medical simulator

Some interns who came to rotate arrived one after another. The graduate students and regular trainees who rotated were obviously much more courageous, so they were all crowded at the door of the doctor's office at the moment, introducing and discussing with each other casually——

Which department did you study in before?How many years are you training this year?Do you know if the boss at the Emergency Trauma Center is vicious?What's the difference from the emergency department below, these.

In addition, the interns stood in a row with their backs facing the wall of the doctor's office, well-behaved, not daring to move.

Looking at the white coats coming and going, I don't know who to look for. When a person comes, a row of people just turn their heads and pass by, as if the person who walked by can take me and others away, with such anticipation on his face .

Zhou Cheng knew that after he took over the general inpatient work, in addition to taking care of the department's doctor's orders, medical record writing, daily rescue, consultation and other things that should be in charge of the hospital, the interns and regular trainees will teach.

But before Zhou Cheng started to take over the work, he already knew the name of the junior doctor sent to the trauma surgery department by heart...

"Who are the trainees in this batch of new departments?" At 09:30, Zhou Cheng appeared at the door of the shift room on time again, walked over, and asked the people standing at the door.

When everyone heard the voice, they knew that it was the boss of the trauma surgery department, they turned around quickly, and then saw someone who was not a few years older than them, who was almost the same age calling them.

But when he looked at the opponent's badge again, there was a more or less surprised look on his face.But what I think in my heart is that maybe others are young, but they are not young anymore.

The resident physicians and graduate students immediately stood in a row.As well-behaved as an intern.

There were twelve people in total.

Zhou Cheng continued to ask: "Who are there who have a doctor's qualification certificate? Who do not have a certificate, tell me."

Ask them if they have a certificate, mainly for the purpose of arranging duty.Only with a doctor's qualification certificate can he work the night shift alone, otherwise, he can only work as a follower. He has to determine when he can be a little lazy.

To take the doctor's qualification certificate test, you must be affiliated with the unit or study for a graduate student for one year after graduating from an undergraduate degree before you can apply for the test. Only after passing the test can you get a certificate.

At that time, five or six people raised their hands.

After careful inquiry, I found out that among the graduate students and resident trainees assigned this time, two are first-year graduate students, and one has just entered the regular training without a certificate.

In addition, there are three other students who have not passed the examination this year and need to come back next year. Among them, two of them are suspended in the operation, and one graduate student failed in Waterloo during the written examination.

It is equivalent to only six people who can be on duty alone. Zhou Cheng sighed with emotion. If six people work in shifts, they must rotate a shift in five days. This shift is a bit too much!

"How about this, you guys with certificates and those without certificates are divided into two teams. We count today in this month, a total of 26 days. We will arrange shifts randomly. For the remaining two days, brothers with certificates will work harder."

"When an uncertified bed doctor is on duty in the ward, he must remember to call and send me a message if he has something to do. I will be in the hospital 24 hours a day."

"I assigned them randomly. If you have other ideas in private, you can bring them up now!"

"Then if someone you know wants to switch to a group, you can negotiate and solve it yourself. The grouping problem was assigned by the previous boss, and I am new, so it is not easy to arrange it here. Then I will arrange the shift schedule in the morning , reprinted, and posted on the wall. Randomly assigned shifts."

"Everyone should not have any opinions. If there is a need to change shifts, you must notify me in advance, and only with my consent can you change shifts."

"Those who didn't say hello, didn't get my consent, couldn't find the doctor on duty in the department, and called me, I will call three times and give you three chances. If you can't get through, just call the training office and the graduate department directly. Let them come to you."

"At that time, you will need to re-rotate or your tutor will take you back to discipline yourself. Everyone will know what the consequences will be."

"Everyone came here like this."

"There are basically no other considerations."

Zhou Cheng said it very seriously at the moment, and he also became the cold-faced Yan Luo that he hated the most when he lived in Peipei.

Back then when Zhou Cheng was training, every department head who was in charge of arranging the personnel would also use the training office to threaten him. Zhou Cheng felt that this person was too ruthless at the time, but he never thought that one day he would become such a person .

But there is no way, if not, the on-duty system in the department will not be well managed.In case of an accident, if the doctor on duty cannot be found, what should I do if the patient is gone?

All twelve of them shook their heads and shook their heads. Looking at the tall but handsome Zhou Cheng, they gave him a serious label in their hearts.

"I just want to emphasize one more point. If you encounter any clinical problems, call and ask more questions!"

"The current phone bill is not expensive. If you can't afford it, remember to call me at any time. I will be responsible for your phone bill this month. Are you clear?"

"Including medication and other issues, everything is subject to the arrangement of the superior. You prescribe whatever the superior physician asks you to prescribe. Don't make up and understand it yourself. Don't think that the superior physician is less solid than your pharmacology."

"If you feel that after thinking about it, you still think that the superior doctor is wrong, then go to consult and discuss it, and learn from each other. Don't even go to the superior doctor without checking the doctor's order!!!"

"The chance of a superior doctor making a mistake is one-thousandth of yours, understand?"

Everyone nodded, this is not a super cute newcomer who just came to the department for the first month of training.

"There is nothing else to do. People in our group, stay here. I will explain the rules of our group to you in detail. Everyone else can go to work on their own."

Zhou Cheng gave an order, and eight people left the shift room one after another.

Then Zhou Cheng asked the four people in his group: "Are there any orthopedic graduate students and regular trainees among you?"

One person nodded, raised his hand and said, "Mr. Zhou, I am a student of Mr. Ning Yu, who is a first-year graduate student in the Department of Orthopedics. My name is Xie Wenhua."

"Okay, I see. What about the others?"

Li Chongyue also raised his hand, Zhou Cheng glared at him: "You don't need to talk."

Only then did Li Chongyue let go of his hands again.

This Li Chongyue belongs to the one without a certificate.

"Yan Jun, bring the interns here, and I'll assign them where to go." After Zhou Cheng made such arrangements, he called Du Yanjun.

Du Yanjun is Cai Dongfan's professional doctoral candidate. He is currently the long-term attendant in the group. When Zhou Cheng is away, Du Yanjun is in charge of the small affairs of the general hospital. But after all, when Zhou Cheng is here, Du Yanjun can only retreat temporarily. The second line, there is still a long time for him to do things in the future.

After calling a few people to leave, Zhou Cheng made another round of arrangements for the interns.

There are ten interns from Hunan University School of Medicine, Hengda University, and Hunan Normal University. There are ten interns in total, four girls and six boys.

Zhou Chengcheng kept four in his own group, and sent the other six to the other two groups. He then carefully explained some rules to the people in his own group, such as which medicines are routinely prescribed after surgery, and which medicines should not be taken. When I come to the orthopedics department, which general surgery doctor's orders should not appear, etc...

In this way, Zhou Chengcheng basically set the rules, and then looked at the time, it was already close to eleven o'clock.

Ding Changle and other senior doctors came in again, mainly Wang Yunfa and Ding Changle brought their team over.

The senior doctors all knew Zhou Cheng, nodded to him warmly, and said hello, "Xiao Zhou, are you coming to work? Are you still used to it?"

"It's okay. Thank you, Teacher Wang, and Teacher Ding for your concern."

"Brother Xiao, Brother Shen, Brother Kun, Brother Ding Dang. I am Zhou Cheng, you can call me Xiao Zhou." Zhou Cheng nodded and politely met the other senior doctors in the department.

Professor Cai Dongfan's group now only has Associate Professor Guangyan Hu and Zhou Cheng as a general inpatient.

Professor Wang Yunfa's group also followed an associate professor Fang Xiao and Du Xiaoshen's attending physician.

Professor Ding Changle's group has the largest number of people. The first associate professor is Qin Tianzhu, who has dealt with Zhou Cheng many times. There are two attending doctors, one is Nong Zhengkun and the other is Ding Dang.

This Ding Dang has nothing to do with Ding Changle, it is purely a coincidence that they are all surnamed Ding.

These people were all Zhou Cheng's superior physicians.

Ding Changle and the others haven't spoken yet.

"Drip, drop, drop ~~~~~"

"Drip, drop, drop, drop ~~~~~~"

The magical ringtone that belonged exclusively to the old-fashioned Lugia mobile phone rang, and Zhou Cheng couldn't hang up, so he could only apologize and leave the shift room.

The phone number of the general hospital is 24 hours, no matter what the occasion, you can't hang up at will.So Ding Changle and the others could also understand, and continued to pretend that Zhou Cheng didn't exist: "Well, other things are fine."

"Professor Wang, let's all pay attention to the quality of surgery in the new year. A treasure like Xiao Zhou is in the department. Everyone takes what they need and cooperates with each other to make progress together."

Wang Yunfa said to the people in his group: "Did you hear clearly? If you don't know what Xiao Zhou has done, go to Baidu."

Qin Tianzhu jokingly said: "Professor Wang, Baidu is still not there, and pubmed is almost the same."

"Haha!" Wang Yunfa laughed.

Ding Changle just went out, Zhou Cheng greeted him, and said with apologetic face: "Professor Ding, there is an emergency down here, and it is very likely that you have to go directly to the stage."

"Hurry up and get a consultation. Today is your first day in the hospital. How can you spend so much time? When a new bed doctor comes, you have to blindly allocate their beds one day in advance. There is no choice but to pick and choose." Whoever is lucky, manages the patients easily, it all depends on luck." Ding Changle immediately began to curse at Zhou Cheng.

"Come to study and pick and choose, you can stand them!"

Ding Changle no longer has the energy he used to have.

There is a kind of attitude that if you are trapped in the department and the contract is signed, you will have nowhere to run.

Zhou Cheng was a little guilty, mainly because he had just been admitted to the general hospital, and he was not very proficient in these tasks, and he was not ruthless enough, and he hadn't learned the ruthlessness of the senior doctors who assigned bed doctors he had met before.

I want to try my best to be considerate of the junior doctor, but in fact, the clinic will not give him too much time to take care of the subordinate doctor's emotions, because there are still lives waiting for him.

After listening to Ding Changle's scolding, Zhou Cheng quickly put his stethoscope in the direction of the emergency department...

Ding Changle waited in the department for an hour, but he didn't see Zhou Cheng return to the department to meet with him, the director, to discuss the salary again. : "Xiao Zhou, how is the situation over there?"

While answering the phone, Zhou Cheng said, "I'm sorry, Professor Ding, I'm a little slow here. The operation is over. I'll be back to the department soon!"

Hearing what Zhou Cheng said, Ding Changle looked at the time, and it was less than 12:30, that is to say, Zhou Cheng completed one operation in less than an hour. The speed of this operation seems to be okay.

According to Zhou Cheng's previous experience as the chief surgeon, it is impossible for Zhou Cheng to be perfunctory in the operation of the operation.

So he said: "Come up after the simple operation. I thought you just became the boss, and you are the same as Zou Qian before. You have to report to me for any operation?"

When Ding Changle said this, he was a little relieved. There is a general inpatient specializing in orthopedics, and he is very friendly to him, and he can handle many surgeries by himself!

When Zhou Chengyi heard Ding Changle's words, he asked in a slightly strange tone: "Professor Ding, I forgot to ask you. I am currently in the trauma surgery department of our hospital. Do I have level [-] surgical authority?"

Ding Changle thought about it for a while. It seems that Zhou Cheng's operation in Shanghai No. [-] Hospital had a great impact, so the medical department authorized most of the operation authority to Zhou Cheng in the hospital, but he couldn't be sure.

Replied: "Should there be?"

"No, why are you asking me this? What was the emergency operation you just had? A fracture with vascular injury?"

For small, simple emergency operations, only fractures associated with nerve or blood vessel injury can be classified as a fourth-level operation, otherwise it is a third-level operation.The chief resident physician and the medical department will still give permission for routine tertiary surgery.

Even if he didn't have time to give it, but issued the signboard of the general hospital, that is also the responsibility of the medical department!

The issue of Zhou Cheng's professional title was originally a special case. Even if Zhou Cheng's operation was discovered, it could only be because of the medical department's dumb eating coptis.What's more, they should have expected Zhou Cheng to have an operation, otherwise why did you bring Zhou Cheng to the hospital?

"Just one open comminuted fracture of the pelvis, classified as C1. It was also accompanied by partial damage to the femoral artery. I saw that the damage to the blood vessel was not too serious, so I dealt with it together!"

After Zhou Cheng replied on the phone, he said, "Professor Ding, let me change my clothes first!"

Ding Changle was stunned for a moment after listening, and then looked at the time, it was indeed 27:[-]!

Then he yelled into the phone: "Zhou Cheng, stop! I suffered an open fracture of your pelvis for more than an hour???"

"Run back to the operating room to see if the sutures are finished!"

"The patient has not left the operating room, even if you die, you will die in the operating room, and you are not allowed to come out!"

While cursing, he took off his white coat and ran towards the elevator.

Chapter 373 Approved!

After Ding Changle finally changed his clothes, he ran to the door of the operating room in a hurry, washed his hands, then rushed into the operating room, stepped on the sensor lead door of the operating room, and said, "Tour, get dressed." !"

After the voice fell, he raised his head and looked at the scene in the operating room.

Zhou Cheng was standing next to the operating table at the moment, taking off the sterile surgical gown. Next to Zhou Cheng, a person was arranging the gauze pasted on the wound, and arranging the drainage tube between the cutouts of the gauze. To tidy up.

Originally, Zhou Cheng could step down, but because of Ding Changle's previous scolding, he temporarily stopped the step of putting on the tape.

Du Yanjun on the operating table dared not speak, but waited patiently for Ding Changle to come to inspect.

The hand washing nurse rearranged the equipment neatly, and the roving nurse held the bag with sterile adhesive tape in both hands, ready to unseal the bag at any time.The anesthetist also raised his eyelids and blinked at Ding Changle.

Ding Changle soon found that the whole operating room was watching him.

Seeing this scene, Zhou Cheng signaled Du Yanjun not to move, and went to Ding Changle first.

Zhou Cheng, who was careful, had already prepared the photos of the preoperative inspection team and the pictures during the operation before the operation started, and asked the roving nurse to help take pictures.It will not be pulled down either.

This is actually a habit that Zhou Cheng retained when he was doing projects with Professor Xue Xiude in the Ninth Academy of the Shanghai Metropolis, that is, to collect all kinds of data as neatly as possible.Only in this way can it be more convincing. Otherwise, if the subject only has pure data without real pictures, the evidence will not be convincing enough.

Data can be easily fabricated.

The collection of photos during the operation can not only be used to write articles, but also can be used as peer communication, the best material for expressing one’s views in academic conferences, and even the best resource library for writing textbooks in the future.

Now that I have started my own work, these will be one of the necessary materials for my future debriefing and promotion.

Zhou Chengcheng said in a low voice: "Professor Ding, these are the results of the patient's preoperative examination. These are the pictures during the operation. These are the staged C-arm diagrams and general photos during the operation. These are the pictures after the operation. Review the photos."

"I think it's pretty good, so I didn't bother Professor Cai. Take a look, is it necessary to modify it..."

Ding Changle stared blankly at the photos in the phone, and after looking at them one by one, he wiped his washed hands on his clothes.

After drying, he zoomed in on some details of Zhou Cheng's operation, and after about four or five minutes, he silently returned the phone to Zhou Cheng.

After taking a deep breath, he said: "The result is not bad!"

"You really scared me, when President Huang Zongzuo was hospitalized?"

Speaking of this, Ding Changle seemed to feel that Huang Zong had already resigned from the hospital, and it was inappropriate to care about his past affairs.

"This is an open pelvic fracture? Primary fixation, do you think it's safer?" Ding Changle asked again.