Chapter 365 Even if you die, you will die in the operating room!

When the shift was handed over, the nursing department where Peng Yu worked explained in detail the whereabouts of the trauma patients that night and their current progress. Those who were treated either went to the ICU or were still in the ward and were handled by the previous chief resident Zou Qian. Next

step.

Each professor's own team and the doctor in charge will take over. Unless there is no superior doctor, the doctor on duty will inform Lu Cheng of the general hospital for treatment.

In other words, although Lu Cheng only took up the post of chief ward today, no one gave him a buffer. When it comes to you, you must take on the responsibility of managing the ward, not just arrange the patients in your own group.

.

After the nursing department finished the shift, Li Dongshan, as the director of the department, naturally started his speech as the director at the beginning of the month.

"In the two months since our emergency center was established, we have experienced a transformation from having no patients to having many patients. The business volume of our doctors and nurses has also gradually increased over time.

It’s getting busier.”

"According to the data I have learned, the total number of surgeries performed by our emergency trauma center last month was approximately 160. Among them, 59 were level 2 surgeries. A total of 9 level 3 surgeries and above were performed.

Eleven."

"These data represent the hard work of the doctors in our department, especially the two professors Liu Chengqian and Zhang Xin. They performed at least two surgeries every day for twenty working days. The number of surgeries every day was five to six.

So much."

"This allows most of the patients who need trauma treatment when they enter our hospital to receive timely diagnosis and treatment as soon as possible, or even beyond the first time. Comparing the functional recovery level of emergency trauma patients after surgery in the past,

What we are doing now, the achievements we have made, the benefits and happiness it has brought to patients.”

"I believe everyone in our department can feel it in their hearts."

"But it is undeniable that the doctors in our department are very tired, especially Zou Qian. He performed 67 operations in a total of 30 days last month!"

"This number is so terrible. It has exceeded the clinical workload that everyone should bear and can bear every month."

"Therefore, our work tasks and focus this month need to be adjusted to a certain extent. We need to increase the number of surgeries from new departments, and slowly change the trend to focusing on high-quality surgeries."

"The volume of surgeries can be reduced by 10%, reduce the number of secondary surgeries, and increase the number of surgeries we can undertake at the third level and above. For patients with minor injuries and small debridement and suturing, our chief resident and on-call doctors

I’ve recorded everything clearly. I’ll do my best to do psychological work for the patient, and if I can agree to transfer, I’ll transfer him out.”

"If you really encounter a sick patient, don't force it. You can arrange elective surgery, but you have to make it clear to the patient in advance that the nature of our department is an emergency. We need to save lives first, save the serious ones, and then treat the injuries. I also

I will negotiate with the emergency clinic below and ask them to pay attention."

"In this regard, our department's newly appointed General Manager Lu Cheng is hospitalized. You have to take full responsibility."

"In addition, in addition to the chief resident, the second-line and third-line teams must also be ready for battle at any time."

Li Dongshan was not too polite because Lu Cheng was his student. Clinical practice is related to human life and cannot be joked about. However, when he said this, Li Dongshan was not joking, but in other respects, Li Dongshan still made a little joke.

explain:

"Professor Zhang, Professor Liu, please don't worry, you two. I still know very well about this Xiao Lu. His major is based on trauma. So, you may feel a little more relaxed this month."

"But Fang Xiao and Du Xueshen, the two second-tier players, will have a little harder time."

Hearing Li Dongshan's words, Zhang Xin shook his head and said: "It's best to take it easy. For two months in a row, there were two to three major emergency rooms every day, but my waist was not exhausted. Every day was fast."

I didn’t go back until early in the morning. If my wife hadn’t had spies in the hospital, she would have almost suspected me.”

"I do hope that our department can transform and adjust as soon as possible. It doesn't make much sense to treat too many patients who are time-consuming and have no technical content. There are many hospitals around us that can perform simple emergency debridement.

"

Liu Chengqian also agreed with Zhang Xin's idea and said: "That's true. Although we are now an emergency trauma center, patients who need time-consuming debridement, are not serious, and are not life-threatening, can still be transferred to other places as appropriate."

Went to the hospital."

"For truly major emergencies, we can also pick and choose according to the wishes of the patient's family. If everything is micromanaged, we will all become debridement workers. I also want to slow down a little."

Both Professors Liu Chengqian and Zhang Xin had just been transferred to the emergency trauma center from previous trauma. The surgeries they performed before were all relatively difficult surgeries for patients with fractures or postoperative sequelae of fractures. Although the surgeries were

Difficult, but challenging.

Most of today's surgeries require time-consuming debridement and have little technical content. However, there are not enough manpower in the department, so they are so tired that they almost feel like they are hospitalized.

But the department has just made adjustments, and nothing can be done. The ward director of the Fourth Department of Orthopedics is still running for consultations. They just hope that the chief resident can take responsibility and do a more detailed job of screening patients.

Lu Cheng was only the chief resident, so of course he had no way to refute the opinion of the superior doctor.

Just when he was thinking about how to answer, his phone rang.

The magical ringtone unique to the old-fashioned Lukia mobile phone rang. Lu Cheng couldn't hang up, so he could only apologize and leave the shift room.

The chief hospital phone number is open 24 hours a day, and you cannot hang up at will no matter what the occasion. So Li Dongshan and the others could understand, and continued to treat Lu Cheng as if he didn't exist: "Well, the other things are fine.

"

"There are all new faces in our department, from the chief resident to the lower level doctors. Later, several professors will bring people from their own groups to get to know each other."

"You don't know which professor group you are under yet, right?" Li Dongshan felt that this was just the handover of classes, so he felt that Lu Cheng must not have made arrangements yet.

However, what surprised Li Dongshan and others was that after hearing the words, the twelve doctors in charge of the bed divided into groups of four and stood behind their respective professors. Another person whispered: "Before

Mr. Lu has already assigned them."

Li Dongshan was slightly stunned. When Zou Qian was the boss, he would not know who his subordinate doctor was until at least nine o'clock, and then he would start the day's official ward rounds. Today, this Xiao Lu is actually in

They are assigned before the shift is handed over.

This speed is okay.

This was to make him a teacher, so Li Dongshan said: "Professor Zhang, Professor Liu, let's do separate rounds, and then clean up all the patients in our respective groups. Those who should be transferred to other departments will be transferred to other departments, and those who need to be arranged will be transferred to another department."

The surgeon will go to the operating room immediately."

"The hospital has equipped our department with four emergency operating rooms, so we can't leave them idle!"

Zhang Xin and Liu Chengqian didn't talk too much. They had actually spent a lot of time with Li Dongshan, and they knew that Li Dongshan was not a person who liked to be long-winded, so they immediately took the people to work.

As soon as Li Dongshan went out, Lu Cheng greeted him and said with an apologetic expression: "Master, we have an emergency call down here, and we will probably have to go directly to the stage. I will probably arrange beds for the four of them and then go down."

This was indeed an emergency, and it was Lu Cheng's responsibility to arrange beds for the bedside doctor, but before he could even do this, an emergency call came.

"Hurry up and get a consultation. Today is your first day in the hospital. How can you waste so much time? When the new bed doctor comes, you have to blindly assign the beds they are responsible for a day in advance. There is no need to pick and choose.

, whoever is lucky will manage the patients easily, it all depends on luck." Li Dongshan immediately cursed at Lu Cheng.

It's no longer as strong as before.

It's quite a style of trapping you into the department, once the contract is signed, you have no place to run.

Lu Cheng slightly felt a little guilty, mainly because he had just entered the general hospital and was not very proficient in these businesses. He was still not ruthless enough and had not learned the ruthlessness of the superior doctors who assigned bedside doctors he had met before.

I want to be as considerate as possible to the lower-level doctors, but in fact, the clinic will not give him much time to take care of the lower-level doctors' emotions, because there are still lives waiting for him.

After Lu Cheng listened to Li Dongshan's scolding, he quickly put away his stethoscope and walked towards the emergency department.

Then Li Dongshan temporarily took over Lu Cheng's general hospitalization work. While allocating beds to four people, he scolded Zou Qian for being unreliable. Before leaving, he didn't even know that the doctors in charge of beds for this month had been allocated in advance, nor did he

He manages the beds in his group so well that he has to go to the nurse station to find out which beds are available in his group.

In addition, several interns were also assigned to follow the bedside doctors. After this, they took everyone to start the ward rounds.

Li Dongshan hadn't been involved in this matter for many years, so he didn't finish these tedious things until 8:52, and then led people to go to the ward rounds. At this point, other groups were all

The surgeries have been arranged!

Li Dongshan felt that the first day that General Manager Lu Cheng was hospitalized gave him a not very good impression.

Once Zou Qian left, it was impossible to follow him again. He had already made his own choice. Although he became a monk and came to orthopedics halfway, it was entirely because he was the director of the emergency department before. He had no choice but to force himself to learn. He

Later, I still followed my previous major and went to Yu Youlin!

After the separation of the emergency surgery department and the emergency trauma center, there is no longer a superior-subordinate relationship. On the contrary, the administrative level of the emergency surgery department where Yu Youlin is now may be a little higher than that of Li Dongshan, so Zou Qian does not care about the emergency department before leaving.

Regardless of the respect and fear that existed behind what happened.

Maybe Zou Qian had thought before that Li Dongshan, an orthopedic surgeon, would feel uncomfortable if you wanted to do minor orthopedics in the emergency department, but he never said it out loud due to his status.

It’s not Zou Qian’s fault!

Individuals have personal choices and fate. Even if they are superiors and subordinates, there is only a working cooperative relationship!

After checking the room, Li Dongshan suppressed his inner emotions and called Lu Cheng and asked: "Xiao Lu, how is the situation over there?"

While answering the phone, Lu Cheng said: "I'm sorry, Master, I'm a little slow here. The operation is over. I will go back to the department soon! I will definitely pay attention to it in the future and arrange all my work in advance."

"Even when it comes to ward rounds, I can't guarantee that I can be on time."

Li Dongshan heard what Lu Cheng said and looked at the time. It was just before ten o'clock, which meant that Lu Cheng had completed an operation in less than an hour. The speed of the operation seemed to be pretty good.

Based on Lu Cheng's previous experience as a surgeon, it was impossible for Lu Cheng to behave perfunctorily during the operation.

So he said: "Come up after you have finished the simple surgery. I thought you were just like Zou Qian when you became the boss. You had to report to me for all surgeries?"

When Li Dongshan said this, he felt a little relieved. There was a chief resident specializing in orthopedics who was much friendly to him. He could handle many surgeries by himself. Otherwise, he would not have an attending doctor, and he would have to treat Lu Cheng.

Disaster!

When Lu Cheng heard Li Dongshan's words, he asked in a slightly weird tone: "Master, I forgot to ask you. Do I have level four surgical authority in the trauma surgery department of our hospital?"

Li Dongshan thought for a while and found that Lu Cheng's surgery at the No. 9 Hospital in Modou had a great impact, so the Medical Department authorized Lu Cheng to perform most of the surgeries at the Second Xiangya Hospital, but he couldn't be sure.
To be continued...