Li Min sent the man whose liver was stabbed to dialysis three times in a row, and finally waited until his urine output and urine specific gravity returned to the normal range.However, the wounds of several trauma patients have different degrees of infection.On Sunday morning, the hallway of the trauma surgery was silent.Taking advantage of the fact that the temperature had not yet risen, Li Min first changed the dressing for the trauma patients.Those who can walk to the dressing room by themselves will line up outside the door of the dressing room in turn.The young man with the severed tendon in his palm, looking at his red and swollen palm, gritted his teeth and turned his head to wipe his tears.After changing the medicine, he asked Li Min cautiously with a look of anticipation: "Doctor Li, can my hands be good?"
”"Yes.You do what the orthopedic department tells the director, and I will give you medicine according to the director's consultation.Let's work together. ”Li Min comforted the young man and encouraged him at the same time.The lad went back with a thousand thanks.* Kevin Lu followed Li Min to change the dressing for all trauma patients.After he waited for the young man to return to the ward, he held back the question for a long time, looked at the dressing room and saw that there were no patients, and couldn't help but ask: "Teacher Li, do you think his hands can still be used normally in the future?"
”"I don't know.I haven't encountered this kind of patient. ”Li Min rinsed the used dressing bowl and sent it to the designated place to put it away, then looked up and said to Lu Kaiwen: "Even if there is a small cut on the finger, as long as there is an infection, it is difficult to determine the outcome."
What we can do is to treat the symptoms and anti-infectives in place. ”Li Min cleaned up the dressing room, then locked the door and handed the key tray to the nurse on duty on the twelfth floor.Greeted Lu Kaiwen and said, "Let's go, let's go to the eleventh floor." ”* Several serious illnesses that lie in bed and can't get up are placed on the 11th floor.It may also be a conscious arrangement by the head nurse, and Corey's serious illness is concentrated on this floor.When Li Min took the dressing bowl to the patient's bed where the intestines flowed out, he saw Director Liang and the intern changing the dressing."
Director Liang, you get off the night shift.I'll leave it to me. ”"I'll go back after changing his medicine.Give me your dressing bowl. ”Director Liang asked for the medicine bowl in Li Min's hand, opened it and took the tweezers, and said to the intern while disinfecting it with iodophor cotton balls: "When you encounter such an infected wound, you can't follow anything from the inside out, from top to bottom.In that case, you see that the place below is uninfected, and if you wipe it down from above, won't you pollute the good place below?
It is necessary to disinfect the red and swollen areas from a good place. ”Li Min pushed Lu Kaiwen to the front and asked him to watch Director Liang's demonstration of dressing change.Although this patient lives in the trauma surgery department after surgery, Director Liang will come to visit the ward in the morning and evening, and the doctor's orders of several patients must be read every day."
Xiao Li, you go get a thread cut."
Li Min hurriedly agreed, and quickly went back to the dressing change room and filled the dressing bowl with a pair of wire scissors.Director Liang took it and removed the stitches from the patient's infected wound.Director Liang pressed both sides of the wound with two pairs of tweezers and gauze, and quickly squeezed out a lot of pus from the wound.Li Min hurriedly dipped it in gauze with tweezers.The two cooperated, knowing that there was no more pus left from the wound, so Director Liang changed iodophor to disinfect the cracked wound.After everything was taken care of, Director Liang asked the two interns to pack their things.The patient asked anxiously, "Director Liang, when will I be well?"
”Director Liang sighed deeply: "It stands to reason that you should all be better, but all of you have infected wounds, so it is estimated that there is something wrong with the watermelon knife."
But the watermelon knife was taken away by the police station that night, and it was not immediately taken to the laboratory for testing, which is just my guess. ”The young woman who accompanied her asked worriedly, "Director Liang, how much does he have to spend on this?"
”Director Liang shook his head with a smile and said, "How much is your life worth?"
He put the infection in check, and in a few days he would be able to jump around alive and go out to fight and stab people again. ”The patient lay on the bed and smiled bitterly: "Director Liang, if I can escape death this time, I won't dare anymore."
If I knew that it was such a lose-lose situation, I wouldn't say anything and fight for a few watermelons and people. ”"It's good to know.You are so young, you have grown wise after one thing, and you will naturally not use things together after suffering losses. ”* Dispose of all the patients who should change the dressing, and Li Min holds the medical record to write the record of the dressing change.Lu Kaiwen stood on the side and said, "Teacher Li, can I write" Li Min thought for a while and handed him the medical record written in his hand: "You read this book I wrote first, pay attention to those contents."
Then write down the dressing change records of the two minor injuries on scratch paper.I'm afraid you've made a mistake and you'll have to recopy this entire page. ”"Okay."
Kevin Lu obediently took it.Dr.
Gu is on the day shift today, and after taking the interns upstairs and downstairs to check around, he came to the office and said to Li Min: "Dr.
Li is so early." ”"Doctor Gu is early."
Li Min stopped writing, raised his head and talked to Dr.
Gu: "It's hot, I want to take advantage of the cool time in the morning to change the patient's dressing first, and finish these things that should be remembered." ”Dr.
Gu looked at the medical records in front of Li Min, nodded at her, and took the intern to the nurse's office to get the medical records."
Teacher Li, can you see what I wrote?"
Li Min took Lu Kaiwen and wrote a half-page record of dressing changes, read it carefully, changed a few words and handed it back to him."
Very good, don't make a mistake when you copy up.The other two books are also remembered. ”Kevin Lu's face bloomed with a smile."
Yes, thank you, Mr.
Li."
Interning with Li Min has a lot of things, and I can't take care of him when I'm busy.Not to mention this, Li Min also has many requirements and is strict, just for this dressing change record, the day before yesterday he replaced the whole page of the disease course record he wrote.Watching Li Min re-copy the previous one, Lu Kaiwen felt that Li Min's actions were like a silent slap in the face.So yesterday he didn't dare to reach out and write a record of the course of his illness.But no matter what, he was in the envy of everyone, and he followed Li Min to almost ten surgeries a week.The classmate who had only undergone one or two surgeries in the orthopedic department this week was so envious that he pressed his neck and asked him for a treat."
Not available.Mr.
Li lives in the department, and I have to go back after the meeting. ”Every day after dinner, when I went back to the dormitory, the teacher who led the team gathered all the interns for a meeting, and asked them if they had encountered any problems.Kevin Lu is tired of leading the team - this is almost catching up with the head teacher of the primary school.* Which internship student to take is to draw lots, but Li Min feels that it is also his luck that Kevin Lu was left to the end and in the paper ball left for him.This young man is serious, and he doesn't need to explain the general things a second time, and he is basically a more discerning person, well, even if he can't help, he rarely adds to the chaos.So as long as Li Min is free, he will tell him whatever he encounters.Not only told him how to write work notes, but also told him to transcribe the consultation records and doctor's orders."
It's better not to use a notebook for your work notes, and it's better to use loose sheets of paper to record them.Record the hospitalization number and the date of admission and discharge, and borrow it from the medical record room in case you can use it in the future.Write down a patient with a stapler.Finally, you can choose to bind the medical records of the same subject in the order of the textbook, or you can bind them in other order such as time.There is no such thing as a case divided into several pages of records, interspersed with other medical records, and then turned back and forth when it is time to review them. ”These are all empirical words, and after other students finally entered the clinical internship after four years of intense book study, Lu Kevin felt that he was more nervous than the previous four years.And Li Min finished busy with his patients and began to busy the beds under Director Li's name.When she met the students led by Director Li, the illness record was not properly written, so she had to recopy the paper all night.......
"Kevin Lu, call your classmates to the ward after dinner, and I'll tell you how to write a record of the course of illness."
It's about 20 minutes. ”"Okay
.
"* Li Min returned to the duty room, and Xiao Yin and Director Chen were already sitting at the door of the duty room.Li Min admires and sympathizes with this pair of parents from the bottom of her heart, in addition to going to work, she also has to accompany her daughter to study like this."
Teacher, Aunt Yin."
Li Min felt that his greeting voice was already very soft, and it still alarmed Chen Hongyan."
Sister Li, my dad saw you changing the patient's dressing and writing medical records in the office, let me learn it myself.""
You go in and learn from her.""
Hmm.""
Sister Li, we start school tomorrow, and I'm going to live in school.In the third year of high school, I must all live on campus, and I can go home on Sunday to take a shower and do my laundry, can I come to you?
”"Yes.Did you bring all your summer homework?
”"It's all brought, and some of it won't do, it's empty.Tell me about it. ”"Let's try it together.Yes, I don't know how to do it. ”Li Min began to accompany Chen Hongyan to check his summer homework.I didn't leave much homework in any subject, just a roll of paper a day, which can add up to a lot of money, 25 rolls of paper for five courses, fortunately politics and biology didn't send rolls.* Li Min who remembers is on the straw paper and tells her why, in that part of the textbook.Flip through the book and check the ...... where you can't call it When the smell of food wafted from the hallway, the little girl dropped her pen."
Oops, I'm tired.How do you remember so many things?
Ahh......hYan'er, can you eat something here?
”"Okay.Let's go to grandma's house for dinner in the evening.Grandma called this morning. ”"Okay."
As long as her daughter is willing to study, she can ask Xiao Yin for any conditions, let alone study so seriously all morning."
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Go and see what you like."
Li Min took out the lunch box and said, "I have two lunch boxes here."
I went with her to buy it. ”Chen Wenqiang stopped Li Min and said, "Let your Aunt Yin take her to buy it." ”Li Min is not reluctant, there is not much money for a lunch.She took out the spoon and put it in the water cup, handed the lunch box to the little girl, and followed Chen Wenqiang to clean up the table."
Do you think she can be admitted to the medical university by studying so much?""
It should work.Eleven months to go.She may have been influenced by her teacher, and it would be good to wait for a good teacher in the third year of high school. ”Li Min's words comforted the father who was worried about whether his daughter could be admitted to the Medical University.() The distance is a bit far