In the doctor's office on the twelfth floor, Dr.
Yang handed Zhang Zhengjie the record of the course of illness that he had rewritten and last night's night shift.A few lines can only prove that Dr.
Yang had a ward round on the night shift last night.Not a single word about the patient's headache yesterday did not appear in the medical record.There is no way for Dr.
Yang to write this, he has already figured it out, if he knows that the patient has a headache, he will not be able to avoid the patient's occipital hematoma and other problems.Then he couldn't explain why he didn't do anything last night; I can't explain why today's brain CT examination list is an emergency examination prescribed by Li Min; It does not explain why patients should go for bone flap decompression in an emergency department.Even if Dr.
Yang wants to change it to the fact that he has not neglected the change in his condition, there are many things that have to be changed, and the departments and personnel involved are not ten or eight.Because of this emergency surgery, not only the examination records were left in the CT room, but also in the temporary medical orders, the temporary medical orders for the handover of medical care, and the documents and registration of the nurses who ran away, as well as the preparation and records related to the emergency surgery in the laboratory, blood bank, operating room, and anesthesiology department.In addition, there is a detailed record of the charge flow at the billing office of the inpatient department.The time and content, who wrote the checklist, who handled it, everywhere is written down by hand.It is easy to change one place, but then all the relevant information of the inpatients registered in the journal must be changed.Although it was only half a day, the amount of work was unimaginable.And if one of these items is changed, and the other items are not changed, once the patient has something to do and there is a mismatch, there will be more mismatches in the check.The proper modification is obvious, and the more it is described, the darker it becomes.It's not like Director Qin imagined, and Dr.
Yang can do everything by modifying the medical records alone.So the only thing that can be changed is Li Min, who is willing to cooperate.* Zhang Zhengjie said after looking at it carefully: "Then so be it, Director No. 2 has no record of the ward round, and the medical record room will deduct points."
Lao Yang, you have leaked a occipital hematoma here, and the patient is fine.If something happens, it's also troublesome.The rest of us will wait for the punishment from the courtyard.Xiao Li, please copy the record of this morning's illness again. ”After Li Min finished writing, Dr.
Yang had to follow up and write a summary of the transfer of the department.Then Li Min's transfer summary, postoperative summary, and postoperative course record.For this reason, Li Min also changed the pen to copy twice.After Zhang Zhengjie waited for Li Min to finish writing, he grabbed the original medical record in his hand and read it, and burned it in front of Director Qin, Dr.
Yang and Li Min.While burning, he explained to Director Qin the reason why he had to change it this way.Only then did Director Qin realize that he had taken it for granted.Or I have been working in the clinic for a short time, I don't know that Li Min has an emergency surgery notice, and it also involves the blood group examination in the laboratory, the blood bank to prepare for blood transfusion, and I want to keep a sample of blood crossing, especially the noon shift, and there is also a duty handover registration."
Is this a blood transfusion?"
Director Qin asked."
Nope.However, these are necessary preoperative preparations, and if you don't do these well, you can't push the patient to the operating room. ”Dr.
Yang explained for Li Min."
Xiao Li, thank you.I owe you a great favor, otherwise the hospital would have enough reasons to get rid of me, the head of the department. ”Zhang Zhengjie frankly thanked Li Min.Director Zhang was polite.I don't blame you for this, it's because there are too many things in Eleven that this happened. ”Li Min comforted Zhang Zhengjie.According to the normal working order, such a thing will not happen."
Blame me, I should have come to work on the 2nd; The night shift No. 3 should have a good examination of a dozen of my patients, especially those assigned to me during the holidays. ”"Lao Yang, you are also here to cooperate with the activities in the hospital.Okay, now that this is done, we will all be at ease.For the rest, Xiao Li, you have to look at the postoperative patient more. ”"Hmm.I will. ”*Chen Wenqiang went to Corey to see the patient first, and then went back to the office to see Dr.
Yang's revised medical records.Seeing that Dr.
Yang just added a few lines of inconsequential words, he silently recognized it in his heart.I also know that it's good.I didn't put gold on my face.When Director Qin saw that Chen Wenqiang had seen it, he said, "Dean Chen, I'll go home for dinner if it's okay." ”"You haven't eaten yet?
Let's go back now.Director Zhang remembered to report overtime to Director Qin. ”"Okay."
Seeing Director Qin away, Chen Wenqiang closed the door of the cubicle with the nurse, drove Li Min back to the duty room to read, and then said with a straight face: "Director Zhang, this matter has passed on a large scale.Tell me, what did you and the head nurse find?
Why did you give this patient to Dr.
Yang?
I don't know if he's going to a group wedding, so don't fool me. ”Zhang Zhengjie looked at Chen Wenqiang and then at Doctor Yang, and said, "It's all Lao Yang's own fault." ”Then he crackled and told about the fact that he had been arguing with the head nurse for half an afternoon."
Dean Chen, what do you call this?"
Doctor Yang was so ashamed that his face was red and his neck was thick.He was more than half a head taller than Zhang Zhengjie, but at this time, he bowed down and apologized to Zhang Zhengjie: "It's me who was ridiculous in the past and dragged down the director." ”Then he said to Chen Wenqiang: "Dean Chen, I was wrong.I've changed it too.How have I been for more than two months, you have also seen it.I won't be the same again. ”Chen Wenqiang looked at Yang Weiguo, who was bent down and bowed his head in front of him to admit his mistake, thinking of Director Luo and the others he had dug up, thinking of Director Shi being a matchmaker for Director Li's daughter, and forcefully pressed his old plan to kick him out of the branch and out of sight and out of mind, he only said lightly: "You have also been a doctor for more than ten years."
This time there is Xiao Li as the hospitalized president, will there be such good luck next time?
You still have to be more serious about your work in the future. ”"Yes.I will. ”Dr.
Yang solemnly agreed."
Then you go back.You are all rotten in your stomach, don't think about taking care of those little nurses in the future, revenge on those little nurses or something, your son and daughter are all in the provincial hospital, such a big family, and Director Luo can't afford to lose that face with you. ”"Yes, yes.Thank you, Dean Chen. ”Dr.
Yang went out with a red face.He understood that he had entrusted Director Luo and his son with the blessing of Director Luo this time, otherwise he would definitely be sent to the branch.When Dr.
Yang left, Chen Wenqiang said sadly about Zhang Zhengjie."
Every year on the second day of the first lunar month and the 2nd day of the National Day, what is the purpose of the rounds?
Could it be that the leaders of the hospital want to toss everyone and don't want everyone to have a good holiday?
Isn't it just to block the possible slackness and possible missed diagnosis of clinical doctors?
If you don't realize the importance of ward rounds like others, I think it's better for you, the director, to resign automatically, because our work is related to human life. ”Chen Wenqiang's words are heavy enough, but when they fell into Zhang Zhengjie's ears, they were deafening and enlightening."
Dean Chen, I didn't do this well, I didn't fulfill my responsibilities as the director of the department, and I went through the formality of the No. 2 round.If there is such a thing again, I don't need to say that I don't have the face to be this director myself. ”"But," Zhang Zhengjie looked at Chen Wenqiang's face, and continued: "The day shift on No. 3 is Director Li, and the patient once asked the escort to find Director Li because of a headache.The escort said......""
Say what?"
”Director Li scolded him, saying that they eat people and don't do anything about people, and they deserve to die.Then let the nurse give the red pills of the trauma.I found the medication record in the nurse's medication entry and exit register.However, Director Li did not fall into the doctor's order book and did not write it in the nurse handover book; As for whether Director Li scolded the escort, I didn't dare to check with Director Li.Although the patient is stable after surgery, it is not the time to check whether he has sent an escort to find Director Li, or to check that Director Li has given him medicine. ”Chen Wenqiang was really calmed by Zhang Zhengjie's words this time, and he was silent for a while before asking: "Who else knows about this?"
”"The head nurse and the nurse on duty, but it is reasonable for patients with fractures to use red pills.But it is a traditional Chinese medicine that invigorates blood circulation and dispels blood stasis. ”Needless to say, Zhang Zhengjie's words later, Chen Wenqiang also understood that if there was intracranial hemorrhage, red medicine would be used......
Chen Wenqiang pondered for a while and said, "Let's get here first, otherwise the more it will be involved, the more people will be dragged in."
Now the amount of surgery has begun to rise, which makes people panic, and if something happens, it will be even more difficult to lose.So you and the head nurse first calm down Corey's nurse, but you two should also check whose idea it was.This is not only to trap Yang Weiguo, but not to mention the provincial hospital, she can trap you, me and the head nurse. ”Zhang Zhengjie knew that at this point, he could only deal with it like this, so he nodded and retired.Zhang Zheng came to the door and saw Director Xiang of the Department of Orthopedics standing in the corridor smoking.Facing his former boss, Zhang Zhengjie tried to squeeze out a little smile, but that smile fell in Director Xiang's eyes.Director Xiang threw the cigarette butt into the spittoon, stopped Zhang Zhengjie and asked, "Is there anyone else in Dean Chen's room?"
”"No more.Are you looking for Dean Chen?
Now he's in it himself. ”Zhang Zhengjie replied with a smile."
Hmm."
Director Xiang ignored Zhang Zhengjie's strange expression, nodded to Zhang Zhengjie with a heavy heart, and raised his feet to the doctor's office.
*Actually, Director Xiang has been here for a while, but because he heard the nurse say that Chen Wenqiang was talking to Zhang Zhengjie and Dr.
Free novels bring you joy and joy ---> storyskyline.net
Yang, and Chen Wenqiang was talking with the door separated from the nurse's office, he could only hear someone talking inside, but he couldn't hear what was said.In order to avoid suspicion, Director Xiang didn't even stay in the nurse's office, and walked impatiently in the corridor, smoking and waiting.He knows Chen Wenqiang too well.According to Chen Wenqiang's temper, he and Yang Weiguo don't talk more than three sentences, and there is nothing to talk about.He talked to these two people, and it must have been something related to trauma surgery.It's a pity that I have a full head and a butt of shit that hasn't been wiped clean, so I don't have time to ask what happened to the trauma surgery.He had been waiting in the hallway.When he saw Dr.
Yang with a guilty face come out, he didn't even step forward to ask Dr.
Yang what was the matter.Director Shi saw him walking in the corridor and beckoned him to sit in the director's office, but he also refused: Old Shi, I'm afraid to sit in your room, and I don't even know when Dean Chen leaves. ”Director Xiang not only didn't go to Director Shi's, but he didn't even get close to the nurse's office.When Director Shi saw that he insisted on not coming in and sat down, he didn't force him, and he was willing to be a sentry in the corridor and followed him.
*"Lao Chen, I'm Lao Xiang. ”Knock on the door of the director and give your name."
Come in."
Chen Wenqiang was surprised that Director Xiang would enter the door so politely?"
Tell me, what's going on with your department?"
Director Xiang was embarrassed."
That's right."
Ten days ago, our department admitted a 68-year-old male with a comminuted fracture of the left femoral neck.Initially, conservative treatment was given, and after 7 days of traction, fracture fixation was performed under epidural anesthesia. ”"Stop, let me ask, did you have surgery on No. 1 or No. 2?""
Number 2.""
Why?
Obviously, it can be arranged to be done after the holiday. ”"That's right, it's not a festival, the patient's family has found someone, thinking that the family is there......
I operated on him. ”"Your surgery is only based on the patient's condition, and you don't care about what the family is not there.Don't talk nonsense to me. ”"The main thing is that his family has found someone.I thought he was going to have surgery anyway.I also gave him an emergency treatment. ”"It's reasonable to have an emergency.Speaking of pleasure, what went wrong after the operation?
”Director Xiang Yaoyao couldn't speak.When Chen Wenqiang's patience was about to run out, he finally held back a sentence: "The patient died in the evening." ”He's dead?
※※※※※※※※※※※※※※※※※※※※ pressed the gourd and scooped it up, and the distance was a little far