In the early morning of the next day, the alarm clock on the bedside table continued to ring, reminding the newlyweds on the bed that Jin Ge Iron Horse had been fighting for half a night, and it was time for Ming Jin to withdraw his troops.After a long time, a long sigh of satisfaction made the sudden wind dissipate and the rain slight, and the dark red curtains closed tightly covered the depth of the winter night and the spring light in the room."
Get up, I need to take a shower.""
Hmm.""
Get up!""
Hmm.Minmin, I kind of know why there is a saying that the king will not reign sooner. ”"Mujay—" The coquettish tone became anxious."
Do you see if it's almost half past six?""
Well, I'll get up.You'll wait for me to turn off the lamp. ”"Take care of your children and grandchildren.""
Okay."
Mu Jie kissed Li Min's face hard, and then lifted the duvet on his body, and the smell of chestnut flowers instantly filled the bedroom.After he put away his children and grandchildren, he found that Li Min had slipped to the door wrapped in a nightgown.Mu Jie was full of regrets, regretting that he had missed the opportunity to calmly appreciate the spring and shame on Min Min's face.Li Min cleaned himself up, and after 7 o'clock, the two of them had to sit down at the table.Fortunately, Mu Jie took advantage of her bathing and drying her hair just now, and was busy in the kitchen and put breakfast on the table.A bowl of chicken soup wontons, a large bowl of mutton noodles, a plate of fried steamed bread slices, and a plate of fried small fish.Two empty rice bowls.Mu Jie diligently picked out a small half bowl of mutton noodles and placed it next to the chicken soup ravioli."
I can't eat that much."
Li Min took the other empty bowl and wanted to scoop out some wontons for Mu Jie.Mu Jie hurriedly raised his hand to stop Li Min's movements and said, "I can't finish eating, and the leftover bowl will be given to me."
This bowl is for you to drink milk. ”"Drink a little too.""
If you can't finish drinking, you can leave it in the pot and use it back to your face."
Mujay doesn't like the taste of milk.At 7:20, the phone rang, and Li Min dragged his coat with one sleeve to answer the phone."
Hey, I'm Li Min.""
Minmin, let's go, let's go to work.""
Okay, I'm wearing my coat."
Pan Zhi saw Yan Hong put down the phone, and he didn't understand his wife's psychology.How can I go to work like a little girl, I want to call Li Min to go together.The doors of both houses opened at the same time."
Senior Brother Pan.""
Good morning, Director Li.""
Check your patient today!"
Li Min threatened Pan Zhi, then stretched out his hand to Yan Hong, who came out later, and complained to her: "Caihong'er, take care of your senior brother." ”"Okay."
Yan Hong responded with a smile, took Li Min's hand and went downstairs together.Pan Zhi nodded at Mu Jie, who was closing the door, and led down the stairs.He was alone on the steps in front of them, slowly rubbing down."
Rainbow, you two slow down.Let's talk when we get outside. ”Out of the unit, Yan Hong carefully looked at Li Min's face and said, "Sure enough, it's different." ”"What's different?""
You washed your hair in the morning and didn't look in the mirror to take a closer look at your face?
Are you the same as yesterday?
”Li Min was stunned.Naturally, she noticed her difference.But she didn't give Yan Hong a chance to laugh at herself, and chased after Yan Hong's words and said: "Then you lied to me last year that it was caused by a hot head!"
”"Oops, what do you want me to tell you about that?!"
Yan Hong leaned into Li Min's ear and said, "The corners of your eyes and eyebrows are all smiling, and the spring is rippling."
Was it last night, huh?
”"Yes."
Li Min glared at Yan very stubbornly, pretending to be majestic to scare Yan Hong: "You say what you want!"
”Pan Zhi stood and turned his head to look at Li Min, and in exchange for Li Min's vicious glare: "Look at what!"
You two don't have a good person. ”"Sure enough, the official's temper has risen."
Pan Zhi teased."
You're shy."
Yan Hong pulled Pan Zhi, and the three of them walked to the east gate of the hospital in the morning light."
It's convenient to install a phone.Hey, Minmin, do you know that you can be promoted to deputy director?
”"I don't know.You don't know me yet.At that time, there was simply no living money.Rainbow, there are good and bad things to install that phone.I told you that you are not on the second-line shift now, just think about how many times Senior Brother Pan was called by Senior Brother Xie at night after you installed the phone at home, you will know that my phone is definitely not in vain. ”Pan Zhi smiled and said, "I really want Senior Brother Xie to call me over."
Senior sister, now that there are more and more people with telephones, you just don't have this deputy director, so it's still time to pretend.Like the big explosion last week, the hospital directly notified it by phone.With a phone, there is something going on in the neurosurgery department, and if I call you for a consultation in the middle of the night......
"Then I should be."
But don't worry, Senior Brother Pan, when our neurosurgery department is separated, you will also be the deputy director of the thoracic surgery department.Maybe I'll be able to get you back 2,000 at that time. ”"It's impossible to get money back.What kind of chest deputy director, junior sister, don't talk nonsense.Corey and Xiao Zheng.I didn't have any more advantages than him except that I graduated two years earlier and was promoted to attending doctor. ”"That's not enough.If you don't feel that you have a good grasp of the major, you can soak in Corey more.Anyway, there are sleeping places upstairs and downstairs.If you are willing to be on duty for Xiao Zheng, I guess he will be very happy. ”"Wait, wait until Rainbow is born.It's not bad for the last three months. ”* Li Min arrived at Corey and wanted to see the burn patient first.Chen Wenqiang also came early.He and Li Min went to the eleventh floor back and forth.After seeing the burn patients, the two briefly exchanged opinions and thought that the two patients had basically survived the shock period of the burns.He agreed with Li Min's opinion and planned to start arranging scab cutting and scab cutting surgery for the two patients in stages in the next few days, so as not to liquefy and liquefy the early coagulation and necrosis tissue, which would cause more problems.But there is also a hurdle in front of them: the patients do not have enough skin to graft on their own.Both of them invariably ruled out scalp extraction.The hair is burnt, and I really don't know how much of the scalp is good, and I don't know if that scalp is the last pico protection for the injured."
Teacher, why don't we try autologous particle skin grafting or allogeneic or allogeneic skin?""
Then ask the family today to see if any of them are willing to donate skin to the injured.If not, ask Director Sun of the laboratory or Director Fan of the Pharmacy Department to see if they can provide help with allogeneic skin. ”"Yes."
As for the craniotomy patients on the twelfth floor, the stitches have been removed.The two of them took a quick look.For the remaining two who have not yet recovered, they can only continue to provide supportive therapy and ask their families to stimulate the patients more.Hopefully, they won't turn into vegetative beings.But as time goes on, there is less and less hope that the patient will wake up.Every time he came out of the ward rounds from these two patients, Chen Wenqiang's heaviness made Li Min and the others dare not open their mouths to disturb him.After the shift in the morning, Chen Wenqiang said: "Head nurse, move all the postoperative neurosurgery patients downstairs in a while."
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Use a flat car to pass the bed or push the bed, Xiao Pan, Xiao Zheng, the two of you follow the head nurse to get things done.The two who didn't wake up were each put in a small ward.Others, but those four-person rooms are put in.And Xiao Li, you first change the dressing for the two patients with burns.Lao Shi, do you have any arrangements over there?
”"There are no special arrangements for patients on the chest side.That Dean Chen, did the directors of the surgical ward meet in the morning and make the night shift clear, and Director Bian and Director Xu of the general department are on vacation. ”"Okay, then please inform them to go to the twelfth floor at half past eleven."
Corey's work has been arranged, but the part of the intern is still left in Li Min's hands."
Xiao Li, this intern is in the last week of our department, and you assisted Director Shi in completing the assessment and appraisal of the internship.The next batch of interns will be handed over to Pan Zhi to be responsible. ”"Yes."
After Chen Wenqiang's work was dispatched, the young doctors and nurses on the twelfth floor began to get busy.Dr.
Pan Zhi and Dr.
Zheng took Qin Zhang, Yang Yu, and four interns to be responsible for moving patients.Except for the two patients who did not wake up and needed to push the bed to the eleventh floor, the other patients were sent to the eleventh floor in flat cars and wheelchairs.The medical elevator is locked to and from the eleventh and twelfth floors.Li Min took the doctor to change the dressing of the burn patient.It was almost eleven o'clock, and these young people did everything Chen Wenqiang commanded.Lu Qing saw that Li Min was busy and said, "Director Li, do you feel busier than the hospitalist?"
”"Oh, yes."
Li Min was stunned for a moment before realizing that Lu Qing was talking to herself.He explained to her: "By the way, head nurse, I have to go to the finance office to pay the money, and I will be back in a while." ”Lu Qing stopped Li Min and said, "Wait, I have the head nurse of each department to marry you."
You quickly count the money and count it, right?
Yesterday afternoon, I sent it over to young and old, and I won't keep it for you.I can't afford to lose it. ”Li Min was embarrassed: "Sister Lu, there will be a meeting at half past eleven."
After I ordered this, I didn't have time to go to the finance office to pay the initial installation fee.Will you give it to me again in the afternoon?
”"You took the money first.If you go to the finance office, I'm going to the hospital to do some errands in a while, and I'll pay it for you by the way. ”"That's great.Thank you Sister Lu in advance. ”Li Min counted the money and took out a thousand from it and handed it to Lu Qing."
Sister Lu, then I'll trouble you.I'll go back and copy this list for you, and if there's anything going on here in the future, you remember to remind me, lest I miss anyone, and I'm embarrassed. ”"Okay."
Lu Qing put the money away.Go out with Li Min.As she walked, she asked, "Hey, do you think my mother-in-law wants to have surgery?"
The surgery had to split the sternum and take blood vessels in the saphenous vein, and oh, how did I think about it and feel scared. ”"If she refuses to change her habits, the surgery will be even more harmful.Sister Lu, Director Liu's words are true, or let your eldest brother persuade more. ”"Okay.I've been so sad this week that my hair is going gray.Xiao Jiang, I'll go to the hospital, you look at Corey some. ”Lu Qing instructed Xiao Jiang, who had just been appointed as the deputy head nurse today."
Hmm.You can rest assured. ”Little ginger should be very happy.Finally, the appointment of the deputy head nurse was officially obtained, and the hope that had been hanging in my heart for many days was realized.Xiao Jiang is reserved on the surface, but there is a smile at the corner of his eyebrow.Not only has she been in the past two days, but since the thoracic surgery department was assigned to the twelfth floor and followed Lu Qing to do things, she has been both serious and diligent.Otherwise, Lu Qing would not have recommended her to Dean Chen.For this reason, she also deliberately paid attention to putting away the usual "personality" cleanliness.Xiao Jiang was happy, but at the same time he was nervous in his heart.She understands that neurosurgery patients are more difficult to cope with than thoracic surgery patients, and she understands the pressure she is under.She desperately wanted someone to talk to.* Li Min went back to the director's office on the eleventh floor, and first put the money that Lu Qing handed over to him, stuffed it into the schoolbag in the roll cabinet and locked it.Then she had to copy the stack of lists that Lu Qing had given herself.Unexpectedly, Xiao Jiang followed and knocked on the door.She entered the director's office, looked at the stall spread by Li Min, and said, "Doctor Li, I'll copy it for you." ”Take out the pen and ask for help.Li Min had to divide two pages into her.The two copied for a while, and Xiao Jiang saw that there were only the two of them in the director's office, so he told Li Min about his worries."
Doctor Li, I have to call you Director Li.That, that I think neurosurgery patients are difficult to care for, and there are more things to do in neurosurgery than in general departments, and there are more things to do with burn patients. ”Xiao Jiang's face was full of embarrassment."
Sister Jiang, then what do you mean?
You don't want to be this head nurse?
”Li Min was puzzled, stopped his pen and looked up and asked suspiciously.Xiao Jiang was stunned by her question.She immediately stopped writing, looked at Li Min seriously and replied, "Doctor Li, I didn't mean that."
I'm just afraid that I won't be able to bear the burden of the head nurse of neurosurgery, and I won't be able to manage the burn ward.It's not good if, if something goes wrong then. ”Oh, that's right.Li Min breathed a sigh of relief and said, "I thought you didn't want to go to neurosurgery." ”For the sake of her future work, she seriously explained Xiao Jiang and reminded her at the same time."
We're not going to divide the subjects next month.Sister Jiang, you have been working for more than ten years, and I think you have no problem going to special care, that is to say, there is nothing to worry about in your personal professional nursing skills.The rest of the chores in Corey, you should study seriously with Sister Lu now.For a year and a half, I think you can definitely do it all. ”"But I think there is one thing you have to pay attention to, that is, you have to train people with Sister Lu as soon as possible, I mean to talk about people who can be treated as special care in neurosurgery.When it's divided, you can take away the top people. ”Xiao Jiang nodded again and again.Li Min dragged a blank piece of paper and said as he wrote: "You need to prepare at least three people for the special care class, which is enough for shift work."
To be on the safe side, you have to have five people on hand.What if there are more than two patients, or more post-operatives, who need to be treated at the same time?
It's not good for us to push all patients to the ICU, and people don't accept patients with stable vital signs.And you can't be included in these five people.You can't be the head nurse and you can't throw away Corey's things, you can't go to the special care and participate in the shift. ”"Yes, yes.""
Xie Shanqian and Nuan Nuan must be taken away, they went to learn pediatric nursing, and they can use it when they encounter craniotomy.""
Hmm.Both of them can go to special care. ”Xiao Jiang watched Li Min write their names on the paper, stood up and reached out and dragged the paper over.Li Min glanced at his watch and sped up the copying.You can't be late for a meeting upstairs.Xiao Jiang watched her movements and began to speed up copying."
You said that I wanted Xiao Wu and Xiao Zhai, will Sister Lu agree?""
It's hard to say.""
Yes.Let's see how long it takes.If you can have a year or two, the nurses who came in last year are also very good.Maybe then it will be able to be used by people. ”Li Min nodded: "Hmm." ”What Xiao Jiang needs now is for Li Min to give her a response."
There are also disposal classes and responsibility classes, and at least 6 people who can be on duty alone are needed.""
Yes."…… After Li Min finished copying, he locked the original slip in a drawer, bound the pages with a stapler, and then said to Xiao Jiang: "Let's go up."
It's almost half past eleven. ”"You keep this thing like this, aren't you afraid it's gone?"
Xiao Jiang asked, pointing to the little things on the table."
It's also a hassle to collar a steel tape measure."
Li Min locks the door."
Dean Chen and I have the key to this office.Whoever comes in with the nurse's key will say something when the shift is handed over.In the two warehouses of the head nurse, there are not many delicate things lost.I have such a little gadget, I want to use it every day, I can see it every day. ”"Yes, too.It is easy to use outside. ”The two of them talked some unnutritious gossip and quickly returned to the twelfth floor.
*Because Chen Wenqiang allowed Director Xiang to be on duty independently in the emergency department yesterday, and Director Bian and Director Xu were on vacation, only Director Liang and Director Wang of the Department of Orthopedics went to the eleventh floor for the meeting, as well as the general manager of the hospital with them."
Xiao Li, congratulations."
Director Liang and Director Wang both said this.Li Min thanked them and stood in his usual position to prepare for the record.The three hospitalized presidents also took out their pens and waited for Chen Wenqiang to speak.Director Shi smiled and said, "Xiao Li, you don't have to stand this time, you are qualified to have a seat to sit." ”Li Min replied with a smile: "Wait until I finish being promoted to deputy high school." ”Chen Wenqiang was satisfied with Li Min's modesty, he coughed lightly and said: "Recently, there have been big changes in the personnel of the surgical department, and the emergency department will start to be on duty alone tonight, and Lao Bian and Lao Xu in the general surgery ward will take annual leave.Fortunately, there have been no elective surgeries in any of the departments recently.Considering that there will be rotations in and out of the department on March 1st, we will also make a fine-tuning of the ward duty to cope with the two weeks of duty. ”"First of all, there are four of us, or one person leads a duty team.This one will not change.Song Yimin, an orthopedic surgeon, and Pan Zhi from the chest department, the three attending doctors formed a medical team, which was the fifth group of the night shift.Xiao Li, you will take the vacant position of Xiao Huang from the original trauma surgeon and go to a group with Director Liang and Xiao Jin.Others will not make adjustments for the time being, and will wait until March 1st. ”"So we're five shifts?"
Director Wang of the Department of Orthopedics was surprised."
yes.It was March 1st, and in just two weeks, there were 15 shifts, all of which were on three night shifts. ”Director Shi quickly calculated the total number of night shifts in the past two weeks in his mind.not only explained to Director Wang, but also gave him a round.Well, yes too.Director Wang of the Department of Orthopedics was not a tough character, he saw Director Shi say this, and then thought that Director Bian and Director Xu would come back to work on March 1, so he sneered in Chen Wenqiang's eyes and said: "I didn't expect Lao Xiang and Zhang Zhengjie to go to the emergency department for a while, and we suddenly lost two groups on duty."
It's also that there have been too many changes this week, and I'm a little dizzy with busyness.However, Dean Chen, our orthopedic department and the attending doctor are not scheduled to work. ”"If you have enough doctors in charge of the bed, on the premise of ensuring medical safety, you will take annual leave first.You yourself look at the arrangement.Wait until March 1st to reschedule. ”That's at least 7 sets to recover.It's the same as before.Director Wang was silent.Director Liang and Director Shi, no matter how Chen Wenqiang arranged, would not express their objections.Li Min suddenly discovered that after Director Xiang went to the emergency department, the surgical ward became Chen Wenqiang's hall."
And who's working the night shift tonight?""
I'll come, I've been resting for days."
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Chen Wenqiang was the first to decide that he would be on the night shift tonight.Director Shi followed and said, "Then I'll be tomorrow night." ”The more you are in the front, the more you have to work intensively during the week, and the less time you get to rest."
I'm going to pick the last fifth group."
Director Liang said: "I came from home after the night shift today. ”"Then I'm in the third group."
After Director Wang recognized it, he left the night shift of the fourth group to the attending medical team on duty who was not present.But he then asked: "Dean Chen, Xiao Zheng is the general inpatient officer, and my group has one less resident doctor on duty." ”Chen Wenqiang pondered and said, "There are only four people on our side who can participate in the night shift, or we will have 4 groups?"
”That's not it."
Lao Wang, or you call the attending doctor of your department, or we will have a doctor for further study.That's also the attending doctor. ”Director Shi gave advice to Director Wang.Director Wang said without hesitation: "Then I will call the attending doctor of our orthopedic department."
If you encounter a neurosurgery patient, you have to find Dean Chen or Director Li for consultation. ”Director Liang said with a smile: "When I meet a neurosurgical patient, I also have to consult with them. ”Li Min pretended not to hear.She understood that in this kind of director's meeting, she would not have the right to speak for a long time.She only mentally calculates what day she is on the night shift, planning what to focus on this week's work: scab cutting/scab grafting, writing identification.Chen Wenqiang continued: "The matter on duty, we will decide so.Thursday is the group of attending doctors.You two go back and inform me.These two weeks are extraordinary times, so everyone will be more serious and work harder.Especially for the three of you hospitalized presidents, when you can't make up your mind, you must find the deputy chief physician who leads the group in time.In a word, medical safety comes first. ”※※※※※※※※※※※※※※※※※※※※ this chapter involves character 1, Director Liang: Director of General Surgery.Graduated two years earlier than Chen Wenqiang and is the deputy chief physician.After graduation, the rotation followed Director Li.My wife is retired.He has three daughters.The old daughter works in the finance department and is a junior college.Son-in-law Xiaojin, Jin Xin, orthopedic resident, graduated from medical school in other provinces in 89 years.2 Director Shi: Shi Lei, a native of the provincial capital, one year lower than Chen Wenqiang, is the former deputy chief physician of the Department of Cardiothoracic Surgery of the Affiliated Hospital of Jinzhou Medical College.In April 91, he was emphasized to work in the Provincial Institute through Chen Wen.He is currently the director of the Department of Cardiothoracic Surgery on the twelfth floor.3.
Director Wang: Deputy Chief Physician of the Department of Orthopedics, the same year as Director Liang.Former deputy director of the Department of Orthopedics, the current director of the Department of Orthopedics 4 Director Bian and Director Xu are both deputy chief physicians of the Department of General Surgery, similar in age to Chen Wenqiang 5 Song Yimin, Doctor Song, attending doctor, born in 49, worker, peasant and soldier college student 6 Orthopedic Li Jianguo, attending physician --- Dr.
Yang upstairs neighbor, born in 50, 7 Xiaohuang, a college student of workers, peasants and soldiers, graduated from Medical University in 89, studied urology last year 8 Xiaojiang, nurse, graduated from health school, self-taught high nursing, internship followed by Lu Qing, the head nurse on the 12th floor.He is about 33 years old.() The distance is a bit far