Great doctor starts with adding points

"Not today, sir! You have to wait at least the day after tomorrow." When Wu Xie led the team to make rounds, he met an old man in his sixties. He asked if he could have an operation today.

"I've been here for two days, can't I have surgery yet? Have to wait until the day after tomorrow?" The old man squinted his eyes and scanned Fu Jinjin and others.

The bed doctor he is currently assigning is Wu Longshan, but Wu Longshan is a little tired at the moment, so Wu Xie stepped forward to resist the pressure: "Master, we are in a special period now, and we cannot arrange operations strictly according to the admission time."

"Save your life first. In the past two days, including this morning, all the directors of our department have been fighting in the operating room with little rest. Patients are flesh and blood, and they will die and get injured. Doctors are also flesh and blood, and they will get tired." !"

"There is no rest for fifteen minutes, and the quality of the operation cannot be guaranteed. This is irresponsible to the patient. We can't do this? Human life is at stake, right?"

"But now is a special period, and most people have to give priority to life-saving patients. After that, the arrangement in the hospital is that adults give way to the elderly, and the elderly give priority to children. Do you understand this arrangement? ?”

"So, tomorrow's surgery arrangements are all for children!" Wu Xie expressed his affection.

And also specifically conveyed: "If you don't believe it, you can ask other children's family members whether our department has arranged it this way."

"It's all children? Why are there so many children?" The old man straightened his back when he heard the words.

In the heart of the elderly, the weight of children is not light.

When you talk to him about the ways of the world, it is better to say that you are giving priority to children.

"No matter what the reason is, those who come to our hospital are sick and in pain. According to the facts, we have to deal with their illness and pain."

"You asked me why I have so many, I'm actually quite sad." Wu Xie felt that he had matured a lot, especially in the application of language skills.

The old man turned his head when he heard the words, and stopped raising the bar.

Even though it was possible that Wu Xie could use the child's words to block him, the intermittent crying of the child in the ward could not be faked!

But the patient's son said: "Then doctor, after the treatment of the child, my father will be in the priority operation group, right?"

"Yes, as long as there are no very dangerous patients who will be in danger of life if they don't undergo surgery, they will temporarily jump in the queue, then your father's surgery can proceed as scheduled. But if there is?"

"You know what happened in the past two days!"

"It won't be, if there is, then let it go." The middle-aged man prayed.

Before such a big accident happened, they couldn't understand the operation arrangement process in the hospital, but this time, they really saw a lot of people sent to the morgue.

There are five, six, seven or eight.

"That's fine, let's take a good rest first. No surgery doesn't mean our doctors don't care about you and don't pay attention. If there is pain or special circumstances, there are doctors on duty in our ward. Don't be afraid to disturb. You can ask for pain relief or come to check the situation. "

"Other times, let's just wait slowly, we doctors, we try to squeeze out more time to solve your problems. It's just that there are too many patients now, and we can't turn around for a while!" Wu Xie replied calmly.

After speaking, he walked to the next bed.

"Hello, do you still feel severe pain now?" This patient, Wu Xie has a deep memory, belongs to the pain-sensitive constitution.

...

After checking the ward, Fu Qianjin led the team into the doctor's office with great peace of mind.

Said: "Professor Zhou, Yaolong, Longshan, you all go back to rest. There are not enough beds in the department. I still have a bed in my office. I will deal with it here."

"I just looked around. There are a few children who are in a special situation. Let's see if we can send two emergency surgeries tonight."

"If you don't deal with it, the situation may be more complicated in the future."

Fu Jinjin's words surprised everyone.

Guan Yun immediately said: "Master, I will record which two beds you want to send."

Guan Yun is a resident doctor, and the operation arrangement is arranged by the superior, but it is the job of the subordinate doctor to talk, sign and write the medical records.

Last night, none of the resident doctors went to the operating room and went home to rest. Today, they should finish all the chores and keep the patients ready for surgery.

"For our group, there are only 6 beds and 11 beds. Let's send them to surgery." Fu Jinjin asked Wu Xie's opinion, and he really regarded Wu Xie as the general hospital.

"Okay! The 6-bed and 11-bed are both in serious condition, and the degree of cooperation is very poor. If the operation is not performed in time, the swelling of the lower limbs will become worse and worse in the past two days. It is difficult to wait for the swelling to subside before surgery. Big."

"I originally planned to send the first and second sets tomorrow." Wu Xie told Fu Jinjin about his arrangement.

Today's operation arrangement was actually arranged by Wu Xie himself, and he did not discuss it with Fu Jinjin, but Fu Jinjin did not refuse his proposal.

When Professor Zhou Xiaoning heard this, she said, "Director Fu, then I won't be here tonight or tomorrow."

"There are mostly trauma patients here, but in the State People's Hospital, there are mostly hand surgery patients. Director Zhao Jin over there invited me to help with consultation and surgery."

"Trauma in hand surgery often requires emergency treatment."

"Professor Zhou has worked hard. I really didn't expect such a thing to happen. In fact, according to the normal situation, you don't have to work so hard." Fu Jinjin was very polite.

Zhou Xiaoning is a doctor who comes to support her, not from this hospital, so she doesn't have to rush at all if she has a medical mission.

"Xiao Wu, do what you can."

"Director Fu, you should also pay attention to rest." Zhou Xiaoning's eyes and tone became more subtle. It seemed that in just a few days, he completely changed his view of Fu Qianjin, showing respect in both speech and actions.

Perhaps, Zhou Xiaoning saw from Fu Jinjin a good director who is not skilled but dares to be a good director!

After making such a decision, both Huang Yaolong and Wu Longshan were so sleepy that they took a taxi home to rest.

But Wu Xie hurriedly led his subordinates to start working.

In fact, there are only two, one is Guan Yun, the other is Cao Zhiyuan, and Wu Longshan, the attending physician, is usually in charge of the bed.

Wu Xie took the initiative to propose to take over the patients Wu Longshan was in charge of, and complete the relevant medical records and interview and signature materials.

At the same time, Wu Xie has communicated with the nurse station here. If there is an emergency consultation in the emergency department, he will call him privately as soon as possible.

In fact, according to the configuration of the general inpatient of Tongji Hospital, the general inpatient has a dedicated telephone, and in case of emergency, you can directly dial a private phone to go there. And the total inpatient phone number of each department will be announced in the hospital.

However, Minda Hospital is only a prefecture-level city hospital and does not have such a general inpatient configuration, so transfer procedures are required, and the hospital does not publish the general inpatient configuration, which is recognized by the department.

Do as the Romans do!

...

However, before starting work, Fu Jinjin walked out of the director's office.

While looking down at the information in the group, his expression flickered.

At the door, I met Wu Xie who was going to work in the office, so I asked, "Xiao Wu, do we still have a few empty beds in our department?"

"Yes, Director Fu!" Wu Xie nodded, and after a quick scan, he found that including the extra beds in the department, there were still seven vacant beds.

Currently there are seventy-seven patients in the ward, but there are eighty-four beds in total plus extra beds and temporary extra beds.

"Then if I want to transfer critically ill patients from the State People's Hospital and some private hospitals, will the wards be able to handle it?" Fu Jinjin asked.

"Do you need emergency surgery?" Wu Xie asked quickly.

If emergency surgery is needed, who is going to do it now?

"They have been dealt with temporarily, but the situation is more complicated, and those private hospitals are afraid to accept them. The State People's Hospital currently has insufficient beds, and some patients in hand surgery really have no place to be hospitalized and need to be hospitalized, so I want to transfer three patients. " said Fu Jinjin.

"Okay, Director Fu, do you have a small group? Our department currently has seven vacant beds, but we must explain in advance that this is an extra bed and cannot be equipped with ECG monitoring. Please pay attention to the other hospital to evaluate vital signs." Wu heresy.

It's okay to admit patients, but it depends on what kind of patients are admitted, the kind of patients who are dying, and there is no place to plug in the ECG monitoring machine, so is it waiting for death? If it's an ordinary trauma emergency patient, then it's fine, just lie down and observe carefully!

"Okay!" Fu Qianjin nodded, and went over to start editing the information.

Wu Xie took this matter down in his heart, and at the same time told the people in the nursing department that if the emergency department calls and there is a referral from another hospital, remember to call him and ask him to go to the emergency department to see patients.

At this time, it is not possible to receive patients at will, especially for inter-hospital referrals.

Some private hospitals like to do something, refer refractory and life-threatening patients away, and empty beds for better patients.

In Tongji Hospital, it often happens that if you are not careful, you may capsize in the gutter.

These patients, even if they agree to be referred, may go to the ICU first!

I don't know if there are beds in the ICU, but this possibility should be taken into consideration.

To be a general inpatient is to be a big housekeeper, and one must have risk awareness in advance.

...

One forty in the afternoon.

Wu Xie went to the emergency department four times, and when she came back, the colleagues in the nursing department asked, "Dr. Wu, haven't you seen patients in the emergency department again?"

"Didn't you come back from the consultation again?" The eyes of the nurse on duty lit up, as if she was particularly interested in Wu Xie.

Wu Xie nodded and moved his wrist: "I really thought it was a serious patient with simple fractures, and they were dealt with in the emergency department. I didn't bother to push them back to the ward for hospitalization before being discharged."

"There are only five empty beds left in our ward?" Wu Xie asked.

Two of them came in, but they were transferred from other departments. After the vascular surgery surgery, the evaluation of the vascular surgery situation was acceptable, and they could come to the trauma surgery department for fracture surgery.

"Yes, there are still five empty beds." The nurse said with peachy eyes.

Now, Wu Xie is famous in the nursing department of the undergraduate department.

First, strong ability.

Second, it saves a lot of trouble for the people in the nursing department. After all, there are not so many patients, so there is no need to keep turning around.

"That's okay, these extra beds will not be accepted for now, I guess there will be patients referred." Wu Xie confessed that he was afraid that these nurses would take the extra beds in advance to avoid trouble, and then they would put them out again.

After finishing speaking, Wu Xie's brain was also buzzing when he saw a large number of unoperated patients in the ward.

There are too many unoperative patients in the ward. One bad thing is that there are always family members who come to ask questions. They don’t seem to ask the patients themselves, but they come to ask the doctor.

Another problem is that patients will ask each other who will be operated on first and who will be operated on later, and if there is any unfairness, they will come back and ask.

The patients in the group were fine, and they were all arranged together, but Wu Xie didn't know the specific situation of the patients in the other groups, so he had to find out and explain to them, which was really annoying.

However, the surgical arrangements for the three groups are established, and it is difficult to change them!

At two o'clock in the afternoon, Fu Jinjin had only slept for a few hours when he was woken up by a phone call. He still had the same problem, asking if there were any beds available.

After Fu Jinjin asked Wu Xie clearly, he replied yes!

...

Six forty in the afternoon.

Fu Jinjin has brought his students into the operating room to start the two "emergency" operations today, which are actually elective surgeries that are sent to the emergency department.

His phone rang, and it was the same problem.

Fu Jinjin was not in the operating room at the moment, so he called and went to the ward.

After asking the nurse station in the ward to call Wu Xie to the nurse station, the reply I got was still there.

This time, even Fu Qianjin felt strange: "Xiao Wu, what's the matter with you? There are more than a dozen patients who have been transferred one after another today. Aren't there seven empty beds in the morning?"

"Director Fu, I dealt with some simple fractures that were referred to me in the outpatient clinic. It's not that complicated, and I don't know what's going on in the private hospital over there."

"Besides, there is a patient who was referred from the People's Hospital of the state, can it be treated without surgery?" Wu Xie replied truthfully.

Fu Jin was silent for a while when he heard the words: "Xiao Wu, if you talk like this, if you were a few years earlier, I would definitely give you a pot cover. (fan your hair)"

"Don't want Versailles, pay attention to controlling the quality of patients admitted and the indications for outpatient treatment."

Wu Xie sent the patient home in the emergency room so directly, Fu Jinjin actually panicked a lot.

But thinking that even Dr. Xiong was full of praise for Wu Xie's reset technique, he reluctantly felt relieved.

"Okay, Director Fu, I still have photos of all patients before and after reset and general photos, which can be checked at any time. Even if people from the medical quality supervision department come to review later, I still have evidence to follow."

"I also took pictures of the emergency medical records." Wu Xie replied on the phone.

After hanging up the phone, Fu Jinjin asked the itinerant nurse to make a call, and then laughed heartily and said, "Director Nong, send it here, I can still answer it here!"

"You? What's the situation?" Fu Jinjin's words stunned the opposite agricultural school.

Agricultural Xuequan is the director of trauma surgery at the State People's Hospital.

Fu Jin snorted coldly and said, "Dr. Xiong is with you, and he will only sit for a day at most, right?"

"hold head high!"

"That's right!~"

"Hang up the phone." Fu Jinjin was very bad, and told the itinerant nurse.

"Hey~" Xun Xun also sensibly hung up on the spot, leaving Aong Xuequan puzzled to leave a single word, and ended the call.

Fu Jinjin felt better...