I can see health

Chapter 37 Superstitious Hospital

Time passed slowly, and more and more doctors and nurses came to the department.

Although Lu Chen was an unfamiliar face, everyone didn't care.

Because there are too many people in the department!
In addition to the doctors in the undergraduate department, there are also postgraduates, training students, interns, and doctors in lower-level hospitals.

There are so many people that no one can recognize all of them.

The doctor's office, which was originally quiet, gradually became noisy.

"Junior brother, there are two graduate students in our group, just like you, they are both teacher Li Yao's graduate students this year."

"In addition to this, there is also a doctor in training at a lower-level hospital, a doctor who is rotated through regular training, and two interns from our school."

"The superior of our group is Teacher Li Yao. I am the attending physician in the group. The rest is up to you."

Counting tutor Li Yao, there are nine doctors in the whole group.

The general medical group follows the three-level physician system.

The highest-level director/deputy director, the middle-level deputy chief physician/attending physician, and the lowest-level resident physician.

Doctors at each level have different responsibilities and tasks.

The chief/deputy chief physician mainly coordinates the overall situation, formulates treatment plans for patients, or solves difficult clinical problems.

The attending physician is the central force of the department.Most of the medical behavior is completed by the attending physician under the guidance of the resident physician.

Residents, the lowest level of doctors.From asking about medical history, writing medical records, pasting test sheets, and accompanying patients for examinations, all are done by resident physicians.

However, today's hospitals are becoming more and more extreme.

Especially in large tertiary hospitals.

The senior chief physician of a group usually sits in the outpatient clinic and occasionally visits the department for rounds. Almost all patients are managed by the attending physician.

As for resident physicians, there are almost no resident physicians in large hospitals.

Because doctors who can stay in large hospitals have at least a master's degree, and they can be promoted to attending physicians soon after graduating from a master's degree.

All the large tertiary hospitals now have a strange phenomenon-there are no residents in all the medical groups, but there are a lot of attending physicians!
But those dirty and tiring jobs must be done by someone!

Therefore, regular trainees, postgraduates, and advanced students have completely replaced the role of residents.

For any department of a large tertiary hospital, if it only relies on the doctors in the department, it will definitely be difficult to operate.

You said you want the hospital to recruit people?
how could it be possible!
To recruit a doctor, the hospital pays an extra salary.

If there are more doctors in each department, the whole hospital will pay hundreds of thousands more salary every year.

And graduate students, regular trainees, cheap and easy to use!

The key is to use it inexhaustibly, as fresh blood comes in every year.

Seeing this, you have to admire the "wisdom" of the leadership of the Health and Medical Commission.

At a very small cost, the problem of lack of personnel in the hospital was directly solved.

"Junior Brother, there are a total of 75 hospital beds in the eight districts in our heart."

Sun Guoguo continued.

"Ms. Li Yao is the director of the ward, so we are the director's group. There are three other groups. Our group manages more patients, with a total of twenty beds."

"Well, because of your coming, Junior Brother, the beds in our group will be redistributed next. You three graduate students, advanced students, and regular students will jointly manage [-] beds."

The interns don't need to be in charge of the beds, they just do chores.

……

Seven forty in the morning.

Others in the same group began to arrive one after another.

After not seeing each other for several months, Jiang Qingyan still had a cold look.

But when she saw Lu Chen, she was stunned for a moment, and nodded slightly, which was regarded as a greeting.

Another female graduate student named Ke Yue was a shy and shy girl. When she saw Lu Chen, she just smiled and didn't communicate much.

Her undergraduate degree was from a not-so-famous medical school, and this time she was admitted to Jinghua Medical University, which was considered a successful landing.

The doctor for advanced training is a cardiologist from the county-level hospital below, and she is a female attending doctor in her 30s.Because attending to be promoted to deputy director requires advanced training experience, most attendings will go out for further studies for half a year to a year before being promoted.

Gui Peisheng is a boy, and one of the few boys in the group.Because I was not admitted to graduate school, I came out directly for regular training.

The other two interns are girls and have a weak sense of presence. They usually help with electrocardiograms or blood pressure measurements.

……

The time reached eight o'clock sharp, and the department's early handover began.

Most of the doctors and nurses in the entire department came to the doctor's office.

Except for the director and the attending physician who have a place to sit, everyone else is either standing or leaning.

The tradition of handover is that nurses usually start to handover.The content of the nurses' shifts is the patients who were admitted, discharged, transferred, and died during the day shift the day before, and then there are special patients, such as critically ill patients.

After the nurse's shift is over, it is the shift of the doctor on duty.

The doctor on duty last night was Sun Guoguo.

With her hands behind her back, she looked serious, coughed lightly, and started to shift.

The shift content of doctors is not as complicated as that of nurses, and it is mainly to account for patients with patient changes.

"At eight o'clock last night, bed 23 complained of palpitation and chest tightness. An electrocardiogram showed atrial fibrillation. Considering the first diagnosis of atrial fibrillation, Cordalon and potassium supplements were used. About two hours later, the patient complained that the palpitation had improved, and the electrocardiogram was rechecked. , restored sinus rhythm."

"At 49 o'clock in the evening, bed 400 passed tar-colored black stools, three times in total, about [-]ml. Gastrointestinal bleeding is considered, which may be related to dual-antibody therapy. Please consult with the Department of Gastroenterology to stop the bleeding..."

"Around 10:[-] in the morning, the [-]th bed suddenly had dyspnea. Considering the onset of acute heart failure, diuretic dilation therapy was given, and the patient's symptoms were relieved..."

"Other patients are in stable condition and the shift is over."

At the end of the shift, the doctors and nurses all returned to their posts.

Usually, Li Yao leads everyone to make ward rounds, but today the director of the department, Mrs. Li Yao, was out of the clinic, and she did not come to the department.

After the early shift ended, Sun Guoguo led the eight people in the same group to start rounds.

"Before the ward rounds, reassign the beds, so that when the ward rounds later, everyone pays more attention to the patients who manage the beds!"

Sun Guoguo said to the people in the same group.

"Except for interns, everyone has 4 beds."

"Jiang Qingyan, you take care of beds 1, 2, 3, and 5."

Although the hospital is a place that advocates science, superstition is unavoidable.

No 4 beds, 14 beds, 24 beds, 34 beds...

There are no beds with 4 in the single digit, but 4 in the tens digit is allowed.

"Ke Yue, you are in charge of beds 6, 7, 8, and 9."

"Lu Chen, you are in charge of beds 10, 11, 12, and 13."

"..."

Except for Jiang Qingyan, the others in the same group were very strange.

This guy named Lu Chen started managing the bed as soon as he arrived in the department?

He just entered the department, and this should be his first department.

Don't talk about seeing patients, I guess I don't even know how to use the doctor's order and medical record system!
(End of this chapter)