Great Doctor Ling Ran
Chapter 1106: distribution
Treatment room.
Ling Ran didn't get started immediately, but slowly walked around the hall.
The pressure in the current emergency center is not great. Although there are many patients who are backlogged because of serial car accidents, most of these patients are mild, just like the social people who have just undergone a physical examination by Lu Wenbin because they have to With the weak and common appendicitis, after referral to general surgery, at most, it is mixed with a corridor bed. Whether or not surgery can be performed that day is a good idea.
Similarly, the loud and traumatic trauma patients who are still being sent one after another are also mild. According to the guideline, there is no problem in doing a period of suture within 8 hours. Patients who have not yet made their turn may have to wait a few hours.
The doctors and nurses at the scene were busy. Even if there were several resident doctors or interns guarding the corner, there were no free debridement rooms and beds for them.
Ling Ran rubbed a handful of alcohol gel and frowned slightly.
He now understands the "improving emergency room efficiency" prompt in the system requirements.
It is said that the doctors and nurses in the treatment room worked very hard, especially when he was visiting here, even the doctors who came to the consultation department in other departments were obedient and devoted to the best state.
From medical surgery to nursing, it is basically at a super level. If the hospital "emergency department" is the standard, the current treatment room can be said to be excellent.
However, with an "emergency center" as the standard, it is very reluctant.
Since being upgraded to become a center, it is necessary to assume the heaviest tasks in the region. In some cases, the center still exists.
The hospital is a very realistic unit. It is done well, the urologist is noble, it is not done well, and the cardiothoracic surgery is also awkward.
The same applies to the whole city or province.
Those who can give other hospitals a head will hold their heads high when they meet again. Those who need other hospitals will naturally have a good attitude.
Whether it is competing for funding or equipment, staffing or staffing, realistic considerations are quietly affecting the results. If a well-behaved hospital is not well-behaved, when you want to refer a patient over, you have to return it twice. If the hospital should n’t have a big head, if you raise your head, you will be carved to death when discussing death.
For the emergency center of Yunhua Hospital, they need to deal with more than just the patients who are sent to their homes, or the patients who are called by 120 calls. They must also refer to other regional hospitals if they are uncertain. Come over patient.
In today's situation, the wounded in a serial car accident were sent to various hospitals in the initial stage, but this does not mean that all the wounded are properly arranged.
After the initial diagnosis, cases found to be incapable of treatment, or cases that require further treatment after the initial diagnosis, or cases that are not handled properly, will be further sent to Yunhua Hospital-previously shared by the provincial and army general hospitals, but Yun After the medical emergency department is upgraded to the center, if there are no special requirements for patients and family members, the first priority of referral is Yunhua Hospital Emergency Center.
For hospitals, this is a sweet burden. Doctors and hospital leaders who do not want to hang around will want to keep this inertia and avoid being diverted to other hospitals because of inadequate treatment.
Ling Ran is no exception.
He looked at the waiting area again. Many patients and family members had become increasingly anxious.
Long waiting times in the terminal are unsettling factors that can make passengers irritable, which is even more difficult for patients and their families who are suffering from pain and suffering.
The treatment room is now looking at the operation, and the patients and family members who are still in line are still reluctant to hold their emotions, but as Ling Ran seems, this system is not far from the shutdown.
There is no shortage of supplies for the time being, and the hospital bed is not an imminent problem. The key bottleneck is that the medical staff cannot handle it.
Ling Ran's gaze swept across the corner.
Several junior resident doctors and registrars sitting there waiting to be summoned looked at Ling Ran immediately with anticipation.
Ling Ran's eyes flashed.
These little doctors are like Ling Ran in the past, they came to the emergency room to look for opportunities, but their skills are too poor, many people are not even skilled at stitching, and they need the supervision and guidance of a senior doctor. It is not an immediately available war. force.
Even a slightly more mature resident doctor or registrar can find a way to get started in his own department. Only a little doctor who is a chicken rib to his department will come to the emergency department to make a soup.
It usually doesn't matter, but today it is not applicable if we want to improve efficiency ...
Ling Ran looked at the young and middle-aged doctors in front of each bed and block.
"Study doctors are all assistants?" Ling Ran beckoned and called Ren Qi.
Ren Qi has long waited for the opportunity to speak with Ling Ran, skipped over and busyly said: "Everyone does a good job and should be able to help."
"There is no need for the fellow doctors to be assistants. Call some interns. If it is not enough, ask the resident doctors and interns who are waiting there to fill in. The fellow doctors, except for those who can't get a shot, let the rest come together." Ling Ran ordered.
Immediately there was light on Ren Qi's face: "Okay, I'll call them."
The status of fellow doctors in different departments in different hospitals is different. But in general, because the hospitals that are qualified for further education are always the top three in the region, the status of doctors in the hospital at the same level is usually higher. Our doctors are more willing to let fellow doctors fight.
Of course, the fellow doctors worked hard in other hospitals, certainly not to be assistants. It depends on their personal social and technical capabilities.
Strong ability, good luck, familiar with the situation a few days, you have the opportunity and qualification to get started. Unlucky, weak ability, only two or three months to reluctantly integrate, just start to get familiar with the situation, there are also some training period.
Yunhua Hospital now conducts training camps and recruits a large number of fellow doctors at one go, but it is not possible to equalize the opportunities. Most of the fellow doctors can only visit and study.
Ling Ran brought together the fellow doctor who was working as an assistant. Naturally, something had to change. Ren Qi, who was also a fellow doctor, couldn't help but be happy. For a moment, he had forgotten that he was already a two-fifth child.
More than twenty fellow doctors in the post quickly gathered.
This number has already caught up with the number of doctors in the emergency department. Not to mention the same number of fellow doctors are resting. The current hospital is like this. The growth of staffing can never keep up with the growth of business. A large number of posts can only be filled by fellow doctors, doctors and interns.
"Now the waiting room is overcrowded. Not only does it have the risk of a sense of hospital, but it also affects the normal medical order. We must deal with the patients with minor injuries as soon as possible." The next work is described.
Immediately afterwards, Ling Ran looked at the crowd and said, "Now I have two teams, and I ordered one team, you, you, you ..."
Ling Ran pointed to different doctors while talking.
A group of fellow doctors were at a loss.
"The station that was clicked to the left, the station that was not clicked to the right." Ling Ran gave orders as if playing a game as a child.
The fellow doctors hesitated.
"Next, the two teams are freely combined. One team of doctors serves as the main knife, and one team of doctors serves as the assistant. All the doctors of team 1 are the masters, and the doctors of team 2 are all assistants. Understand? Arranged again.
Both teams of doctors are adults, but at this time they are standing still. One of the oldest doctors in team 2 is frowning and asks, "Why do both of our teams have to be assistants?"
"Because the doctors of Team 1 are relatively strong." Ling Ran answered very smoothly, without any euphemism.
The face of the questioning doctor couldn't help but change: "Why do you judge?"
"Based on your recent technical performance," Ling Ran answered.
"What a joke, I'm almost forty, and my technical performance is not as young as the younger over there?" The face of the middle-aged doctors of Team 2 couldn't stop.
Ren Qi coughed and said, "Dr. Ling didn't mean this ..."
"That's what I mean." Ling Ran interrupted Ren Qi, looked straight at the middle-aged doctor, and said, "Your technique is very rough, you often don't pay enough attention when you suture, and you obviously don't learn enough anatomy. The technique is obviously old, and in my judgment, your skills will be ranked 5th and 6th in the second team. "
Although Ling Ran doesn't remember much, he has long judged the operation of different doctors in the operating room and emergency room.
The face of the middle-aged doctors of Team 2 turned red once they were brushed, and the doctors were very concerned about technology, but it is rare to evaluate such a naked technique.
Moreover, with Ling Ran's character and identity, he was unable to refute for a moment.
Ling Ran was reckless, and turned to continue: "Now in pairs, we aim to deal with injuries as quickly as possible ..."
Then, Ling Ran led the team to the waiting room.
Unlike the previous triage, which focused on selecting patients with severe illnesses, Ling Ran started this time with a mild illness.
"Dr. Liu, have you been an ophthalmologist before?" Ling Ran quickly walked over to a patient with a head injury and made a brief examination. "This is left to you for suture."
"Oh, yes." Dr. Liu was just 30 years old. He didn't usually have a lot of presence. He couldn't help asking: "How do you know ..."
"I've seen your file. The patient's eye has been injured. Pay attention when stitching."
Ling Ran replied ~ www.wuxiaspot.com ~ and turned around again, calling a female doctor and saying, "You have experience in gynecology, check her."
"The stitches, Dr. Wang, you do it."
"Break the fracture. Dr. Li handles it. If the injury is severe, you will be referred."
Ling Ran was assigned a lap, and the 12 teams were all separated.
Immediately afterwards, Ling Ran looked at the system's task prompts again. At this time, the task completion was reached (21/20). A middle-level treasure box flashed and fell aside.
Ling Ran's attention was not on the treasure chest.
His mission completion was just 11/20, and now 12 teams have been assigned, but his completion is 21/20. What does that mean? It shows that the distribution of two teams is not a mature and effective plan.
Ling Ran had his judgment and turned back again.
The waiting area at this time was obviously calm.
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