At the morning meeting, the nurse on the night shift first reported the situation after pancreatic cancer surgery."
Intensive care unit 1 bed, male, 55 years old, on the first day after resection of pancreatic tail space-occupying lesions.Last night's vital signs were stable, blood pressure was 135/78mmHg, pulse was 78 breaths/min, breathing 18 times/min, the cumulative urine output was 1560 ml in the 15 hours after surgery, the wound drainage volume was about 30 ml and 10 ml, respectively, and there was oozing from the abdominal dressing. ”…… Last night's night shift was Director Liang, and with him watching the pancreatic cancer surgery, no one in Corey was worried about the patient.Then the routine is for the head nurse to speak."
I remind the comrades on the day shift that while paying attention to intensive care, we must not forget more other patients who are still receiving infusion therapy, and the importance of "three checks and seven pairs" is what we have repeatedly tested in the health school, and it is also what we must adhere to in our daily work.When placing the medicine, be sure to check the expiration date of the drug, compatibility contraindications; Check whether the drug is deteriorated or turbid; Check whether the ampoule of the drug is damaged and whether the cap is loose.It is necessary to have a good bed number, name, drug name, dosage, time, concentration, and usage, and there can be no slackness and self-righteousness.Also pay attention to the history of allergies and drug reactions to avoid irreparable mistakes. ”Everyone listened quietly to the head nurse's slow voice.Li Min has always felt that the head nurse of trauma surgery is a magical existence.Maybe it's because all the head nurses she's seen in the past are the kind of women who are resolute, resolute, and fearsome.Anyway, the head nurse, who always smiled gently, not only managed the trauma surgery in an orderly manner, but also broke Li Min's consistent perception that the head nurse was the strongest and most pungent woman in history.It was Chen Wenqiang's turn to speak."
Tomorrow Corey has one breast cancer surgery scheduled, and the day after tomorrow he will most likely have two tumor removals.So the last big round before the holiday was advanced, and it started at half past eight in a while.The head nurse will follow.Is there anything else going on with any of you?
”Chen Wenqiang glanced around, saw that no one spoke, and said with a smile: "The ward rounds will start at half past eight and the meeting will be dismissed." ”Li Min hurriedly handed over the prepared surgical notice, flipped the corresponding examination results to the place, and showed them to Chen Wenqiang page by page."
Have you prepared your blood?""
I have 800 CC of the same type of blood.Both pathology application forms were also filled out and placed in front of the postoperative doctor's order. ”Chen Wenqiang looked over page by page, and even carefully read the long-term medical order after the operation, before nodding in approval of Li Min's preparation.He looked at the operation notice in his hand again: except for the names of the surgeon and others, the rest of the columns had already been filled in."
Lao Liang, are you going to be an operator for breast cancer?""
Okay."
Director Liang had already seen all the test results of breast cancer patients last night, and he answered very easily.Chen Wenqiang added Director Liang as the surgeon, himself as the first assistant, and Li Min as the second assistant, and then handed it back to Li Min."
Hurry up and send it, I'll be doing rounds in a while.""
Yes."
Li Min looked at the time and followed the crowd out of the nurse's office.She wanted to run up the stairwell to deliver the surgery order.Before she stepped on the steps, Dr.
Wang called out to her from behind."
That Dr.
Li, you wait."
People have the advantage of tall legs and long legs, and he rushed over in a few steps."
Who's going to get breast cancer tomorrow?"
Li Min unfolded the notice in his hand to show him.Doctor Wang glanced at it and said gloomily: "Forget it, you can send it." ”He didn't expect that Yizhu would be Chen Wenqiang.What's the matter?
He, a deputy chief physician of neurosurgery, came to grab a help from a tertiary surgery in general surgery?
What's the matter!
But now that he is the dean, it is not good to say anything, and it is useless to say anything.Alas!
I've been unlucky lately, if I had transferred this breast cancer to my bed the day before yesterday, I would have been able to operate on my own tomorrow.He clenched his fists and watched Li Min's back disappear into the stairwell, and turned away with a complicated mind.Today's ward rounds are very different from Zhang Zhengjie's ward rounds in the past.Chen Wenqiang rarely asked the bed-keeper about the patient's condition.He simply looked over one by one, or nodded—in recognition of the current treatment; Or, "Leave the hospital before the holidays." ”He knew about the condition of all the hospitalized patients in Corey without saying anything.Which doctor who does not need to take care of the bed reports the condition.As for the specific treatment, when he was on the night shift, he looked through all the medical records.When he encountered a patient who he instructed to be discharged from the hospital and wanted to continue to be hospitalized, he handled it like this - first persuaded with kind words: "Go back to the primary hospital to recuperate slowly."
The follow-up treatment plan will be written to you in the discharge summary.Our provincial hospital specializes in treating critical, serious and acute patients.If you occupy a hospital bed like this to recuperate, you will delay the opportunity for others to save their lives. ”In this case, some wards will say it several times.There are those who were unwilling to be discharged from the hospital in the last bus accident, there are also those who have not reached a compensation agreement for previous traffic accidents, and there are even work-related injuries.Regardless of whether the patients can be explained or not, he only pointed out those who should be discharged according to their conditions, and then explained to the head nurse who followed the ward rounds to complete the discharge procedures before the holiday.The head nurse followed closely and said to the patients who were discharged by name: "The medicine you bring after you are discharged from the hospital can only be obtained the next day."
You can think about it, there are still a few days before 'eleven', don't wait for all the disposals to be stopped, and the grassroots hospital has not been contacted before it is in a hurry.Grassroots hospitals are going to have a holiday on the eleventh.You'd better be able to complete the discharge procedures here on the 29th and go directly to the primary hospital.Otherwise, there will be no one on the 30th, but what can I do. ”"Head nurse, is it okay for me to be discharged from the hospital after 'eleven'?"
The head nurse shook her head: "Yesterday Corey admitted three cancer patients for emergency surgery.You are also an old sick person, and you also know that once an emergency patient comes in, it will be followed by a series of emergency surgeries.You see, it's only one o'clock.The clinic told us that we were admitting patients again.This batch of re-admitted ones started with four deadly cancers.God knows if it's the same as them.Let's think about it again when you are admitted to the hospital, if the patients in front of you are completely well and then discharged, or after other compensation, they will make room for them to come out, and you will be in a hurry to live in the corridor if you are seriously ill?
!
”Chen Wenqiang, who walked in front, was not worried about the head nurse behind, and the two used to cooperate like this: one said good things in front first, and exhorted them to be forced to leave the hospital decisively.The other broke the truth in the back and crumpled it in a whispered and slow voice.But no matter what, before the holiday, you must clear those who can be discharged from the hospital home.Because everyone knows that holidays are the most prone to mass incidents.In case there is any accident, the trauma surgery department has enough beds and manpower to deal with it, even if half of the beds are empty for nothing, there is absolutely no mistake.And Zhang Zhengjie connived at some "old lai" to live in the ward for more than a year, which is absolutely intolerable in his eyes.If you indulge the "old lai", won't it happen that the patient who was injured in the bus accident will live in the corridor?"
Are you sure you're not discharged?"
Chen Wenqiang turned back to deal with the patients that the head nurse could not persuade."
I'm not entirely well."
This patient is making a final struggle."
We don't think it's necessary for you to continue your treatment in the provincial hospital at this time.The rest of the rehabilitation can be done in the district hospital at the grassroots level. ”"I can't be discharged from the hospital.After being discharged from the hospital, the culprit party will not pay compensation. ”"The head nurse, stopped all his dispositions.Dr.
Liu, write down my opinion in his medical record.Our provincial hospital is a treatment unit, and there is no responsibility to help you claim compensation from the perpetrator. ”Chen Wenqiang's words are righteous and strict."
I'm going to the medical department to complain about you."
Chen Wenqiang ignored the threat and turned to look at the next patient.Dr.
Liu was pulled by the patient's shirt."
Doctor Liu, you can't discharge me from the hospital."
Dr.
Liu was helpless.Objectively speaking, the people selected by Chen Wenqiang who should be discharged from the hospital really meet the discharge criteria.He didn't kick out patients who still needed treatment.There are nearly 50 patients in total, and the degree of their illness is under Chen Wenqiang's grasp."
Dean Chen is the chief physician, he thinks that your condition has stabilized, it is time to be discharged, I will obey.""
Oops, I have a headache."
It's going to be a trick to play around.In the past, Zhang Zhengjie was unreasonable to the above, and he couldn't use his fists, and then the patient went to say a few small words, and he was fooled."
Give him a CT scan of his brain."
Chen Wenqiang turned around and instructed Dr.
Free novels bring you joy and joy ---> storyskyline.net
Liu."
Write clearly on the medical record: because the patient's condition no longer needs to continue treatment in the provincial hospital, the patient has to do a CT examination in order to lie in bed in the provincial hospital, and complains of headache......
"If there is such a record in the medical record, then when the final account is settled, the cost of the CT examination will have to be borne by himself.""
Alas!
I was discharged, discharged.Can you transfer me to a primary hospital?
Can you bring me some anti-inflammatory medicine, I always have a sore throat or something. ”"Doctor Liu, you put a record on the discharge summary for him: he needs to be transferred to a primary hospital for further treatment.Prescribe him more acetylspiramycin tablets and two more bottles of loquat cream.Drugs that are in line with his condition or can be hung on the side should be given the maximum allowable amount. ”As long as the patient is discharged from the hospital, everything else can be said.Dr.
Liu hurriedly responded.The unhappiness of the patient being forcibly discharged from the hospital was obviously comforted by the need to transfer to a primary hospital for further treatment and discharge with medicine.Li Min looked at Chen Wenqiang, who was comfortable in dealing with patients who were "lying in bed", and thought to himself that it was no wonder that everyone wanted to be the head of the department.His momentum and performance at this time today, where is there still the sour appearance of being depressed and sneering at everything he has seen for more than a month.It has the prestige of the ward rounds of the department director of the medical university.And he didn't use the way of questioning himself to show the level of ward rounds of the chief physician and senior physician.Li Min is convinced that if he wants to ask and embarrass himself, he will definitely be able to do it.Walking to the bedside of the boy who was suspected of osteosarcoma, Chen Wenqiang didn't even ask Dr.
Liu to report his medical history."
What time is the CT appointment done?"
Dr.
Liu said, "I will make an appointment to do CT at half past ten this morning. ”Chen Wenqiang nodded: "It's almost time, head nurse, lend him the wheelchair."
You push the child over early. ”He turned to the patient's parents to speak.The boy of sixteen or seventeen years old was obviously frightened by the sudden hospitalization examination.In a panic, he grabbed the sleeve of Dr.
Liu, who saw him yesterday, and asked, "Dr.
Liu, do I have any cancer?"
”Dr.
Liu patted the boy's thin shoulder, "You only took X-rays, and there are many examinations."
It can only be diagnosed after it is done. ”"Am I going to die?""
No, it won't."
Dr.
Liu replied in the affirmative.Chen Wenqiang had already walked over, and came back at this time and said, "I'm going to die."
I'm going to die too.All people in this world have only one dead end since they are born.But those of us in white coats will try to make everyone live well until they are seventy or eighty years old before dying!
”He patted the boy on the shoulder, "What are you afraid of?"
The head fell off but a scar the size of a bowl, and eighteen years later, he is a good man again.You're sick in one leg and don't have to lose your head, aren't you?
”The boy's face flushed with shame when he said it, and he forcefully said, "I'm not afraid of death." ”"Hmm.You don't.Go for a good check-up, and when all the test results are out, I'll come back to see you. ”"Thank you, Dean Chen."
The boy's parents were grateful.
※※※※※※※※※※※※※※※※※※※※Thank you to the little angel who voted for me to vote for the overlord or irrigate the nutrient solution~ Thank you to the little angel who voted for [landmine]: 1 kitten of Sansan Aizawa; Thanks to the little angel who irrigated [nutrient solution]: irylar 110 bottles; 10 bottles; Wenwu Bei is 5 bottles of Yun; Thank you very much for your support, I will continue to work hard!
() The distance is a bit far