I can see health

Chapter 45 Study Guide Group

Before Lu Chen got his medical license, he couldn't make a doctor's order alone.

Only under the guidance of a superior physician, a doctor's order can be issued.

Sun Guoguo has already informed Lu Chen of the medicines this patient should take, as well as the auxiliary examinations that need to be done.

Dong Hao personally demonstrated to Lu Chen how to prescribe medical orders, including auxiliary examinations, routine nursing care, intravenous drugs, oral drugs, etc.

"Junior brother, we usually use Sister Sun Guoguo's account to issue medical orders." Dong Hao said, "There are templates in the medical orders of senior sisters. We can click on the package medical orders in the templates, unless there are some special medical orders that require us to enter in person. Anti-inflammatory medicine for skin test."

"Okay." Lu Chen nodded. This doctor's order system is very smart. Most of the medicines, tests, and inspections have been made into templates, and the doctor just needs to check them.

"Let's take the patient you just admitted as an example. Sister Guoguo ordered a 24-hour dynamic electrocardiogram, echocardiogram, blood routine, biochemistry, myocardial enzymes, etc."

Dong Hao patiently told Lu Chen every step.

……

Lu Chen quickly finished all the doctor's orders and was about to let Dong Hao review them.

There was a nurse's roar outside the doctor's office.

"Who ordered the 12-bed doctor's order?!"

"Who ordered the 12-bed doctor's order?!"

"Who ordered the 12-bed doctor's order?!"

Important things are said three times!

Immediately afterwards, Liu Mei poked her head into the office.

"Speaking of your undergraduate doctors, don't let the interns prescribe their own doctor's orders!"

"It's not only a waste of your time, but also a waste of our review time!"

"Who wrote the doctor's order for the 12 beds, the doctor's order was wrong!"

"Sister Liu, it's me..." Lu Chen touched his nose in embarrassment.

"Ah? You?" Liu Mei saw Lu Chen, and immediately put away her serious expression, and smiled, "Dr. Xiao Lu just entered the department today, hey, he can't prescribe a doctor's order, it's normal, read more Learn it."

The "old people" in the department looked at the smiling Liu Mei, as if they had seen a ghost.

If the usual Liu Mei finds out that the intern or Gui Peisheng gave the wrong doctor's order, it will be a burst of "swearing", even if you are new here.

But today she met Lu Chen, why did she suddenly become gentle?
It's so strange!

"Little Dong, hurry up and teach me more, don't just stand there." Liu Mei turned her head and said to Dong Hao who was beside her.

"Ah? Oh..." Dong Hao nodded, and immediately reviewed the medical order issued by Lu Chen, picking out the wrong part.

Whether it is writing a medical record or issuing a doctor's order, it is a mechanical and repetitive activity without much gold content.

Lu Chen is still not very familiar with the doctor's order system of Jinghua Second Hospital, and some mistakes are hard to avoid.

"Senior sister, what are you considering for this patient's diagnosis?"

After Lu Chen gave the doctor's order, he began to complete the medical records and write the first progress record.

The initial diagnosis needs to be entered in the first course record.

"Just write the cause of the arrhythmia to be investigated." Sun Guoguo said.

"Okay." Lu Chen nodded.

"I saw that you analyzed Director Lin's electrocardiogram in the morning, and it looks good. Then, what do you think is the initial diagnosis of the [-]-bed patient you just admitted, based on the symptoms and electrocardiogram?" Sun Guoguo said.

After receiving the electrocardiogram that was just admitted to the hospital, Lu Chen checked it again carefully.

"This ST-segment is downward sloping. I seem to have seen it somewhere." Lu Chen frowned, "But I can't remember it for a while."

Lu Chen is sure that he must have encountered similar patients, but this kind of electrocardiogram is not common, and he forgets it after seeing it.

"Then you have to take a good look at it." Sun Guoguo smiled. "This patient's ECG is very typical! I won't tell you the conclusion of the ECG. You go back and think about it yourself, and tell me the result tomorrow."

"Okay." Lu Chen nodded, it seems that he will have to look through the electrocardiogram book when he goes back.

……

When Lu Chen finished writing the first course record, it was already 11:30 noon.

After get off work, it's lunch time.

There are three canteens in Jinghua Second Hospital, two canteens for faculty and staff, and one canteen for patients.

Come to the staff canteen.

Zhou Wei has already taken a seat for Lu Chen.

"Chen'er, the food in this cafeteria is really expensive! It's a money grab!"

"I just bought two meat dishes and two vegetarian dishes, and it cost 25 yuan. The hospital pays 600 yuan a month, and I can't afford it!"

Lu Chen still paid 25 yuan for two meat and two vegetarian dishes.

"Because this cafeteria is not for us to eat, but for the teaching staff." Lu Chen smiled, "They pay for meals every month, so they don't need it here, and there is no other place to use it."

"Hey, it looks like I'll have to go out to eat in the future." Zhou Wei shook his head and said, "It's thanks to the extra money I made this month, otherwise I really can't afford it."

"Huh? Are you still working part-time to earn extra money?" Lu Chen was surprised.

There are really not many medical students who do part-time jobs.

"That's right." Zhou Wei smiled, "I know a job that makes money, and I earned 800 yuan last month!"

"You really have time, isn't it some kind of tutor?" Lu Chen frowned.

"No." Zhou Wei said in surprise, "I invited you into a group this morning, right? That's it, don't you know?"

"WeChat group?" Lu Chen showed a puzzled look, "Isn't that a study guide group?"

"Hey." Zhou Wei smiled wretchedly, "On the surface it is a study guidance group, but you see that only people in the group ask for guidance on a certain subject, but no one responds."

"Yes. I felt strange just now."

"Because this is a WeChat group for buying and selling night shifts! The Department of Cardiology is looking for guidance, but the Department of Cardiology has night shifts and wants to sell them!"

"Buying and selling night shift?"

Lu Chen was surprised.

Zhou Wei nodded, "You should know that we will be assigned night shifts by the hospital every month from now on."

"Ah."

Lu Chen also learned from his roommate yesterday that the hospital will arrange night shifts for all graduate students and regular trainees, and the number of shifts per month varies, ranging from about 4-6.

No matter which department I rotate to, I will arrange the night shift in that department.

"Some students have temporary errands, or the seniors and sisters of Yansan are busy writing papers, so they will sell the night shift."

"And those students who are short of money and want to make money will buy the night shift."

Lu Chen frowned and said, "Does the hospital not care?"

"Hey, because the hospital can't manage it." Zhou Wei said, "There are two people on the night shift, one is a senior doctor, and the other is a graduate student and a graduate student. The senior doctor will be in the department. Writing medical history, doing examinations, and issuing doctor’s orders can be done by anyone. When we are on night shift, we just follow the instructions of the superior doctor and do it mechanically. There is not much value in it!”

The hospital will not allow postgraduates and regular trainees to work on night shifts alone, and there will be a senior doctor on each night shift.

"Didn't you just enter the department? You can get a night shift?" Lu Chen looked at the smiling Zhou Wei.

"Yes!" Zhou Wei smiled, "As long as you can write the medical history, you can give the doctor's order, and you can buy night shift!"

(End of this chapter)