Sleepless Doctor
Chapter 662: Preparation
Li Qiong's life has changed drastically since he came to Jianxie Hospital.
The income is more than that in the Second Hospital, a lot more, to the point that Li Qiong is almost autistic.
The life of Jianxie Hospital was countless times less than before. The corridors were empty and there were no patients at all. Recently, the number of patients has increased after the public welfare surgery has been gradually started, but it cannot be compared with the second hospital.
The ward where Li Qiong once worked was able to accommodate 50 patients in the ward where Li Qiong had worked before not allowing extra beds in the top three hospitals. However, receiving and receiving are two different things. Under normal circumstances, more than 80 patients can be accommodated in the ward. If you catch up with the peak period, extra beds in the corridor can be lined up to the door of the ward.
There was even a time when 12 patients with myocardial infarction came in one night, and the extra bed in the corridor was almost added to the elevator entrance.
One or two night shift nurses have to manage dozens of patients. They walk and run. Basically, they don’t touch the ground. The amount of exercise for tens of thousands of exercises a night is really no joke.
Every time Li Qiong came home from the night shift, she was exhausted, and she seemed to be drawn away. I was still insomnia while lying on the bed. Just as I was about to fall asleep, a thought suddenly popped out of my mind. Is there any mistake in adding the medicine to the micro pump of the patient in the bed? !
Once you think of this, don't think about restoring sleep during the day.
This is a kind of torture. Before coming to Jianxie Hospital, Li Qiong felt that his mental age was about to retire. Not to mention the psychological age, the physical age is definitely not 27 years old, at least 40 years old.
The rhythm of amenorrhea before getting married...
The Jianxie Hospital is good, or the kind of legendary good. Li Qiong never thought that one day she would be in a class with less living and more money. This is a beautiful dream.
Therefore, Li Qiong is very sincere, she is afraid that her dream will be broken.
Everyone takes the assessment of Jianxie Hospital seriously, and there is no situation where anyone does not care.
Although Dean Ma has already said that he will not adopt the final elimination system because of the results of the assessment, but no one believes it. Can you believe the leaders of the hospital?
Believe them, it is better to believe that the sow can climb the tree!
Such a good job, if the exam dry wool is not eliminated? Do you think Teacher Wu is as boring as you? All medical staff have this idea. No one believed Matthew's words at all. Apart from work, everyone spent almost all of their free time in study.
Nursing assessment is divided into two categories, one is practical operation, and the other is written examination.
There is no way to practice the actual operation at home, so Li Qiong seized all his free time to practice the operation in the unit.
The 3D printed models are changed every day, and they are all models that simulate hemorrhagic shock and deflated blood vessels like a piece of white paper.
At first Li Qiong couldn't hit the nail on the head at all.
It is extremely difficult for this kind of patients to get a pinch of blood. Even if they encounter similar patients in the second hospital, they usually have to resort to summoning, call the anesthesiologist down, and perform arterial puncture, from the carotid artery or subclavian. Needle in artery.
No matter how low the blood pressure is, the aorta of the human body will not become a piece of paper, after all, the tissue structure is there.
But the requirement of Jianxie Hospital is that the nurses have to get a nail on the nail in the vein piercing. No matter what the situation.
Although there were not many patients during this period, Li Qiong felt that the number of needles he had received far exceeded that of the second hospital.
She made use of all the time, the lunch break was gone, and she even took a bite of lunch.
As for rest, it doesn't even exist. Rest means that you don't have to worry about the patient, and you have enough time to train on the 3D printed mannequin.
Sometimes Li Qiong even has some poor 3D printed mannequins.
They have to be pierced with thousands of needles a day, they are pierced and tattered, looking particularly innocent.
After more than a month of high-pressure training with tens of thousands of needles, Li Qiong was gradually able to hit the nail on the nail in the face of a 3D dummy that simulates hemorrhagic shock with almost undetectable arterial pressure.
After training with tens of thousands of needles, the veins, as thin as a layer of paper, seemed to Li Qiong. Three needles side by side are fine. It's okay to hit the nail on the head, she can't even remember why she couldn't get a drip when she was in the second hospital.
The assessment of actual operation, hitting the nail on the head is only one of the items. In addition, there are various instruments in use.
Although Xue Yuan and Ma Yuan didn't require much strictness, the doctors and nurses below were very serious and almost didn't take the machine apart and became repairmen.
Micro pumps, sputum suction devices, monitors, ventilator, iabp, ECMO, everything is familiar to the chest. Sometimes Li Qiong even feels that she can go to the second hospital's intensive care unit to be a doctor, because she feels that she is even more slippery than the critically ill young doctors in the second hospital.
Not only that, but how to adjust ventilators and other equipment after various laboratory tests seems to be more skilled than them.
As for high-end products like ecmo, there is only one ecmo team in the Second Hospital who can get them, but basically everyone in Jianxie Hospital can get them.
Although Li Qiong didn't know what was the use of learning these, but with so much money, he couldn't do it in the assessment.
The operation is one aspect, the written test is more difficult. Because the written test was made by Mr. Wu, the scope of review was also given, and all that was needed was memorization.
One of them is the contraindication of the combination of more than 1,700 drugs that can be seen in clinical practice.
There are many contraindications that Li Qiong has never known, and this examination is considered to be an eye-opener for her~www.wuxiaspot.com~ For example, metronidazole is a commonly used clinical medicine for the treatment of anaerobic infections.
It has adverse reactions with imidazole drugs in people with hypersensitivity and should be prohibited from use. Imidazole antifungal drugs diclofenidazole, econazole, ketoconazole, clotrimazole...
In addition, metronidazole is used in cases where patients have gastric tubes. The most peculiar thing is that this common medicine cannot be touched with chromium-containing needles and waterproof sleeves, otherwise there will be adverse reactions.
Wanting to learn about a kind of metronidazole, Li Qiong turned into an expert in pharmacology, and even began to study what is a chromium-containing needle and waterproof tube.
This is just one of more than 1,700 commonly used and rarely used drugs in clinical practice.
The thick review materials drove Li Qiong to death.
But there is no way. When I think of going back to the second hospital to work and earning a few thousand yuan a month, I still have to wash the feet of the patient. Li Qiong bites his scalp and "cheaps" all these things down.
The exam date is getting closer and Li Qiong is getting more and more nervous. When she goes to bed every day, she dreams that she is facing a large table of taboos and recitations.
Li Qiong did not dare to agree to the little sisters who had invited herself out for dinner, so she could only put the time on the day when the assessment was over.
No matter what the exam is, be sure to go out and relax after you finish.
Day by day, with continuous training and improvement every day, Li Qiong's medical treatment seems to have undergone a fundamental change from his previous cognition.
But does it make sense? Li Qiong doesn't know the principle. She only knows that the Jianxie Hospital paid a large sum of wages to herself. These requirements are all fulfilled.
It's not like being in the second hospital. There are so many things without money. It's really MMP!
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