I'm really an intern

Chapter 242 Wave your hand and stir up the situation (please ask for a monthly pass)

The director of the ICU is the director after all.

Instantly figured out the key.

"The recommended time limit for a bag of domestically produced enteral nutrition preparations is less than four hours."

"However, according to the current speed, it will take at least seven or eight hours for this bag of enteral nutrition to be dripped out."

"And now, the remaining nutrient solution in the bag is less than one-fifth!"

"This shows that this bag of nutrient solution has been used for at least six hours!"

Enteral nutrition preparations are rich in protein, fat, carbohydrates, vitamins and other substances, which can allow patients lying on the hospital bed to obtain enough energy to survive.

But at the same time, it is also the most fertile medium for bacteria to grow.

The reason for the time limit is that once the enteral nutrition preparation is opened, in case of contamination, bacteria will multiply rapidly in it.

Then it is delivered into the patient's intestinal tract along the artificially created pathway.

This is much scarier than eating a bad stomach!

No wonder the patient's infection index remains high!

It's no wonder that there is such a channel for continuously transporting bacteria into the body!

Zhang Tianyang's side-by-side reminder seemed to be just an insignificant question out of curiosity in the eyes of the white coats around him.

But to the director of the ICU and the doctor in charge, it was no less than a thunderstorm on the ground.

They instantly realized how deadly this detail, which they had been ignoring, was.

"That little nurse, how often do you change these enteral nutrition preparations?"

"Head nurse, come here."

"Doctor in charge, how many times a day do you prescribe enteral nutrition to patients?"

The director of the ICU frowned tightly, with an imposing manner.

The attending doctor chimed in, also with a serious face.

In the entire ICU ward, the atmosphere that was still mixed just now was only solemn.

This is a proper accountability link!

All the little white cats were extremely nervous.

However, Zhang Tianyang, the chief culprit who promoted everything, became the calmest one again.

After a while of chasing responsibility, the pursuit was overwhelming.

The little nurse who was in charge of changing the fluid certainly didn't know the seriousness of the matter.

They just follow instructions.

So the head nurse is the one to blame.

But the head nurse was also very upset. She obviously gave the medicine according to the doctor's order, and the doctor's order said it was twice a day!

The nurses are not stuck on the [-]-hour drip, it is already very good, okay!

Therefore, the trainee doctors and training doctors who were in charge of issuing these medical orders obediently received the scolding from the director of the ICU with their heads down.

But they are also wronged.

Therefore, the three resident doctors who did not explain clearly to them the time limit for the use of enteral nutrition preparations, together with the attending doctor, were deeply blamed.

The director of the ICU scolded one by one for half an hour before he finally wiped off his sweat and paused for a while.

At this time, Zhang Tianyang casually walked to bed 79 next to him, pointed to the enteral nutrition preparation that had just been replaced, "Director, it seems that many patients here are using this?"

The turmoil that had finally calmed down rose again with this simple sentence.

The director of the ICU supported his exhausted body, and started a new round of accountability.

In view of the fact that almost 90% of the patients in the entire ICU ward need to be given enteral nutrition preparations, so there are patients' white coats in their hands, and one counts as one, and none of them escaped the scolding.

Zhang Tianyang, who provoked an all-out war with just one sentence, quietly hid beside him, watching his nose and his heart.

Just like when I was blamed by the ICU director for asking questions desperately, other people's reactions were the same.

After 10 minutes passed, the director of the ICU cursed profusely again, and finally gave the order to die.

"In the future, all the enteral nutrition preparations in our ICU ward will be replaced with imported ones, and the infusion time will be strictly controlled.

The time limit for imported preparations is six hours, and we try to keep it within five hours, no matter how much is left, we will replace it directly.

Don't be afraid of wasting the patient's money, antibiotics are more expensive for infections! "

"During regular conversations in the future, the doctor in charge of the bed will explain to the family members the use of imported enteral nutrition preparations. The new doctors, you superiors, are responsible for explaining this to them."

"Now, the enteral nutrition preparations of all patients, except for the one just replaced, are now being replaced."

"call--"

After issuing a bunch of orders, the director of the ICU, who was exhausted from cursing, let out a long sigh of relief, and his body swayed slightly.

Beside him, a figure flashed past and gave him a helping hand.

The director of ICU turned his head and looked at Zhang Tianyang who just flashed over and still acted very calmly, and couldn't help sighing.

"Oh, thanks to Xiao Zhang!"

Why didn't I notice such a simple thing!

He didn't know when these domestically produced enteral nutrition preparations began to be used in the ICU ward, but he really didn't notice this matter.

If it continues, patients who are lucky that the preparations are not contaminated, or patients with better resistance, may be fine.

But this 78 beds, maybe it's really not good.

The attention of a group of scolded white coats finally returned to Zhang Tianyang.

Looking at the calm expression on the face of the culprit who stirred up the situation with a wave of his hand and caused them to be scolded in vain.

Look at the old face of the ICU director facing Zhang Tianyang, smiling so hard that the creases came out.

I don't know why, while they have mixed feelings in their hearts, they are also inexplicably a little sour.

And Zhang Tianyang, who was in the center of everyone's eyes again, raised a smile.

He was very humble.

"I believe Director, you have already discovered the key to the infection. Otherwise, why did you suddenly ask me? I just asked a question casually, just throwing bricks to attract jade."

When I said this, it sounded like a compliment, but the director of the ICU's face turned red.

Have you found out, don't you have points in your heart?

Asking Zhang Tianyang this question by himself is clearly out of wanting to embarrass him!

The white coats next to them were also speechless.

Zhang Tianyang claimed to throw bricks to attract jade.

But in their eyes, the thrown bricks smashed a large piece, killing them all!

Subconsciously, they all took another half step back.

After this incident, Zhang Tianyang passed the second half of the rounds very smoothly.

Although the ICU director has a thick skin, he is also shy.

Zhang Tianyang has behaved like this, how can he make things difficult for him again?

Besides, the questions in his hands probably couldn't help Zhang Tianyang.

Buried in his heart, the director of the ICU acted a little depressed, he didn't even bother to find fault with the other little white cats, and quickly ended this anticlimactic teaching rounds.

Zhang Tianyang was so happy that he finished his ward rounds early, prepared all the tools and went to make a waist puncture for the 76-bed old lady.

The director of the ICU stared at his back and looked again and again, full of thoughts, called his attending doctor back to the office.

"What do you think, Xiao Zhang?"

The attending doctor, who had been scolded by Zhang Tianyang for no reason, was speechless for a while, and it took a long time for him to recover, and choked out a few words.

"I think it's good."

"Oh, it's not only good!"

The director of the ICU sighed, and suddenly began to regret his previous behavior.

Although Professor Liu used Zhang Tianyang to play tricks and made himself lose face, but what does that have to do with Zhang Tianyang!

"Xiao Zhang, even if he is wrong, it is because he is too good!"

Such an excellent seedling has already been appointed by Professor Liu, but hasn't the contract been signed yet?

Those who are engaged can be pried away, why can't Xiao Zhang be abducted by him?

It's just that during the first half of today's rounds, I seemed a little too aggressive.

The director of the ICU sighed, and looked quietly at the attending doctor beside him.

"You said, if I please him now, can I still abduct him to our neurology department?"

The attending doctor laughed along with her, but dared not speak.

He was afraid that if he told the truth, he would be scolded again.

"Ugh"

"Ugh"

At the same time, in another corner of the internal medicine building, another doctor also sighed because of Zhang Tianyang.

　I just want to be in the top [-]!Why is it so difficult!Hey, begging for a monthly pass, begging for a monthly pass, begging for a monthly pass, begging for a monthly pass for being coquettish and cute! ! !

　　

　

(End of this chapter)