Chapter 579: Breakthrough, Operation in the Emergency Department Operating Room
"Hello, Dean Bai! Do you have any instructions?"
It is imperative to maintain respect for leaders.
"Haha, it's not really an instruction. Xiao Zhou, there's something I need to tell you about."
Vice President Bai's attitude towards him was quite friendly.
There are no eternal enemies in the world, only eternal interests.
Zhou Can and Vice Dean Bai were once at loggerheads, but who would have thought that they would become close friends a few years later.
"Please go ahead!"
Zhou Can wondered to himself, what was going on so early in the morning?
"Didn't Dean Ye and I discuss finding you a position in the Quality Control Department last time? We recommended your information two months ago, and now the preliminary inspection period has passed. We are currently in the most critical final review stage. There is basically no problem with your qualifications, and the internal support rate is also okay. The key is that Assistant Dean Qin has not said anything, so this matter can only be pending. I specifically helped you to find out about this matter yesterday. The competition is very fierce, and the possibility of you being selected is only about 40% at most. You have to find a way to get active with Assistant Dean Qin."
Vice President Bai must have gone out drinking with someone last night.
This kind of drinking party is definitely more high-end.
The participants are all important leaders within the hospital and relevant leaders of the competent departments.
It is very valuable that he can take Zhou Can's affairs to heart at such a drinking party.
"Thank you, thank you so much. You have put so much effort into my case. I don't know how to repay you!"
Zhou Can expressed his gratitude repeatedly.
"Don't be polite with me! Whether you can enter the Quality Control Department depends on Assistant Dean Qin. Do you understand what I mean?"
Although Vice President Bai is the vice president and deputy team leader of the Quality Control Department, he is ultimately only a deputy. Such key personnel appointments still have to be decided by the principal.
Dean Qin is also a college-level leader. In terms of status, he is actually lower than him, the administrative vice president.
However, each hospital leader has a clear division of responsibilities and powers, and each is in charge of a small piece of land.
If it is not the business under his charge, even the vice president cannot interfere.
At present, Tuya Hospital still uses the old management system. There is only one assistant director and there is a lack of effective checks and balances. Assistant Director Qin has great power.
"I understand! I understand! I'll find a way!"
Zhou Can has already started thinking about how to get things going with Qin Yuanzhu.
This may be quite difficult.
The main reason is that he is not familiar with Assistant Dean Qin, and the fact that he has kept this matter under wraps and has not made any statement is very telling.
Having been the deputy team leader of the operating room for such a long time, Zhou Can has a better understanding of management matters.
Vice Dean Bai and Vice Dean Ye both recommended Zhou Can to join the Quality Control Department, and from what Vice Dean Bai said, there were far more people supporting Zhou Can than just the two of them. This undoubtedly brought a lot of pressure to Assistant Dean Qin.
It was not good to go against public opinion, and at the same time, they did not want Zhou Can to enter the quality control department, so they had to suppress the matter.
The tactic of procrastination works well in many situations.
As for why Assistant Dean Qin disagreed to let Zhou Can join the Quality Control Department, it was mainly due to personal interests.
Everyone wants to place their own confidants, or at least people close to them.
Zhou Can had just defeated the previous assistant dean two years ago . Although Assistant Dean Qin was polite to him on the surface, he was actually very wary of him in his heart.
What if something angers Zhou Can and he gets beaten up?
For the sake of self-protection and other interests, it would be safest for him to keep Zhou Can out.
If Dean Qin wants to train one of his distant relatives, students, or trustworthy people, the quota must be reserved for these people.
Therefore, if we go directly to Dean Qin for this matter, the effect will be minimal.
Unless Zhou Can shows his loyalty to Qin Yuanzhu and is willing to be an obedient "slave" to him, others will not consider it at all.
If you really do this, you will lose your dignity and backbone.
Zhou Canjin works part-time in the Quality Control Department for better development in the future, not to turn himself into a slave.
In the future, he has the ambition to compete for the dean.
Before the call ended, Vice Dean Bai specifically reminded him, "Don't try to give cash, antiques, cigarettes, alcohol, or tea directly. The crackdown is so strict now, and no one will accept these gifts. And if you do this, it will only backfire, and Assistant Dean Qin will look down on you and think that you have moral problems."
The law is strict, and both bribery and corruption are illegal.
Gift giving is becoming more and more about strategy and technique.
"clear."
Zhou Can never considered giving money or antiques as gifts.
After ending the call with Vice President Bai, he began to secretly wonder how he could get Assistant Dean Qin to agree.
If asking Qin Yuan for help directly doesn't work, what else can I do?
It seems that the only person who can influence Dean Qin's decision is Dean Zhu.
As for the secretary above President Zhu, he basically doesn't care about these specific matters and only focuses on ideological guidelines.
For now, let’s solve the problem of the emergency department’s operating room first.
After answering the phone, Dr. Xu just changed into his work clothes and came out of the office.
"Xiao Zhou, get to work!"
Zhou Can is now the main force in the emergency department's operating room. Dr. Xu assigns many important level tertiary surgeries to him.
"Teacher, there is something I want to discuss with you and Director Lou."
Zhou Can took the opportunity to speak.
Dr. Xu looked at Zhou Can deeply.
"It seems that this matter is very important. Let's do it quickly before we go into the operating room."
“Thank you, teacher!”
"What are you standing there for? Go to Director Lou's office!"
Dr. Xu waved at him.
"Okay!"
The master and the disciple knocked on Director Lou’s office door and walked in.
Fu Chachun, who was sitting in the doctor's office, overheard the conversation between Zhou Can and Dr. Xu.
He couldn't help but sneer and felt even more annoyed with Zhou Can.
This kid is too stubborn. I told him that there is no need to meddle in other people's business. The patient's toe numbness is not a big deal. But he insisted on making such a fuss. It is not good for anyone.
I believe that no matter how much Director Lou values this kid, he will not let him do whatever he wants.
Fu Chachun saw that it was almost time to go to work, so he took his consultation tools and went to the emergency surgery window for his consultation.
In Director Lou's office, Zhou Can and Dr. Xu visited together, which surprised Director Lou.
After asking the two to sit down, Director Lou personally made tea for them.
"What happened?"
As the department director, what he fears most is bad things happening in the department.
Patients' accidental death, disability, family members causing trouble, etc., every bad thing is enough to make him nervous.
"Xiao Zhou just told me outside that he wanted to discuss something with me. Time was tight, so I didn't ask in detail."
Doctor Xu replied calmly.
"Every time Xiao Zhou reacts, it's not a small matter. Tell me, what is it?"
Director Lou asked with a pleasant expression.
"Director Lou, teacher, this is what happened. I've noticed that our emergency department has fewer and fewer 'returning customers' recently. After investigation, I found that the quality of surgeries in the emergency department has seriously declined, and there are many worrying problems. This is a follow-up survey form I asked Ye Tingting to compile. Out of ten surgeries, at least four failed to satisfy the patients. Patients had all kinds of minor problems after surgery."
Zhou Can took out the questionnaire that he had prepared long ago.
After seeing it, Dr. Xu and Director Lou were also shocked. Perhaps they never expected that the emergency department, which was in a very good situation, had such a serious problem.
"We took a big step and ended up hurting ourselves! The rapid development of the emergency department in the past two years has indeed left some hidden dangers. We were indeed negligent in the quality of the surgery."
Director Lou's face was as gloomy as water and his brows were furrowed like a knife.
As an ambitious department director, he absolutely does not want the emergency department to become a fat man due to its rapid development.
With his foresight, he immediately realized that if this matter was not handled in time, it would become a major hidden danger.
"The decrease in word-of-mouth patients is indeed worrying. I have noticed it recently, but I didn't expect it to be so serious. If we don't train those newcomers, they won't be able to grow quickly. If we relax the conditions, such a serious problem will occur again. It seems that we have to find a way to rectify it."
Dr. Xu, the person in charge of the operating room, was also very worried.
There are dozens of people in the operating room, and managing them is definitely not as easy as imagined.
When the water is too clear, there will be no fish.
If the supervision is too strict, newcomers will be afraid of surgery and will not have the opportunity to practice.
If it is too loose, the quality of the surgery will be affected.
"It's not just the newcomers whose surgical quality has declined. Many veterans also have a problem with their work attitudes."
Zhou Can believes that simply improving the surgical quality of newcomers will not be able to completely solve the problem.
If we want to catch it, we should catch it at the source.
"Be more specific!"
Director Lou looked at Zhou Can.
"For example, during my ward rounds yesterday, I found that some surgical patients had various minor problems. Some had irregular sutures, some had incomplete surgeries, and some did not consider the patient's interests at all. It was clearly just a subcutaneous foreign body removal surgery, but a hideous wound was left on the patient's thigh, and the skin flap was damaged like that. The patient's wound healing period was at least doubled. Even after healing, an ugly scar was left."
"Although the scar is on the thigh, it is difficult for others to see it when wearing pants. But it will definitely have an impact on the patient's psychology. And that kind of scar is prone to itching and pain on rainy days."
Zhou Can pointed out the problems he found during the ward rounds one by one.
"Yesterday I also found a more typical case. An inpatient in bed 1 of the emergency surgery department had a syndactyly and toe-split surgery two days ago. As a result, the third toe of the left foot became numb after the surgery. The surgery was performed by Dr. Fu, and I called him on the spot to find him to come over and study it together, try to find the cause, and help the patient deal with it. But Dr. Fu thought that less trouble is worse than more trouble, as long as the patient's toes are not necrotic and heal well, it will be fine."
"I specifically conducted further examinations and tests on the patient this morning, and the toe had lost its flexion function. If we had clearly discovered the problem and still not dealt with it, and had fooled the patient into thinking it was okay and telling her to go home and rest for a while, you can imagine that this patient would go from being a big fan of our hospital to a hater of it. She would tell everyone in the future that she should never go to Tuya Hospital, as it was too shady. The doctor there crippled one of my toes and still fooled me into thinking it was okay."
In one breath, I told this typical case to Dr. Xu and Director Lou to think about it .
"I can understand Dr. Fu's position. Today's medical environment is poor, and conflicts between doctors and patients are acute. Sometimes it is difficult to do a good job. It is really chilling that doctors and nurses are attacked by family members and patients despite their good intentions. It is just that cases like this should be faced correctly, and it would be better if we can try to come up with a solution that can help patients solve their problems while fully protecting the interests of both parties."
At first glance, the questions Zhou Can raised seemed like small matters.
However, the negative impact it brings is far-reaching, and its essence is to target the two major interest groups: hospitals and doctors.
Doctors will certainly resist.
Even hatred arises.
Because this has affected the interests .
"We must find a way to solve the problem of the patient in bed 1 and not leave it alone. We can fully communicate with the patient and his family and obtain their consent. As long as there is hope, we can perform a second operation as soon as possible. However, there are some uncontrollable factors. The patient and his family may not be willing to bear the cost of a second operation, and may even think that the hospital is deliberately doing this to make more money. It is obvious that one operation can be done well, but why do they have to do it twice?"
"Also, what if the problem is still not solved after the second surgery? If the family and the patient decide that this was a surgical accident and take us to court, the hospital will have no right to appeal."
Director Lou has extensive experience in handling various medical disputes.
Able to predict many possible adverse outcomes.
"In hospitals, kindness is indeed very easy to be betrayed. Almost every medical staff member has experienced disappointment during their growth. I think the problem mentioned by Xiao Zhou should be addressed from the source. We need to establish a reward mechanism to strive to do the operation well the first time, rather than being careless during the first operation. If there is a problem, it can always be solved with a second operation."
Doctor Xu looked serious and proposed the first solution.
"What Lao Xu said makes sense. It is necessary to address the source. Just like treating an illness, preventing it is far better than treating it after it has occurred. You and Xiao Zhou will work out a specific and feasible reward and punishment system, which I will review and submit to the Medical Department. Once approved, it will be implemented immediately. The quality of surgery in the emergency department has reached an alarming level, and rectification is urgent."
Director Lou gave guidance on the spot and strongly supported the method proposed by Dr. Xu.
"It is very wise to address the problem at the source, but it is impossible to have someone stand by the operating table and monitor the operation all the time. This will increase the pressure on the surgeon, making it difficult to perform during the operation, and even causing problems. I suggest developing a postoperative scoring mechanism. Each completed operation should be evaluated and scored based on multiple standards. If the score is lower than the standard value, a penalty will be imposed. If the score can be maintained above the standard value, a reward will be given."
Zhou Can proposed a more specific solution on the spot.
"This is a very good suggestion! The selection of the judges will be left to Lao Xu."
Director Lou's eyes lit up and he immediately agreed to Zhou Can's plan.
The selection criteria for judges are very strict. They must have strong surgical skills and be fair.
