Li Min and Xiao Cao took the interns to the radiology department, but they saw a dozen or so stout young men standing in the corridor.The appearance of angry eyebrows, seven uneven and eight angry, coupled with their drunken and slightly crooked posture, makes people feel inexplicably afraid.He came over in a white coat and a stethoscope, but the dozen or so people surrounded him as if they had seen a life-saving straw.Two young men hurriedly dragged Xiao Cao's arm, and without saying a word, they pulled him to the emergency film."
Doctor, go see my brother Qu.My brother Qu is so injured that he can't move. ”These people all went to Xiao Cao, and they regarded Li Min as a nurse.A few others blocked the road and also reached out to grab Xiao Cao: "Doctor, go over and see my brother Zhang."
He was doing a brain CT, and he hit his head, and he threw up twice. ”Under the pull of these people, Xiao Cao tried to turn sideways, twist his head and face towards Li Min, and asked her opinion: "Doctor Li, what do you think?"
”Li Min immediately instructed him: "You take him to the X-ray and ask, how is the filming?"
I'll go over to the CT room and have a look. ”If you have a history of traumatic brain injury and vomiting, then you must have a brain CT examination that is in line with your specialty.The two men who didn't want to start pulling Xiao Cao saw that Xiao Cao wanted to ask Li Min's opinion before acting, so they immediately stepped forward to stop Li Min and said, "Doctor Li, my brother Qu really can't move, you go to see my brother Qu first." ”Hearing this, the other men immediately divided into two groups, three or four pushed the two people who stopped Li Min, and the rest surrounded Li Min and walked in the direction she was going.Frightened, Li Min hurriedly called Xiao Cao: "Xiao Cao, come here."
Come here. ”He instructed the intern behind him: "You call Director Zhang." ”Fortunately, the men next to Li Min were not drunk, and when they saw that Li Min was scared, they scattered a little and said: "We are from the provincial football team, not bad people, you don't have to be afraid." ”The two people who were stopped said: "Brother Qu's injuries are more serious, let Dr.
Li see Brother Qu first." ”A young man who separated Li Min from the two said, "A head injury is called serious." ”The two groups of people instantly had a tendency to fight.Li Min had nowhere to hide, so he dared to shout: "Don't make any noise first."
I'm a neurosurgeon and don't see orthopedics.Dr.
Cao, he is an orthopedic specialist.In a while, the director of the orthopedic department will come over and will give the injured person a good look.I'll go to the CT room first. ”When these young men saw Li Min say this, they immediately let her leave.But this string of people followed behind Li Min, looking very weird.Fortunately, these people were literate and did not force themselves to break into the corridor where the CT room was located, and honestly stood outside the iron door.Li Min was relieved to enter the CT room.It happened to be Gong Hai on night duty tonight."
Senior Brother Gong, is there a patient with traumatic brain injury and vomiting who has come to have a brain CT?""
Well, that's fine.I asked the nurse to take her to the observation room next door to lie down.There is also a lumbar spine injury, which is quite troublesome.If you don't want to be paraplegic, you come here. ”Gong Hai operated the knob, and the cross-sectional images quickly swiped across the screen.His slender fingers pointed at the screen and said, "Look here, here, it's all caused by lumbar vertebra fractures."
Hmph, it's cheap for him to not have his spinal cord crossed.The X-ray just now didn't look right, so I immediately turned to this side, you give me a CT application form, and I won't call the outpatient clinic. ”"Okay."
The CT application commission for Bai came again, and the CT scan found the problem.Li Min took out a pen and immediately filled in his name and age according to the application form for X-ray filming."
It's only 23 years old, which is a shame.""
yes.The provincial team is a promising striker.I watched him play the year before last when he was in the youth team.Alas, alas.He's never going to play football again in his life, so it's good to be able to stand up. ”Li Min responded to Gong Hai's nagging with "yes, yes", and after opening the application form, he went to the other side of Gong Hai, grabbed the phone and called the trauma surgeon.carefully explained to the nurse what he saw on the CT scan, and asked the nurse to tell Zhang Zhengjie to come over to see the CT immediately.The nurse asked, "Do you want Dean Chen to go too?"
”"No, I don't.The one with the traumatic brain injury went to the emergency observation room. ”"Doctor Li, please take it all in.We still have empty beds. ”Li Min rolled her eyes in secret.But when I think about it, I also get a share of the bonus for trauma surgery, so I should do this.Then she reminded the nurse to let her talk to Zhang Zhengjie.Seeing that she agreed to admit the two patients to the hospital, Gong Hai pointed to the one with a lumbar spine injury and said, "Then his bill will leave the inpatient department." ”"Okay."
Li Min agreed, wrote a "expedited" on the inspection application form, and buckled his diamond-shaped seal.Then she copied down the names and ages of the two people, went out and called the young men, told them that she was going to hospitalize the two injured people, and answered their nonsense questions that after being admitted to the trauma surgery department, let them go to the emergency department to get two inpatient medical records, * Li Min finished filling out the first page of the two inpatient medical records, and Zhang Zhengjie also came.He's coming fast.He came in panting and asked, "Have you finished the CT scan of the spinal cord injury?"
”"It's done.I haven't turned off the machine yet, Director Zhang, you come here to watch the film. ”Gong Hai greeted Zhang Zhengjie.The CT room does not produce all the scanned images, but usually selectively produces 24 to 48 frames.But on the machine, there are generally about 100 frames of images; If the problem is severe, it could be a few hundred frames."
This has to be operated on immediately, and the bone stubble must be cleaned first, otherwise the spinal cord will be cut off."
Zhang Zhengjie immediately made up his mind, he turned his head and asked Li Min: "Xiao Li, can you go to this operation?"
”Li Min immediately shook his head and said, "I'm not going on, you can take Xiaocao and the intern on."
There is also a doctor on duty in the orthopedic department. ”The Department of Orthopedics not only has an attending doctor-level in-hospital, but also an attending doctor-level hospitalizer, and Li Min will not embarrass himself with such an operation."
If you have surgery, you don't actively go to the stage?
Xiao Li, you are an advanced worker for 91 years. ”Zhang Zhengjie joked: "It's only 92 years." ”"Director, you're laughing at me.The advanced worker ......"
Li Min said no more.That's because I found the "missed diagnosis" patient in Eleven, and the reward given by the hospital was not because she had done a good job in the past year.Zhang Zhengjie saw that Li Min was still avoiding orthopedic surgery, and continued to persuade her: "Go on."
Cases of spinal cord injury are uncommon. ”If Li Min is willing to go, he doesn't have to call the two orthopedics involved, and he can be a surgeon happily.But Li Min shook his head resolutely: "I only had a craniotomy in the middle of the night, and I will continue to be on duty in Corey tomorrow."
Director, you don't sleep all night on night shift, and you can go home to catch up on sleep when you get off work during the day.I'm 24 hours a day, and I've got more than half a year. ”When Zhang Zhengjie saw Li Min say this, he no longer forced her to come to power.He laughed and started talking on the phone, scheduling emergency surgery for a while."
Director Zhang, I'll go back."
Li Min handed over the first page of the written inpatient medical record to Zhang Zhengjie.Zhang Zhengjie took the things and waved his hand to signal that Li Min could go.Li Min walked out of the corridor of the CT room and was stopped by the group."
Doctor Li, how is my brother Zhang?""
It's okay at the moment.He was admitted to the hospital for observation. ”"Doctor Li, where is my brother Qu?
I heard that I also turned around for CT scanning. ”"His condition is not good, I have already brought Director Zhang from the Department of Trauma Surgery, and Director Zhang will arrange follow-up treatment."
These dozen or so young men all received satisfactory answers and happily made way for Li Min.Li Min hurriedly left the door of the CT room.Although these young men claim to be good people, the ruffians on their bodies make Li Min feel uncomfortable, uncomfortable, and unsafe.* When Li Min returned to the twelfth floor, he saw Chen Wenqiang sitting in the nurse's office without resting, and when he saw her back, he asked the patient about the examination.Li Min sighed and told them all about their illnesses."
The guy who injured his spinal cord was so miserable, he was only 23 years old.Not to mention kicking football, it will be difficult to stand up in the future.This hurts. ”The young man with the head injury was the driver, and he drove drunk and hit a tree.The lad sitting in the passenger seat not only injured his leg, but also his waist.To make matters worse, they were trapped in the car in the middle of winter, and they froze for two hours.It wasn't until the young men who left on the bus that they didn't come out to look for them after a long time of not returning to the team, and finally found the two wounded people trapped in the car.The nurses had already obtained first-hand information about the wounded from the emergency department, and they and Chen Wenqiang knew better than Li Min about the specific circumstances of the accident.Li Minhu wondered: "How could you hit a tree so well?"
There's a road. ”"I heard that they seemed to be arguing in the car.Who knows.You go to sleep. ”Chen Wenqiang spoke.Li Min said, "Then I'll go back." ”When she walked to the door, she heard Chen Wenqiang say warmly: "If you encounter an emergency department in the future, call like this and tell them to come in accordance with the rules and regulations."
Whoever works the night shift will be the one who will take the treatment.Only when the doctor on duty performs the operation, and when he is too busy, he always goes to the hospital to see the patient.Hospitalizations generally do not need to go to the radiology department or CT room.After the inspection over there, the results and films will be given.In the middle of this, if there is a problem with the hospitalized patient, it is the overall responsibility of the hospitalization. ”"Yes."
Warm eyebrows and pleasing to the eye admit mistakes.She also heard from the emergency department that Zhang Zhengjie ordered Li Min to deal with it, and she subconsciously still regarded Zhang Zhengjie as the department director, so she went over to call Li Min without thinking about it."
Alright, just remember."
Chen Wenqiang can't look down on the appearance of the little daughter-in-law who is warm."
I'm going back to the director's office, and you'll be looking for me if there's something to do in the middle of the night.""
Okay."
Wen Wen knew that Chen Wenqiang had slept for half a night, and he responded without breaking down.* Li Min woke up naturally from a sleep, and when she looked at her watch, it was almost half past six, so she got up quickly.When she was cleaned up, she went to the nurse's office and told her warmly, "Dean Chen just left."
The second half of the night was fine.Our patients in the department are fine. ”It's okay.Li Min went downstairs to check the ward first, but heard from the nurse that the young man with spinal cord injury was in the ICU after surgery, and heard that his mother was crying so much that she "pumped".Alas!
Li Min could only say: "Let's look at the later rehabilitation treatment." ”But the nurse continued, "The one with the head injury, his girlfriend came to see her."
It's a singer, and it's famous in the provincial town.It is said that it can be regarded as a sister in China, what kind of singing ......"
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Li Min immediately stopped her and said: "I don't chase stars."
Don't talk about the patient's private affairs, let the head nurse know that the bonus will be deducted. ”When I was interning at the Affiliated Hospital of the Medical University, the instructor and the department director repeatedly reminded me: as a doctor, just treat the patient well, and pretend not to see anything else you see, so as not to cause trouble for yourself.Li Min glanced at the nurse's badge and wondered if he should mention it to the head nurse on the eleventh floor.When the nurse saw that Li Min refused simply, she stopped her mouth and lowered her head to draw her own thermometer.When Li Min disappeared, the nurse who had just been transferred to the trauma surgery department said to the nurse in her class: "This Dr.
Li is so arrogant, what's wrong with a singer, why is it a private matter?"
The bonus will also be deducted.She understands the rules and regulations. ”She talked about the rules and regulations with a disdainful look, but fortunately she was not seen by the head nurse.The nurses on the eleventh floor have been changed more since the summer, and there was another eleventh incident, and now the atmosphere of the department is still at the time when the head nurse is watching closely.It is inevitable that the nurses will feel uncomfortable and often have dissatisfaction.Because of any person or thing that violates the rules and regulations, the head nurse will punish him selflessly."
Forget it.Didn't you see that our director was all talked?
”The little nurse in the same class as her was very young, and she looked like a generous person, so she quickly dissuaded her classmate.This combination on duty together, the teacher usually takes the students, or the old and new combinations.But one of the latter must be familiar with Corey's situation.And if there are no special circumstances, such a combination will generally be together for more than half a year, or even longer.For the sake of herself and her companions, the little nurse continued to comfort her companions while busy with the work at hand: "You know that Dean Chen of our provincial hospital attaches the most importance to rules and regulations, and Dr.
Li is a student of Dean Chen, so naturally this has to be the case."
The singer's matter belongs to the patient's privacy, you really don't want to say it again, let the head nurse know, and your bonus will be deducted. ”"You're not going to go to the head nurse, are you?""
I'm not going to say it."
In front of nurses who are older than their qualifications, the little nurse is very obedient and assures."
Humph!
She's going to tell the head nurse, and I don't admit it.She doesn't have any documents and no recordings, so I'm afraid of her. ”"Sister Wang, you are the only one who sees the singer at night, and I don't even see it.You say that......
You're not afraid of the head nurse asking patients.The head nurse asked you that you confessed, but you were fined a little money.A good attitude may not be punished.But if you come out, you can't stay in trauma surgery. ”The nurse's face changed with the surname Wang, the bonus for trauma surgery!
Although it is not as high as in previous years, it is still much higher than other subjects.So she had to say, "Thank you for reminding me."
I understand. ”She understands what she said, but it inevitably feels heartwarming.So she reluctantly changed the topic: "Hey, why do you say Dean Chen is protecting Li Min?"
It's just that our director shouldn't have called her last night, but how big is that?
Upstairs and downstairs are not without other things. ”"Pap, pap", one after another drew the body temperature, and the medical record folder that registered the two stools was thrown out.Unable to get a response from her companions, Nurse Xiao Wang said to herself: "She is much younger than Director Yin.If she doesn't have anything to do with Dean Chen, I don't believe our director will be beaten. ”The nurse who was on her shift looked at her like a ghost and said, "Don't talk nonsense about nothing."
She called Dean Chen a teacher.You talk nonsense, and be careful of being dealt with by the head nurse as a rumor-monger. ”"I didn't say anything.You say I'm wrong?
She has something to do with Dean Chen.It's not just the teachers and students you are talking about.But what about teachers and students?
Lu Xun and Chen Guangping still have a teacher-student relationship. ”The nurse in her class was a newcomer to the trauma surgery department this summer.When she was interning in trauma surgery last year, she saw how Li Min worked like crazy, and also saw the before and after Dean Chen accepted Li Min as a student.Seeing that her companion was getting worse and less like what she said, she could only continue to persuade: "If you had come to trauma surgery last year, you wouldn't have said that."
I interned here last year, and Dr.
Li did all the work inside and outside, and Dean Chen took her to have a craniotomy.The director called her to see the patient last night, and she didn't say anything if you didn't look at Dr.
Li.As for Dean Chen's director, it was because the doctor on duty did not push the work of the hospital. ”"You really know the rules and regulations.You should go to the nursing department and take on the role of head nurse. ”The head nurse is the director of the nursing department, and the irony in these words makes the young nurse who has only been working for a few months angry.She decided to apply for a shift transfer with the head nurse tomorrow, so that she didn't want to be in the same class as B in this matter, and it was hard to say when she would be tired.* Li Min came out of the nurse's office and met Xiao Cao near the stairs, so he asked Xiao Cao about the spinal cord surgery at night.Xiao Cao said very regretfully: "The injured man, he was stuck in the co-pilot's seat after being injured, and their teammates dragged the person out before the ambulance arrived, causing a secondary spinal cord injury.Although the spinal cord is not completely severed, the effect of rehabilitation is not optimistic. ”Li Min was shocked.Do these professional players not know a little bit about first aid?
Thinking of the tense confrontation of those people in the radiology department, she felt a little bad about her whole person."
Did the surgery go well?"
Li Min can only ask about surgery."
Director Xiang came, and later he was a surgeon who did it to Director."
The general inpatient of the orthopedic department called Director Xiang before he came to the stage, such a spinal cord trauma, Director Xiang wanted to be an operator, as the director of the Department of Orthopedics and the deputy chief physician, he was qualified to take the surgeon out of Zhang Zhengjie's hands.After Xiao Cao brushed his hands, he was pushed off the operating table by Director Xiang not long after he came on stage.From Sansuke to watching the operation, he was a little breathless."
Xiang said to the director that the probability of paraplegia is more than 80%.The rest depends on whether God has mercy on him and whether he is willing to endure hardships when he recovers. ”Li Min nodded and felt sorry for that young man, who was only 23 years old.
*On New Year's Day, the nurses on duty in the hospital quickly found out about this.The girls were talking about the injuries of the two soccer players.After Zhang Zhengjie took over the surgeon from Director Xiang, he no longer interfered in the treatment of the injured.So after the operation, the young man was transferred to the orthopedic ward after staying in the ICU for more than 20 hours.When Li Min went downstairs to check the room on the morning of the 2nd, he also saw the player with a head injury, and he was all fine.If there were no surprises, he should have been discharged from the hospital soon.But at the morning meeting before the ward rounds, Chen Wenqiang emphasized the hospitalization standards to everyone, and also said a few words about Li Min, because she admitted patients who did not meet the hospitalization standards.This criticism made Li Min very faceless.She understood Chen Wenqiang's temperament, and did not immediately defend herself, but just bowed her head and said "no more", which can be regarded as turning the matter over.After the morning meeting, Li Min quietly explained to Chen Wenqiang that it was the night nurse downstairs who asked to admit the patient to the hospital because there was still an empty bed in the department.I opened the hospitalization procedures, but I didn't hand it over to the patient, but handed it over to Zhang Zhengjie.Whether it was admitted to the hospital or not, it was Zhang Zhengjie who checked it in the end.Chen Wenqiang snorted from his nostrils and said, "You just need to treat it clinically, and you don't want to get involved in other things." ”"Yes."
Li Min responded to Chen Wenqiang's request with a correct attitude.* But the ensuing dispute was not only unexpected, but also by Li Min and the people upstairs and downstairs.Because these people, like Li Min, no one expected that the nurse downstairs would move people from the four-person room into the intensive care room before leaving work.After the morning meeting on the 2nd, Zhang Zhengjie downstairs, as the department director and Wang Jing, the head nurse, led people to do a big round.Learning the lesson of the negligence of the eleventh ward round, the head nurse is very serious.When she found a patient with head trauma, she immediately said to the nurse who followed her: "He is not sick enough to stay in the intensive care unit, who moved in?"
Hurry up and change back. ”The young man accompanying him was immediately annoyed, stood up and shouted, "Why can't my brother Zhang live in the custody room?"
He has won the honor for our province, let your dean come. ”The head nurse faced this person who dared to shout at him, and said angrily: "I will invite whoever you want to come?"
Our provincial hospital is for the treatment of patients, this is a clinical treatment department, not a nursing home.If you feel that you are special, you can go to the dry ward. ”"Going to the dry ward?"
The escort knew that his brother Zhang was not good enough to live in a dry clinic.But he just stiffened his neck and said that he would not move back to the original four-person room, and he still danced and wanted to beat people.Then the doctors who came to check the ward, especially Zhang Zhengjie and Dr.
Sun of the orthopedic department, immediately rolled up their sleeves and were about to go up to fight.Or the head nurse is afraid that things will make a big fuss, so he can say that he persuaded people."
Such patients simply do not meet the standards for an intensive care unit.How do you nurses arrange the beds?
”Zhang Zhengjie complained about the head nurse without hesitation.The injured person who was half-leaning on the head of the bed couldn't sit still, and immediately said, "Director Zhang, the four-person room is too noisy, and I can't rest well, so I asked the nurse on duty to change the room." ”In fact, he exchanged his girlfriend's autograph."
You're not sick enough to be hospitalized.I was supposed to go to the emergency observation room to see if I was okay and then go home.We just considered that you were an athlete of the provincial team, so we admitted you to the ward. ”Zhang Zhengjie knew the specific situation of admitting people to the hospital.But now that the inpatient is not being dispatched in the department, Zhang Zhengjie is annoyed.He said without any embarrassment: "Who cares about this patient."
Discharge him from the hospital. ”The director and the head nurse both insisted on discharging the patient, and Brother Zhang, who had injured his head, and his escort panicked.They immediately went into action and begged for intercession.So before the trauma surgery rounds were over, Officer Lu of the medical office hurriedly came.() The distance is a bit far