The genius doctor starts from the game
Chapter 29 Inquire!
Chapter 29 Inquire!
When Lu Cheng came to the department, Chen Zhuoyuan was a little busy.
There are quite a few patients discharged today, so there are also many new patients admitted to the hospital.
Newly admitted patients are registered at the nurse station with the hospital certificate issued by the doctor of that group, and then call to inform the patient to come to the hospital according to the vacant beds in the two groups.
Because of the development of the economy, the gradual coverage of medical insurance, and the change of concept, and Hannan Hospital is a well-known hospital in the province, there are a lot of patients, and basically the reserved beds are at least half a month old.
Therefore, there will be no empty beds. The patients admitted to the hospital today basically made an appointment half a month ago.
In joint surgery and sports medicine, there is no emergency surgery. Emergency trauma patients or patients with nerve injuries will be admitted to the second ward of the Orthopedics Department.
Orthopedic Ward [-] is the Traumatology Department, Orthopedic Ward [-] and Orthopedic Ward [-] are the Department of Bone Tumor, and Orthopedic Ward [-] is Hand Surgery.
There were almost a dozen patients admitted to the hospital, and Chen Zhuoyuan was very busy. When Lu Cheng arrived, he directly ordered: "Xiao Lu, it's a good thing you counted. If you don't come, I will ask Brother Hu for yours." phone."
"I'm too busy here, let's add a WeChat after we're done so we can get in touch later."
Lu Cheng hurriedly said, "Brother, okay, is there anything I can do?"
"Go and hand over these X-rays and MR sheets to the head nurse at the nurse's station, and ask them to make an appointment for the patient as soon as possible."
"After you're done, go get the patient's electrocardiogram."
Before patients are hospitalized, they usually only do a preliminary examination, which is not so detailed.
The patients who need to be hospitalized are generally surgical patients, so they must make corresponding preparations before the operation on the day of admission. Hannan Hospital is very large, and basically all examinations except plain films require appointments.
In order to ensure the safety of surgery, some elderly patients and patients with underlying diseases must complete a series of auxiliary examinations.
For example, older people need to take a color ultrasound of the heart, obese patients need to check their blood lipids, patients with high blood pressure need to monitor their blood pressure, and patients with high blood sugar need to monitor their blood sugar...
These preparations must be completed by the resident doctors on duty. This is an exercise for them to practice the perioperative management of the disease. If there are special circumstances, such as the presence of thrombocytopenia, then the superior physician will need to guide further perioperative management. These are dealt with during surgery.
Every patient needs to be hospitalized for an examination, a medical record needs to be established, and a general understanding of the condition is required at the bedside, and a specific preoperative examination plan is prescribed according to the specific situation.
This is not an easy job.
If there are few patients, let's say six or seven or even seven or eight at once, it will really become very busy.
Moreover, in addition to newly admitted patients, the doctors on duty also need to complete other temporary medical orders for post-operative patients, and are also responsible for emergencies that occur to patients in the department.
Being on duty is not an easy task.
Fortunately, Lu Cheng was on duty with Senior Sister Hu Li before, and he is more familiar with these procedures.
It took Lu Cheng nearly an hour to make the checklist and do the electrocardiogram at the bedside.
At this time, Chen Zhuoyuan barely finished building the templates for the admission examination and medical records.
Then Chen Zhuoyuan said: "Xiao Lu, we also have a few patients here, they are 3-bed and 5-bed respectively, you go to get a general understanding of the condition, and write down the admission record and the first course of the disease."
"I have to go to see bed 33 now. Just now, bed 33 said that his stomach is uncomfortable. After watching it, there are still two more beds to be checked."
If a patient develops special symptoms after surgery, the doctor on duty will see him and handle him accordingly.
Lu Cheng nodded oh, and went directly to beds 3 and 5...
Asking about medical history and writing medical records are the first stop for every medical student to come into contact with the clinic. Lu Cheng has done these tasks during his internship before, so he is familiar with them. In addition, he has seen outpatient clinics alone in the game , but also got a relatively high evaluation of the game system.
Although the collection of outpatient medical records is different from that of inpatient medical records, they are similar.
After writing in this way, another full hour passed, and Lu Cheng not only finished writing the medical records, but also completed the medical examination.
Then Lu Cheng said: "Brother, I finished writing, do you want to check it?"
At this time, Chen Zhuoyuan seemed to be busy talking about each patient's admission, so he said, "I don't want to read it yet, and I don't have time to read it. I've talked about four or five admissions here, and now I'm writing the seventh and eighth ones."
"The admission interview is very simple. You just put it in front of the patient, read the above content in front of them and their family members, and ask them to sign it."
"By the way, I've already ordered food, so don't order any more. There are a lot of patients today, and it's really hard."
Lu Cheng can also understand that a large part of the surgical patients on Monday and Wednesday have been discharged from the hospital, and those admitted on Thursday are basically the patients who will be operated on the next Monday and Wednesday, and it is understandable that there are more patients.
And Thursday and Friday are the peak periods for hospital discharge, which is similar in every department.
"Okay, thank you, brother." Seeing that Chen Zhuoyuan was too busy, Lu Cheng didn't bother arguing with him about who should treat him.
Lu Cheng took the record of the hospital admission conversation, and after going through it carefully, he walked to the patient's bedside and explained in detail...
After another 10 minutes or so, Lu Chengcai came out of the ward, holding two documents of the admission conversation record in his hand, and after clipping them into the medical record book on the medical record car, he took a little leisure.
When he walked into the office, Chen Zhuoyuan seemed to have completed the signatures of the other three patients, and was dragging up and down to flip through the admission records written by Lu Cheng before landing. When he saw Lu Cheng coming, he glanced at Lu Cheng:
"Xiao Lu used to be in internal medicine before! This medical record is quite well written. Except for some descriptions of specialist medical examinations, which are a little lacking and not systematic, there is nothing that can be changed."
"Thank you for the compliment, senior brother." Lu Cheng did not explain that he had never been to the Department of Internal Medicine.
Others have praised you, do you still have to pretend that you have never been there, there is no need for that.
"Alas!" Chen Zhuoyuan then slumped down on the chair and said:
"Fortunately, I have you today, otherwise I would be on duty alone. After I finish the electrocardiogram and write the medical records, it will probably be after seven o'clock, and it's only after five o'clock now,"
"It happens to be normal off-duty time. Let me see where the takeout is."
"If there is nothing else, we can lie down and wait for the takeaway, and then prepare for tomorrow's shift..."
It was true that there was no patient coming back later, Lu Chengcheng was in the duty room, eating with Chen Zhuoyuan, and secretly inquiring about Li Hui's news.
After chatting a lot of gossip, Lu Cheng asked out of the blue, "Senior Brother Chen, isn't Teacher Li Hui in our department very good?"
(End of this chapter)
When Lu Cheng came to the department, Chen Zhuoyuan was a little busy.
There are quite a few patients discharged today, so there are also many new patients admitted to the hospital.
Newly admitted patients are registered at the nurse station with the hospital certificate issued by the doctor of that group, and then call to inform the patient to come to the hospital according to the vacant beds in the two groups.
Because of the development of the economy, the gradual coverage of medical insurance, and the change of concept, and Hannan Hospital is a well-known hospital in the province, there are a lot of patients, and basically the reserved beds are at least half a month old.
Therefore, there will be no empty beds. The patients admitted to the hospital today basically made an appointment half a month ago.
In joint surgery and sports medicine, there is no emergency surgery. Emergency trauma patients or patients with nerve injuries will be admitted to the second ward of the Orthopedics Department.
Orthopedic Ward [-] is the Traumatology Department, Orthopedic Ward [-] and Orthopedic Ward [-] are the Department of Bone Tumor, and Orthopedic Ward [-] is Hand Surgery.
There were almost a dozen patients admitted to the hospital, and Chen Zhuoyuan was very busy. When Lu Cheng arrived, he directly ordered: "Xiao Lu, it's a good thing you counted. If you don't come, I will ask Brother Hu for yours." phone."
"I'm too busy here, let's add a WeChat after we're done so we can get in touch later."
Lu Cheng hurriedly said, "Brother, okay, is there anything I can do?"
"Go and hand over these X-rays and MR sheets to the head nurse at the nurse's station, and ask them to make an appointment for the patient as soon as possible."
"After you're done, go get the patient's electrocardiogram."
Before patients are hospitalized, they usually only do a preliminary examination, which is not so detailed.
The patients who need to be hospitalized are generally surgical patients, so they must make corresponding preparations before the operation on the day of admission. Hannan Hospital is very large, and basically all examinations except plain films require appointments.
In order to ensure the safety of surgery, some elderly patients and patients with underlying diseases must complete a series of auxiliary examinations.
For example, older people need to take a color ultrasound of the heart, obese patients need to check their blood lipids, patients with high blood pressure need to monitor their blood pressure, and patients with high blood sugar need to monitor their blood sugar...
These preparations must be completed by the resident doctors on duty. This is an exercise for them to practice the perioperative management of the disease. If there are special circumstances, such as the presence of thrombocytopenia, then the superior physician will need to guide further perioperative management. These are dealt with during surgery.
Every patient needs to be hospitalized for an examination, a medical record needs to be established, and a general understanding of the condition is required at the bedside, and a specific preoperative examination plan is prescribed according to the specific situation.
This is not an easy job.
If there are few patients, let's say six or seven or even seven or eight at once, it will really become very busy.
Moreover, in addition to newly admitted patients, the doctors on duty also need to complete other temporary medical orders for post-operative patients, and are also responsible for emergencies that occur to patients in the department.
Being on duty is not an easy task.
Fortunately, Lu Cheng was on duty with Senior Sister Hu Li before, and he is more familiar with these procedures.
It took Lu Cheng nearly an hour to make the checklist and do the electrocardiogram at the bedside.
At this time, Chen Zhuoyuan barely finished building the templates for the admission examination and medical records.
Then Chen Zhuoyuan said: "Xiao Lu, we also have a few patients here, they are 3-bed and 5-bed respectively, you go to get a general understanding of the condition, and write down the admission record and the first course of the disease."
"I have to go to see bed 33 now. Just now, bed 33 said that his stomach is uncomfortable. After watching it, there are still two more beds to be checked."
If a patient develops special symptoms after surgery, the doctor on duty will see him and handle him accordingly.
Lu Cheng nodded oh, and went directly to beds 3 and 5...
Asking about medical history and writing medical records are the first stop for every medical student to come into contact with the clinic. Lu Cheng has done these tasks during his internship before, so he is familiar with them. In addition, he has seen outpatient clinics alone in the game , but also got a relatively high evaluation of the game system.
Although the collection of outpatient medical records is different from that of inpatient medical records, they are similar.
After writing in this way, another full hour passed, and Lu Cheng not only finished writing the medical records, but also completed the medical examination.
Then Lu Cheng said: "Brother, I finished writing, do you want to check it?"
At this time, Chen Zhuoyuan seemed to be busy talking about each patient's admission, so he said, "I don't want to read it yet, and I don't have time to read it. I've talked about four or five admissions here, and now I'm writing the seventh and eighth ones."
"The admission interview is very simple. You just put it in front of the patient, read the above content in front of them and their family members, and ask them to sign it."
"By the way, I've already ordered food, so don't order any more. There are a lot of patients today, and it's really hard."
Lu Cheng can also understand that a large part of the surgical patients on Monday and Wednesday have been discharged from the hospital, and those admitted on Thursday are basically the patients who will be operated on the next Monday and Wednesday, and it is understandable that there are more patients.
And Thursday and Friday are the peak periods for hospital discharge, which is similar in every department.
"Okay, thank you, brother." Seeing that Chen Zhuoyuan was too busy, Lu Cheng didn't bother arguing with him about who should treat him.
Lu Cheng took the record of the hospital admission conversation, and after going through it carefully, he walked to the patient's bedside and explained in detail...
After another 10 minutes or so, Lu Chengcai came out of the ward, holding two documents of the admission conversation record in his hand, and after clipping them into the medical record book on the medical record car, he took a little leisure.
When he walked into the office, Chen Zhuoyuan seemed to have completed the signatures of the other three patients, and was dragging up and down to flip through the admission records written by Lu Cheng before landing. When he saw Lu Cheng coming, he glanced at Lu Cheng:
"Xiao Lu used to be in internal medicine before! This medical record is quite well written. Except for some descriptions of specialist medical examinations, which are a little lacking and not systematic, there is nothing that can be changed."
"Thank you for the compliment, senior brother." Lu Cheng did not explain that he had never been to the Department of Internal Medicine.
Others have praised you, do you still have to pretend that you have never been there, there is no need for that.
"Alas!" Chen Zhuoyuan then slumped down on the chair and said:
"Fortunately, I have you today, otherwise I would be on duty alone. After I finish the electrocardiogram and write the medical records, it will probably be after seven o'clock, and it's only after five o'clock now,"
"It happens to be normal off-duty time. Let me see where the takeout is."
"If there is nothing else, we can lie down and wait for the takeaway, and then prepare for tomorrow's shift..."
It was true that there was no patient coming back later, Lu Chengcheng was in the duty room, eating with Chen Zhuoyuan, and secretly inquiring about Li Hui's news.
After chatting a lot of gossip, Lu Cheng asked out of the blue, "Senior Brother Chen, isn't Teacher Li Hui in our department very good?"
(End of this chapter)
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