Chapter 396: Team Expansion, Patient with Foreign Body
Make the best use of everything.
Internists manage hospitalized patients because they are more adept at pathology, physiology, and body mechanisms, whether it is helping patients recuperate or making timely adjustments to post-operative medical instructions.
They all have advantages over surgeons.
Another point is that as long as the internist is not a slacker who just wants to get by, he or she will have some research in pharmacology.
Although this female doctor named Jiang Shuangshuang is from the Department of Endocrinology, I believe she must have systematically studied the deeper medical knowledge on the three major circulations and nine systems.
It will also have certain applications in clinical practice.
It was definitely a wise arrangement for Director Lou to ask her to help Dr. Lin Ping manage the inpatient ward.
"Doctor Zhou, your surgical team completed nearly 900 surgeries last month. You have done a great job and it is true that you have worked hard. This time, our emergency department has been assigned three full-time nurses. You can choose one to join your surgical team. Director Niu, do you think this is okay?"
After Director Lou made all the arrangements, he then sought the opinion of Head Nurse Niu Lan.
To put it bluntly, it's just a polite question.
After all, the nursing department is in charge of the nurses.
All nursing staff arrangements are still led by Head Nurse Niu Lan.
However, even in the hospital rules and regulations, there is a clause that the director of the nursing department is obliged to lead all nurses to cooperate with the department's diagnosis and treatment work and obey the work arrangements of the department director.
In other words, Head Nurse Niu Lan has to follow Director Lou's arrangements.
"I have no objection. Dr. Zhou's surgical team should indeed add a surgical nurse." Head Nurse Niu Lan naturally would not be the bad guy.
To become the director of the nursing department, one must be well versed in human relations and accidents.
"Xiao Zhou, then you choose one! The three nurses have just introduced themselves, and I believe you have a certain understanding of their specialties."
Director Lou looked at Zhou Can again.
Nurses are suitable for different jobs depending on their major.
In general, through training and learning, there is a certain degree of interoperability.
"Okay! Thank you Director Lou and Director Niu for your concern and care for our surgical team. I won't be polite then."
Zhou Can looked at the three nurses.
All three looked at him with eager eyes.
Even a fool knows that Zhou Can's team has a high status in the emergency department and has achieved good results.
Joining such a team will have a good future.
"Ma Xiaolan, you studied surgical nursing, which is a certain professional match with our surgical team. Are you willing to join our surgical team?"
When allocating work, the opinions of the parties involved are generally sought first.
This is also a kind of respect.
"I do!"
Ma Xiaolan agreed without hesitation, with a happy smile on her face.
She was none other than Ye Tingting's cousin.
She was pretty, and when we had dinner together that night, her conversation was quite decent. She seemed to be a down-to-earth person and a down-to-earth person.
In the end, Zhou Can couldn't resist Ye Tingting's favor and chose her.
"Doctor Zhou, I am also a surgical nursing major! I don't mean to say that. If your team needs a surgical nurse in the future, you can consider me!"
The person who spoke was another formal nurse - Zhao Qian.
In terms of appearance, Zhao Qian is much prettier than Ma Xiaolan, with a medium height and a hot body. As for her work ability, Zhou Can does not know.
She dared to speak up at the department's weekly meeting and took the initiative to fight for it. There is definitely no problem with her courage.
Generally speaking, women who like to work hard are ambitious, so their abilities are usually not bad.
"Okay! I will give you priority when there is a chance in the future. Thank you for your support and trust in my surgical team."
Zhou Can smiled at her friendly and nodded slightly.
It's a great thing that we have two nurses on the surgical team.
This will undoubtedly greatly reduce Qiao Yu's burden. She has been doing surgeries with Zhou Can for a month, and sometimes she has to work overtime. She has not taken a single day off, and even when she caught a cold, she insisted on working without complaint.
Zhou Can greatly admired this professionalism.
Now that his team has an additional surgical nurse, the job of circulating nurse has been settled.
Checking patient information, wiping sweat for doctors, preparing various items needed before surgery, checking the power suction device in the operating room, parts of the operating table, preparing pillows and sandbags required for the patient's position, cleaning the operating room, and even adjusting the room temperature and lighting in the operating room are all part of the duties of the circulating nurse.
The room temperature of the operating room should be kept between 20-25 degrees Celsius.
Sometimes doctors are so focused on performing surgery that they have no time to take care of these trivial matters.
With a full-time circulating nurse, Qiao Yu can devote more energy and time to the work of an instrument nurse.
The workload is reduced and errors can be avoided.
Otherwise, no matter how careful you are, it is easy to make mistakes and miss things once you are busy.
After the meeting, Zhou Can took two nurses and intern Luo Shishen into the operating room to prepare for the day's work.
"Ma Xiaolan, from today on, you will serve as a circulating nurse and assist me in my surgical work."
"No problem! I worked in an operating room during my surgical training internship, so I'm pretty familiar with the work of a circulating nurse. I should be able to take on this job quickly."
When Ma Xiaolan spoke to Zhou Can, it was obvious that she was using the tone of an acquaintance.
This is why many company bosses do not like to recruit relatives or acquaintances.
Apart from other things, there are certain difficulties in management.
Most relatives or acquaintances always think they have special privileges at work because of their acquaintance relationship, and naturally have a sense of superiority in front of other employees.
Ma Xiaolan is showing signs of this at the moment.
It's just not very obvious yet.
"If you have any questions, you can ask Qiao Yuduo for advice."
What Zhou Can said basically established that Qiao Yu occupied a dominant position in the work.
He was also secretly reminding Ma Xiaolan that even if she got in through connections, she still had to listen to Qiao Yu.
"Okay, okay, Sister Qiao Yu, don't find me annoying when the time comes!"
Her attitude is pretty good.
"We are all nurses on the same team. We should learn from each other and help each other. If you have any questions, I am willing to share with you as long as I understand it."
Qiao Yu is much more generous in his words and deeds than her.
And it reflects a very high level of cultivation.
"Doctor Luo, it seems that your internship in the emergency department will expire in only two days?"
Zhou Can arranged the work for the new nurse and turned to look at Luo Shishen.
"Yes! But I want to apply to the teacher in the Science and Education Department to see if I can continue to intern in the Emergency Department. Of course, the premise is that you don't chase me away. I feel that I have gained a lot from following you in surgery for this month. It's just that I am very inexperienced in all aspects, and there may be many things I do that don't meet your expectations."
Luo Shishen is a very sensitive person.
Sometimes, if something wasn't done well, even if Zhou Can didn't scold him but just spoke in a harsher tone, he would become very restrained.
No one is perfect, but overall, he is still a relatively good intern.
"As long as you can maintain your current work attitude and ambition, and continue to learn and improve, I would be very happy for you to continue to be my medical assistant." Zhou Can said with a smile.
"Really? That's great !"
When Luo Shishen heard Zhou Can say this, he was overjoyed.
"I will ask the teacher in the science and education department to apply for it later, but I don't know if they will approve it!"
He said somewhat uncertainly.
"When you apply, if the teacher in the science and education department doesn't agree, just tell him that I want you to continue working in the emergency department. It may not work, but you can try."
Zhou Can is a very nostalgic person.
Having trained Luo Shishen for such a long time, he felt very happy to see this young man making progress bit by bit.
If Luo Shishen could intern with him for a few more months, he would definitely be able to learn more about surgery, which would be of great benefit to Luo Shishen's future training and employment.
During internship , if you can meet a good teacher, you can indeed widen the gap with others in just one year.
Just like Yang Chan was appreciated and valued by Director Zhang of the Obstetrics and Gynecology Department, she achieved leaps and bounds in surgery, medical theory, and clinical experience in just one year.
So much so that her results in the regular training recruitment examination were quite impressive.
To be honest, it is already incredible for an undergraduate student to stand out among countless postgraduate students, master's students, or even doctoral students and rank among the top.
Even though Zhou Can is only an undergraduate student, he directly got the first place.
That’s because of the system bonus and additional medical ethics points.
All of Zhou Can's classmates were eliminated without exception. This is the real cruel reality.
"Thank you! Thank you!"
Luo Shishen was so excited that he bowed directly to Zhou Can, and his voice seemed a little choked.
“Do a good job!”
Zhou Can patted his shoulder and went into the operating room to start his day's work.
The biggest feature of emergency surgery is that the time from admission to the decision to perform the surgery is short and the process is relatively streamlined.
Many specialized surgeries require a period of hospitalization and observation, followed by surgical evaluation, risks, surgical plans, prognosis, etc. This usually takes a long time and requires more examinations.
Sometimes, even a difficult puncture test or angiography test requires an appointment.
Even with the relatively lowest-risk procedure of knee bone puncture, interns and even residents can sometimes mess it up.
What's worse, a nurse may cause a miscarriage when inserting a catheter into a pregnant woman.
The hospital's three-level review and management system is not just for show.
When performing some risky operations, if the chief physician knows that the risks are high but still lets the trainee perform the operation, if something goes wrong, the chief physician will be held primarily responsible.
Rather than regular trainee students.
During ward rounds, the chief physician only went through the motions and rarely visited the inpatient wards once a week. The chief physician was also responsible for the failure of the trainees and attending physicians to detect hidden dangers in time and problems arose.
It is this three-level management system, which is equivalent to the ancient collective punishment, that greatly deters senior doctors who are careless.
The surgeries performed in the emergency department are generally emergencies, such as trauma, intestinal perforation, appendicitis, massive bleeding, etc.
If we still do a series of examinations on the patient in a slow and methodical manner like a specialist, and then gather the chief physicians of the department for a consultation and discuss the surgical plan, it will definitely not work.
For some specialist examinations, it takes time to make an appointment, and it takes some time to get the results after the examination.
It is common to take two or three days from applying for the examination to getting the results.
After waiting for such a long time, the emergency patient may no longer need treatment and may have been sent directly to the funeral home for cremation.
Zhou Can took the examination records of the first surgical patient and looked at them.
This is a very special male patient who needs to remove a foreign body in his anus. According to the examination results, the rectum should not be ruptured. If the operation is careful, the foreign body should be able to be clamped out with the help of instruments.
If the clamp cannot be moved, or it is severely stuck, surgery is the only option.
"Xiaolan, the anal lubricant is in this drawer. When you use it during surgery, remember to put it back in its place. Many medicines are easy to mix up, so the three checks and seven comparisons must be strictly implemented."
Qiao Yu fully demonstrated the spirit of the old team members leading the new ones. When taking items, he did not forget to remind Ma Xiaolan of some precautions.
Later, when Ma Xiaolan becomes familiar with the place, all the equipment, supplies and medicines here will be under her management.
The job of the circulating nurse includes the cleanup after the operation and the request for supplies before the operation.
The nurses’ base camp, the treatment room, has more medicines and medical equipment.
Management is also more refined and strict.
"First, familiarize yourself with the locations of the medicines, consumables, and instruments in the operating room. Some special emergency equipment and medicines are in the largest operating room outside."
Qiao Yu gave her enough time to learn and adapt.
Soon, the first patient for emergency surgery was brought in. He was a man in his forties, limping as he walked with his legs clamped together.
I heard that this uncle rushed to the hospital for treatment at around five in the morning today.
At that time, Dr. Lu was the only one on night shift in the operating room, so he applied for an examination. After taking the X-ray, he found that the foreign body stuck inside was a bit large and difficult to remove, so he did not dare to help him remove it.
Dr. Lu has always been a cunning person. When performing difficult and high-risk surgeries, he never tries to be reckless.
Push it if you can.
It was because he always paid attention to self-protection that he lived a relatively peaceful life.
Except for the surgery that was suspended by Dr. Xu for a period of time, Zhou Can has not heard of any accidents with Dr. Lu in the past month since he returned to the emergency department.
Also, Dr. Lu’s surgical skills have improved considerably compared to three years ago.
It is undeniable that Dr. Lu has great talent.
It's a pity that this person is lazy, extremely irresponsible, and likes to cheat, so he has been staying in the position of resident doctor.
Don't underestimate him. I heard that Dr. Lu passed the attending physician examination last year.
The chief resident had already done it.
Currently, I am waiting in line with Dr. Cui for the hospital to issue me a contract as the attending physician.
To put it bluntly, people like them who have passed the attending physician examination but have to wait in line for a long time for the hospital's attending physician employment contract basically have some problems.
At least not particularly good.
Otherwise, the hospital is not stupid and would not let them wait too long.
Because I’m afraid the person will run away.
