496 pairs to 4 Zhang Zhengjie was a little disappointed.There are quite a lot of emergency surgeries outside the general surgery.If you don't intervene, wouldn't you lose a source of bonus?
In view of the fact that Dean Shu said that he came here because of the many things in the emergency ward and the treatment of the administrative director, he felt that he needed to fight for more diseases for everyone in front of the general medical staff."
Dean Chen, our department can't afford major surgeries in general surgery, such as appendicitis, hernia, intestinal obstruction, and even cholecystitis, the emergency ward can still do it.""
For the time being.But you can't monopolize all these surgeries, and there are still teaching tasks in the general surgery ward.But let me remind you that you had better stay out of biliary surgery.That can be big or small.There is also a laparotomy for an unexplained acute abdomen, which goes to general surgery. ”Zhang Zhengjie smiled, such an adjustment is no less than trauma surgery.Even if it's temporary!
And according to what Chen Wenqiang said, it can be open to orthopedic emergency and elective surgery, which is a clear second orthopedic department."
But there is only one thing, your ward must be guarded: no extra beds!
The intensive care unit can only accommodate patients in premium care. ”Chen Wenqiang told Zhang Zhengjie."
If you add extra beds, you can only reduce the number of diseases."
Zhang Zhengjie grinned: "That's still less than the number of beds in the orthopedic ward." ”"You're in the emergency ward, not the second orthopedic department.There is also a bed in the observation room on the first floor.If the emergency department is running well, the beds on the fourth floor and the two operating rooms will also be handed over to your emergency department.Let's try it first. ”Dean Shu smiled and watched Chen Wenqiang hang a "carrot", and Zhang Zhengjie was really attracted by this "carrot".He immediately annotated Chen Wenqiang's words: "Work hard, I hope you have enough experience and ability to use the fourth floor as soon as possible." ”After Zhang Zhengjie waited for Dean Shu and Chen Wenqiang to leave with the rest of the hospital staff, he said to the head nurse excitedly: "Then our bonus next month is expected to be more." ”"Okay.Tired and afraid of something.It's good to make money. ”The head nurse was very happy."
With 78 beds, minus 4 in the custody room, we have 14 more beds than on the 11th floor.""
That's 14 sheets.The burn ward didn't follow, and our bed turnover rate would not be dragged down.For those diseases that may last for a few months, let's simply not accept them and send them to the ward for hospitalization.Anyway, we have the right to admit patients. ”The more Zhang Zhengjie spoke, the more excited he became, and he looked like he was gearing up and ready to do a big job.Dr.
Yang is both in love and afraid of the prospect of such an emergency ward.Zhang Zhengjie has not told him so far, and he will go back to the twelfth floor in two weeks.He enthusiastically reminded: "Director Zhang, head nurse, it's not enough for us to set aside 4 beds in the intensive care room.Dean Chen said that the intensive care unit can only accommodate special care, and no extra beds can be added to the emergency ward, otherwise the types of diseases will be reduced.How many of those 74 should be set aside?
”yes, how much is set aside to fit?"
Leave 4 first?
Up to four pieces.Otherwise, our 65 patients will have no room to admit new patients. ”The head nurse hesitated to suggest."4 is 4.It's good to experiment for a while and feel the pattern. ”Zhang Zhengjie waved his hand heroically.That momentum, with his gold-rimmed glasses, if he changed his clothes and had a war knife stuffed into his hand, he would be alive and well like the Japanese officer commanding the charge in the anti-Japanese film.* It was only eight o'clock in the morning when Li Min received a call from Zhang Zhengjie informing him: "Xiao Li, those two patients in the burn ward will not move to the emergency ward, you can come and get their medical records." ”Simple, crisp, and straightforward commands.Li Min put down the phone and hurried up the stairs to the nurse's office on the eleventh floor.Dr.
Sun, who was in charge of the burn patients, said apologetically when he saw Li Min: "Dr.
Li, you know the condition of those two patients, and I only know that they will not turn around."
I haven't had time to write a summary of that transfer yet.I'm going to follow the patient here, do you think I'm waiting for the move to finish?
”"Then I won't write a summary in the morning, when do you think you will go over in the afternoon to make up for it?"
Li Min saw that the nurse had already delivered things to the elevator, and hurriedly took the medical records handed over by Dr.
Sun, indicating that he would cooperate with their move."
I'll make up for it when I'm done here.I will definitely find time to make up for it before I get off work in the afternoon.I'll leave those two patients to you. ”The burn patient was able to get rid of it two weeks early, and Dr.
Sun was very happy.But this Zhang Zhengjie is also right, yesterday afternoon at a meeting decided that the burn patient would not move, so he couldn't tell himself?
I've managed more than a dozen patients myself, and I really don't have the time to write about this at this time.Zhang Zhengjie did a really good job of M!
It's not a great national event, and you still need to keep it a secret.Little Jap!
Sure enough, it's not a thing.Dr.
Sun's dissatisfaction, Zhang Zhengjie pretended not to see it, and Li Min also worked on the eleventh floor as usual.She took her medical records and went to the burn ward first, informing the two patients that they were not moving to the emergency ward, and that she would take over the treatment herself.Thanks to Li Min, who came to the eleventh floor at least once a day, the two patients and their companions were well accepted.Although he was not very happy about Li Min's arrangement to change dressings and infusions in the afternoon, he did not express more dissatisfaction.Li Min explained very clearly, worried that there were too many people coming and going in the corridor on the eleventh floor, which would cause the dressing change equipment to be contaminated.Then close the door and stay in the room.Li Min took the medical records upstairs and handed them to the nurse in charge of the day shift to warm up."
There are two more patients, and the burn ward is left to our department.They didn't move with the eleventh floor.The nurse over there gave the time to transfer out at 8 o'clock in the morning. ”After Wen Wen finished copying the long-term medical advice, Li Min continued: "The eleventh floor is too messy.You explain to the disposal team, and their infusions will pass after they have moved.I have already told the patients to change their dressings and infusions in the afternoon. ”"Who cares about this patient?
Dr.
Lee. ”Warmth hesitated.Burn patients are the most troublesome and tiring to manage.If there is no doctor who loves to take over, who is not happy.If the head nurse is there, ask the head nurse and ask the head nurse to assign it.But if you call the head nurse's house about this, the head nurse will definitely be unhappy."
Then I'll take care of it first.When I go to work tomorrow, let's see if Dean Chen and Director Shi have other arrangements. ”Someone is willing to take over these two patients, and the heart is warm and relaxed.She was in a good mood, so she began to ask Li Min some digressions: "Doctor Li, I heard that those two patients were also injured in this explosion, aren't they?"
There is one who is very injured and needs to change the medicine twice a day?
”"yes, they're all badly hurt.It's almost time to go, and you'll have to have skin grafting. ”"How do you compare it to those two who were doused with sulfuric acid?""
They are all heavier than the woman's.But it's lighter than the man's.The main reason is that neither of them has major burns on their faces, and their eyes and ears are not affected.The one on the back is a little bit worse, about 5% is III.°, and about 6% is deep II.°.Superficial II.° throughout the outer upper arms, lower back, and buttocks, and can only lie on the bed.Without skin grafting, it is estimated that these areas will be difficult to heal.This patient is a first-level care, and you should pay more attention to him when you take over the shift. ”Dr.
Ma, who borrowed it, immediately pleaded: "Dr.
Li, I will take care of this patient with you."
Learn skin grafting from you, I haven't taken care of burns yet. ”"If you're only here for a few days, you won't see anything.These two injured people will not be able to get to the stage of skin grafting in a few months.And it's really hard to change the dressing twice a day. ”Li Min felt that he should talk about the ugly things first, but don't worry about it, and run back to the orthopedic department in a few days.Changing the attending doctor back and forth is not good for the treatment of the patient, and the psychological impact is not good."
Dr.
Li, we are going to apply to Dean Chen tomorrow, so we will come here to study neurosurgery.After one year, he was transferred to the orthopedic ward and completed the orthopedic training program for the remaining six months. ”Dr.
Deng was busy telling him and Dr.
Ma's recent plans."
Lao Ma and I are in charge of one by one, our old man, how can I be embarrassed to say that I am tired.""
That's good.Dean Chen agrees with me, and I have no opinion.However, intern students will take shifts with the past burn treatment interns.Don't be bothered. ”Li Min admired the hard work of these two doctors.The two of them have been in the hospital for a whole week, and they will not leave the ward until half past ten every day."
What's the bother, how can the intern help hold the gauze bucket.It's a little easier. ”* It is a blessing to meet diligent interns who have flexible brains and are willing to study hard.This is not the homework that was expected to be received yesterday afternoon, Li Min went because of surgery, and none of the 8 interns handed in.This morning, the eleventh floor moved, and none of the four interns on the twelfth floor came, and Li Min was really worried about these children.Why don't you know how to seize the time and seize the opportunity?
If they don't work as surgeons after work, this last week is likely to be the only opportunity in their lives to be able to follow patients in thoracic surgery, neurosurgery, and urology.Not to mention the two patients lying in the burn unit.The burns caused by the explosion were also the first time that Li Min had come into contact with them, and although Dr.
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Ma and Dr.
Deng were in charge of two patients, she still decided that she would make efforts and effort to follow.When it was almost 12 noon, Li Min connected to the emergency ward through the exchange desk in the hospital.Explain to the nurse on duty and ask the four interns in the department to come over at 2 p.m. to hand in their homework.I called the bachelor dormitory to find an internship teacher."
Teacher Sun, I'm Li Min from the twelfth floor.I left homework for the interns on the 11th and 12th floors yesterday, and it was supposed to be handed in yesterday evening.But I went to surgery.I would like to inform the 4 interns on the 12th floor that they will come back at 2 o'clock to hand in their homework.I'll take note of it in the assessment. ”......
"should."
If you don't take it seriously, I'm sorry for your school's trust.Besides, I also received a teaching fee, so I didn't work hard, and I was sorry to burn my hands with that money. ”Li Min became familiar with Teacher Sun and joked with him half-truthfully.In fact, it was also after taking the students that Li Min gradually understood the teachers she had met in the past ten or twenty years, the vast majority of serious teachers, and the mentality of hating iron and steel in the face of students who did not study well and students who missed the best learning time.I also understand the mean words of individual teachers, and the hidden sincere hopes for students.You girl, do you sit in the classroom every day and don't you learn?
Why are your test scores not as good as those of sports students!
* At noon, Li Min went home at 12 o'clock as usual.Mu Jie had already made a large plate full of white chopped chicken, and after chopping it, he arranged it in the shape of a chicken."
Wow, that's beautiful!"
Li Min couldn't help but exclaim."
Mu Jie, next time you have to make it for me alone.I haven't eaten chicken that does this. ”"Good.You wash your hands first, and we should get over.Those plates are seasonings for eating chicken.Wait for it to pass. ”"Wait a minute" Li Min wiped the water on his hands and quickly painted himself a light makeup in the mirror."
Did you bring the key?""
Brought it.""
If you can play, you can play a little longer at her house.I came back to work myself in an overcoat. ”"Okay.""
I have to go twice.The first trip brought the spices, and the second time I brought the slippers. ”Mu Jie held the big plate of white chopped chicken, smiled and watched Li Min open the door of his house, and then used the key to open the door of Yan Hong's house.The sound of many people talking in small pieces immediately rushed to his face."
Which one is here to pick it up."
Li Min shouted with two saucer plates."
It's coming, it's coming."
Xiao Wang came over and picked up the two plates.Li Min turned around and took two more from his shoe cabinet, and this time Gong Hai came to pick them up.When Mu Jie appeared with a large plate of white chopped chicken, he immediately won a shocking admiration."
Wow, that's beautiful!"
Li Min, who was following Mu Jie, threw Mu Jie and her slippers down first, and after Mu Jie changed his shoes and entered the house, she followed her in.When I entered the house, I found that the two dining tables were full.But this dish is the most special and beautiful.There is no white chopped chicken in northern cuisine."
Come on, come on, let's move somewhere quickly, this is our most beautiful look today."
The orthopedic hospitalization always shouted very loudly and cheerfully.A circle of people also responded to him, moving other dishes with their hands.Two rice bowls were stuffed into the hands of Mu Jie and Li Min, and inside were half a bowl of white wine.Yan Hong smiled and took the wine bowl in Li Min's hand and said, "Min Min wants to prepare for pregnancy, these two bowls of wine are for you who are not going to have children recently." ”Pan Zhi poured the half bowl of wine into his own bowl and said, "Senior sister, I drank it for you."
Mujay, come on.The four of them are just my junior sister. ”"That's it, Mu Jie, junior sister, come on."
Gong Hai stretched out his hand to ask for the wine bowl in Mu Jie's hand and said, "Give it to me, my Nana and Yan Hong are about the same month."
You have to wait for your sister to have before you can drink. ”The buzz of young people is straightforward and simple.If you can't drink, drink plain water, and after the first bowl clinking climax, the chopsticks reach for Mu Jie's masterpiece."
Dip the spice and eat, four kinds of spices."
Mu Jie politely introduced to everyone."
Delicious.It's much better than our chicken stew. ”"It's delicious.""
Hey, why is it gone?"
Oh, yes.Nope.There are so many people, but it's not people who eat slowly, and they don't have time to clip the second chopstick.A white chopped chicken on the whole plate has bottomed out in an instant, leaving a chicken head, two chicken wing tips, and a chicken butt left on the plate.This is still because this group of doctors dislikes the accumulation of lymphatic organs in these parts."
Smooth and soft.Lips and teeth linger. ”Wu Dong gave Mu Jie the most expected evaluation, he can be regarded as the most experienced and proficient in eating among all the people in the house.Pan Zhi and Yan Hong visited Guangzhou last year and ate this white chopped chicken.He raised the wine bowl to Pan Zhi and said, "It tastes the same as last year's food in Guangzhou."
Admire, admire, admire. ”Mu Jie shook the boiled water in his bowl at him, thinking that this group of medical students was also quite interesting.Leng Xiaofeng squeezed over, "Minmin, you are the most powerful in this session."
It didn't take much to get to the intermediate level.Come, I salute you with a sip of boiled water.Keep up with us. ”Liu Na also held her rice bowl and said, "Minmin, come on."
Xiaofeng, it's been four and a half months, you hurry up and catch up with her. ”"I'm waiting for you to chase me."
Leng Xiaofeng raised his voice and said with a smile Li Min.Li Min was very embarrassed by their jokes.But he could only hold the rice bowl and touch with them, and touched Yan Hong again, "I wish you all success and give birth to a son in a few months." ”"And that includes you."
Nana spoke quickly for Yan Hong and Leng Xiaofeng.Even Wang Yiran said to Li Min: "Come on." ”After making a fuss for a while, everyone went to the kitchen to serve dinner, and Mu Jie came back from the meal and found that Li Min was not very happy.And Yan Hong and Gong Hai stood on Li Min's left and right, and seemed to be persuading her."
Minmin, eat.If you have to have surgery in the afternoon, you can't eat enough. ”Mu Jie stuffed the whole bowl of rice into Li Min's hand and said, "Give it to me if you can't finish it." ”Then he took the empty bowl in Li Min's hand.Li Min gave about half to Mu Jie.Before he could eat a few bites, Xiao Wang leaned over and asked, "Li Min, I heard that the sickle you did yesterday slashed your arm is about to turn into flesh, is it true?"
”"Well, almost.At least four were slashed, and two were slashed to the bone. ”Li Min replied seriously."
This is not the most difficult, the difficulty is that there is a lot of rust on the sickle and brought it into the wound.""
Which is more difficult than the broken arm replantation done a few days ago?"
Xiao Gao is also 90, and he is a classmate in the same large class as Li Min, and he and Xiao Wang are in rotation to the emergency department."
Half a catty and eight taels, each has its own difficulties.The crushing contusion was serious, and the postoperative crush injury syndrome was waiting for one level after another.The infection is difficult, and the operation takes longer, which may affect the prognosis. ”Li Min told the truth."
Gee, I really wanted to go in and see that surgery yesterday.But Dr.
Liu's words suffocated me.He was NN, as if he could bear it, but before the stage started, he was kicked out by you.Li Min, respectfully!
”"Don't say that.I didn't chase him, he left on his own. ”"Didn't chase him?
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He was so angry when he came back in the emergency room, if it weren't for the large number of patients yesterday, I guess I would have been unable to stop swearing. ”"I didn't get rid of my anger this morning."
The attitudes of Xiao Gao and Xiao Wang confirmed each other's falsehoods."
Scolding whom?
Scold me?
”Li Min asked.Xiao Wang said: "It's not a scolding."
He's just saying things that no one thinks to you.Say that when you came to the year before last, you followed him to change the dressing and what a mess. ”"When we first went to work, who wasn't yelled at and shouted at by those senior doctors.What is there to say about this.Senior sister, don't pay attention to him. ”Dr.
Wang, the chief of orthopedic hospitalization, spoke.Li Min pulled the rice grains in the rice bowl with chopsticks, and after Dr.
Wang finished speaking, he asked, "Senior Brother Wang, let me ask you something."
Yesterday you received such an emergency patient in the orthopedic department, should you find the two directors of your department as soon as possible?
”"I'm looking for it.But Dr.
Liu told me to go to the operating room from the beginning.I didn't see the patient's wound when you arrived. ”"But you know that the joint capsule is open, and the patient is not cut at once, right?"
Dr.
Wang nodded.Mu Jie gave Li Min a dish, and Yan Hong gave Li Min a handful: "You eat quickly, go to duty after eating."
Let's not be mistaken. ”Li Min ignored Mu Jie and Yan Hong, and continued to ask Dr.
Wang: "You suspect that the vascular network of the elbow has been damaged, do you think I can support the reconstruction of the entire vascular network by myself?"
Or do you think Dr.
Liu and Dr.
Chen can get enough blood vessels for transplantation in the saphenous vein?
”"Senior sister, listen to me, I really didn't mean to frame you for that incident yesterday."
Doctor Wang was a little anxious, "What are you going to do?"
Not really. ”"But Dr.
Liu turned his anger on me.Can you say that it has nothing to do with your failure to inform Director Xiang?
”Li Min is a little aggressive in terms of momentum.Dr.
Wang explained seriously: "I went to the operating room yesterday, saw Dr.
Chen in the locker room first, and then I asked him about the patient's condition.That's all he told me.Then I told him the medical documents to be prepared, and he was ready to go to see the patient himself.I didn't expect Dr.
Liu to change clothes in the back row.The men's locker room has one more row of lockers than the women's.When I finished talking to Dr.
Chen, I saw Dr.
Liu and he changed his clothes and went out, and I wanted to ask him how to come to the operating room. ”※※※※※※※※※※※※※※※※※※※※And then the girl who fell first every time,Two years after studying at a normal junior college, she became a colleague of the former homeroom teacher who was promoted to the director of teaching and the head of the teaching and research group due to the transfer of work、I really don't know how the teacher was retired()The distance is a little far.