medical simulator
Page 228
"Fortunately, Luo Yun from our department was more alert and kept the patient's family in the director's office. Otherwise, whether it is a doctor, a nurse, or a patient, if something happens, our department will not be able to afford it." responsible."
"More importantly, this family member is not a family member of a patient in our department!"
When Cheng Yue said this, he sighed: "Although we can all hear patients and family members complaining about us, our hospital's admission procedures are a bit cumbersome, but in fact, it is not safe enough. But all hospitals can't completely avoid it. Something like that happened."
"It's just that, I hope that in the future, whether you are on duty or at other times, you will pay attention at all times. Everything is based on the premise of not getting hurt, and there must be no direct conflict."
"The hospital's security office also means the same thing."
"Fortunately, there were no bad consequences in this incident, but it should be taken as a warning."
As the head nurse, Cheng Yue naturally has to take care of these things, but after she just raised her mouth, she asked Yan Haihan: "Director, do you have anything else to do? If not, the shift will be over."
Cheng Yue deliberately passed the conversation to Yan Hanhan, because she knew that Yan Hanhan must have something to say.
Yan Haihan then found out.Cai Dongfan and Luo Yun still only lowered their heads, not wanting to listen to him at all.
Yan Haihan still pursed his throat and said: "Our department has a lot of patients and operations recently. I know that our doctors and nurses have worked hard."
"I have also emphasized again and again that when we are doctors, we should put prudence first. Strictly control the quality of medical care, no matter how tired we are, we can't be sloppy."
"The head nurse just mentioned that someone came in with a knife in our department yesterday, and he was not a patient in our department. The security office and the hospital are already investigating the cause of this matter!"
"However, I still want to remind everyone, you must set your own position, and acting recklessly will not work."
Yan Haihan's words caused many people to turn their attention to Cai Dongfan's direction. Everyone knew that this person was introduced into the department by Cai Dongfan.
Yan Haihan also probably wanted to use this as a breakthrough, and continued to talk about another thing:
"Our hospital is an eighth hospital, not the one attached to the second attached to Shonan University, nor the top hospital in the capital city of Kyoto, and our orthopedics department is not the top department in the country. What we have to do is to actually solve problems for patients."
"It's not about fighting for the title of number one in the country or number one in the world."
"What is the case of having surgery on the same day and letting the patient get out of bed that day? Our department doesn't need to pursue such extremes. It doesn't matter if you get out of bed later and exercise later!"
"I still say that the quality of medical care must be strictly controlled, and the patient's condition must be truly improved."
"After all, our hospital is only the eighth hospital. We are not going to pursue some top hospitals in the country, and we don't need to go out to do innovative academic exchanges."
Speaking of this, most people turned their attention to Luo Yun again.
Yan Haihan also took this opportunity to directly call Luo Yun's name: "But Luo Yun, I absolutely did not intend to snatch your patient away. The patient and his family members completely misunderstood what I meant."
"So I hope you don't take it to heart. After all, we are all a group, helping each other, helping each other, and we all prosper, and we all lose."
Luo Yun was called by name, just smiled, but the smile was a bit bitter.
Then he said to Yan Haihan: "Director Yan, the matter is over! The patient and his family members have volunteered to go to your group, and the procedures for bed transfer have been arranged. Let's not mention this matter again."
"The same thing will never happen again in the future. I will also send all the inpatients of joint surgery who made an appointment later to the Affiliated Hospital of Shonan University, and there will be no similar surgery cases in the department again." Luo Yun also said He took the initiative to explain the subsequent changes to Yan Haihan.
When Yan Haihan heard the words, a strange color flashed in his eyes immediately.
At the same time, Zhou Cheng who was standing beside him.
Pupils shrank suddenly.Based on Yan Haihan and Luo Yun's words, he sorted out the superficial ins and outs of the matter.
It turned out that it wasn't Tan Yuanwen who made the atmosphere in the department weird, but Luo Yun's two patients who had joint replacements yesterday and asked to be transferred to Yan Haihan's group?
why?
Why?
Yan Haihan looked at Cai Dongfan and Luo Yun who completely ignored him, and the other people looked at him, so they didn't want to deal with this problem in the shift room.
It's just that Luo Yun's anger is not hidden at all.
Just bite the bullet and say: "Let's stop here for today's shift, Dong Qiansheng, you take someone to the ward rounds, and go to the operating room as soon as possible after the inspection."
"Cai Dongfan, Luo Yun, let's go to the director's office together and have a detailed talk to clarify the misunderstanding." Yan Haihan took a step back, and this matter must be resolved.
Originally, when Yan Haihan said that the shift was over, Cai Dongfan and Luo Yun both opened their stools and stood up, and then they heard Yan Haihan's roll call directly, took a deep breath, and felt that such a deadlock might be possible It was not very good, halfway through, and stood still.
Hu Ming, Dong Qiansheng and others, including the nurses, hurried to yo-yo, not daring to eat Yan Hanhan's big melon!
Luo Yun stopped in his tracks, bowed his head halfway and said, "Director Yan, I won't go to the office. I still have patients who need to be brought around for rounds."
Yan Haihan obviously wanted to explain something to Luo Yun, but Luo Yun refused to communicate with Yan Haihan.
After hearing this, the others hurriedly left the shift room.
Naturally, Zhou Cheng, Du Yanjun, Zhang Zhengquan and others would not be the crowd eating melons, so as not to hurt Chiyu.
The head nurse who left last took the initiative to close the door of the shift room, presumably knowing that what Yan Haihan did might be a little inappropriate, so as not to be heard by the patient.
Seeing that everyone else had left, Yan Haihan asked with a slightly dark expression, "Luo Yun, are you blaming me for meddling in my own business?"
Luo Yun raised his eyelids a little, and said calmly, "Director Yan, I didn't mean that!"
"I didn't report to you in advance about the joint replacement in the department. It's because I didn't think carefully about what I did!"
But in Luo Yun's heart, he naturally accepted what Yan Haihan said.
You also know that you violated the taboo yourself?
If you can be random in the department, what are you doing in groups?The broken pot is stewed, isn't it?
The reason for grouping is because of a principle, that is, the patients in each group are in charge of their respective directors. Although you are the administrative director of the ward, you should not interfere much with the patients in our group!
Because even if you are the administrative director, you are still the other group directors.
The director leads the group responsibility system, as long as the person who leads the group does not ask you to meddle in your own business!
Before bringing the case into a big discussion in the department, or before causing trouble to the department, you intervene, isn't it meddling?
If you think Cai Dongfan can't lead the group, why don't you go directly to Cai Dongfan for trouble?
This rule is played like this all over the country, because only with a clear division of labor can we better serve patients!
You broke it shamelessly yourself, and you still want me to have no idea?
But Luo Yun naturally didn't want to be tough with Yan Haihan.
Take a step back and forget it.
When Cai Dongfan heard what Luo Yun said, he took over the rant: "Director Yan, Luo Yun told me about the joint replacement surgery, and I followed the previous procedures, and the medical department also had a record. "
"This is a new technique in the department, and I haven't had time to report it to you. I submitted the application form."
Luo Yun's operation is not a leapfrog operation. The medical department has a record, and the operation is authorized. The approval of the operation is done in the name of Cai Dongfan, and all the procedures are reasonable.
The only unreasonable thing is that he didn't report to the director of the department.
Because the application for new procedures in the department, in principle, the director of the department is required to run, but the chief physician leading the team will also run their own.non-interference.
But this doesn't affect the fact that you strictly meddled in your own business and violated a taboo.
When Yan Haihan heard Cai Dongfan's formal but eccentric words, Yan Haihan felt extremely annoyed at the moment.
He said: "Cai Dongfan, please don't talk, Luo Yun, please don't talk, I want to clear your mind first."
"Yesterday, the doctor on duty in our group was Huang Yu, and Huang Yu is not our orthopedic specialist!"
"After receiving the order to get out of bed, the patient and his family members found it difficult to understand, so they went to the nurse's station first, and the nurses also felt that the situation was special."
"So I called me and I told them to take it easy."
"It's just that I didn't know that Huang Yu would directly use the name of me as the director of the ward to negotiate with the patients and their families! That's why the patients and their families misunderstood and insisted on transferring them to us. It's not that I snatched your patients."
"I've never said anything like that myself."
"Isn't this a misunderstanding? I didn't say anything to the patient face to face!"
Luo Yun nodded!
indeed!Yan Haihan has never said such a thing, but, you Yan Haihan is not in the department, how can you say it face to face?
"Director Yan, I was on duty yesterday!"
"For these two patients, I was in the department all day. When this incident happened, I was also in the department." Luo Yun knew that his postoperative rehabilitation exercise plan would be difficult for ordinary people to understand, so he decided to Confessed like this on his duty day.
After the explanation, Zhou Cheng wanted to change shifts with him, but he refused.
Moreover, just to be on the safe side, Du Yanjun was also kept in the department by him at that time, just in case.
Yan Haihan then said: "But you were dealing with another matter at the time? The doctor on duty didn't dare to disturb you when that person was holding a knife, and even Director Bu said that our decision not to disturb you at that time was a correct."
"This is a special situation. Under such circumstances, if there is a misunderstanding, can't you just put the shit bowl on my head?"
"Now the subordinates in the department think that I robbed your patients and deliberately interfered with the patients in your group. Then how can I carry out my work in the future?" Yan Haihan said innocently.
He also felt that he was very wronged, no one was in the department, but he took such a big blame for no reason.
This is the misunderstanding that occurred when the doctor on duty communicated with the patient and his family members. Perhaps it was Huang Yu who said it directly for the convenience of expressing and comforting the patient faster.
It was our director who told you not to get you out of bed, and he is also the director of the ward. It was Luo Yun, the attending physician, who asked you to get out of bed. You can decide for yourself.This is what Huang Yu said.
Yan Haihan wished he could be strangled to death, but what if he was strangled to death?
When the patients heard that Yan Haihan was the director of the department, and that Luo Yun's suggestion was quite contrary to their common sense.
Immediately transferred to Yan Haihan's group, saying that Luo Yun didn't know how to see a doctor at all, he was just playing the piano randomly, how could there be such a thing as going to the ground after the operation?
In the end, there was too much noise, and the nurses also felt that the situation at that time should not make the scene too noisy, so they called Yan Hanhan and agreed to transfer the bed.
Of course, Yan Haihan also felt that Luo Yun's functional training was a bit too aggressive.
For the sake of insurance, and because the family members and patients were arguing a lot, they nodded. They thought they would explain it to Cai Dongfan when they came today.It's just that I didn't expect that Cai Dongfan and Luo Yun's reaction would be so great!
Shall I remind you that you messed around first?
Luo Yun sighed for a moment, so he didn't intend to talk too much with Yan Haihan, because he didn't understand at all.
Yan Haihan felt that he was occupying a reasonable point of view, which was based on the major premise that he felt that he was reasonable.
And his own behavior is not in line with the rules.
Yan Haihan has preconceived this point, so how can he reason?
Certainly things that cannot be explained clearly will become more and more chaotic.
Then what are we talking about?
Could it be that you Yan Hanhan understand a fart?
Moreover, the doctor on duty is not from the orthopedics department, he is just a regular trainer, so will he just flirt around?Without your permission, he would forcefully talk to the patient and his family about the fact that you are the director of the ward?
"Director Yan, why don't I go to the ward rounds first. The patients and their families voluntarily request to be transferred to another group. I personally don't have any thoughts or emotions." Luo Yun changed the subject again.
After Luo Yun came to the department, he mentioned before, is there any joint surgery patient in the department?
At that time, Yan Haihan said it nicely, but now, a few years later, when he realized that the number of patients in the department was not right, he remembered to make the joint dislocation reset routine a routine.
Now that the number of patients is sufficient, I no longer intend to further engage in other aspects.
Yan Hanhan's conservative and eating thinking!
Luo Yun really understood.He doesn't want to argue anymore!
His superior doctor, Cai Dongfan, had an idea, so he only planned to improve his one-acre three-point land.
For Yan Haihan, as long as there are enough patients in the department, the beds are full, and there are still operations to be done, it is enough. He didn't even think about exploring new directions or new surgical methods.
Just to see if there is anything to do.
His own thinking is slightly different from Yan Haihan's.
But in the end, at the beginning of the two operations, I personally guarded in the ward, and made such a mess. Is the doctor in your group so bold?
You are now putting the blame on the resident doctor, Luo Yun does not agree with this statement...
Damn it, doesn't Huang Yu know that Gui Pei is under Luo Yun's management?
Luo Yun also didn't bother to trouble the resident doctor.
Yan Haihan shook his head when he heard the words, and said to Luo Yun: "If you want to go to the ward rounds, you can go to the ward rounds. Anyway, I have already explained it to you. If you don't believe me, then I can't help it. What are you going to do in the future?" I don't care about surgery, can you still threaten me?"
Speaking of this, Yan Haihan laughed angrily.
"And I'll tell you, Luo Yun, even if you don't want to be the chief on duty, you can't threaten me. I can find someone to do such a thing."
"I have the intention to explain to you that I think our departments are all in the same team. If there is any misunderstanding, we need to resolve it. There is no need to keep having conflicts and affect the work, but you have no intention of talking to me at all."
When Yan Haihan was speaking, Luo Yun walked outside the door of the shift room when he got Yan Haihan's consent to go round the ward.
The figure quickly disappeared at the door.
Yan Haihan was so angry that he clenched his fists, and then looked at Cai Dongfan: "Old Cai, is this the person you brought out? He has no sense of teamwork or rules at all."
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