My Medical Skills Give Me Experiences
Chapter 579: Tackling key problems, moving the knife to the operating room of the emergency departm
"Hi Dean Bai! Do you have any instructions?"
Maintaining respect for leaders is a must.
"Haha, I can't talk about instructions. Xiao Zhou, there is something I need to talk to you about."
Vice President Bai's attitude towards him was quite friendly.
There are no eternal enemies in the world, only eternal interests.
Zhou Can and Vice President Bai were once at war, and the quarrel was very tense. Who would have thought that the two would become close friends a few years later.
"Please tell me!"
Zhou Can secretly wondered, what happened in the early morning?
"Didn't Dean Ye and I discuss together last time to find you a position in the quality control department? We recommended your information two months ago, and now the preliminary inspection period has passed. We are currently in the final stage The crucial final stage. Your qualifications are basically fine, and your internal support rate is not bad. The key is that the Qin court assistant doesn’t speak up, so this matter can only be determined. I specifically helped you find out about this matter yesterday, and the competition is very competitive. Fierce, the probability of you being selected is at most about 40%. You have to find a way to be active with Qin Yuanzhu."
Vice President Bai must have found someone to drink last night.
This kind of wine bureau must be more advanced.
The participants are all important leaders in the hospital and relevant leaders of the competent departments.
In this kind of wine game, he was able to take Zhou Can's matter to heart, which was very valuable.
"Thank you, thank you so much. I don't know how to repay you for putting so much effort into my affairs!"
Zhou Can expressed his thanks again and again.
"Don't be polite to me! Whether you can enter the quality control department, the key lies in the assistant of Qin Yuan, do you understand what I mean?"
Although Vice President Bai is an expensive vice president and the deputy team leader of the quality control department, he is only a deputy after all. This kind of key personnel appointment has to be made by the official.
Qin Yuanzhu is also a leader at the hospital level, and in terms of status, he is actually lower than him, the administrative vice president.
However, each leader of the hospital has a clear division of powers, and each manages one-third of an acre of land.
It's not the supervisor's business, even the vice president can't intervene.
The current Tuya Hospital is still under the old management system. There is only one hospital assistant, and there is no effective check and balance. The real power of Qin hospital assistant is very large.
"Understood! I understand! I will find a way!"
In Zhou Can's mind, he was already thinking about how to be active in Qinyuan's assistant.
I'm afraid this matter is not small.
The main reason is that he is not familiar with Yuanzhu Qin, and if he suppresses this matter and does not express his opinion, it can explain the problem.
After being the deputy team leader of the operating room for so long, Zhou Can also has a little understanding of management matters.
Both Vice President Bai and Vice President Ye recommended Zhou Can to join the quality control department, and according to Vice President Bai, they were far more than the two of them who supported Zhou Can. This undoubtedly put a lot of pressure on Yuanzhu Qin.
It's not easy to win the public's opinion, and I don't want Zhou Can to enter the quality control department, so this matter can only be suppressed.
Drag words are very useful in many situations.
As for why Yuanzhu Qin did not agree to let Zhou Can enter the quality control department, it was mainly due to personal interests.
Everyone wants to install their cronies, at least people who are close to them.
Zhou Can overthrew his previous assistant two years ago. Assistant Qin was polite to him on the surface, but he was very jealous in his heart.
What if Zhou Can was angered by something, and then he was turned over?
Out of self-preservation and consideration of other interests, it is safest for him to keep Zhou Can out.
If Assistant Qin wants to train some distant relatives, students, or trustworthy people of his own, the places must be reserved for these people.
So this matter directly asked Qin Yuan for help, and the effect was minimal.
Unless Zhou Can showed his loyalty to the Qin Academy and was willing to be an obedient 'slave' for him, he would not consider it at all.
If you do this, you will lose your dignity and backbone.
Zhou Canjin's part-time job in the quality control department is for better development in the future, not to turn himself into a slave.
In the future, he has great ambitions to compete for the dean.
Before the end of the call, Vice President Bai also specially warned, "Don't you boy, don't just send cash directly, and send texts, tobacco, alcohol, and tea. Now that the arrest is so strict, no one will accept these notes. It's a courtesy on the face. And if you do this, it will only be counterproductive, and let Qin Yuanzhu look down on you and feel that your moral character is problematic."
The law is strict, and it is illegal to give and accept bribes.
Gift giving is increasingly about strategy and skill.
"clear."
Zhou Can didn't even think about sending money and writing.
After finishing the phone call with Vice President Bai, he began to think secretly how to get Assistant Qin to nod and agree.
If it doesn't work to ask Qinyuan directly for help, what else can I do?
It seems that the only person who can influence Assistant Qin to make a decision is Dean Zhu.
As for the secretary at the top of Dean Zhu, he basically doesn't care about these specific affairs, and only focuses on ideological guidelines.
Right now, we should first solve the problem in the operating room of the emergency department.
After answering the call, Dr. Xu just came out of the office after changing his work clothes.
"Xiao Zhou, work!"
Zhou Can is now the main force in the operating room of the emergency department, and Dr. Xu entrusts him with many important tertiary operations.
"Teacher, there is something I want to discuss with you and Director Lou."
Zhou Can took the opportunity to say.
Doctor Xu took a deep look at Zhou Can.
"It seems that this matter is very important. Before entering the operating room, let's do it quickly."
"Thank you, teacher!"
"What are you doing in a daze, go to Director Lou's office!"
Doctor Xu waved at him.
"okay!"
The master and apprentice knocked on the door of Director Lou's office and walked in.
Fu Chachun, who was sitting in the doctor's office, listened to the conversation between Zhou Can and Dr. Xu.
Immediately, he couldn't help showing a bit of a sneer, and felt even more annoyed with Zhou Can in his heart.
This kid is too shy, and everyone told him that there is no need to meddle in other people's business, and the patient's toe numbness is not a big deal. If you insist on making such a fuss, it's not good for anyone.
I believe that no matter how much Director Lou valued this kid, he couldn't let him mess around.
Fu Chachun saw that it was almost time to go to work, and went to the emergency surgery window with the consultation tools.
In Director Lou's office, Zhou Can and Dr. Xu visited together, which surprised Director Lou.
After calling them to sit down, Director Lou personally made tea for them.
"Is this what happened?"
He, the head of the department, is most afraid of bad things happening in the department.
The patient's accidental death, disability, family disturbance, etc., every bad thing is enough to make him nervous.
"Xiao Zhou told me outside just now that he wanted to discuss something with me and you. Time was tight, so I didn't ask in detail."
Doctor Xu replied calmly.
"Every time Xiao Zhou responds, it's not a trivial matter. Tell me, what is it?"
Director Lou asked kindly.
"Director Lou, teacher, it's like this. I found that there are fewer and fewer 'repeat customers' in our emergency department recently. After investigation, I found that the quality of surgery in the emergency department has declined seriously, and there are many worrying problems. This is what I let According to a questionnaire compiled by Ye Tingting, out of ten operations, at least four failed to satisfy the patients. Patients had various minor problems after the operation."
Zhou Can took out the survey form he had already prepared.
After Dr. Xu and Director Lou saw it, they were also very shocked. Maybe they never thought that the emergency department, which was in such a good situation, had such a serious problem.
"This is too big a step and it's pulling the hips! The rapid development of the emergency department in the past two years has indeed left some hidden dangers. We are indeed negligent in terms of the quality of surgery."
Director Lou's face sank like water, and his eyebrows were furrowed like a knife.
As an ambitious department director, he never wants the emergency department to become a puffy man because of its rapid development.
With his foresight, he immediately realized that if this matter could not be handled in time, it would become a major hidden danger.
"The decrease in word-of-mouth patients is really worrying. I have noticed it recently, but I didn't expect it to be so serious. Those newcomers can't grow quickly if they don't train them. Let's relax the conditions, and there is such a serious problem again. It seems that we have to think about it." There is a way to fix it."
Dr. Xu, the main person in charge of the operating room, was also very troubled.
There are dozens of people in the operating room, and the management is definitely not as easy as imagined.
When the water is clear, there will be no fish.
If the control is too strict, newcomers will be afraid of surgery and have no chance to practice it.
If it is too loose, the quality of the operation will go wrong.
"It's not only the newcomers who have declined in the quality of surgery, but many veteran comrades also have problems with their work mentality."
Zhou Can believes that it is impossible to completely solve the problem just by grasping the surgical quality of newcomers.
If you want to catch it, you should catch it from the source.
"Be more specific!"
Director Lou looked at Zhou Can.
"For example, during my ward rounds yesterday, I found that some surgical patients had various minor problems. Some were sutured irregularly, some were incompletely operated, and some did not think about the problem from the perspective of the patient's interests at all. It was obviously just a subcutaneous foreign body removal operation, but A hideous wound is made on the patient's thigh, and the skin flap is damaged like that, and the wound healing period of the patient is at least doubled. After healing, it will leave an ugly scar."
"Although the scar is on the thigh, it is hard to be seen by others when I usually wear pants. But it will definitely affect the patient's psychology. And that kind of scar is prone to itching and pain every rainy day."
Zhou Can pointed out the problems found during the ward rounds one by one.
"Yesterday I found a more typical case. An inpatient in the emergency surgery bed had a split toe operation two days ago. As a result, the third toe of the left foot became numb after the operation. This operation was performed by Dr. Fu Yes, I called him on the spot and wanted to ask him to come over to study together, try to find the cause, and help the patient deal with it. But Dr. Fu believes that one thing is worse than one thing, as long as the patient's toe does not have necrosis and the healing is good."
"I did a further examination and test on the patient this morning, and the toe has lost even the flexion function. If we obviously found a problem and still don't deal with it, it's okay to fool the patient. Go back and rest for a while before looking. It's conceivable , this patient will turn from an iron fan of our hospital to a black fan. She will say to everyone in the future that she must not go to Tuya Hospital, it is too dark, and the doctor there has disabled one of my toes. He even fooled me and said it was fine."
In one breath, tell this typical case and let Dr. Xu and Director Lou think about it.
"I can understand Dr. Fu's position. Today's medical environment is harsh, with sharp conflicts between doctors and patients, and sometimes they can't do a good job. The doctors and nurses are clearly kind, but they are attacked by their families and patients. It is really chilling. It's just a case like this, It would be even better if we can face it correctly and try to come up with a solution that can help patients solve their problems and fully protect the interests of both parties.”
At first glance, these questions raised by Zhou Can are all trivial matters.
However, the negative impact it brings is extremely far-reaching, and its essence is to operate on the two major interest groups, hospitals and doctors.
Doctors will certainly resist.
Even gave birth to hatred.
Because this has touched the interests of all doctors in the operating room.
"The patient in the first bed must find a way to solve it, and he can't let it go. He can fully communicate with the patient and his family, and after obtaining their consent, as long as there is hope, he can perform a second operation as soon as possible. However, there are also some uncontrollable problems. Patients and their families may not be willing to bear the cost of the second operation, and may even think that the hospital deliberately makes such a fuss in order to make more money. It is clear that one operation can be done, but it has to be done twice.”
"Also, what should I do if the problem still hasn't been resolved after the second operation? Then the family members and patients will decide that it was an accident of the operation, and they will sue us in court. The hospital will really have nothing to say."
Director Lou has rich experience in handling various medical disputes.
Many possible bad outcomes can be predicted.
"In the hospital, kindness is indeed very easy to be disappointed. Almost every doctor and nurse has a cold heart in the process of growing up. I think the problem mentioned by Xiao Zhou is mainly to be grasped from the source. A reward mechanism needs to be established to strive for once. Do the surgery well, instead of being paralyzed during the first surgery, and if there is a problem, it can be solved by a second surgery anyway.”
With a serious face, Dr. Xu suggested the first solution.
"Old Xu is right. It is necessary for UU Reading www.uukanshu.com to start from the source. Just like curing a disease, it is much better to prevent illness than to treat it later. You and Xiao Zhou will be more specific when the time comes. Discuss a set of specific and feasible reward and punishment system, and I will report it to the medical department after approval, and implement it immediately after approval. The quality of surgery in the emergency department has reached a shocking level, and rectification is urgent."
Director Lou gave guidance on the spot and strongly supported the method proposed by Dr. Xu.
"It is very wise to start from the source, but it is impossible to have a special person standing next to the operating table to monitor it all the time. This will increase the pressure on the operator, and it will be difficult to perform during the operation, and even problems. I suggest to develop a postoperative scoring mechanism .Evaluate multiple standard scores for each completed operation. If the score is lower than the standard value, it will be punished. If it can be kept above the standard score, it will be rewarded. "
Zhou Can proposed a more specific solution on the spot.
"This suggestion is very good! The selection of the judges will be left to Lao Xu."
Director Lou's eyes lit up, and he immediately agreed with Zhou Can's plan.
The selection criteria for the judges are very strict, they must have excellent surgical skills and be fair.
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