My medical skills add experience

Chapter 584 It's hard to deal with stabbing the first-class domestic academy
It is precisely because of Zhou Can's hard work at the beginning that he was able to harvest such a nearly perfect girlfriend.

"Marriage is a big deal. How about calling your elders to discuss it? Give me a little more time, and then I will ask for leave, bring the dowry gift and letter of engagement, and go to your hometown to propose marriage. This kind of thing will definitely not make you suffer any grievances." .”

Zhou Can's attitude towards this matter is very firm.

The main reason is that there are too many things at work, and all kinds of things come one after another, and he doesn't even have a chance to breathe.

That's how it works.

Taking advantage of the period of rapid development, we must fight hard.Otherwise, if you miss the opportunity, you may not have a chance even if you try hard.

Now the department leaders reuse him, and the two deputy deans are pushing him to enter the quality control department. Director Tan of the Department of Internal Medicine invites him to work as a teaching assistant in the college.

These good things, if others can get one, it is considered a high incense.

With so many resources and opportunities in one body, Zhou Can has no reason not to work hard.

Early the next morning, all members of the emergency department were summoned by Director Lou to the meeting room for a short meeting.

Originally, I was going to hold this meeting after get off work last night, because Director Lou had something to do temporarily, and he had to follow Dean Zhu to attend a symposium held by the competent department.So it was postponed until this morning.

In the conference room, hundreds of medical staff were packed to the brim.

There are still a few who need to stay in the emergency room and ICU on duty, but they can't come here.

"Everyone is called for this morning meeting. There are a few things to announce. The first thing is that Dr. Fu Chachun publicly insulted Zhou Can, the deputy head of the operating room yesterday. We must seriously criticize this matter. The department's criticism of Dr. Fu Chachun Punishment measures are as follows: suspend operation authority for one week, and if he commits the crime again next time, he will be dismissed directly. Let Fu Chachun apologize to Zhou Can in public."

The first thing that was said at the meeting was actually this matter.

It's not just to show the department's stern attitude towards this matter, but also to help Zhou Can establish his authority.

Fu Chachun took the written manuscript and walked onto the stage with his head down.

"Myself, Fu Chachun, as a senior attending physician in the emergency department, relied on his seniority to confront the superior leader Zhou Can, deputy team leader, in public. This kind of emotional work is unacceptable, relying on seniority to disobey young cadres The mentality of management is even worse...I would like to sincerely apologize to the deputy team leader Zhou Can in front of colleagues in the whole department. Please forgive my wrong behavior and ask everyone to learn from it.”

The stage was quiet.

Everyone couldn't help being a little more in awe of Zhou Can.

Especially some people who usually rely on themselves as veteran comrades in the emergency department and don't take Zhou Can seriously, began to reposition themselves.

The department's punishment of Fu Chachun this time also sounded the alarm for them.

"Knowing mistakes can be corrected. There is nothing good about it. Dr. Fu can deeply understand his own mistakes and is willing to correct them, which is very good. Everyone who dares to admit mistakes is a warrior. Our emergency department began to prosper with the joint efforts of everyone. Rapid development and growth, I hope that colleagues must be united and friendly, because we are a family."

Director Lou took the opportunity to publicize the importance of unity between departments.

This kind of publicity is carried out several times, and good results can be achieved.

It is mainly through a subtle way to let everyone have a sense of unity and friendship in their hearts.

The emergency department has always been a very united department.

"The second thing is that according to the observation of the patient return visit data in the past six months, the medical quality of our emergency department has a serious downward trend, and the situation is extremely serious. Therefore, after the joint discussion of the leaders of the department, it was decided to score each operation. If the score fails many times, punishment measures such as suspension of operation authority, fines and bonuses, cancellation of evaluation, dismissal, etc. will be given. For those who have maintained excellent scores, the top three will be given additional rewards of 5000, 3000, and 1000 yuan respectively. If there is an opportunity for surgical training, it can be recommended first.”

Once the reward and punishment measures were announced, the doctors in the operating room of the emergency department were in an uproar.

You can get a bonus of up to 5000 yuan, which is full of temptation for many people.

"Director Lou, does our internal medicine department have a similar reward and punishment mechanism?"

"Temporarily try it in the emergency operating room first. If the effect is good, the corresponding reward and punishment mechanism will be implemented in the internal medicine department, ICU, and emergency room. In addition, I might as well tell you another good news, because our emergency department has become stronger. Three new establishment quotas. Everyone here, as long as they are not in the establishment, has a chance to get it. At that time, the quotas will be distributed according to merit."

This is another big news.

It is even more attractive than the 5000 yuan, 3000 yuan bonus.

No doctor or nurse would want to be included.

Don't look at the fact that all major hospitals are now implementing equal pay for equal work, but there is a big difference between those who have a staff and those who don't.

Welfare benefits, retirement benefits, promotions to important positions, employees with established staff obviously have a great advantage.

There are many benefits and benefits that ordinary employees really don't have.

No matter how good you are, as long as you don't have a system, you don't have one.

There is no way to expel doctors or nurses from the hospital as long as they do not make serious mistakes.Because the files are directly in the Health and Family Planning Bureau, the personnel files of ordinary employees are in the personnel department of the hospital.

To put it more clearly, the salaries of the permanent staff are allotted by the central government.

The salaries of ordinary medical staff are paid by the hospital itself.

How do you compare the two?
After Director Lou directly revealed that there will be three staffing quotas for everyone this year, many people's faces turned red with excitement as if they had been pumped.

Regardless of men and women, as long as they are not organized, their eyes are like hungry wolves.

"Don't worry, everyone, as long as we can continue to work hard and unite as one, the stronger the emergency department will be, the number of places, associate senior titles, senior titles and other resources that can be grabbed will continue to increase. Everyone's life will be better and better."

Drawing cakes and drawing blueprints are the housekeeping skills that every leader can learn without a teacher.

If you don't draw a few more cakes, you won't be able to mobilize everyone's enthusiasm for work, and the department will only be lifeless, and eventually decay and decline.

Vigorous units and departments must have a good leader who is good at mobilizing the enthusiasm of employees.

"The list of judges for the operating room of the emergency department is announced below. A total of three judges have been selected for the time being, and they will score each operation. All three of them have outstanding surgical skills and integrity, and can ensure the fairness and justice of the scoring to the greatest extent. The first judge is Dr. Xu Chen, the second judge is Dr. Zhou Can, and the third judge is Dr. Cui Ming. Please cooperate with the three judges in their scoring work."

Being a judge certainly means having new powers, and his status in the department and operating room has been improved.But it will also take up the rest time of the three.

It was the first time for Dr. Cui to assume a leadership position, and he seemed very excited and excited.

Maybe he didn't expect to choose him as a judge.

In terms of qualifications, he is far behind Fu Chachun.

Being able to choose him as a judge this time, even though he was only the third judge, still made him feel extremely satisfied.It was a great encouragement to him.

On the other hand, Zhou Can and Dr. Xu seemed much calmer.

"I will announce the third thing. Last night, I followed Dean Zhu to a meeting in the bureau. The superiors affirmed the development of Tuya Hospital in recent years. But they also put forward new requirements, let us match with the first-class hospitals in China, Try to raise the overall ranking by one more liter. After the director Zhu came back, he set a goal for the hospital, and strived to enter the top ten in China within three years. He also put forward specific requirements for each clinical department.”

"In addition to increasing the success rate of rescue by 5%, the emergency department also requires that the number of SCI papers and domestic core medical journal papers should not be less than 10 per year. Because we have opened medical and surgical inpatient beds, the number of difficult cases to overcome cannot be less than 180 cases/year."

It's a bit scary to set such high demands on the emergency department.

All the doctors hung their heads in silence.

Just kidding, who dares to agree to these requests?
The only ones who can fight in the emergency department are Zhou Can and Doctor Xu. Even Director Lou and Deputy Director Han are scumbags with relatively mediocre medical skills and academics.

At least not at all at the top level.

"I know that these requirements are quite difficult, but as long as we are willing to work hard, I believe there is still hope to complete them. Let's work hard together, and the meeting is over!"

Director Lou saw that the morale was a bit low, so he didn't make mandatory requirements.

……

In the blink of an eye, a week has passed.

After the second operation, the female patient in bed 1 recovered part of the sensory function of the third toe of the left foot.However, flexion function still failed to recover.

It's a bit of a pity, I have to say.

However, Zhou Can has confidence in his surgical ability.

He always felt that the anastomosis of the female patient's nerve was a success, and even if the nerve function could not be completely restored, at least most of it could be restored.

When the patient went through the discharge procedures, he was obviously disappointed with him.

He advised the patient to consciously strengthen the exercise of the third toe of the left foot until the wound was almost healed.You can even take part of the day to manually massage the third toe to help it move.

After nerve anastomosis, unlike blood vessels, large and small intestines, as long as there is no necrosis after the nerve is connected, it will soon be possible to verify whether the anastomosis is successful.

Because nerve cells cannot regenerate, the healing time and recovery time are very long.

Plus, exercise is key to helping them recover slowly.

It is common to see some paralyzed patients in the hospital. After the operation, the doctor asks them to stand up with the support of their family members, walk with the help of the wall, or go to the rehabilitation center for rehabilitation training.

This is to help the body gradually regain motor function.

There are even some patients who were sentenced by the doctor to never stand up again for the rest of their lives, endured the pain, gritted their teeth and persisted in hard training day after day.In the end, a medical miracle was created and he was successfully recovered.

For example, a certain martial arts star is a typical example.

Zhou Can has high hopes for this female patient's nerve anastomosis.If the nerve function of her third toe recovers, Zhou Can can continue to undergo similar nerve anastomosis operations in the future and continue to study in depth.

When the conditions are ripe, he will try to help Dr. Xu's paralyzed patient undergo another operation.

One day, he can really cure that distinguished patient and help Dr. Xu get rid of the shackles on his body. This is the best reward for Dr. Xu.

On this day, Zhou Can scored every operation of the day as usual after get off work.

If you find problems, mark them out in time, and then give unqualified low scores in the scoring.

For example, a subcutaneous abscess debridement operation, performed by Tang Wangnian, broke a vein of the patient during the debridement process.Because the blood vessel is relatively large, it is a relatively important venous return vessel.In this case, rough electrocoagulation is not suitable for hemostasis.

Instead, it should be anastomotic repair.

To save trouble, Dr. Tang Wangnian directly coagulated the blood vessel to stop the bleeding.The patient's lower limbs were obviously edema after the operation.

This is irresponsible behavior.

Zhou Can marked it impartially and handed it over to Dr. Xu for unified handling.

There are many similar irresponsible or evasive practices.

At least two-thirds of the doctors in the operating room refused to mend their ways, even after being punished by Dr. Xu, they still committed the crime again.

In particular, Tang Wangnian, the attending physician, has a master's degree and is considered one of the few highly educated people in the operating room.

Dr. Xu, Cui Min, Fu Chachun, and Zhou Can all have undergraduate degrees.

Only the young people recruited later are all graduate students with a master's degree.

Among the surgeons in the emergency department, there are no doctoral students yet.

People are very realistic, doctoral students don't want to go to the emergency department at all.

That's why Tang Wangnian has always been very proud.

Regarding the scoring of surgery, Tang Wangnian and some doctors should be very resistant.

No one wants to be controlled to death.

Surgery is even more difficult.If you are not careful enough and have a weak sense of responsibility, it is easy to have some problems.

After Zhou Can finished scoring all the surgeries that day, he sent them to Dr. Xu's mailbox and didn't take care of them any more.

Early the next morning, after the house inspection, I passed the office and heard Dr. Xu losing his temper and scolding Tang Wangnian and others.

"Tang Wangnian, for the past week, you have had surgery problems every day. Yesterday, there were as many as four surgeries with problems. Can you do it? Do you still want to do it?"

If Dr. Xu wasn't extremely angry, he wouldn't say such serious words.

"Who can guarantee that there will be no problems in the operation? Some minor problems are harmless, so why be so serious! Besides, it is difficult to ensure that there are 100% problems in the operation you perform, right?"

Tang Wangnian responded lightly.

First of all, Tang Wangnian is not a mediocre doctor eliminated from other departments.

He is currently in his early 40s, has a senior title of attending physician, and is trying to achieve the title of deputy senior doctor.Moreover, there is great hope of successfully being rated as a deputy high school this year.

In terms of surgical ability, Tang Wangnian was at the upper-middle level.

Academic and scientific research is also above average.

None of them are top-notch, and they are by no means bottom-of-the-line.

Director Lou recruited him into the emergency department.Except for his work attitude, which is a bit of an old man's style, and his personality is rather aloof, he can be called excellent in other aspects.

For the emergency department operating room, such talents are very precious.

Therefore, even though he repeatedly made mistakes during the operation, Dr. Xu was not willing to stop his operation authority.

Dr. Fu Chachun himself was suspended from operating authority for a week, and there were only three attending doctors left in the emergency department, and the manpower was very tight.Stop one more, but only Dr. Xu and Dr. Cui will work as attendings.

(End of this chapter)