My medical skills add experience

Chapter 398 The Trouble of Relationship Nursing, You Handled It Well

After this major operation, Zhou Can had no time to catch his breath, and immediately began to quickly complete some emergency operations.For example, trauma hemostasis and suture, spleen rupture and hemorrhage caused by trauma, inguinal hernia, replantation of severed fingers, etc., are all common emergency operations.

If it cannot be treated in a timely and effective manner, it will cause serious consequences such as necrosis of the severed finger of the patient, or bleeding and death.

I have been busy until almost one o'clock in the afternoon, and finally dealt with all the backlog of patients in urgent need of surgery.

Zhou Can took off the rubber gloves, "Everyone has worked hard, let's go to eat first, rest for a while, and then come back to continue the operation." Tuya is a very good platform.

The number of outpatient and emergency departments is considerable.

The continuous influx of various patients also provided Zhou Can's team with ample opportunities for surgery.

"Oh, I'm so tired! I almost broke my leg this morning!"

The itinerant nurse Ma Xiaolan's voice was whiny.

"Working with Dr. Zhou is nothing but a lot of work. Of course, I also learned a lot."

Luo Shishen accepted her words.

"Xiaolan, there is a lot of work, but our income will be quite considerable! With Dr. Zhou, I think as long as we can bear hardships and stand hard work, study hard, our future is quite bright."

By saying this, Qiao Yu was definitely not showing off how much her income was.

It's to help Zhou Can keep people.

At the beginning, I followed Zhou Can to do surgery, because the operation volume was too large, so it was far more difficult than ordinary nurses.

For adults, it doesn't matter if you are a little tired.As long as the money is in place and the future is bright, everyone will naturally be very motivated.

"Really? Then how much can you get a month?"

When Ma Xiaolan heard that her income was good, she immediately became interested.

But inquiring about the income of colleagues is obviously breaking the rules.

The age of female colleagues and the income of others are all personal privacy.Unless it is a very good friend, it is possible to disclose.

Otherwise, it is generally not said.

"Hehe, everyone's salary is different. You will know it after working for a month. It's getting late, let's go to the cafeteria to get dinner! It's late, but there are only some vegetable dregs left!"

Qiao Yubingxue was smart, and she said it lightly.

……

After the four of them finished their meal, they returned to the emergency operating room one after another.

Qiao Yu immediately went to work, preparing the surgical instruments, consumables and other items needed for the next operation.Speaking of this, we must introduce the division of labor and responsibilities between the equipment nurse and the itinerant nurse.

Many people think that equipment nurses have a higher status. On the contrary, itinerant nurses are generally older and have more experience in cooperation with surgery.

Itinerant nurses will work closely with the entire surgical team and anesthesiologists during the operation.

When necessary, we will also coordinate and invite doctors from other departments to come and perform joint operations.

Then various surgical records are generally also in charge of the itinerant nurse.

Before the operation, the itinerant nurse should be the first to enter the operating room, assess the operating environment, and check whether the equipment in the operating room can be used normally.Bed making is also done by the roving nurse.

After the patient enters the operating room, itinerant nurses are responsible for information verification, correct execution of doctor's orders, assistance in anesthesia, and even pressure sore assessment.

You say it's heavy or not.

The pressure ulcer assessment is divided into three parts, including the patient's name, gender, age, wound type, wound name, cause of injury, location, wound duration, and date of first visit.

and a systemic assessment.Including the primary disease, nutritional status, the name of the drug used, duration, activity, excretion status, sleep and psychological status, diagnostic examination and so on.

There are also local assessments, including wound color, exudate volume and its nature, wound odor, the extent of skin edema around the wound, wound area, depth, direction and depth of infiltration, wound photos, etc.

Through these, we can see how high the professional requirements of itinerant nurses are.

This is why the qualifications of circuit nurses are generally very old.

Please don't be surprised if you encounter a chief nurse working as a roving nurse during major operations at grades [-] and [-]. This is just a normal operation.

Therefore, when many new doctors enter the operating room for exercise, they feel that the itinerant nurse is more fierce than the chief surgeon.

After scolding this and scolding that, the key point is that no one dares to talk back to her.

Sometimes, even the chief surgeon has to suffer when he is criticized by the itinerant nurse.

The instrument nurse is sometimes called the hand washing nurse, but it is not necessarily true that she is lower than the itinerant nurse.

It's just that under normal circumstances, the qualifications of equipment nurses may be relatively low.

There are also some chief surgeons who are used to working with full-time equipment nurses and are reluctant to change.In this case, the status of instrument nurses in the operating room is very high.

Basically, in the mind of the chief surgeon, it is equivalent to the right-hand man.

For example, Qiao Yu's status is very important in Zhou Can's mind.

Cooperating with her, Zhou Can doesn't have to worry about being hurt by the sharp weapon handed over to him at any time.

Not to worry about needle sticks and items left behind, the gauze is replaced one by one, and she can remember the position of each gauze stuffing.This kind of thing was originally the doctor's responsibility, but she helped Zhou Can share it.

The angles at which she handed the instruments and Zhou Can received them were always so compatible, they would not slap each other's fingers or catch air, and the cooperation in the surgery was tight and tacit.

When and what items should be delivered, she can prepare them in advance without Zhou Can's reminder.

As for the subtle considerations during the operation, only Zhou Can can feel them.

If someone else worked as an instrument nurse for him, his operation efficiency would slow down by at least one-third.

Finally, let's talk about hand washing nurses.

In many cases, the equipment nurse is part-time.

There are also special handwashing nurses, who are really only responsible for helping the surgical team wash their hands and dress them.

Generally appear in the luxurious top surgical team.

Most of them are related households.

It is also because the hand-washing nurse has no sense of presence and low technical content, which seriously lowers the status of the equipment nurse.

"Xiaolan, tell me something! I'm a straightforward person, and I'm not right about you. Don't mind me. When I was picking up equipment and medicines just now, I found that some items were not put back in place after use, and they were even placed in a mess. , this is not acceptable. When you are busy, it is very easy to go wrong."

Qiao Yu said to Ma Xiaolan in a friendly tone.

Zhou Can was researching with the patient's data, and didn't care about such trivial matters.

"I've had so many surgeries in the morning, and I'm so busy, how can I care about it! Even if some items are not so neatly arranged, it's okay. Why do you have to take such a trivial matter on the line?"

Ma Xiaolan's answer really surprised people.

It is said that three women play a drama.

When two women get together, they either become good sisters, or they don't get along with each other and fight directly.

Unfortunately, the newcomer Ma Xiaolan and Qiao Yu seem to be a bit out of tune!

Zhou Can was still looking down at the information and did not intervene.

He wants to take this opportunity to see what kind of bird Ma Xiaolan is?

From the previous contact, I felt that this woman had disguised a lot of things.It was only in the past morning that she began to show her true colors.

"Surgical safety is no small matter. If you don't develop good habits, it is really easy to have safety accidents. At that time, not only the life safety of the patient will be threatened, but also your future will be ruined, and even our entire surgical team will suffer. .”

Qiao Yu looked serious.

She has worked in the intensive care unit and knows how fragile human life is.

Sometimes, a small negligence of medical staff can lead to the death of patients.

"Hey, look at what you said. Who are you scaring? Why are you pretending to be old-fashioned? I'm also an intern in the surgery room, so I don't need you to teach me."

Seeing that Zhou Can had been silent, Ma Xiaolan worked even harder, thinking that Zhou Can was supporting her.

She had just joined Zhou Can's surgery team, and she was directly asked to take the position of itinerant nurse, so she felt a little flustered in her heart.He thought it was Zhou Can's extra care for Ye Tingting because of Ye Tingting's face.

This allowed her to assume a more important position than Qiao Yu.

It can only be said that people who like to be passionate will always have a lot of inner drama and feel good about themselves.

"Nurse Ma, I think Qiao Yu is just a kind reminder."

Luo Shishen was smoothing things over.

He had followed Zhou Can for over a month of surgery, so he naturally knew Qiao Yu's importance in this team.

Ma Xiaolan's behavior was no different from committing suicide.

He persuaded Ma Xiaolan to prevent her from being kicked out of the surgery team by Zhou Can.

Finally, an itinerant nurse came, and his medical assistant became much more relaxed.Otherwise, he will do all the chores of picking up and dropping off patients.

Now it is shared by Ma Xiaolan.

"Stay there! What qualifications do you, an intern, teach me about an itinerant nurse?"

Ma Xiaolan seemed to be getting more angry.

It is also not ruled out that she deliberately wanted to take this opportunity to establish her position in the surgical team.

Luo Shishen's head shrank from being scolded, and he really didn't dare to speak anymore.

The status of an intern is the lowest, and they are afraid that if something goes wrong during the internship, if they are sent back by the teacher of the science department, it will be ruined.

Qiao Yu blushed with anger.

People with high self-cultivation, regardless of gender, are generally not good at quarreling.

He obviously has reason, but he is often scolded so that he has no power to resist.

"Ma Xiaolan!"

Naturally, Zhou Can would not let the two nurses continue to quarrel, this is the operating room.If he didn't care, Dr. Xu should come in with a dark face to clean up the situation.

Don't underestimate Dr. Xu's ruthlessness.

It's okay to clean up Ma Xiaolan, I'm afraid that Qiao Yu will be punished together, and Zhou Can can only watch Qiao Yu being wronged.

"I'm here! Doctor Zhou told me to pay attention to the unity of the surgery team! I'm sensible, but I just think she, a handwashing nurse, shouldn't accuse me, a itinerant nurse, of something wrong in that old-fashioned tone."

Ma Xiaolan's IQ is really worrying.

To what extent does she have to feel good about herself before she loses even the basic ability to sense words and emotions?

"I announce the suspension of your qualifications for surgery. You go back to the office and write an in-depth review to reflect on your behavior today. If the review fails, I will personally report your performance in the operating room to head nurse Niu and Director Lou. At that time, you Prepare yourself to leave."

Zhou Can's face was icy cold.

It shouldn't have recruited a related account in the first place.

If you suffer a loss, you will gain a loss.

No matter who intercedes in the future, this kind of thing will never be agreed.

"You, you want me to write a review?"

Ma Xiaolan looked at Zhou Can in disbelief.His eyes were full of grievance and surprise.

"If you don't want to write, you can leave now."

Zhou Can said coldly.

Ma Xiaolan recognized the reality this time and knew that she heard right.

She didn't expect Qiao Yu to have such a high status in the surgery team, and she didn't expect Zhou Can to be ruthless without showing any affection.

Only a newcomer like her, who has not worked for a long time, would naively think that eating a meal meant that everyone was a close acquaintance.

"I wrote!"

Ma Xiaolan bit her lip, tears were already rolling in her eyes.

He rushed out of the operating room without looking back.

"Why don't you forget it! She's just a newcomer, maybe she doesn't know the rules of the workplace yet."

Qiao Yu's heart softened.

Just now, Ma Xiaolan treated her like that, but now she is still helping her and begging for mercy.

"Rules are rules. If she can't learn, then I can only say sorry. Let's not be influenced by her and get to work."

Zhou Can is even more ruthless than Dr. Xu in this kind of matter.

No accommodation.

He has a strong ambition to lead the surgical team to become the top comprehensive team in China and even in the world.He wants to become a real super doctor in the country.

How strong is the team if even a small nurse can't cure it and just releases the water?

A grain of rat droppings can really spoil a whole pot of porridge.

Luo Shishen lowered his presence as much as possible, because he felt the invisible murderous aura on Zhou Can.

If Zhou Can's anger spread to him, it would not be worth it.

Qiao Yu didn't say anything more, silently and quickly tidied up the messy cabinets and countertops.

In this dispute, Zhou Can supported her and helped her deal with the domineering Ma Xiaolan, which made Qiao Yu very happy.

Her position in the surgical team and Zhou Can's approval made her very happy.

……

In the evening, Zhou Can finished the last operation and called it a day.

"Xiao Zhou, follow me to the small meeting room!"

Dr. Xu dropped a sentence and left the operating room early.

Qiao Yu looked at Zhou Can worriedly.

"It's okay. Although the teacher is very strict, he always handles things fairly. Even if he scolds me, it's okay, and it's not like he hasn't scolded me before."

Zhou Can gave her a comforting look, then changed his clothes and went to the small meeting room.

Dr. Xu does not have a dedicated private office, so talking to him can only be done in a small conference room.Other doctors or nurses in the medical department also sometimes talk about things that should not be made public.

"What happened in the operating room today?"

Doctor Xu asked blankly.

"The new nurse, Ma Xiaolan, didn't put the surgical instruments and medicines back in place when she finished using them, and the arrangement was chaotic. Qiao Yu reminded her a few words, and she went into a rage, playing tricks in the operating room, trying to establish her authority And status. I'm also to blame for this, Ma Xiaolan came here with Ye Tingting's relationship, I shouldn't have recruited skilled workers in the first place."

In front of Dr. Xu, Zhou Can did not hide anything.

It's all said and done.

"It's a good thing to be able to recognize mistakes. Also, you can decisively pull down your face and ask Ma Xiaolan to write a review. You did the right thing. Whether it's leading the surgical team, managing a department or even a hospital, apart from being kind, you also need to be ruthless." .”

(End of this chapter)