My medical skills add experience

Chapter 396 Team Expansion, Foreign Body Patients

Make the most of it.

Physicians manage inpatients because they are better at pathology, physiology, and body mechanisms, whether it is helping patients take care of their bodies or adjusting medical orders in time after surgery.

They all have an advantage over surgeons.

Another point is that as long as physicians are not the kind of idiots who dawdle, they will have some research in pharmacology.

Although this female doctor named Jiang Shuangshuang is from the Department of Endocrinology, I believe she must have systematically studied the three major circulations and the nine major systems of relatively in-depth medical knowledge.

In clinical practice, there will be certain application.

Director Lou asked her to help Dr. Lin Ping manage the inpatient ward, which is definitely a wise arrangement.

"Doctor Zhou, the total number of surgeries completed by your surgery team last month was close to [-], which can be described as a lot of hard work, and you have really worked hard. This time we have three official nurses in the emergency department. You choose one to join your surgery Team. Director Niu, do you think there is no problem?"

After Director Lou made the arrangements, he consulted head nurse Niu Lan for his opinion.

To put it bluntly, just ask politely.

After all, the nursing department is in charge of nurses.

All the arrangements for the nursing staff were still headed by Niu Lan, the head nurse.

However, even in the hospital rules and regulations, there is such a clause that the director of the nursing department is obliged to lead all the nurses to cooperate with the department's diagnosis and treatment work and obey the work arrangement of the department director.

That is to say, head nurse Niu Lan has to follow Director Lou's arrangement.

"I have no opinion. Dr. Zhou's surgical team really should have an additional surgical nurse." Naturally, head nurse Niu Lan would not be this villain.

To become the director of the Nursing Department, one must be proficient in human affairs.

"Xiao Zhou, then choose one yourself! The three nurses have all introduced themselves just now, I believe you have a certain understanding of their specialties."

Director Lou looked at Zhou Can again.

Nurses are suitable for different jobs according to their professional direction of study.

In general, through training and learning, there is a certain degree of interoperability.

"Okay! Thank you, Director Lou and Director Niu, for taking care of our surgical team. Then I won't be polite."

Zhou Can looked at the three nurses.

All three looked at him eagerly.

Even idiots know that Zhou Can's team is very prestigious in the emergency department and has achieved results.

Joining such a team will have a great future.

"Ma Xiaolan, you majored in surgical nursing and have a certain degree of professional correspondence with our surgical team. Would you like to join our surgical team?"

When assigning work, the opinions of the parties are generally consulted first.

This is also a kind of respect.

"I am willing!"

Ma Xiaolan readily agreed, with a happy smile on her face.

She is none other than Ye Tingting's cousin.

She was pretty, and when we had dinner together that night, her conversation was decent.I feel that being a person and doing things are fairly down-to-earth.

After all, Zhou Can couldn't hold back Ye Tingting's favor and chose her.

"Doctor Zhou, in fact, I am also a surgical nursing major! There is no other meaning in saying that. If your team still needs surgical nurses in the future, you can consider me!"

It was another formal nurse——Zhao Qian who spoke.

In terms of appearance, Zhao Qian is much prettier than Ma Xiaolan, with a medium height and a hot body.As for her working ability, Zhou Can didn't know much about it.

She dared to speak boldly at this kind of department's weekly meeting, and took the initiative to fight for it. There must be no problem with her courage.

Generally, women who like to work hard are self-motivated, so their ability is often not bad.

"Okay! If there is a chance in the future, I will give priority to inviting you. Thank you for your support and trust in my surgical team."

Zhou Can nodded at her with a friendly smile.

It is a great thing that the surgical team has two nurses.

Undoubtedly, it can greatly reduce Qiao Yu's burden.She followed Zhou Can for surgery this month, sometimes she had to work overtime, and she never took a day off. Even if she caught a cold, she persevered despite her illness and never complained.

Zhou Can appreciates this professionalism very much.

Now that his team has one more surgical nurse, the work of the itinerant nurse will be settled.

Check the patient information, wipe the sweat for the doctor, prepare various items needed before the operation, check the power suction device in the operating room, the parts of the operating table, prepare the pillows and sandbags required for the position of the surgical patient, and do a good job of cleaning the operating room , and even adjusting the room temperature, lighting, etc. in the operating room are all the duties of the itinerant nurse.

The room temperature in the operating room should be kept between 20-25 degrees Celsius.

Sometimes doctors concentrate on performing surgery and have no time to take care of these trivial matters.

With a full-time itinerant nurse, Qiao Yu can devote more energy and time to the work of the equipment nurse.

The workload is reduced and errors can be avoided.

Otherwise, no matter how cautious you are, you will easily make mistakes and miss things when you get busy.

After the meeting, Zhou Can took two nurses and intern Luo Shishen into the operating room to prepare for the day's work.

"Ma Xiaolan, from today onwards, you will be the itinerant nurse and assist me in my operation."

"No problem! I worked in the operating room during my surgical training and I'm fairly familiar with the job of a roving nurse. I should be able to do the job quickly."

When Ma Xiaolan spoke to Zhou Can, it was obviously the tone of an acquaintance.

This is why many company bosses do not like to recruit relatives or acquaintances.

Not to mention anything else, there is a certain degree of difficulty in management.

The vast majority of relatives or acquaintances always think that they should enjoy privileges at work because of their acquaintance relationship.It is natural to have a sense of superiority in front of other employees.

Ma Xiaolan has such signs at this moment.

It's just not obvious yet.

"If you have anything, you can ask Qiao Yuduo for advice."

When Zhou Can said this, he basically established Qiao Yu's dominant position in his work.

It also secretly reminded Ma Xiaolan that even if she came in through connections, she still had to listen to Qiao Yu.

"Okay, okay, sister Qiao Yu, you can't be annoying to me then!"

Her attitude is not bad.

"We are all nurses in a team, and we should learn from each other and help each other. If you have any questions, as long as I understand, I am willing to share with you."

Qiao Yu spoke and acted much more generously than her.

And it shows a very high level of cultivation.

"Doctor Luo, it seems that your internship in the emergency department is due in only two days?"

After Zhou Can arranged the work of the new nurse, he turned to look at Luo Shishen.

"Yes! But I want to apply to the teacher of the science and education department to see if I can stay in the emergency department as an intern. Of course, the premise is that you don't drive me away. I feel that I have gained a lot from operating with you this month. .It means that I am good at all aspects, and there may be many things that are not to your liking."

Luo Shishen is a very sensitive person.

Sometimes, if some things are not done well, even if Zhou Can doesn't scold him, but just speaks in a stronger tone, he will become very restrained.

No one is perfect, in general, he is still a relatively good intern.

"As long as you can maintain your current work attitude and self-motivation, and keep learning and improving, I'm very happy that you can continue to be my medical assistant." Zhou Can said with a smile.

"Really! That's great!"

Luo Shishen was overjoyed when he heard what Zhou Can said.

"I will apply to the teacher of the science and education department later, but I don't know if they will agree!"

He said with some uncertainty.

"When applying, if the teacher of the science and education department refuses to agree, you can tell him that I want to keep you to continue working in the emergency department. It may not work, but you can try."

Zhou Can is quite nostalgic.

Having trained Luo Shishen for so long, he was very happy to see this young man improve little by little.

If Luo Shishen could practice with him for a few more months, he would definitely be able to learn more surgical knowledge.This will be of great benefit to Luo Shigeng's future training and employment.

Internship, if you can meet a good teacher, you can indeed widen the gap with others in just one year.

Just like when Yang Chan was appreciated and valued by Director Zhang of the Department of Obstetrics and Gynecology, she achieved leapfrog progress in surgery, medical theory, and clinical experience in just one year.

So much so that in the regular training recruitment exam, her grades were quite dazzling.

To be honest, it is already very unnatural for an undergraduate student to be ranked among the top among countless graduate students, masters, and even doctoral students.

Even though Zhou Can is also an undergraduate, he went straight to No.1.

That's because there are system bonuses and extra points for medical ethics.

Zhou Can's classmates were all eliminated without exception.This is the real cruel reality.

"Thank you! Thank you!"

Luo Shishen was so excited that he directly bowed to Zhou Can, his voice seemed a little choked up.

"Good job!"

Zhou Can patted him on the shoulder, went into surgery and started his day's work.

One of the biggest characteristics of emergency surgery is that it takes a short time from receiving a doctor to deciding on an operation, and the process is relatively streamlined.

Many specialized surgeries require a period of inpatient observation, followed by surgical assessment, risks, surgical options, prognosis, and so on.Generally, it takes a long time and there are many inspection items to be done.

Sometimes, even a difficult puncture test or angiography test requires an appointment.

Even with the relatively lowest-risk knee osteoarthritis, Gui Peisheng, and even residents, can sometimes screw things up.

What's more, when a nurse inserted a catheter for a pregnant woman, she caused a miscarriage.

The hospital's three-level review management system is not a decoration.

When doing some risky operations, if the chief physician knows that the risk is high, but still throws it to Gui Peisheng to operate, and if something goes wrong, the chief physician will be most responsible.

Not Gui Peisheng.

During the ward rounds, the chief physician went through the motions, even rarely going to the inpatient ward once a week.Gui Peisheng, the bed doctor under him, failed to discover hidden dangers in time, and if something went wrong, the chief physician was also responsible.

It is this three-level management system, which is equivalent to the ancient continuous punishment, which greatly deters the superior doctors who take it lightly.

The operations performed in the emergency department are generally emergencies, such as trauma, intestinal perforation, appendicitis, massive bleeding, etc.

If it is still like a specialist, slowly completing a series of various examinations for the patient, and then gathering the chief physicians of the department for consultation and discussing the surgical plan, it will definitely not work.

For some special examinations, it takes time to make an appointment, and it will take a certain amount of time to get the results after the examination.

It usually takes two or three days from the application inspection to the result.

After waiting for such a long time, emergency patients may no longer need treatment, and they may have been directly sent to the funeral home for cremation.

Zhou Can took the examination data of the first surgical patient to check.

It is a very special male patient who needs to remove the foreign body in the anus.Judging from the inspection results, the rectum should not be ruptured, and the operation should be careful, and the foreign body should be able to be clamped out with the help of instruments.

If it cannot be clamped, or if it is severely stuck, surgery is the only option.

"Xiaolan, the anal lubricant is in this drawer. When you use it during surgery, you must remember to put it back in its original place. Many medicines are very easy to mix up. It must be strictly implemented after three checks and seven pairs."

Qiao Yu gave full play to the spirit of the team's elders leading the newcomers, and did not forget to tell Ma Xiaolan some precautions when taking items.

From now on, when Ma Xiaolan gets used to it, all the equipment, consumables, and medicines will be managed by her.

Including tidying up after the operation and applying for materials before the operation are all the work of the itinerant nurses.

The headquarters of the nurses, the treatment room, there are more medicines and medical equipment.

Management is also more refined and strict.

"First, familiarize yourself with the location of the medicines, consumables, and instruments in the operating room. Some special first-aid equipment and medicines are in the largest operating room outside."

Qiao Yu gave her enough time to study and adapt.

Soon, the first emergency surgery patient was brought in.He is a 40-year-old uncle who walks with his legs crossed and limping.

I heard that this uncle rushed to the hospital at five o'clock in the morning this morning.

At that time, only Dr. Lu was on the night shift in the operating room, and he was given an examination application.After taking pictures, I found that the foreign object stuck inside was a bit big and difficult to remove, so I didn't dare to help him remove it.

Dr. Lu has always been very cunning. When performing operations, which are difficult and risky, he never tries to be brave.

Push if you can.

It is also because he always pays attention to self-protection that he lives in peace.

Except for the operation that Dr. Xu stopped for a period of time before, Zhou Can has not heard of Dr. Lu's accident when he returned to the emergency department for more than a month.

In addition, Dr. Lu's surgical ability has greatly improved compared with three years ago.

It is undeniable that Dr. Lu's talent is quite good.

It's a pity that this person is very lazy, extremely irresponsible, and loves to cheat and play tricks, so he has been staying in the resident doctor's seat.

Don't underestimate him either. I heard that Dr. Lu passed the attending physician examination last year.

The general hospitalization has already been done.

Currently queuing up with Dr. Cui to wait for the hospital to give the attending physician an employment contract.

To put it bluntly, there is basically something wrong with the employment contracts of attending physicians like them who have passed the attending physician examination but have to wait in line for a long time at the hospital.

At least not particularly good.

Otherwise, the hospital is not stupid and won't make them wait too long at all.

Because I was afraid of waiting for people to run away.

(End of this chapter)