Chapter 398: You handled the trouble of the relationship well
After this major operation, Zhou Can did not have time to catch his breath, and immediately began to quickly complete some emergency operations, such as hemostasis and suturing of trauma, ruptured spleen and massive bleeding caused by trauma, inguinal hernia, replantation of severed fingers, etc., which are common emergency operations.
If not treated promptly and effectively, it may cause necrosis of the patient's severed fingers or even death from bleeding.
I was busy until almost one o'clock in the afternoon, and finally dealt with all the backlog of patients who urgently needed surgery.
Zhou Can took off his rubber gloves and said, "Everyone has worked hard. Let's go eat and rest for a while, and then come back to continue the operation." Tuya is a very good platform.
The number of outpatient and emergency visits is considerable.
The continuous influx of patients of all kinds also provides Zhou Can's team with ample surgical opportunities.
"Oh, I'm so tired! My legs are almost broken from running all morning!"
The circulating nurse Ma Xiaolan spoke in a coquettish voice.
"Working with Dr. Zhou, there is nothing but a lot of work. Of course, I also learn a lot of knowledge."
Luo Shishen took over her words.
"Xiao Lan, it's more work, but our income will be quite good! Working with Dr. Zhou, I think as long as you are hardworking and study hard, your future is quite bright."
When Qiao Yu said this, he was definitely not showing off how high his income was.
It was to help Zhou Can keep the person.
When I first started performing surgeries with Zhou Can, the workload was so heavy that it was much harder than an average nursing job.
For adults, being a little tired doesn't matter. As long as the money is in place and the future is bright, everyone will be motivated.
"Really? How much can you make a month?"
When Ma Xiaolan heard that the income was good, she immediately became interested.
However, asking about colleagues' income is obviously against the rules.
The age of a female colleague and the income of others are all personal privacy. They can only be disclosed to very close friends.
Otherwise, they generally don’t say it.
"Haha, everyone's salary is different. You'll know after working for a month. It's getting late. Let's go to the cafeteria to get food! If we go too late, there will only be some vegetable scraps left!"
Qiao Yu was smart and just brushed it off lightly.
…
After the four finished their meal, they returned to the emergency operating room one after another.
Qiao Yu immediately got down to work, preparing the surgical instruments, consumables and other items needed for the next operation. At this point, we must introduce the division of labor and responsibilities between the instrument nurse and the circulating nurse.
Many people believe that instrument nurses have a higher status, but on the contrary, circulating nurses are generally more experienced and have more experience in surgical coordination.
The circulating nurse will work closely with the entire surgical team and the anesthesiologist during the operation.
If necessary, we will coordinate and invite doctors from other departments to perform joint surgery.
Then various surgical records are generally also the responsibility of the circulating nurse.
Before surgery, the circulating nurse should be the first to enter the operating room to assess the operating environment and check whether the equipment in the operating room can be used normally. The circulating nurse also makes the bed.
After the patient is admitted to the operating room, the circulating nurse is responsible for verifying information, correctly executing medical orders, assisting with anesthesia, and even important tasks such as pressure ulcer assessment.
Do you think it is heavy?
The pressure ulcer assessment is divided into three parts, including the patient's name, gender, age, wound type, wound name, cause of injury, location, wound duration, and date of initial diagnosis.
And systemic assessment, including primary disease, nutritional status, name of medication used, duration, activity, excretion status, sleep and psychological status, diagnostic examinations, etc.
There is also a local assessment, including wound color, amount of exudate and its nature, wound odor, extent of skin edema around the wound, wound area, depth, direction and depth of creeping, wound photographs, etc.
From these, we can see how high the professional requirements for circulating nurses are.
This is why circulating nurses are generally very experienced.
During level 3 or 4 major surgeries, please do not be surprised if you see a head nurse serving as a circulating nurse. This is just normal operation.
Therefore, when many new doctors enter the operating room for training, they feel that the circulating nurse is more aggressive than the chief surgeon.
After scolding this one and scolding that one, the key is that no one dares to talk back to her.
Sometimes, even the chief surgeon has to accept the criticism from the circulating nurse.
The instrument nurse is sometimes also called the scrub nurse. It is not necessarily true that her status is lower than that of the circulating nurse.
It’s just that under normal circumstances, the qualifications of instrument nurses may be relatively low.
Some surgeons are used to working with dedicated instrument nurses and are reluctant to change. In this case, the status of instrument nurses in the operating room is very high.
Basically, in the surgeon's mind, he is like his right-hand man.
For example, Qiao Yu holds a very important position in Zhou Can's mind.
By cooperating with her, Zhou Can doesn't have to worry about being hurt by sharp objects.
There was no need to worry about needles or objects being left behind. She changed the gauze one by one, and she could remember the position of each piece of gauze. This kind of thing was originally the doctor's responsibility, but she helped Zhou Can share it.
The angles when she handed the instruments and when Zhou Can received them were always in perfect harmony. They would never hit each other's fingers or catch the instruments in vain. The surgical cooperation was tight and harmonious.
She could prepare in advance what items to deliver and when without Zhou Can's reminder.
As for some subtle considerations during the operation, only Zhou Can could feel them.
If someone else were to serve as his instrument nurse, his surgical efficiency would be reduced by at least one third.
Finally, let’s talk about the hand-washing nurse.
Many times, the equipment nurse also serves as this role.
There are also special scrubbing nurses who are really just responsible for helping the surgical team wash their hands and get dressed.
Usually appears in luxurious top surgical teams.
Most of them are relatives of the family.
It is precisely because the hand-washing nurses have little presence and low technical content that the status of instrument nurses has been seriously lowered.
"Xiao Lan, let me tell you something! I'm a straightforward person, and I may be wrong about you, but please don't mind. Just now when I was taking the instruments and medicines, I found that some items were not put back in their original places after use, and they were even placed in a mess. This is not okay. When you are busy, it is very easy to have problems."
Qiao Yu spoke to Ma Xiaolan in a friendly tone .
Zhou Can was studying the patient's information and didn't care about such a trivial matter.
"I've been busy running around doing so many surgeries this morning, so I don't have time to take care of it! Even if some items are not arranged so neatly, it's nothing. Why do you have to make a big deal out of such a small matter?"
Ma Xiaolan's answer was really surprising.
It is said that three women make a play.
When two women get together, they either become good sisters or they are incompatible and start fighting.
Unfortunately, the new arrival Ma Xiaolan and Qiao Yu seem to be a bit out of sync!
Zhou Can was still looking down at the documents and did not intervene.
He wanted to take this opportunity to see what kind of person Ma Xiaolan was.
In previous encounters, I felt that this woman was disguising many things. But only one morning had passed, and her true colors began to show.
"Surgical safety is of paramount importance. If you don't develop good habits, accidents are very likely to happen. Not only will the patient's life be threatened, but your future will also be ruined, and even our entire surgical team will suffer."
Qiao Yu looked serious.
She had worked in the intensive care unit and knew how fragile human life was.
Sometimes, a small negligence of medical staff can lead to the death of the patient.
"Hey, look at what you said, who are you trying to scare? Why are you pretending to be so senior? I have also interned in the surgical department, I don't need you to lecture me."
Seeing that Zhou Can had remained silent, Ma Xiaolan became even more excited, thinking that Zhou Can was supporting her.
She had just joined Zhou Can's surgical team and was directly assigned to the position of circulating nurse. She felt a little overwhelmed, thinking that Zhou Can was taking special care of her for Ye Tingting's sake.
This is why she was given a more important position than Qiao Yu.
All I can say is that people who like to be sentimental always have a rich inner world and feel good about themselves.
"Nurse Ma, I think Qiao Yu is just giving a kind reminder."
Luo Shishen tried to smooth things over.
He had been performing surgeries with Zhou Can for more than a month, so he naturally knew Qiao Yu's importance in the team.
Ma Xiaolan's behavior is no different from seeking death.
He persuaded Ma Xiaolan to prevent her from being kicked out of the surgical team by Zhou Can.
Finally, a circulating nurse came, and his job as a medical assistant became much easier. Otherwise, he would have to do all the miscellaneous tasks such as picking up and dropping off patients.
Now it is shared by Ma Xiaolan.
"Stay away! What qualifications do you, an intern, have to teach me a circulating nurse a lesson?"
Ma Xiaolan seemed to be even angrier.
It is also possible that she deliberately wanted to use this opportunity to establish her position in the surgical team.
Luo Shishen's head shrank after being scolded, and he really didn't dare to say anything.
Interns have the lowest status, and they are afraid that something might go wrong during their internship and they will be sent back by the teachers of the Science and Education Department. That would be ruined.
Qiao Yu was so angry that her face turned red.
People with high cultivation, regardless of gender, are generally not good at quarreling.
Although he is clearly in the right, he is often scolded and has no power to defend himself.
"Ma Xiaolan!"
Zhou Can would not allow the two nurses to continue arguing, as this was an operating room. If he did not care, Dr. Xu would come in with a gloomy face to clean up the situation.
Never underestimate Dr. Xu's ruthlessness.
There's nothing wrong with dealing with Ma Xiaolan, but I'm afraid that Qiao Yu will be punished as well, and then Zhou Can can only watch Qiao Yu suffer.
"Yes! Doctor Zhou is asking me to pay attention to the unity of the surgical team! I know my limits. I just think that she, a scrub nurse, shouldn't use such a condescending tone to criticize me, a circulating nurse, for my mistakes."
Ma Xiaolan’s IQ is really worrying.
How good does she have to feel about herself to have lost even the most basic ability to read people's expressions?
"I hereby announce the suspension of your surgical qualifications. Go back to the office and write a profound self-reflection, reflecting on your behavior today. If the self-reflection is not satisfactory, I will personally report your performance in the operating room to Head Nurse Niu and Director Lou. By then, you should be prepared to leave."
Zhou Can's face was cold.
We shouldn't have hired a person with connections in the first place.
Every loss is a learning experience.
No matter who pleads for me in the future, I will never agree to such a thing.
"You, you want me to write a self-criticism?"
Ma Xiaolan looked at Zhou Can in disbelief, her eyes full of grievance and surprise.
"If you don't want to write, you can leave now."
Zhou Can said coldly.
This time Ma Xiaolan faced the reality and knew that she had not heard wrong.
She didn't expect Qiao Yu to have such a high position in the surgical team, and she didn't expect Zhou Can to be so ruthless and show no mercy.
Only a newcomer like her who has not been working for long would naively think that having a meal together means that everyone is a close acquaintance.
"I wrote!"
Ma Xiaolan bit her lips, tears welling up in her eyes.
He rushed out of the operating room without looking back.
"Forget it! She's just a newcomer and may not understand the rules of the workplace."
Qiao Yu was soft-hearted.
Ma Xiaolan treated her with such an attitude just now, but now she is actually speaking good words and begging for mercy.
"Rules are rules. If she can't learn them, then I can only say sorry. Let's not be influenced by her and start working."
Zhou Can is even more ruthless than Dr. Xu in this matter.
No compromise.
He has a strong ambition to lead his surgical team to become the best comprehensive team in China and even in the world. He wants to become a real super doctor in China.
If we can't even cure a little nurse and just let her go, how can the team be strong?
A single bad apple can spoil the whole barrel.
Luo Shishen tried to reduce his presence as much as possible because he felt the invisible murderous aura from Zhou Can.
If Zhou Can's anger spread to him, it would be a waste of time.
Qiao Yu didn't say anything else, and quietly and quickly tidied up the messy cabinets and countertops.
In this dispute, Zhou Can supported her and helped her to deal with the domineering Ma Xiaolan, which made Qiao Yu very happy.
Her position in the surgical team and the recognition from Zhou Can made her very happy.
…
In the evening, Zhou Can finished his last operation and went home.
"Xiao Zhou, come with me to the small conference room!"
Doctor Xu left the operating room early after saying something.
Qiao Yu looked at Zhou Can with some concern.
"It's okay. Although the teacher is very strict, he always handles things fairly. Even if he scolds me, it's okay. It's not like I haven't been scolded by him before."
Zhou Can gave her a comforting look in return, then changed his clothes and headed for the small meeting room.
Dr. Xu does not have a private office, so conversations with him can only be conducted in a small conference room. Other doctors or nurses in the department also sometimes discuss things that are not suitable for public discussion in the same small conference room.
"What happened in the operating room today?"
Dr. Xu asked expressionlessly.
"The new nurse Ma Xiaolan did not put the surgical instruments and medicines back to their original places after using them, and there was a mess. Qiao Yu reminded her twice, and she got angry and acted arrogantly in the operating room, trying to establish her authority and status. This is also my fault. Ma Xiaolan got in because of Ye Tingting's relationship. I shouldn't have hired a skilled worker in the first place."
In front of Dr. Xu, Zhou Can did not hide anything.
I told you everything in detail.
"It's a good thing that you can recognize your mistakes. Also, you were right to have the courage to ask Ma Xiaolan to write a self-criticism. Whether leading a surgical team, managing a department, or even a hospital, you need to be ruthless in addition to being kind."
