I Spent Those Years In the Operating Room Fighting Monsters

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

The trauma center is making preparations for the early shift. Today, all the staff in the department, including professors, associate professors, attending physicians, various bedside physicians, and even all nurses, are absent. Even the nurses on the night shift should have come to the shift room.

Around the big table where the shift was handed over, there was a room full of people standing in the room, and everyone's face was very serious.

Li Dongshan sat in the director's seat, staring blankly at the time above the projection screen, motionless.

"07:57:36!"

"07:57:37!"

"..."

On Li Dongshan's right hand, sitting side by side with Li Dongshan is head nurse Peng Yu, and the first person on the left is Professor Zhang Xin, Professor Liu Chengqian, Associate Professor Fang Xiao, attending physician Du Xueshen, and chief resident Lu Cheng...

On the right side of Peng Yu, there are several nurses in charge sitting in a vertical row, and then there are the staffed nurses in the department.

In the two rows of the long table, dispatched nurses, graduate students, bed doctors, advanced doctors, etc. should be standing. Of course, there are also trainee doctors and trainee nurses, who are also shivering and waiting for the time to beat.

Today, even two professors Zhang Xin and Liu Chengqian didn't dare to take out their mobile phones. Instead, they muted their phones, put their phones on the table, and lay quietly.

In the standing crowd, everyone kept checking the volume settings on their mobile phones, for fear that a sudden ringtone would break the current silence and become the target of public criticism.

Many people's gasping voices have become much smaller.

Finally, at exactly eight o'clock, Peng Yu saw that Li Dongshan was still expressionless and didn't want to speak, and said, "It's time, let's start the shift."

The nurse in charge of the night shift just 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, and admission time of each newly admitted patient, accurate to minutes, postoperative patients, all drainage volumes, blood loss accurate to single-digit milliliters, VAC duration accurate to minutes, VAC The current pressure of negative pressure drainage is accurate to 1KPA.

After the nurse has finished the shift, the doctor on duty is not the kind of "detailed shift in the nursing department, no special supplements", but the shift belonging to the doctor starts from the beginning to the end, and also includes the information of the newly admitted patients in detail. The results of the four inspections of the critically ill patients, the blood loss and drainage volume of the postoperative patients during the inspection; the preparation of the patients before the operation...

"The patient's condition is stable, there is no special shift, and the shift is over." After the doctor on duty talked a lot, the time came to 8:25, and it came to the end of the nurse and the end of the shift.

And if it is normal, this shift will end as early as 20 minutes ago.

After the doctor on duty finished speaking, Peng Yu reminded again: "Director Li, after the shift is over, are you going to go directly to the ward round?"

Li Dongshan then blinked, and then slowly said, "I'll delay everyone for a while today, so I can say a few words."

"I believe that everyone should be aware that the atmosphere in our hospital has been relatively anxious in the past few days. From top to bottom, everyone is stretched on a string. Be able to let your guard down.”

"We are the medical industry, we must manage our diagnosis and treatment process and our wards more carefully. Our nursing department must also implement the doctor's orders and implement the nursing work into details and daily work. ."

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

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"The patient's doctor's orders, nursing work, and communication with patients and their families are all on your shoulders. You should take your responsibilities well."

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

After Li Dongshan finished speaking, he paused for a while, and then said: "In addition, Professor Zhang, Professor Liu and me in our department, as well as all the superior doctors in our department, should also take their responsibilities. Think more comprehensively about the diagnosis, make the doctor’s order and diagnosis and treatment process more accurate, and think deeply and reflect on each patient’s diagnosis and treatment plan in an individualized and precise manner.”

"Deliberation is necessary, and reflection is extremely important. There should be no one-size-fits-all model. All superior doctors must take responsibility and apply the template of doctor's orders. I don't want it to happen in our department. Moreover, The superior physicians of each group should also be alert to each group's medical record writing, the quality of medical record writing, the integrity of the interview signature, and the content of the signed consent form."

Then, Li Dongshan lowered his voice a little and said: "This is not to scare everyone or force everyone, this time, we must make great efforts to rectify. Just yesterday, President Qin was dismissed because of the blame. The position of President An is now acting as President."

"The head nurse of the operating room was dismissed, the director of the gastroenterology department, the professor of urology..."

"The performance coefficient of all departments is reduced by a quarter, and the performance of the operating room, anesthesiology department and above is reduced by half."

"It's really not a joke."

"And our doctor in charge of the bed should also manage his own behavior. Although there are no graduate students and students who are under training at the moment, there is no such possibility. Although you are students, you can't feel that If you are a student yourself, you can completely avoid punishment.”

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

After Li Dongshan finished speaking, Zhang Xin said, "Although some of our professors don't directly manage the ward, in fact, we are well aware of what your doctor in charge of the bed has done."

"It's not easy to teach medicine outside. However, in the student stage, in the learning stage, what you need to learn is professional knowledge and skills, not to learn some messy things."

"Of course, I think there is something wrong with our superior doctors. The current teaching process in our department is still too small. Therefore, in the future, there will be more tasks in the department, and the general hospital will be responsible for it."

"In the future, in our department, each group will conduct teaching rounds once a week. Large teaching rounds will be conducted once a month, and group discussions will be conducted twice a week..."

After leaving the morning shift, Li Dongshan didn't say much. He just asked, "Peng Yu, how many surgeries are there today? Which group is it from?"

"Professor Zhang Xin's team. There are only two operations in total. The pace of our department has slowed down in recent days." Peng Yu is very familiar with the situation in the department. She has been resident in the department in recent days.

"Yeah!" Li Dongshan nodded.

"Slow down the rhythm, do the surgery more meticulously, and manage the patients more in place after surgery. It doesn't matter, you don't need to deliberately pursue the quality of the surgery."

"Okay, Director Li." Peng Yu nodded.

After Li Dongshan and Peng Yu finished chatting, he said, "Xiao Lu, come with me, I have something to do with you."

At this moment, Lu Cheng was preparing to take people to round the room. After all, Li Dongshan had been very busy in the past few days, and he was the one who led people to round the room.

Said: "Okay, Master."

Lu Chengcheng followed behind Li Dongshan, all the way to the office.

"Master! How about the last few days?"

Since the Jinyi group changed from darkness to light, Li Dongshan has rarely been seen in the department, and according to Fang Nixin, Brother Zhu of the fourth ward of the Orthopedics Department is often not in the department. Just know that each ward, the major director of each department, now has a lot of things.

Lu Cheng didn't dare to ask Li Dongshan, so he was not particularly clear about the changes in everything.

And even in special times, Lu Cheng is always hospitalized and needs to complete his general hospitalization duties.

Li Dongshan pursed his lips and said, "You heard it this morning, but now the hospital is in a troubled time. The current president Qin has been dismissed, and the directors of the anesthesiology department and the operating room have been investigated, and the director of the gastroenterology department has taken the title of professor. Down to an associate professor..."

"Of course, not only our Second Xiangya Hospital, three hospitals in the Xiangya system, and several large hospitals in Shashi, there are traces of unannounced visit groups. There are also many people who have been dismissed from the Health Committee."

"The more it is at this time, the more vigilant we need to be. Since the Jinyi team is here, there may be more than one wave, and there may be people from the unannounced visit team who haven't turned their attention. Just waiting for us to relax our vigilance."

"In addition, there are some things in our Orthopedics Department. Liu Jun from the Second Orthopedics Department and your teacher Min Hong are now at the cusp of the storm. Sigh!"

"It is estimated that in the future, our days will become more and more difficult."

"Furthermore, after a few months, the medical reform is expected to undergo major reforms, with volume procurement and centralized procurement; at that time, the price of a piece of steel plate is a few hundred dollars, and the total cost of a fracture operation will not be four or five thousand dollars. ."

"The cost of surgery will also be reduced. The hospital will take a part, and the department will be responsible for its own profits and losses. It's really uncertain whether the people in the department will be able to eat at that time."

Lu Cheng actually knew about the medical reform for a long time. Today's medical industry itself is in a period of major reform. The people who came to reform are not from clinical backgrounds or even from the medical industry, so everything is drastic and chaotic reforms, and they do not change according to the facts at all...

Now, for any middle-level employee of a company, the salary is casually slapped by a professor from a top-three hospital.

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

However, people who say this generally don't have family members who are doctors or nurses, and they don't think about whether some people can survive or not. Anyway, they judged people from the highest point of morality from the beginning.

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

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

There is a huge talent gap in the medical industry in China, especially in pediatrics and emergency departments.

Why, one is the doctor-patient relationship, and the other is salary. Except for a small number of sentimental people, who would like to drill into that corner?

When I saw a doctor-related incident, I scolded the butcher in white, wishing to exterminate all the doctors in the world. When I went to see a doctor, I disliked the lack of doctors in the hospital. I had 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.

After all, it takes eleven years from high school graduation to doctoral graduation. After graduation, even if you go to a provincial-level tertiary hospital, the salary is only about 10,000 yuan, after deducting five insurances and one housing fund. After that, I got 6,000...

But if you are not a doctor in the medical industry, why is it so cheap?

Lu Cheng can actually understand the pain in Li Dongshan's words, but he now has a game system, which can be withdrawn through gold coins and has additional income. But what about those without a system?

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, they should not be doctors. So they went and did that.

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

The number of people applying for medical majors is gradually decreasing every year...

This should be what most people like to see~www.wuxiaspot.com~ Anyway, what Chinese people need is a doctor with medical ethics. Instead of a doctor who can cure a disease, evaluating a diagnosis and treatment measure at the cost of medical treatment is the favorite thing for many people to do.

I feel that seeing a cold can be cured with a few cents, that is medical ethics. I don't know that the medicine that costs a few cents is a medicine that has been abandoned in the first-line clinical practice for many years.

What are the side effects to be afraid of, just save money.

"Master, Teacher Min, they should be fine, right?" Lu Cheng was a little worried, but Lu Cheng didn't dare to contact Min Hong. At this time, Min Hong had to wait and make too many calls.

Li Dongshan said: "I don't know, but there are rumors that Min Hong may quit his job and go to a private hospital. In Shenzhen, Guangzhou, he was offered an annual salary of 3 million plus salary commission."

"what?"

Hearing Li Dongshan's abrupt words, Lu Cheng was stunned.

Min Hong may resign to go to a private hospital?

Why is this, he is currently the chief director of the Orthopedics Department? Moreover, Min Hong likes to be a doctor so much. He is the professor who likes to teach and teach the most among all the professors in the Department of Orthopedics. There is no one. The small classrooms implemented by the Department of Orthopedics are still the credit of Professor Min.

Does Min Hong not want to bring students?

What about your brothers and sisters?

"Actually, it's not just Min Hong. In our hospital's dermatology department, several people have changed their careers to medical aesthetics. Now the annual salary is not bad, it's easier than being a doctor, and earning more than being a doctor..."

"Someone has also contacted me, I haven't thought about it yet."

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