medical simulator

"I don't know yet..." Ding Changle's tone was also very complicated.

……

The next day, seven fifty-seven in the morning.

The Trauma Surgery Department is preparing for the early shift. Today, all the staff in the department, including professors, associate professors, attending physicians, bed physicians, and even all nurses, are all present.

Even the nurses on the night shift all came to the shift room.

Surrounding the big table where shifts were handed over, a room full of people stood there, and everyone's expressions were very serious.

Ding Changle sat on the director's seat, staring at the time above the projection screen expressionlessly, motionless.

"07:57:36!"

"07:57:37!"

"..."

On the right side of Ding Changle, sitting side by side with Ding Changle is the head nurse Xue Huan, and the first person on the left is Professor Wang Yunfa, Professor Cai Dongfan, Associate Professor Fang Xiao, Associate Professor Qin Tianzhu, attending physician Du Xiaoshen and others...

On Xue Huan's right, sitting in a vertical row were several nurses in charge, and then the staffed nurses in the department.

In the two rows of the long table, the dispatched nurses, postgraduates, bed doctors, etc. stood one by one, and of course there were also interns and intern nurses, tremblingly waiting for the time to beat.

Today, even the two professors Wang Yunfa and Cai Dongfan didn't dare to take out their mobile phones. Instead, they adjusted the volume to mute, put the mobile phones on the table, and lay quietly.

Among the standing crowd, everyone was constantly checking the volume settings on their mobile phones, fearing that the ringtone would suddenly ring, break the current silence, and become a target of public criticism.

The panting voices of many people have become much smaller.

Finally, at eight o'clock sharp, Xue Huan saw that Ding Changle was still expressionless and didn't want to talk, so he said, "It's time, let's start the shift."

The nurse in charge of the night shift started the detailed shift of newly admitted patients, surgical patients and critically ill patients yesterday.

The shift is too detailed, including the diagnosis, age, bed location, and admission time of each newly admitted patient to the minute; postoperative patients, all drainage volumes and bleeding volumes are accurate to single-digit milliliters, and the VAC duration is accurate to the minute. The current pressure of negative pressure drainage is accurate to 1KPA.

After the nurses finish their shifts, the shifts of the doctors on duty are not the kind of "the shifts of the nursing department are detailed and there is no special supplement", but the shifts belong to the doctors from the beginning to the end. The results of the four inspections of critically ill patients, the amount of bleeding and drainage of postoperative patients; the preparation of preoperative patients...

"The patient's condition is stable, and there is no special handover. The handover is over." After the doctor on duty talked a lot, the time came to 25:[-], and it came to the end of the end of the nurse and the handover.

But in normal times, this shift would have ended as early as 10 minutes ago.

After the doctor on duty finished speaking, Xue Huan reminded again: "Director Ding, the shift is over, should we go directly to the ward round?"

Ding Changle blinked at this moment, and then said slowly: "I'll delay everyone's time for a while today, so I can say a few words."

"I believe everyone should be aware that the atmosphere in our hospital has been quite tense in the past few days. Not only our hospital, but all the hospitals in Shashi, one counts as another. From top to bottom, everyone must be tense. !"

"Although Mr. Zhou has rectified some problems in the past few days, the more we are at this time, the less we can be paralyzed and the less we can relax our vigilance."

"I'm not afraid to tell you, as far as I know, among the personnel sent by the central inspection team to Shashi this time, there are five senior professors in our department of orthopedics alone."

"So, don't think that you can take advantage of any loopholes. These professors have played more tricks than you, and even more than me. They know the unspoken rules!"

"We have to start regularizing medical practices."

After Ding Changle finished speaking, he changed to another direction to prevent the atmosphere from becoming more solemn: "We are in the medical industry, and we must manage our diagnosis and treatment process and our wards more carefully. Our nursing department, too. It is necessary to implement the doctor's order and implement the nursing work into the details and daily work."

"There is a difference in knowledge between patients and our staff in the medical industry, and the nurses who have the most contact with patients are your nurses, and our bed doctors, so the nurses and doctors in charge of the bed, you are actually the ones who treat the patients. the most important person."

"The patient's doctor's order, nursing work, and communication with the patient and their family members are all on your shoulders. You must shoulder your due responsibilities."

"Refined management is a focus of our future work, and we must shift the center of work tasks."

After Ding Changle finished speaking, he paused for a while, and then said: "In addition, Professor Wang, Professor Cai, and me in our department, as well as all the senior doctors in our department, must also shoulder their responsibilities. We must Think more comprehensively about the diagnosis, make the doctor's order and the diagnosis and treatment process more accurate, and think deeply and reflect on the diagnosis and treatment plan of each patient individually and accurately."

"Thinking is necessary, and reflection is extremely important. Don't have a one-size-fits-all model. All superior doctors must take responsibility. I don't want to apply the template of doctor's orders. I don't want it to happen in our department."

"Moreover, the superior physicians of each group must carefully manage the writing of the medical records of each group, the quality of the medical records, the completeness of the conversation and signature, and the contents of the signed consent form. There must be no mistakes."

Then, Ding Changle lowered his voice a little and said: "This is not to scare or force everyone. This time, we must make great efforts to rectify. Just yesterday, Director Lei Zhong of our department no longer It is the position of the dean, and he was dismissed from the position of the dean at the beginning, and now Dean Lin is acting as the dean."

"The head nurse in the operating room was dismissed, the directors of the Department of Urology, the Director of General Surgery, and the director of Breast Nail Surgery were also dismissed on the spot..."

"Currently, the performance coefficients of all departments have been reduced by a quarter, and the performance of the operating room, anesthesiology department and above has been reduced to half of what it was before. This is an order from Dean Lin himself!"

"Accountable to the end, this sentence is really not a joke."

"And our bed doctors must also manage their own behavior. Although there are no cases of postgraduate and regular training students being expelled from school or training, it is not impossible! Although you are students, you can't think As a student myself, I can completely avoid punishment.”

"Although schools and health systems have protection mechanisms for your students, they are definitely not umbrellas..."

After Ding Changle finished speaking, Wang Yunfa said, "Although we professors no longer directly manage the wards, we are actually well aware of what your bed doctors are doing."

"It's not easy to teach medicine outside now, but at the student stage, at the study stage, what you have to learn is professional knowledge and skills, rather than learning some messy things."

"Of course, I think our superior doctors have not done their job properly. The current teaching process in our department is still too little. Therefore, in the future, some tasks will be added to the department, and the chief resident will be responsible."

"In the future, in our department, each group will conduct a teaching round once a week. There will be a big teaching round once a month, and group discussions twice a week..."

After the morning shift, Ding Changle didn't say much, but when everyone was leaving, he asked, "Xue Huan, how many surgeries are there today? Which group is it from?"

"Professor Wang Yunfa's team. There are only two surgeries in total. The rhythm of our department has slowed down in recent days." Xue Huan is very familiar with the situation in the department. in the department.

"En!" Ding Changle nodded.

"Slow down the pace, do the surgery carefully, and manage the patients better after surgery. It doesn't matter, you don't need to deliberately pursue the speed of surgery."

"Okay, Director Ding." Xue Huan nodded.

After Ding Changle finished chatting with Xue Huan, he said, "Xiao Zhou, come with me, I have something to do with you."

Zhou Cheng is preparing to take people to round the ward at this moment. After all, Ding Changle has been very busy in the past few days, and he is the one who led the round.

Said: "Okay, Director Ding."

Zhou Chengcheng followed Ding Changle all the way to the office.

Not a word.

Since the central inspection team turned from dark to bright, Ding Changle was rarely seen in the department, and the directors of several other wards were also dragged to some place for countless meetings.

I know that the directors of each ward and the directors of each department have many things to do now.

Zhou Cheng didn't dare to ask Ding Changle, so he was not very clear about all the changes.

And even in special times, Zhou Cheng is always hospitalized and needs to complete his duties as general hospitalist.

Ding Changle pursed his lips, and said, "You heard it this morning, and the hospital is now in troubled times."

"Of course, it's not just our hospital. The three affiliated hospitals of Shonan University and several large hospitals in Shashi all have unannounced visits. There are also a lot of people from the Health Commission."

"The more it is at this time, the more we need to be more vigilant. Since the Jinyi team has come, there may be more than one wave, and there may be people from the unannounced visit team who have not yet come to light. Just wait for us to relax our vigilance."

"In a few months, the medical reform is expected to undergo major reforms, with mass procurement and centralized procurement; by then, a steel plate will cost several hundred yuan, and the total cost of a fracture operation will be only 5000 yuan."

"The cost of surgery will also be reduced. The hospital will take a part, and the operating room will operate according to the lease model. For each operation, the operating mode is that the anesthetist, the tour, the equipment nurse, and the operating room will be charged according to the time."

"The department is responsible for its own profits and losses. It is not certain whether the people in the department will be able to eat at that time."

"You are in the general hospital now, you have to pay attention to this point, there are some minor operations, one loses the other, don't lose all the performance in the department, then the department will have a big opinion on you of……"

In fact, Zhou Cheng has known about the medical reform for a long time. Today's medical industry itself is in a period of major reform.It's just people who come to reform, not people with clinical background or even medical profession, so everything is a drastic and random reform, and it doesn't change according to the facts at all...

Nowadays, the salary of any middle-level employee in an enterprise is just as high as that of a professor in a tertiary hospital.

Some people may say that to be a doctor is to have medical ethics, to cure diseases and save people, and to practice medicine for good.

However, people who say this generally don’t have a family member who is a doctor or a nurse. They don’t even think about whether some people can survive. Anyway, they judge people from the highest point of morality from the very beginning.

It is true that if you want to make money, don't be a doctor.

However, this does not mean that being a doctor is not eligible to live. Even supporting a family is a black heart. If you can't even support your family, how ridiculous is the so-called superior medical ethics?

There is a huge talent gap in Huaguo's medical industry, especially in pediatrics and emergency departments.

Why, one is the doctor-patient relationship, and the other is salary.

Except for a small number of sentimentalists who are not short of money, who is willing to drill into that corner?

When they saw incidents related to doctors, they scolded the butcher in white, wishing to wipe out all the doctors in the world.When I go to see a doctor, I feel disgusted that there are not enough doctors in the hospital. I have to wait here and there.

but?

if not?

This gap, I don't know how many years it will take, and I don't even know if it will ever be possible to make up for it.

After all, it takes a total of 11 years to graduate from high school to graduate with a Ph. , got six thousand...

But why is it so cheap for anyone who is not a doctor in the medical industry?

Zhou Cheng can actually understand the pain in Ding Changle's words, which is closely related to him. He can still make some money through scientific research, but what about some people who don't do scientific research?

What do they do?

Most of them should be like what they say on the Internet. If they don't have the medical ethics of reckless sacrifice as they say, they shouldn't be doctors.

Did they just go for that?

The diversion rate of medical students is increasing year by year.

Every year, the number of people applying for medical majors is gradually decreasing...

This should be what most people like to hear. Anyway, what the people of China need is a doctor with medical ethics.Rather than a doctor who can cure a disease, evaluating a diagnosis and treatment measure based on medical expenses is what many people like to do most.

It is medical ethics to think that seeing a cold can be cured with a few cents.Don't you know that the medicine that costs a few cents is a medicine that has been abandoned in the first-line clinic for many years.

What are you afraid of side effects, just save money.

"Director Ding, Professor Lei, are you okay?" Zhou Cheng asked worriedly.

Ding Changle said: "I don't know, but there are gossip that Professor Lei Zhong may resign and go to a private hospital. Shenzhen City in Guangzhou Province offered him an annual salary of 300 million plus a salary commission."

"what?"

Zhou Cheng froze when he heard Ding Changle's abrupt words.

Lei Zhong may resign and go to a private hospital?

"Actually, it's not just Lei Zhong. Several people in the dermatology department of our hospital have switched to medical aesthetics. The current annual salary is not bad. It's easier than being a doctor and earns more than being a doctor..."

"Someone has contacted me, I haven't figured it out yet!" Ding Changle said so bluntly, looking at Zhou Cheng with no expression at all.

Zhou Cheng was quite disturbed.

When he was in Shanghai, he also met a doctor who resigned and changed his career to other industries.

"Professor Ding, won't Professor Lei be with you?" Zhou Cheng really didn't want these two to leave.

The Affiliated Hospital of Shonan University is currently developing relatively slowly. If these two leave, then the current status in the world may drop again and again.

Zhou Cheng originally had no feelings for this place, but now that he has settled down, he naturally hopes that the hospital will develop better.

"I won't be in such a hurry, I'm still watching." Ding Changle smiled and Fu Zhoucheng.

Then he made a joke: "At least for you, we won't make a decision so lightly. After all, we took you in with great difficulty. You can survive anyway. I'm afraid that there won't be too many new blood coming in in the future."

"Then our industry will be worrying. If we go on like this, there will only be one result."

"Either the doctor's performance and salary are fully allocated, or the medical insurance covers all the patients! Otherwise, neither side can continue."

"Medicine is moving forward. Either cheap or conscience!"

"The conscience seen from a large scale and big data is the conscience, and we must believe in scientific facts."

Chapter 392 Join the Central Inspection Team!

Zhou Cheng didn't dare to comment on such a big policy matter.

"Professor Ding, this question may not be settled for a while."

"I came here just once in the middle of last year. What if I have to face such a predicament again now? It is estimated that everyone's life is not easy, and I don't know how many people will be able to stay in the end." Zhou Cheng said with emotion.

Ding Changle didn't answer the conversation, but said: "Actually, it's too late for people of our generation to change careers. You are still young, Xiao Zhou, and you still have a lot of time."

Zhou Cheng's eyes flickered for a moment, and after carefully examining Ding Changle's expression, he said, "Director Ding, I'm afraid it will be difficult for me to change my career!"

The more you learn, the deeper you get, not to mention the extra interest, but at least you can eat in this industry.Moreover, Zhou Cheng also gained more and more sense of gain from this industry.

Zhou Cheng had already forgotten the original idea of ​​loathing medicine and studying other majors. Now that he has another chance to choose, Zhou Cheng still feels that he should continue to develop in medicine.

For nothing else, at least to show this skill to the world, and then retire in middle age, or directly retire, it doesn't matter.

But it doesn't work now, and we still need to climb up slowly and build our own team.