The genius doctor starts from the game

Chapter 14 The End of Surgery Is Not the End of Treatment
"We need to issue a doctor's order after the operation. Generally, the doctor's order after shoulder arthroscopy is divided into the following four aspects."

"First, the patient is under general anesthesia, so after the operation, ECG monitoring and oxygen inhalation can be performed to avoid any problems in the lungs after general anesthesia and intubation, which can be detected in time. Sputum and other corresponding treatment."

"Second, patients will experience pain after surgery, so analgesic treatment is required."

"Third, the patient is in a fasting state before general anesthesia, so postoperative fluid replacement and preventive stomach protection treatment are required. General anesthesia and surgical stress may cause the patient to experience nausea, vomiting, poor appetite, etc. Therefore, the prophylactic use of stomach-protecting drugs once or twice can allow patients to eat and drink earlier and reduce the amount of fluid replacement."

"Fourth, guide patients to perform rehabilitation exercises."

"Rehabilitation exercises are very important in our orthopedics department, and even account for 70.00% of the prognosis of some patients..."

Before the meal came, Chen Zhuoyuan issued a doctor's order while explaining and demonstrating the operation to Lu Cheng in detail;

Such a detailed analysis made Lu Cheng suddenly enlightened,
To know what is there is to know why. This is the way of teaching. One is willing to teach and the other is willing to learn.

Chen Zhuoyuan is really as he said, teaching Lu Cheng wholeheartedly, no matter how big or small,
Lu Cheng also memorized them one by one, feeling the thrill of soaring experience points:

"You have received guidance from your senior brother, and your surgical medication experience is +298! The experience value is increased by 56! (Get a 50.00% bonus!)"

"You have been instructed by your brother, surgical rehabilitation experience +395! Experience value increased by 103! (50.00% bonus!)"

"You have received the advice of your senior brother, your perioperative knowledge reserve has increased, and your experience value has increased by 201! (50.00% bonus!)"

"..."

Although what Chen Zhuoyuan said was a matter of principle, it was actually a general principle of medication after surgery, and it was not summarized in the textbooks of surgery, so it gave Lu Cheng quite a lot of experience all at once.

His level is about to climb to lv4.

But obviously, this kind of improvement will not last for a long time, because the repeated teaching content cannot increase the experience value.

Chen Zhuoyuan continued: "We need to establish a template for surgical records and first postoperative course records after surgery, and improve the corresponding medical records."

"Surgical records are the whole process of surgical operations, which must be brief and appropriate. For the first postoperative course of disease, the preoperative and postoperative diagnoses, the name of the surgical operation during the operation, the means and reasons of the postoperative treatment, and the patient's condition must be recorded. rehabilitation exercise program."

"After the operation, there must be a disease record for three consecutive days, and the changes of the patient within three days after the operation are recorded respectively."

"After three days, critically ill and seriously ill patients must have a disease record every day, and stable patients must have a disease record within three days, and must have a high-level ward round log within seven days. That is Mr. Wang's ward round record."

"In addition to writing medical records, we also need to sort out medical records for discharge."

"These two are the medical records that were discharged from the hospital a few days ago, and these medical records need to be placed in a certain order. It seems that there are so many complicated orders here, but in fact, there is a regularity."

"This is actually the whole process of a patient from admission to discharge."

"The first page, the home page, and the home page are all the basic attributes of a patient, including his name, age, place of origin, and ID card. Without these, we would not know this person, right? So he is our identification of this medical record The first step to belonging."

"Then the patient came to our ward to be hospitalized after finishing the outpatient clinic, and there is an admission record as soon as he is admitted to the hospital!"

"After the admission record, there is the course record, including the first course record and the first ward round record by the superior doctor!"

"Most of the people who come to our surgery require surgery. So, before the surgery, we will summarize the surgery to determine whether the surgery and the surgical method are correct? Then discuss the surgical method. "

"After the discussion, we have to talk and sign with the patient, and then we have to talk and sign with the anesthesia."

"Immediately after, the patient was sent to the operating room, and only then did the operation handover form and safety assessment form be issued. After confirming that this patient is the one who will undergo surgery,"

"It must be anesthesia first, you can't do surgery first and then anesthetize, right?"

"In this way, the patient beats you, not you giving the patient anesthesia."

"Then there are surgical records, postoperative medical records! Discharge records."

"This is the whole process of a patient from admission to discharge. However, some patients may have diseases from other departments during their hospitalization and need consultation from the corresponding department. Then these consultation records are the second most important besides the main diagnosis. documents."

"Put it after the discharge record."

"Following that, there are general conversations and signatures, which represent that the patient knows his own diagnosis and treatment methods after admission, and they finally choose after detailed thinking under the advice of our doctors. surgery. This is the third most important document."

"..."

Chen Zhuoyuan demonstrated to Lu Cheng how to organize a medical record. Then Lu Cheng just thought about it for a moment, and he had a picture in his mind, and then he directly remembered the process of patient admission and discharge!
Sure enough, I made the right choice. My brother's personal understanding of the smoothness of these medical records can save me a lot of time to memorize the order of these medical records.

It's like when a person walks in and out, you think about their whole process, and you know what's going on.

However, this is not over yet, Chen Zhuoyuan said again: "Now, let's return to the home page,"

"On the homepage, there are outpatient diagnosis, admission diagnosis and discharge diagnosis, and surgical methods."

"This is precious information. If the three diagnoses are inconsistent, it is very necessary for us to look through the medical records to see what medical records the patient had during the outpatient clinic and why the diagnosis was made at that time."

"After entering the hospital, what tests were done, and with these materials, why can such a diagnosis be made."

"Only by slowly understanding each case thoroughly in this way can you accumulate your own experience and effectively understand and master the patients. Otherwise, no matter how many patients there are, if you don't sort them out, you will simply repeat Many times of tedious and monotonous hard work."

Lu Cheng's expression flickered slightly, these words, he was in neurosurgery and general surgery before, but no one told him.

Moreover, what Chen Zhuoyuan said was really reasonable.

And Chen Zhuoyuan's words seemed to rush into Lu Cheng's heart like a shock wave, instantly changing his feelings.

The game system changed again.

(End of this chapter)