My Medical Skills Give Me Experiences

Popular recommendation:

As soon as the groups were divided into half, a doctor in his thirties stood at the door and shouted.

"Gu Peisheng, who is in charge of beds 21-31, will follow me immediately."

The number of neurosurgery doctors should be relatively small.

Manpower is tight.

Otherwise, it would be impossible to rush to call for someone before the grouping was completed.

Zhou Can and a fair and clean young man followed quickly.

The two didn't know each other, so they turned their heads and looked at each other at the same time.

"Hello!"

Jiang Xiaohua smiled shyly at Zhou Can.

"Hello! My name is Zhou Can, please take care of me in the future."

When we met for the first time, what we said was basically this kind of etiquette.

He found that Jiang Xiaohua not only had fair skin, but also had delicate features, and her fingers were slender and thin.

The body is also quite slender.

There are many girls who like this kind of cream niche.

However, Zhou Can felt that Jiang Xiaohua was a bit of a womanizer and lacked the masculinity of a man. Some only have the softness and delicacy of girls.

But looking at a person's hand, you can roughly guess whether it is flexible enough.

Intuitively, Jiang Xiaohua's hands should be very dexterous.

People with dexterous hands have a natural advantage in performing delicate operations.

For example, Dr. Shan, who has been with Zhou Can for more than two months, has very dexterous hands.

When anastomosing blood vessels, nerves, and mesentery, her movements are gentle, precise, and swift.

Zhou Can asked himself that he couldn't do it.

"The two of you immediately sent the 24-bed patient to operating room 3."

The young doctor who walked in front of them led them to bed No. 24, looking very anxious.

"My name is Cheng Gang, and I will be your superior doctor from now on."

The doctor's tone of voice was cold.

There was no smile on his face, and he looked quite cold.

Zhou Can looked at the patient on bed 24, a middle-aged and elderly man in his fifties, who was quite obese. There was a middle-aged woman who was suspected to be a family member playing with her mobile phone beside her.

As soon as the male patient's quilt was lifted, Zhou Can smelled a stench of excrement.

"The patient seems to be pulling himself."

Zhou Can responded to Dr. Cheng.

When Jiang Xiaohua heard that the patient had feces on her body, Huarong turned pale with fright.

"I, I'll go and pull the cart over here first."

He was cunning enough.

The middle-aged woman frowned when she heard the patient put feces in her crotch. She glanced at Zhou Can secretly, pretended not to hear, and continued to play with her mobile phone.

Cheng Gang had a cold face and was very impatient.

"Hey, are you the patient's family member? He's about to be sent to the operating room for surgery. Help him clean it!"

Zhou Can also didn't know the relationship between the middle-aged woman and the patient.

But it doesn't make sense to ask him to clean up the patient's excrement and urine.

Unless there are some disabled patients who are not accompanied by anyone and the situation is urgent, there is no way. Zhou Can basically pinched his nose and did the job.

Now that the family members are right in front of them, he needs a doctor to do this, thanks to this woman who dares to think about it.

"Your hospital charges so much money a day, can't you help clean it up?"

The middle-aged woman glanced at Zhou Can indifferently.

After hearing this, Zhou Can couldn't help being furious.

This woman is too unreasonable.

"Auntie, the medical expenses you pay are normal medication and treatment expenses. Our doctors and nurses are not responsible for carrying excrement and urine for patients. If you need it, you can hire a nurse."

Zhou Can didn't dare to scold this woman, although he really wanted to greet her ancestors.

But if you really want to do this, if the family members complain to the hospital, they will definitely criticize Zhou Can. Even make some substantive penalties.

When he was an intern, he **** off his family members once.

The inpatient general doctor scolded him severely without asking indiscriminately, and asked him to write a self-criticism.

And warned him that if he dared to conflict with family members and patients because of a trivial matter next time, and scold him, his internship qualification would be directly disqualified.

Since then, Zhou Can has learned a lot from a pitfall.

He endured every patient and family member who needed to be beaten.

At least there will be no more quarrels and scolding with family members and patients.

Just like dealing with the middle-aged woman in front of me, without saying a single dirty word, it was enough to make her lose her temper.

"Wait, I'll fetch water and wash it."

The middle-aged woman cursed and took out a plastic washbasin from under the bed, then went to the water room to fetch half a basin of water.

"The patient is going to be operated on soon, both of you hurry up. Dr. Ou has a bad temper if you delay the time. Be careful of being scolded."

After Dr. Cheng Gang finished his explanation, he turned and left.

The resident doctors in charge of the bed are actually very busy, especially the patients who have just finished surgery or high-risk patients must keep an eye on them all the time.

Postoperative patients need to be closely observed, and if problems are found, they must be analyzed in time and measures should be taken until they are resolved. It's even more troublesome if the patient has complications.

It takes a lot of time and energy to analyze and process.

In addition, some patients who are preparing for surgery are in serious condition.

For example, a patient in a car accident may look fine one second, but the next second, he really dares to die for you.

None of the patients admitted to Shenyang Hospital were mild or chronic.

"vomit!"

Standing at the end of the bed, Jiang Xiaohua probably smelled the feces from the patient, and couldn't help retching on the spot.

"You go over there and wait. I'll call you when I'm done here."

Zhou Can waved at him.

Jiang Xiaohua hid far away as if she had received an amnesty.

"I've never seen such a delicate doctor. You spend thousands of dollars a day in medical expenses. You prescribe medicines, give injections, and make money easily. I only have two hundred yuan a day, and I have to wipe it for him." Wipe **** and pee, what a crime!"

The middle-aged woman complained while scrubbing the body of the patient.

It turned out that they were not the family members of the patient. No wonder they were so indifferent when they heard that the patient had **** on him.

This middle-aged woman is likely to be a nurse or nanny hired by the patient.

Zhou Can found that the patient didn't say a word the whole time.

His eyes were rather dull.

And the body is paralyzed.

What disease does this man have?

No injuries were seen.

"Where is the medical record?"

"Here, it's in the locker drawer. The inspection report and all the documents are in there."

Zhou Can took them out.

After reading it, I realized that the patient's disease was called spinal epidural hematoma.

At present, various symptoms such as sphincter loss of control and paralysis of lower limbs have appeared. Moreover, this patient had Alzheimer's disease before he got the disease.

I can't imagine that a man who is only 56 years old has Alzheimer's disease.

Spinal epidural hematoma can be divided into several grades according to the severity of the condition.

Grade A, complete damage to the spinal cord, complete loss of sensory, motor and sphincter functions below the level of damage. Grade B, only sensation exists below the level of injury, and all activity functions disappear.

Both levels are very serious.

Generally speaking, the sooner surgery is the better.

No wonder Cheng Gang urged them to rush the patient to the operating room.

Zhou Can didn't know how to operate or treat this disease. It will be an eye-opener to send the patient to the operating room later.

Finally, the middle-aged woman cleaned up the patient.

Zhou Can found that the surgical incision had been drawn on the patient. The nurse has already done the skin cleansing.

Now the terror is going to be re-sterilized.

It is common for such paralyzed patients to lose control of their sphincter muscles and to vomit urine and feces.

"Why didn't you introduce a root catheter to the patient?"

Through some details, Zhou Can realized that the management of the neurosurgery inpatient department is relatively loose. Compared with other departments, it is much worse.

As a newcomer, he didn't dare to accuse anyone.

Unless it's insane.

"Doctor Jiang, I'm going to find a nurse to come over and sterilize again, just wait a moment."

Zhou Can greeted him and ran straight to the nurse's desk.

There are two nurses who are busy.

"The two beauties are busy!"

Zhou Can greeted with a smile.

"Um!"

They looked up at Zhou Can, then bowed their heads again to do their own thing.

I don't know if it's busy or cold?

"The patient on the 24th bed just suffered from **** incontinence. He is going to be sent to surgery soon. Can you arrange someone to disinfect him again?"

After a few seconds, one of the nurses looked up at him.

"Are you new here?"

"Yes! My name is Zhou Can, please take care of the two beauties in the future."

Zhou Can lowered his posture.

Nurses with slightly older qualifications like these don't like to take novice doctors seriously.

Gui Peisheng is better, because he is already half a doctor, or even a doctor directly.

Interns, that really has no status at all.

"You have to ask the bed doctor to make a doctor's order! Otherwise, what shall we do?"

She rolled her eyes and said angrily.

"Before the operation, the doctor didn't issue a doctor's order? Are you sure you need to issue another doctor's order?"

Zhou Can is not a rookie who knows nothing.

In addition to the one-year internship, I have already had one and a half years of work experience.

At that time, they just need to add the disinfection supplies.

"laugh!"

The female nurse sneered.

"Little comrade, are you questioning my way of doing things? Have you seen my rank? Supervisor in charge! The working years should be much higher than yours."

She looked unhappy.

Zhou Can gritted his teeth, the only villains and women in the world are hard to mess with.

Can't afford to provoke or hide?

He could only bite the bullet and go to Dr. Cheng Gang.

After searching for a long time, I finally found it.

"Doctor Cheng, the patient's excrement has been cleaned up. It needs to be disinfected again, and the urinary catheter is not catheterized. I will go to the nurse and they will ask you to issue another doctor's order."

Zhou Can accompanied carefully and said.

On the first day I came to Shenwai, I felt that the doctors and nurses here were not easy to deal with.

It's like the people in Shanghai look at everyone like a villager.

This kind of deep-rooted arrogance and discrimination is still acceptable in society. In the hospital, it's really hard to deal with.

"Haven't sent the patient to the operating room yet? You guys are so stupid."

Doctor Cheng Gang's face was icy cold.

"Let the nurse disinfect the patient right away. I'm busy here, and I'll just fill in the doctor's order later. What's your name? The ability to handle things needs to be strengthened!"

He is really busy.

However, Zhou Can was suffocated with the outburst of criticism and scolding.

Damn, the nurses and doctors here are really hanging.

For such a small matter, they blamed each other, and each of them used the new doctor as a gas bucket.

"Zhou Can!"

Zhou Can didn't say any more polite words this time, please take care of him in the future.

In any department, respect is won by strength.

Hold your breath for now, sooner or later, Dr. Cheng Gang will lick him.

Back then, Dr. Lu in the emergency department was so bad, didn't Zhou Can take care of him?

Don't look at Dr. Lu who took the initiative to invite Zhou Can to dinner again later, and made all kinds of goodwill, it was because he couldn't suppress it.

Zhou Can's status in the emergency department has surpassed him.

He had to do it in order to survive.

It's not that Dr. Lu has gotten better.

The country is easy to change, but the nature is hard to change.

Dr. Lu's work attitude has become diligent and serious, not because he has a better heart. But in order not to be eliminated, this is the only way to work hard.

The ability of this doctor Cheng Gang is still unclear.

Thirty-two or three-year-old is definitely there.

This age has not yet been promoted to the attending physician, so it must not be too bad.

In fact, eight out of ten residents who were sent to the inpatient department to manage the beds were not doing well. They are all of average level, so the tube bed is arranged.

But there are also great ones.

Because the tube bed can also be regarded as a necessary process in the work experience.

Especially good resident doctors, in fact, only experience bed management during the internship and regular training stages. In the back, it is basically a mix of operating rooms or outpatient clinics.

That's called compulsion.

Zhou Can ran to the nurse's station, but the other nurse had disappeared.

Only the stern-faced nurse in charge was left.

"Hello, just now I told Dr. Cheng who is in charge of the bed. He said that he will come over and fill up the doctor's order for you when he finishes his work at hand. Now the operating room is in a hurry, and the patient should be disinfected and catheterized first. Tube."

Zhou Can learned to be smart this time.

Move out Dr. Cheng Gang directly.

If the nurse named Hu Shuiling declined again, it would be ignoring Cheng Gang's words.

When the time comes, just let the two of them tear up B.

After about ten seconds, she stopped typing on the computer, stood up, and walked directly to the dispensing room behind her.

Disinfectants and urine tubes are common items.

Always in stock.

A plate came out quickly.

Disinfectant cotton, clips, disinfectant, urinary catheter ~www.readwn.com~ are all available.

Zhou Can breathed a sigh of relief, and finally moved the female ancestor.

There are so many things to do to disinfect a patient.

It's woefully inefficient.

"etc!"

She called out to Zhou Can, and put the plate directly on the hoarding of the nurse's desk.

"I can't get away here, you go and get it."

"Isn't this what a nurse should do?"

Zhou Can rolled his eyes.

Originally, the other party's attitude was good, so it didn't matter if he did it.

Now the nurse in charge looks like something, why should she help them with these tasks.

Skin cleansing, disinfection, and urinary catheters are what nurses should do.

He only has 3,000 yuan a month.

The salary of the nurse in charge is at least 8,000.

With a high salary, she just sits here pampered, knocks on the computer, and dispatches and directs.

Little days are so beautiful.

"Are you going to do it or not? I've made a deal with you, you newcomer Gui Peisheng, you'd better work hard. The patient will be late in sending to the operating room, and the surgeon must be scolding you instead of me."

Her attitude was very bad.

Zhou Can grinned, showing his white teeth.

"Hey, I forgot to introduce myself just now. My name is Zhou Can. Threats are the last thing I'm afraid of. Don't do it if you don't want to, I don't care!"

The nurse in charge actually threatened him.

Is he a scary person?

Facing the coercion and lure of Vice President Bai, he dared to stand up. Will he be afraid of such a nurse in charge?

To put it bluntly, no matter how awesome she is, she is also a nurse.

Director-level nurses and head nurses need a lot.

The status of the nurse in charge is far from being comparable to them.