medical simulator

Chapter 29 Sister Qin Min, please keep your voice down (Please collect, recommend, and follow up!)
Zhou Cheng walked out and saw that the person at the door was Tan Min.

Seeing Zhou Cheng, she said, "Oh, so you are on duty today. If I have something to do later, I will call you directly, so I won't come over to call you."

The nurses at the nurse station basically don't remember or check who is the doctor on duty today every day.Because nurses and doctors may change shifts, they do not strictly follow the schedule. When looking for a doctor on duty, they should first go to the office or lounge to call.

"Okay, Sister Tan Min, you can just send a WeChat message." Zhou Cheng knew that Tan Min would not take the initiative to call other bed doctors under normal circumstances, and even if he did, he would use the department's phone number.

It was also his luck that he and Tan Min came in a year ago, so they exchanged WeChat and other contact information very early.

"Are you on the long day shift again today?" To be honest, even though Zhou Cheng had been in the department for two or three years, he still hadn't figured out how the scheduling mechanism at the nurse's station was.

When he is on duty, it doesn't matter which nurses are on duty. Speaking of which, he is such a regular trainee.

Nurses in this hospital like Qin Min may not be favored, so you are lucky to remember you.Otherwise, I don't even bother to remember your name, anyway, after three years at most, you have to leave.

"Well, I changed a long-day shift with Jiaojiao."

"Don't talk, let's go see the patients. The patients have all come to the nurse's station. I'm afraid they will be noisy if they go late." Qin Min was still extremely serious and responsible during her working hours.

"Okay!" Zhou Cheng quickly put on his mask and set off to the nurse's station.

There are two types of emergency patients. One is special emergency, which is the kind that is about to die in the emergency department or ICU. Such real emergency patients need to call the superior doctor of the doctor on duty to ask them to be there.

That is to say, an attending like Luo Yun must be present.

The other is sub-emergency, where there is a fracture, but the situation is not serious. The doctor in the emergency department will ask the family members of the patient to push the patient to the ward and see the doctor directly.

It can save the time of running a trip.

Because specialist treatment is mostly carried out in specialist operating rooms, if you need to be hospitalized, you can directly arrange a bed first.

Zhou Cheng came to the nurse's station, and then saw an uncle in blue overalls covered in lime, being pushed in front of the nurse's station by a middle-aged man of the same age who was dressed in the same clothes as him.

He himself was holding the image kit printed with the Imaging Department of Shashi No. [-] Hospital, while his fellow workers were asking the nurses if they wanted an operation.

The nurse who was questioned replied: "This will be evaluated after the doctor sees it. We are nurses, so we don't know how to read it."

Turning her head while speaking, she saw Zhou Cheng coming behind Tan Min, and immediately said: "The doctor on duty is here, you can ask him later."

Seeing Zhou Cheng, the two uncles turned their heads shrewdly, waiting for Zhou Cheng to approach.

Zhou Cheng's pace was not slow, and he quickly reached the two of them. While picking up the impact information bag in the patient's hand, he asked, "How did you get injured? Did you fall or hit it?"

Even though Zhou Cheng's current strength is much higher than when he was on duty before, Zhou Cheng is quite confident.

However, the patient's injury mechanism is still the most important thing, and it needs to be understood, because the injury mechanism can help you find hidden fractures that are difficult to find by routine film reading.

"It fell. When we were painting the outer wall, we accidentally fell down. It was about four or five meters." The patient himself shook his head helplessly.

After the injury, no matter whether to have surgery or not, it has to be delayed for so long.Still have to spend money, how can this be good.

"Are there no safety measures?" Zhou Cheng glanced at the two of them.

Generally, there will be safety measures at such a height, usually a seat belt around the waist, such patients are not uncommon in the department.

"It's just for convenience, so I didn't do it. And my friends are all old workers, so nothing happens to them usually." This sentence was explained by his fellow workers.

"Doctor, in my situation, do I need an operation?" He looked at Zhou Cheng eagerly, his eyes full of helplessness.

"I'll tell you after I've read it. Whether you need surgery or not depends on the actual situation."

"You guys, is this a work-related injury?" Zhou Cheng asked while continuing to read the films.

Don't look at people wearing construction site clothes like this, they must be working on the construction site, and they may have fallen and injured themselves while doing private work.

This is the Star District of Shashi, a very suburban place, many people are repairing houses by themselves.Then the person invited, such a relationship, may not necessarily compensate for these.

The man didn't speak.

His co-worker rolled his eyes a little and asked, "Surgery? How much will it cost?"

It is estimated that when they were in the emergency department, the emergency doctor who gave them the first visit told them that they might need surgery after seeing the fracture.And this situation is definitely not a work-related injury, so they are a little nervous.

"Not in a hurry."

"Come on, move your toes and curl them up."

Although Zhou Cheng has passed the film reading and clearly distinguished the patient's fracture type, he can manually reset such a fracture type, but he must first rule out nerve and blood vessel damage.

The best way to rule out nerve damage is to check the patient's movements.

Although most of the activities are limited due to the fracture, the normal plantarflexion and dorsiflexion functions on the injured side still exist. As long as you see such a range, you can know that the nerve function is healthy, otherwise if the nerve is broken, It is impossible to move.

Manipulative reduction is not a simple reset, and the absolute contraindications of manual reduction must be ruled out first.

The patient tried to move a little, but then gave up and said, "It hurts, I can't move."

He thought that what Zhou Cheng wanted to see was his usual activities.

"It's okay, it's okay." Zhou Cheng said, handing the film bag to the patient's worker, and then said: "You push him into the operating room first, in your situation."

"It is certain that the bone is fractured, but the current fracture situation is not particularly complicated. We can try manual reduction."

"If the manipulation is restored, there is no need for hospitalization and surgery, but if it is not restored, then hospitalization and surgery are necessary."

"If you don't want to try or can't accept the result that the manipulation can't be done, then go to hospital and wait for surgery."

Zhou Cheng is also quite good at blocking the patient's words, so before the patient even selectively asks whether he should not have the operation, he blocks the back road.

"No, no, I'll do manual reset." The patient said quickly.

This does not belong to the category of work-related injuries, so he has to pay for the surgery himself, and even if he cannot work later, no one will subsidize him.

He repaired the house for his elder brother's house, and his elder brother is not a professional, so he reminded them to pay attention to safety.They do this themselves, and they don't take protective measures themselves. Under such circumstances, they can ask their elder brothers for compensation, so the money doesn't come from the wind.

Zhou Cheng smiled: "Whether the manual reset can be reset is not certain. I will prepare the materials and tools for manual reset first, and you may have to wait for me for a while."

When hearing these words, Tan Min at the nurse station frowned slightly.

When the patient entered the operation room and Zhou Cheng went to the equipment room to prepare plaster, local anesthetics and other supplies, Qin Min sneaked into the equipment room and asked:

"Zhou Cheng, are you really going to reset his hand?"

"Is this too risky?" She was a little worried about Zhou Cheng's recklessness.

Zhou Cheng explained, "No, Miss Tan Min."

"Fracture manipulative reduction and plaster external fixation is a first-level operation. Yesterday, Director Cai authorized me a first-level operation. Moreover, anyone who performs manual reduction may fail, so just make it clear." Zhou Cheng is also impossible. Bao Dalan just smiled.

After hearing this, Qin Min was surprised and said, "Oh? Have you also been authorized for surgery?"

"Other rules and training?"

"Miss Qin Min, keep your voice down." Zhou Cheng interrupted quickly. There are still many people working in the department and they haven't gone back. Zhou Cheng doesn't think that he needs to be exposed about getting authorization for surgery, and then there is a commotion.

……

PS: Please collect, recommend, and follow up!
(End of this chapter)