I can see the status bar

Chapter 996 D-day (7)
If you are only in charge of treatment, there is no big problem except that you are a little tired.Treating diseases is the job of doctors.It's just that the work intensity is a bit high and the environment is a bit harsh.

According to Sun Lien's initial plan, after the four groups are divided into three, each group should be able to be on duty in the order of "day shift, small night shift, and night shift".The day shift needs to last from seven in the morning to four in the afternoon, while the small night shift runs from four to twelve.The night shift runs from twelve o'clock to seven o'clock the next morning.

This arrangement is very inhumane in clinical work-at least it is very inhumane to doctors.There are no days off, wearing a full set of protective clothing, and working for at least seven hours.This is terrible.

The worst part is the night shift.After the night shift is completed, the next thing to face is the torment of the small night shift—after the overnight shift, the doctors have to take another seven-hour small night shift at [-] pm on the day after the night shift.And after the small night shift, another day shift needs to be picked up at [-]:[-] the next morning. If it is placed in another hospital, such a shift arrangement will directly lead to strong protests from all medical staff, and even complain to the director.

But... In the infectious disease hospital, the opposition to such an arrangement was on another level.

"Dr. Sun, I think we can consider postponing the start time of the small night shift by two hours and bringing the end time by two hours." After proposing his duty schedule, Director Lu of the Department of Critical Care Medicine, who is in charge of the night shift, immediately put forward his own proposal. Thought, "We changed from seven hours to nine hours, although we were a little tired when we went to work. But at least the working hours have changed, so that the team members can have a rest time."

"That is to say, the night shift will run from nine o'clock in the evening to nine o'clock in the morning the next day, and the day shift will run from nine o'clock in the morning to six in the afternoon." Sun Li'en disagrees with this proposal, "Colleagues in the small night shift only use It’s been two hours, but this puts too much pressure on the colleagues in the day and night shifts, and it doesn’t provide enough rest.”

"Let's take a step back." Director Zhao suggested in the group, "The night shift starts at eleven o'clock and ends at eight o'clock the next morning. The day shift runs from eight o'clock to five o'clock in the afternoon, and the night shift lasts six hours."

"I think Director Zhao's suggestion is good." Sun Li'en made a quick decision, "Now that the supplies are tight, try to last as long as possible after putting on the protective clothing-we have more than 100 people, and we will consume more than 100 sets of protective clothing a day. If you can persist Just hold on as long as you can."

"Persistence is not a problem." Director Lu was a little worried, "Our strength is very high, what if the team members can't hold on?"

"We can consider shifts within the group." Sun Li'en suggested, "After everyone has worked in the North Fifth District for a round, we will take a shift within the group. You can also experience how many people can support this ward—— Before we took over the ward, five doctors and seven nurses supported the North Fifth District for fifteen days. We now have more staff, so we will be better than them no matter what.”

In Sun Lien's treatment group, there were three deputy directors Xie Xuenong, Ma Zhenjiang, and Zhong Jiguo, as well as 18 nurses who did not follow the group of doctors from the Comprehensive Diagnostic Center into North Fifth District to take over the treatment.After Sun Li'en contacted them, he asked the [-] people to try to complete the preliminary isolation suit donning and doffing training before [-] p.m., and then enter the yellow zone to be on duty.

Medical staff who have not completed all training cannot enter the red zone. This is Sun Lien's bottom line requirement for his team members, and it is also an effort made to protect precious medical resources.

In this battle, every trace of resource is extremely precious and cannot stand any "waste".Allowing medical staff who have not completed their training to enter the red zone can of course greatly reduce the pressure on the current medical staff in the Comprehensive Diagnostic Center.But it also greatly increases the risk of infection when they leave the red zone.No one can afford this risk.

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"Persist a little longer, everyone." At four o'clock in the afternoon, Sun Li'en had already developed symptoms of hypoxia.There is no way, running back and forth in the corridors of the North Fifth District for a whole day, wearing airtight protective clothing, and not feeling uncomfortable at all is simply impossible. "In another hour, Director Zhao and the others will take over."

"I was too anxious to come in today." Wearing protective clothing, Xu Yourong said in a muffled voice next to Sun Lien, "Because I didn't dare to take off the protective clothing, everyone didn't drink much water in the morning. Looking at it now, it's better to drink freely Put some on—so at least you don't have to worry about dehydration for now."

"But I still don't dare to drink too much." Zhou Ce pushed the cart carrying blood samples past the two, stopped and said, "Sweating can reduce urine output, but it can't completely prevent this feeling... I Now I feel a little urgent."

"I'll go back and report to my superiors." Sun Li'en said after thinking about it for a while, "If it doesn't work... get some adult diapers and come and wear them."

"It's a good thing." Xu Yourong nodded, then turned and went into the ward beside him, "If you can do it, do it more at a time."

"That's a good idea." Zhou Ce nodded, "If this continues, I'm afraid I'll have to put a catheter on myself before I come to work."

A few small talk made Sun Lien relax a little.Fortunately, the people around me are all acquaintances, old colleagues who have worked together in the same department for several years.When the spirit is highly tense, having an acquaintance by your side has a huge psychological comforting effect.

"Director Sun, go and see bed 41." Just as Sun Lien was trying to feel the comforting effect, the walkie-talkie on his body rang, and the person who called him was Zhong Jiguo, the deputy chief physician of pediatric internal medicine who was on duty in the yellow area. "Bed 41's heart rate has increased by about twelve beats per minute in the past 10 minutes, but the blood oxygen saturation has not changed."

Bed 41 is Uncle Peng whom Sun Lien planned to take care of, and is in charge of Dr. Ma Yongfang.However, there were too many patients in the fifth district of the North, and it was impossible for Ma Yongfang to stay by Uncle Peng's side and watch his vital signs.

This is the role of being on duty in the yellow zone-through monitoring and real-time analysis and judgment of various data, they can often find problems earlier than medical staff in the red zone.

"Okay, I'll go over now." Sun Li'en replied through the intercom, and then walked quickly towards bed 41 with his legs that felt like they were filled with lead.He didn't dare to run, mainly because he was worried that in this case, if the patient needed CPR, he couldn't do it because he ran two steps.

"Old Shen, we'll keep an eye on it for you." Zhong Jiguo's voice came from the intercom again, and he said with a relaxed tone, "Don't worry, it seems that Old Shen is quite safe now."

Walking quickly to bed 41, Sun Lien first checked his heart rate, and then checked the blood oxygen saturation detector worn on Uncle Peng's finger.He needs to first rule out measurement errors that may be caused by loose probes—in a hypoxic state, many unconscious patients will experience agitation.In agitation, it is not uncommon for the probe to be loose on the fingertips.

But... Uncle Peng doesn't seem to have this problem.He is currently in a coma, and the probe on his finger is firmly clamped.

"Push B over on the bedside." Sun Lien shouted to the door, and then he looked back at the liquid that Uncle Peng was infusing.

120mg of methylprednisolone combined with 250ml of 5% glucose solution is being dripped into Uncle Peng's body.The notebook next to the bed recorded the progress of Uncle Peng's condition in recent days.Sun Li'en quickly found the treatment content of yesterday and the day before yesterday, and roughly calculated the amount of income and output.

The amount of entry is not very large, and there doesn't seem to be anything too strange.However, out of professional vigilance, Sun Lien still squatted down and took a look at the urine bag hanging beside the bed.

The urine bag is empty, and the urine basically has only a shallow bottom.

"The nurse in charge of bed 41, come here." Sun Lien immediately pressed the intercom in his hand, and then paused the injection of methylprednisolone.

"Brother Sun, are you looking for me?" After dozens of seconds, a huge white figure of 1.9 meters appeared in front of Sun Lien. The nurse Xiao Guo bowed his head and passed the door frame, then straightened up in the room and asked, "What's the matter?" ?”

"Did you dispose of the urine bag on bed 41 today?" Sun Lien asked straightforwardly, "When you came here in the morning, was there any urine in the urine bag on bed 41?"

"No." Xiao Guo shook his head. "I checked it when I entered the red zone. The urine bag in bed 41 was empty." He pointed to the medical record folder in Sun Lien's hand and said, "Before six o'clock this morning. The nurse disposed of the urine bag and there was 1240cc of urine."

"He hasn't peed now." Sun Lien frowned and glanced at the patient's status bar, and it took a few minutes to find the "acute kidney injury" prompt in many status bars.

The second unusable part of the status bar appears-when there are too many symptoms, it is very difficult to read all these items.

"Give him dialysis, pay attention to calculating the amount of intake and output." Sun Lien said to Xiao Guo, "For the installation of the dialysis machine, you can go to Zhong Yu, she should have experience."

Nurse Zhong was transferred from the emergency department to the comprehensive diagnosis center.Before coming to the emergency department, she was a nurse in the dialysis room.

(End of this chapter)