I'm really an intern

Chapter 213 The atmosphere is just right, let's do a teaching round (Happy Valentine's Day, everyone)

"By the way, it seems that I haven't taken you around the various areas in the ICU."

Song Changkong suddenly remembered this matter when he brought Zhang Tianyang to a computer.

"Well, let me tell you about the distribution of ICU wards first."

The entire ICU ward of the Department of Neurology is extremely spacious, from the beginning to the end, according to Zhang Tianyang's normal pace, it takes about 2 minutes to walk.

It is roughly divided into five areas.

Song Changkong took Zhang Tianyang to watch from the place closest to the doctor's office and rest room.

"This small cubicle is the exchange area. You will come in here when you go to work. There are masks, hats and shoe covers in the cabinet. You must take them with you."

Zhang Tianyang nodded.

Very basic sense of sterility.

The patients who can live here are either very fragile or carry very strong germs, no matter which one they are, they need to be fully protected.

From the small cubicle, there are seven beds in an area the size of a normal ward with a toilet.

"This is called Zone A on the surface, but we all call it the critical zone."

Song Changkong's attitude is very good, he is really explaining to Zhang Tianyang in detail.

"The patients here are all sane, but seriously ill, who need to be supervised, and cannot have family members to visit them."

When it is said that the condition is serious, it refers to all the patients in the entire Department of Neurology.

For the ICU, the patients here are barely the second lightest.

"Patients here, if they are more serious, can be moved to the next door, and if they are better, they can be moved to the outermost area, so we call it the critical area."

Zhang Tianyang nodded, expressing his understanding.

Patients in this area will take two different paths depending on whether their condition worsens or not.

It's called a critical section, which is appropriate.

After a quick glance, most of the people lying on the hospital beds here are old men and old ladies.

The only young man looked familiar. Zhang Tianyang took a second look and found that it was the little yellow chicken guy who caused a striptease in the emergency department last night.

Now he's awake, but looking visibly sluggish.

When two white coats passed by him, he would not look up.

I don't know if it's because of illness or social death.

He just let the nurse next to him wipe his body.

Next to area A, that is, the area that other departments often use as an intensive care unit, is area B.

"The patients here are in critical condition and are in a coma."

Song Changkong continued to introduce, Zhang Tianyang followed behind him, and glanced with his head.

The patients here are all old men and old ladies, and indeed, as introduced, they are all in a coma.

Not only was he put on a monitor, but he was also put on a ventilator.

All the patients closed their eyes tightly, motionless, and allowed the nurses to turn their bodies and wipe and massage without any reaction.

"If you want to calculate the death rate in each region, this is the highest."

Song Changkong didn't expand on this point, but Zhang Tianyang nodded clearly.

Here are all elderly patients, critically ill, without self-awareness, and breathing depends entirely on machines

Many of the patients here will probably be declared brain dead in the end, right?

That is to say, it can rely on the machine to continue to "survive", but it has no self-awareness.

And once you get out of the machine, you will die without any hope of being saved.

Speaking of it, it is also a very hopeless thing.

Patients here are also not allowed family members to visit.

But it is facing the two windows that you can see from the elevator when you turn right. During the visiting hours, the thick curtains will be opened, and the family members can look at each other from a distance through the glass.

In area B, there are only five hospital beds.

When he saw this, Zhang Tianyang made a discovery that Song Changkong didn't mention.

The beds in the ICU of the Department of Neurology are all separated by a large distance, which can effectively avoid mutual infection between adjacent beds.

And there are 2 independent computers in each area, which are placed next to the hospital bed.

In this way, the doctor can directly stand beside the hospital bed and operate it if he needs to use the computer.

There is no need to open up an additional place to put the computer.

Moreover, there are a large bundle of suction tubes, a stack of gloves, and a stethoscope for each patient beside the bed.

From the perspective of the sense of courtyard, it is indeed very well done.

After all, every doctor has a stethoscope, but all patients of the same doctor share it during auscultation.

Going further out, you need to pass through a glass door before entering Area C.

"Area C is also called the infected area. The patients here are all infected with drug-resistant bacteria."

Song Changkong turned his head and told Zhang Tianyang very seriously.

"There are gloves in front of every hospital bed here. If you don't wear gloves, don't get close to the hospital bed, and you can't put your clothes on it."

"Once you touch it, you need to change your gloves immediately, or wash your hands."

Zhang Tianyang nodded and raised his hands to express his understanding.

Drug-resistant bacterial infection is a very troublesome thing.

For patients themselves, various intracranial infections, sepsis and other diseases caused by drug-resistant bacteria may be life-threatening and difficult to treat.

For doctors, if they don't take proper protection, if they get infected with drug-resistant bacteria, they may have to come in and lie down with the patient one day.

For the patients next door, the drug-resistant bacteria in each bed are different. In case of cross-infection, the already troublesome things will be even more troublesome.

The configuration of area C, that is, the infected area, is also very different from other areas.

There is an infusion stand on the bedside of each hospital bed, but what hangs on it is not liquid, but two sets of white gowns.

Whether it is a doctor or a nurse, when they need to operate close to the patient bed, they need to wear isolation gowns, gloves, masks, and hats.

The two isolation gowns next to each bed are dedicated. When changing a patient, the isolation gown hanging next to the next bed must be replaced.

Although it seems troublesome, it effectively guarantees the safety of both doctors and patients.

Going further out from Area C, there are Areas D and E.

Patients in areas D and E need to be monitored, but their minds are clear and their condition is relatively stable.

During daily visits, family members can see them through the window.

And two days a week, family members can even come in one to visit patients in front of the hospital bed.

Walking around the entire ICU ward, Zhang Tianyang has a better understanding of the layout of the department.

Looking around the slightly empty ward, Zhang Tianyang asked one more question.

"By the way, Teacher Song, there should be consumables for lumbar puncture, tracheal intubation, internal jugular vein catheterization, tracheotomy, etc.? It seems that I didn't introduce it just now."

Except for the sputum suction tube inserted at the bedside of each hospital bed, he didn't see any place to put consumables for other operations just now.

But the location of various consumables is actually extremely important.

Familiarize yourself with their locations, and move faster during the rescue, and the chances of the patient's recovery may be higher.

Song Changkong obviously understood the importance of this matter, but there were too many things and he forgot to mention it just now.

Zhang Tianyang was quite surprised that he took the initiative to ask.

"Xiao Zhang, have you been an intern for a while?"

He has been studying in the Department of Neurology of Dongfang Hospital for a long time, and he has helped many interns.

The little white cat who has just entered the clinic is inexperienced, and the superior doctor should respond to what he says, and he will never think of asking if he doesn't say anything.

Only "senior" interns who have been in the clinic for a period of time, have experienced various emergencies, not only have certain experience, but also think that they can help, will think of these problems.

Just as Zhang Tianyang opened his mouth to answer, loud applause came from afar.

In the middle of Area B, the attending physician who just said that the rounds would be in half an hour appeared early, clapping his hands and shouting.

"Come on! Check the room!"

Song Changkong nodded to Zhang Tianyang.

"Then check the room first, and I'll tell you after the inspection."

After a hasty confession, the elderly "Chief Physician" with white temples rushed towards the direction of the attending physician.

Then he helped the attending physician clap his hands and called for someone, "The ward round is over, the ward round is over, everyone come here!"

Acted very positively.

Zhang Tianyang froze for two seconds behind him, sighed, shook his head, and followed.

The white coats scattered in every corner of the huge ward also gathered together, ready to start computer rounds.

The attending doctor took a glance, nodded and noticed two strange faces including Zhang Tianyang and Lin Ke'an.

Zhang Tianyang obviously felt that the other party's eyes stayed on him longer than others.

Then the doctor in charge clapped his hands again.

"A new classmate came today, and the atmosphere is just right, so let's do a teaching round!"

In an instant, Zhang Tianyang keenly caught the gasping sounds of Gui Peisheng and advanced students coming from all directions.

　Happy Valentine's Day everyone~ (crazy hint)

　　

　

(End of this chapter)