historic building or something?” Vicky asked, wondering how she could help save this little clinic.

“Good idea, but no. It’s not old enough to be considered of historical significance, so there’s no help there either.”

The door to the tiny lounge burst open and a young man popped his head through the doorway. “Chest-pain patient coming.”

“Chest pain trumps everything else,” Miguel said, and they rushed out the door.

They dashed into a patient room where the young man she assumed was Carlos had disappeared into. Miguel was a man of energy, each movement strong, self-assured and confident, even though the patient looked quite gray. Vicky gritted her teeth and prepared herself, immediately switching on the E.R. nurse in her. Now was not the time for nerves.

“Get the crash cart ready,” he said, his voice low, “and then get a line in him. Two if you can manage it.”

Tilly hurried into the room. “I’ve called 911 for transport.”

“Thanks, Tilly,” Miguel replied. “He’s going to need hospital care for sure. We’ll get him as stable as possible first.”

“Code cart is ready, Doctor,” Vicky said, after tugging the massive tool kit on wheels to the patient’s bedside. “Do you want to start a nitro drip?” Knowing her emergency medicine drills by heart, she hoped that she could anticipate Miguel’s needs, as he hadn’t been able to do any orientation with her yet.

“Yes.”

The other two in the room seemed to know their roles well. Carlos hooked up the heart monitor, which looked as if it had come from an old hospital supply house. It was practically an antique, but it worked, and that was probably all Miguel wanted out of it. Next, he applied the automatic blood-pressure cuff. Tilly inserted an IV with a sure hand and hooked up the nitro drip that Vicky had prepared.

“The medication we’re giving you should ease your pain quite a bit,” she said to the male patient, who appeared to be in his mid-sixties. With one hand, she adjusted the oxygen mask over his face. His breathing was shallow and grunting, which was extremely worrying. She glanced at the monitor, interpreting the squiggles immediately. “Looks like he’s having an infarct right now.”

Miguel also looked at the monitor then at Vicky with surprise at her precise interpretation. “You’re right. Start a potassium drip and give him an amp of magnesium.” Leaning over the patient, he said, “Try to slow your breathing down.”

“I’ll do the mag—you get the drip ready,” Tilly said, and together they got the medications prepared and into the patient.

Soon they heard the sound of sirens. “I’ll go and get them,” Carlos said, and dashed to the door. Vicky called out vital signs now and then so Miguel didn’t have to keep looking up at the monitor.

Miguel remained focused on the patient situation, not being distracted by the other activity. “Keep the fluids going, increase the nitro drip.”

“Yes, Doctor,” Vicky responded, and although her hands trembled slightly, she changed the setting on the IV pump to the next level. “I hope it opens his vessels a little. He needs better circulation than he’s got.”

“Agreed.” Miguel hit the print button on the old monitor that hung on the wall and a segment of the ECG appeared on paper, which he tore off. “He’s got some serious S-T segment changes.”

“Should we send that strip with him to the hospital?” she asked, knowing that the E.R. doctor there might appreciate that additional information to compare with further ECG interpretations.

“Yes.” He pushed the print button again and a second strip printed from the machine.

The E.R. crew arrived, following Carlos, and in just a few minutes they had the patient transferred to their stretcher and he was out the door.

Vicky took a few deep breaths and placed a hand on her chest. “Wow. That was something.”

Miguel’s lips compressed into a line momentarily then he nodded, as if conceding something. “That was something. A trial by fire on your first day. Good job, everyone.”

A flush of pleasure pulsed through her. Compliments certainly were unexpected at this point, especially after some of his earlier comments. “Why don’t I get the room ready for the next patient?” she asked. A few minutes alone would do her some good, and she hoped that her limbs would stop shaking. She hadn’t been prepared for such an urgent situation on her first day.

“I’ll get the next few patients lined up,” Tilly said, and returned to the nurses’ station.

“Sounds good.” He stepped out the door with Tilly and after a glance back he paused. “I’ll just wash up first,” he said, and returned to the room.

This was usually the time she collected her thoughts, after the scary stuff was over. A time she could allow herself to mentally go over the situation, make sure she’d done everything she could have and settle her churning stomach.

Miguel cleared his throat and looked at her, then his glance bounced away. “You were fine, Vicky,” he said, startling her. She hadn’t realized that he’d finished and was standing so close to her.

“I always second-guess myself, you know? Did we do everything and do it right?”

“I do know, and that’s good, not bad. Reviewing a situation with a team member is always good to do. Emergencies like that don’t come through the door every day, so it can be a little nerve-racking.”

“I’m just thankful I didn’t forget anything in the middle of it all, you know?” She opened the top drawer of the code cart. “I suppose you have replacement medications somewhere?”

“In the med room. Tilly can show you where.” Vicky stopped and looked up at him. He was a head or so taller than her, and she was pretty long and leggy. She wore her pale blonde hair in a swingy bob that just grazed her collar. She was trim and had the look of a runner. Her eyes were a startlingly clear blue, and she had a nearly flawless complexion. There was a small scar on her left cheek that he wouldn’t have noticed had he not been so close to her. It was probably from childhood chicken pox or something. Without it, he would have called her delicate, but the mark saved her from being too perfect. At least on the outside.

And he wondered again what this woman, who came from nearly unprecedented wealth, was doing in his humble clinic. The monthly income from the family business could probably finance his entire clinic for ten years. It boggled his mind to see her behaving just like any other nurse he could have hired. Frankly, he’d been against hiring her, but due to desperate measures he’d given in and offered her the job. Tilly had supported the idea of hiring her, and though his instinct had protested, he trusted Tilly implicitly. Vicky had looked good on paper, but that didn’t mean she could hold up under the kind of pressure they sometimes got in the clinic, though she certainly had today. He hadn’t changed his opinion in a few hours. Only time would tell, but he didn’t totally mistrust her.