Emergency Department Observation of Medical Records

Zhao Bin typed out the prescription and handed it to the middle-aged woman who was covering her mouth and still feeling sick. She smiled gently and told her to go out and turn right, first go to the toll office to pay the fee, and then go to the pharmacy to get the medicine.He reminded the patient that there are arrow marks on the ground and on the head, and the location is easy to find.Amid the stench and sour smell of the patient's vomit, his eyes above the mask remained calm, unaffected by the suffocating smell at all, and there was no disgust or impatience in his eyes.

The patient with acute gastritis stood up gratefully, retched and thanked, and asked anxiously what to do with this mess.Zhao Bin said in a gentle manner that she went to get the medicine first, and the emergency department has a cleaning process.

As soon as the patient left, Zhao Bin stood up quickly, walked out of the consultation room frowning.A boy outside came up with a registration slip and asked him, "Is it the 12th?"

Zhao Bin raised his hand to signal him to wait, and shouted toward the corridor: "Qiu Ting!"

There was no answer in the corridor except for the patient's groans.Zhao Bin then yelled twice, and finally someone from the nurse station answered, and a nurse rushed over.

"Qiu Ting, is Sister Zhang still here? The patient vomited, ask her to come and clean it."

"The cleaners go to work at ten o'clock." Qiu Ting said, "I'll ask an intern classmate to come over and clean immediately."

Qiu Ting has been in the emergency department for two years, and she handles things very quickly. She directs two nurses who are interns in the emergency department to clean the floor in 3 minutes.There was still a stench in the room. The emergency room had no windows except for the door, so there was no place to let the stench out. Qiu Ting took the key and went to the warehouse to push the air purifier out.There are many emergencies like the emergency department, and everyone is very proficient and busy in an orderly manner.

Over there, Qiu Ting was still holding the air purifier, and the boy on the 12th was waiting quietly at the door of the consulting room.Seeing that he had been standing there for a while, Zhao Bin didn't seem to dislike the smell inside, so he let him in and sat down, took the registration form, and got the name right: "Is Luo Mingyao?"

The boy sat opposite and straightened his body as if answering the teacher's question: "It's me."

Zhao Bin smiled reassuringly at him, signaling not to be nervous, then clicked on the outpatient medical records, and asked, "What's wrong?"

Luo Mingyao swallowed a little nervously, a pair of clear eyes showed a trace of shame before speaking. "I was scratched by a cat for almost an hour."

Zhao Bin curled his eyes slightly at his nervousness as if he was seeing a teacher, "What cat?"

"An orange cat." Luo Mingyao replied, sitting upright.

"..." Zhao Bin couldn't help covering his forehead. "Ask if you are a wild cat or a domestic cat."

"Wild, wild cat..." Luo Mingyao's face turned red all of a sudden. "The wild cats in the school..." he added hastily.

"Is there any bleeding?" Zhao Bin asked carefully while typing the medical records on the computer.

"No." Luo Mingyao held up his hand and showed him.

A somewhat thin hand stretched out in front of Zhao Bin, and Zhao Bin grabbed it and put it in front of his eyes.The skin of this hand is fair, and the veins on the back of the hand are clearly visible. If Zhao Bin were a nurse, he would be very satisfied with the distribution of blood vessels.The three scratches opened the skin, not too deep, leaving a little scar without bleeding.It can be judged that the epidermis was only scratched, and the dermis or blood vessels were not damaged.Zhao Bin looked at it carefully, let go of him, and continued typing on the keyboard to describe the signs of the physical examination.

"Is there anything else? No fever, cough, or runny nose recently?" Zhao Bin asked.

"No, no. There is no history of food or drug allergies, and no contact or bite of other wild animals." Luo Mingyao shook his head a series of times.

"Okay." There was a smile in Zhao Bin's voice. "Are you a medical student?" he asked, "How old are you?"

"I'm in my senior year... I'm doing an internship..." Luo Mingyao replied with a blushing face.

"I'm in my senior year, and I've learned epidemiology, and I still feed cats everywhere. I don't have enough awareness. What is the incidence and mortality rate of rabies?" He looked up the patient's basic information again: "Student Luo Mingyao?"

"One hundred percent..." Luo Ming lowered his head a little lower, as if he was a student being scolded.

Zhao Bin had enough of teasing, and felt relieved seeing him, quickly finished writing the emergency medical record with his fingers, and clicked on the doctor's order interface.

"The rabies vaccine needs to be vaccinated. You have already come to the emergency room, so you must know." Luo Mingyao lowered his head and showed a twist in his hair. He moved his hair up and down, and it was he who nodded.

"There are two types, which one do you choose? Four or five shots?" Zhao Bin tapped the keyboard to display the doctor's order menu for rabies vaccine.

"How much is five needles more expensive than four needles?" Luo Mingyao asked in a low voice.

Zhao Bin was silently calculating the price difference, and Luo Mingyao said in a low voice again: "It's better to have five needles, wild cats are really not safe..."

"Okay," Zhao Bin ordered the option of five injections, and quickly typed out the prescription and handed it to him, "Pay the money, get the medicine back, take the things to the treatment room, and the nurse will give you a shot. Today only one injection, five injections." The time for the injection is today, three days, seven days, fourteen days and 28 days. If you can’t remember it, go back and read the book. Remember to come for the injection when the time comes. Both the nurse and I will register. If we don’t come, we will call to inform. If you don’t come, we’ll notify the grade counselor directly.” The last sentence is to scare people when they see the children having fun.

Luo Mingyao nodded obediently.When he heard the last sentence, he showed a frightened expression as expected.

Zhao Bin watched him walk out in a panic, like a recruit being supervised by an instructor.The corners of the mouth were bent under the mask for a while.Then he sighed softly, pressed the next button, and continued to call the number.

Zhao Bin saw more than 20 patients in one night, not too many, and the condition was very mild. The patients in the observation ward were still stable. The chiefs of internal medicine came down for consultation one by one, and explained clearly that there was room tomorrow and could be transferred to the specialist ward. .The attitude of the patients today is also very good, without too many objections.The work went well, so when he got off work at one o'clock in the morning, Zhao Bin was still able to ask the two generals of the internal medicine and emergency department who had collapsed in the lounge if they wanted to help bring supper.The two female colleagues lay on the table and didn't want to say a word, telling him to get out and not disturb others' rest.

The next day's shift was the night shift, so Zhao Bin slept in contentedly.The emergency department is now fully staffed. There are several new doctors and trainees. The new shift has been adjusted to two teams with five people in each team. It is ensured that four people go to work during the day and two people see the doctor at night. Handle patients under observation.The night shift is from [-]:[-] am to [-]:[-] am, and the night shift is from [-]:[-] am to [-]:[-] am the next day.Those who work the night shift still have to work the day shift that day, and those who work the night shift do not work the day shift, knowing that the second half of the night is more painful.

Zhao Bin didn't go to work during the day, so he read the literature for a while at home.The director of the department urged him to come up with something in the past two months, and he had to push himself for a promotion in the future.

After reading and writing, it was ten o'clock in the evening.For lunch, I ordered takeaway casually, and I was hungry and uncomfortably hungry at ten o'clock later.Zhao Bin turned off the computer and went out to find something to eat.

He has been working in the emergency department after graduation, and has been working for two years now. Because of the high intensity of work, he rented a house next to the hospital.Although the house is small, it is an old apartment building, and the conditions in all aspects are a bit poor, but he is alone, not too particular, and it is fine after he gets used to it.Most of the nearby staff are hospital employees, and there are even a few old professors and directors who greet each other when they go out.

"Xiao Zhao, will you be on the night shift today or will you be on the night shift?" The deputy head of the hematology department joked with him.

"Night shift next night." Zhao Bin replied.

There are many snacks in the small alley next to the hospital. The only downside is that there are more people. Patients, doctors and staff are all looking for food together. A restaurant with a slightly cleaner storefront just outside the street.

It's only twelve o'clock after dinner, so there's plenty of time.He walked slowly towards the hospital, feeling less irritable now, remembering to bring some supper for some internal medicine bosses, so he walked into the snack street.At the entrance of a barbecue restaurant, I ordered a few skewers.

While waiting, he glanced to the side, and saw a familiar figure standing tensely aside.

The familiar figure met his gaze, and he quickly bowed and said, "Hello, teacher." It was Luo Mingyao's classmate from yesterday.

"I'll bring supper for the teacher." He added nervously.It seems that going out to buy barbecue at night is a violation of school rules.It seems that joking about suing the counselor yesterday left a lot of psychological shadow on the child.

"Which subject is it now?" Zhao Bin asked.

"Nephrology." Luo Mingyao answered the teacher's question again.

"Which teacher?" Zhao Bin asked again.

"Teacher Sun Xiaoyan." Luo Ming asked and answered as if squeezing toothpaste.

Zhao Bin lost interest, turned his head and didn't speak, and waited for the barbecue while looking at his phone.

Suddenly the phone rang, and he connected, and it was Zhou Lu, the boss of the emergency department.

"Brother Zhao, it's near the hospital." Zhou Lu asked.

"Yes, what's the matter?" Zhao Bin knew something was wrong as soon as he heard it.

"Xiaojiang's child is sick and has a fever of 39 degrees. She wants to leave work early and go back to take the child to see a doctor. Can you come over now to take over?" Zhou Lu's voice was a little cautious.

Zhao Bin was silent for a while.Xiao Jiang is a doctor who just came here as a trainee. The child is one and a half years old, but it is understandable to be anxious when he is sick.Although Zhao Bin was not very happy, he agreed.

"Then hurry up and leave. I'll stand here for a while. She's packed up and gone." Zhou Lu lowered her voice in the last sentence.

Sure enough, Zhao Bin became angry: "Leave without handing in the class! There is no such rule! Let her talk to the director by herself tomorrow!"

"Forget it, senior brother," Zhou Lu hurriedly comforted him, "I'll keep an eye on the handover after writing it, so don't worry, I'm sure I'll let her go after the work is done."

Zhao Bin hung up the phone, in a bad mood, and didn't even want to wait for the barbecue.He calmed down, and saw the well-behaved Luo Mingyao standing next to him, so he took out a one hundred yuan bill and gave it to Luo Mingyao, "I went to the emergency department beforehand, my things When you come out, you pack it up and send it to the emergency room, and order it for some bosses of internal medicine." After speaking, he walked away quickly.

The work in the second half of the night is quite exhausting. There are many respiratory patients in spring, and several patients suffer from hay fever allergies and asthma.He was so busy that he didn't even glance at his phone, and naturally he didn't notice a boy shaking twice at the door.He didn't have time to pick up his phone to see what's new on WeChat after get off work.

There is a red sign in the contacts, he clicks in and finds that someone has added him as a friend, and the verification is "Luo Mingyao", recommended by a friend.

He clicked through, and there was no movement there.When he came out of the hospital rubbing his eyes and shoulders, Luo Mingyao sent a message.

"Hello, Mr. Zhao, I am Luo Mingyao who helped you bring a barbecue to the emergency room early this morning. You gave me 87 yuan, but the boss said I couldn't find it, so I used WeChat to scan the code to pay. The total is 13 yuan. Yuan, I will transfer you [-] Yuan."

The following is a transfer message of 13 yuan.He clicked to collect the money, replied with "thank you", and threw the phone back into the bag.