"Alright."
Chen Wenqiang's voice was like a heavenly sound, which immediately brought the silent operating room to life."
Small needle line 0, to Dr.
Li."
Director Liang fixed the silicone tube at the end of the abdomen and handed over the matter of the abdomen to Li Min.Director Zhou teased him with a smile: "Lao Liang, you are really idle as a shopkeeper." ”Director Liang replied with a smile: "What do you think?"
Today, Lao Li is going to the head group, otherwise I have to do this job. ”Director Li looked up and saw that Li Min had finished sewing his peritoneum and was about to suture the muscle layer, and immediately greeted Director Liang: "Old Liang, you come here to work."
Don't get cheap and sell well.Come over and sew the scalp with Lao Chen. ”Director Li leaned on the old man to speak, and Director Liang immediately put down the thread scissors in his hand, "The past is over."
Xiao Li, you put the skin right beautifully, don't let the little girl leave a scar. ”"Yes, Director Liang rest assured."
Li Min readily agreed.Director Li took off his gloves, beckoned Director Zhou to help him take off his surgical gown, and began to say Chen Wenqiang: "You, you, this child should be transferred to the children's hospital, what do you do with other things?"
It's right to do a good job, and if something happens, you have to talk about your administrative position.You honestly build up the neurosurgery department and think about the pediatric surgery thing. ”Chen Wenqiang smiled: "This operation is not difficult to do. ”"It's not hard to do.We all know that this surgery is not difficult.But what about post-operative care?
Can the child be so well fixed?
If there were no peculiarities in children, they would have been mixed with adult surgery. ”"You say he's useless.He is a person who remembers eating but not fighting.He has to be rid of this hard-to-get surgical director by others, so that he can be honest for a few years. ”Director Liang's words were immediately recognized by Director Li and Director Zhou."
Okay, well, you have a point.Next time, I won't have extra-pediatric surgery. ”Chen Wenqiang knew that these people were all for his good, so he quickly put on an attitude of accepting them with an open mind."
You're going to do it next time!
When the child's general condition improves, you will have to remove the space-occupying lesion beautifully, and then you will be qualified to talk about the next thing. ”Director Li taught Chen Wenqiang a lesson with a tense face, and Director Zhou slapped his hands when he saw the excitement."
Lao Chen, hurry up.Dr.
Li did it all by himself.Look at the little skin, as if it hadn't been cut.Don't think that if you have hair on your head, you will be bald and sewn back. ”Director Zhou's words relieved Chen Wenqiang.Li Min asked for a dressing, pressed it on the abdominal incision, and waited for the patrol nurse to fix it with adhesive tape.She herself turned to the side of her head.Director Liang stuffed the thread scissors into her: "Lao Chen, you and Xiao Li can work, I'll go down." ”"Hmm."
Chen Wenqiang replied sullenly.At this time, he regretted it a little.I was told countless times by my old father at home, and I was reminded many times by Director Li and several classmates in the hospital, but every time I encountered something, I couldn't help but itch my hands.If he hadn't proposed to be the assistant to the dean, Lao Liang and the others would definitely say that they couldn't change their.He felt guilty and unhappy, and began to blame Director Wu.It's all Director Wu's big fool.If you want to build a child, you have to start from the general surgery, how can you start with neurosurgery?!
Director Li stood behind Li Min and watched Li Min knot and cut threads.Bumping Director Liang's arm and asking, "Where is this kid tonight?"
”Chen Wenqiang said without raising his head: "Pediatrics." ”Director Li immediately asked: "Can the pediatric nurse take care of her, does the pediatric doctor have the basic experience in dealing with surgical surgery?"
”Chen Wenqiang is stuck."
Hmph.The country is easy to change, and it is difficult to move.You're going to put this kid in the pediatrics, and you're going to be on pediatrics duty tonight. ”"Corey is on duty, I'm on the night shift tonight."
Chen Wenqiang was in a dilemma, just thinking about putting the child in pediatrics, but he didn't think that the pediatric doctor could deal with the unexpected situation after the operation."
Look at what Xiao Yang means, he lives in the duty room.Otherwise, I'll be on duty in Corey. ”Director Li saw that Li Min began to look at the skin, moved his neck while walking, and left the operating room.Chen Wenqiang embarrassedly took the dressing in his hand and tossed it upside down to avoid Director Liang's reprimanded gaze.Blame yourself for not thinking about it, alas!
Not only will I be on duty at the pediatric department today, but I will probably have to go to the pediatric department two days after tomorrow, and even after the mass resection of the child's brain, I will have to go to the pediatric department with me.Thinking about it like this, Chen Wenqiang has the heart to die.Director Liang saw that he had woken up and comforted him: "You don't need to follow you after tomorrow's two surgeries."
Just wait for 'Eleven' Zhang Zhengjie and Yang Weiguo to be scheduled. ”"It's still that our surgery department is too short of manpower.If there are dozens more people, not only the emergency department but also various subdepartments can be built. ”Director Zhou immediately said: "Next year, eight anesthesia is not too many, and ten is not too much."
I want to use all 16 operating rooms. ”"You want to do good things.This year is special, where can there be so many provincial indicators next year. ”Chen Wenqiang said the truth, and his words immediately extinguished Director Zhou's enthusiasm.But after a little thought, he still struggled unwillingly: "You have surgery plus people and surgery, but the anesthesia can't be arranged, can your surgery be able to function?"
”"I wish I could add ten or eight people to your anesthesia, but I can't get it in the household registration index hospital in the provincial capital."
Chen Wenqiang talked to Director Zhou while giving the doctor's order, "Anyway, don't worry, I will remember the anesthesia and people." ”Director Zhou was comforted that he still had to have a dean from a surgical background in order to consider things from the specific clinical needs.But Chen Wenqiang then made a request to Director Zhou: "This child, you have to be guarded by the pediatric first." ”"Okay.I'll keep it for you first.You have to take over at the end of the day. ”"Good.But I might be a little late. ”"Six o'clock at the latest, no waiting.You don't want to go home and cook your meal and come back to take over. ”"Look at what you say.I'll explain to Xiao Yin that I won't go back to cooking today. ”Li Min packed up all the lists on the patient's body, and the patrol nurse pushed the flat cart in.Director Zhou said, "Leave it here first, and then send it back when you wake up later." ”The patrol nurse was immediately unhappy, "Director Zhou, we have to clean up the operating room." ”"Let's clean up later.The child can't move now. ”In fact, Director Zhou didn't want to move."
Let me tell you, Lao Chen, that anesthesia recovery room has to be set up quickly.In fact, I think that surgery should be done like the medical university, and the patients who are not in good condition after major surgery or the general condition after surgery should be managed in the postoperative intensive care unit, so as to save the waste of setting up intensive care units in each department.It may not be good for postoperative patients. ”"You say it easily.After centralized management, personnel scheduling and bonus distribution, you should be a trivial matter?
”"You don't care how big it is, you can't go wrong with following a medical university.You just think about the benefits of post-operative concentration, those personnel scheduling, bonus distribution and other troubles, and you don't have to do it yourself. ”Chen Wenqiang glanced at Director Zhou.Director Liang said, "I think it's okay."
Let's follow the medical university: the attending physicians of each department will be transferred to the awakening room on duty.In the postoperative awakening here, put a senior resident doctor in surgery to do the total hospitalization, 24 hours on duty.Then put a general hospital of anesthesia.After the operation, the patient always has the ability to have enough people to guard, and everyone can feel at ease after the operation. ”Chen Wenqiang pondered for a while and said, "Generally, the situation is handled by a few of them.What if a patient has an accident and needs to be pushed back?
”"The matter of entering the palace is still the old principle: whoever does the operation will handle it himself.How do others know what's going on during the operation?!
”Li Min carefully interjected, "This is the ICU after surgery?"
”Director Zhou nodded, "Does Dr.
Li know what the ICU means?"
”"IntensiveCareUnit Intensive Care Unit.""
yes, that's what it means.The Department of Cardiology now has a CCU, which is a specialized intensive care for coronary heart disease, and the effect is quite good.Our provincial hospital has set up an ICU ward, which is also the trend of the times.The last time I attended the annual anesthesia meeting, some big hospitals were trying or had already done it. ”Director Liang said approvingly: "I think so, whose patients are responsible for daily ward rounds and disposal.After the patient is stable, he is transferred from the postoperative care unit back to the original department.In the future, if you are promoted to attending physician, you must have experience as an inpatient in the ICU.Promotion to deputy high, not to mention. ”Chen Wenqiang is embarrassed, he has been closed in trauma surgery for the past two years, and he seems to be out of touch with the outside world?
He was silent for a while and said: "This involves a matter of residency training, and our hospital can't select enough residents who can be the total resident in the ICU. ”When it comes to herself, Li Min wants to continue listening, but reason tells her that she should leave.She handed over the abdominal surgery records that had been written to Director Liang for review, and then left the operating room as if nothing had happened.Behind her, Director Zhou was talking."
This year, like Dr.
Li, even the basic rotation has been canceled, which is too unreasonable.You're still getting back to work.In case something happens, not to mention ruining the life of the young man, you Lao Chen will have to follow the blame.You'll have to see how you can fix it. ”The head nurse pushed open the revolving door and entered, and she opened her mouth to speak.Director Liang immediately smiled and waved his hand at her.Director Zhou greeted her: "Come and see this child, this is the first time that our provincial hospital has done an extra-pediatric operation."
Lao Chen is amazing, right?
It came up to open the skull of the child this week. ”"That old Zhou, don't tell me these nice things.This operating room needs to be cleaned up quickly, in case it needs to be used later.You all go out and talk to me. ”The head nurse didn't buy it.Director Zhou motioned for Director Liang to step forward."
We're not chattering, we're talking about business.You said that if there was an anesthesia recovery room and a surgical ICU, would it be possible to solve a lot of clinical problems?
”"Can't you find a place to talk except in the operating room?
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Can an anesthesia office not?
Is Dean Chen's office okay?
”The head nurse was really a little angry at Director Liang's prevarication."
Kiss Li, it's not like we have no place to talk.Where can't we go if we chat?
Don't you just have to guard this child and wait for her to wake up?
”"Old Zhou, you are getting more and more out of luck.After the operation is done, the patient does not wake up, how much anesthetic did you give?
Can you still do it?
”Director Zhou smiled and said, "Don't you know if I can do it?"
”The head nurse was about to pinch someone, but the child made a sigh and moved his little hand, and all four adults focused on the child's face—the child's eyeballs slowly moved under the eyelids.() The distance is a bit far