medical simulator

"Papa!" Ding Changle clapped his hands and said after several rounds of red envelope bombardment.

"Today, the first day of the new year, I would like to solemnly introduce a new general in the department to you all."

After Ding Changle said this, everyone turned their attention to Zhou Cheng who was sitting in front of the computer, and probably understood what Ding Changle was going to say.

"It seems that everyone understands that the chief inpatient in our department has been replaced by Dr. Zhou Cheng and Xiao Zhou. Everyone applauds and welcomes him. From now on, he will be the chief steward of our medical team."

"Head nurse, you, the big housekeeper in the department, should take good care of our Comrade Xiao Zhou." Ding Changle confessed so deliberately.

The head nurse is the big steward of the department. This is general knowledge, almost in charge of the various chores in the department. Which bed should be arranged for the medicines, consumables, and inpatients in the department? What should I do if there is no bed? The bed, what is out of stock, and when it is available, it is all under her control.

The head nurse, surnamed Tang, is about 30 years old. She doesn't look old, but there are already signs of age. With light makeup and phoenix eyes, she looks quite shrewd and capable.

He accepted Ding Changle's words with a smile and said, "Director, don't worry, I can't take care of the matter of letting Xiao Zhou have a few more girlfriends. Other things are easy to talk about."

Zhou Cheng was a little stunned for a while by this vigorous remark.

Everyone in the department laughed, and following Tang Xiaoyu's words, many nurses flirted with the tall and tall Zhou Cheng.

The nurses in the Affiliated Hospital of Shonan University started with a bachelor's degree, and there is no limit to their academic qualifications.

And in the hospital, there are a lot of highly educated people, and there are not a few of them who are strong, but there are really few who are as young as Zhou Cheng, who can still maintain such handsomeness after a long time of suffering.

Even Yang Yifeng, who was the youngest and most promising in the department before, was quite mediocre in appearance, so compared to his handsome appearance, he was still far behind Zhou Cheng.

Zhou Cheng knew that after work, he was no longer as rigorous as when he was a student, and he had to listen to and catch jokes, so he smiled and said, "Thank you for the care of the head nurse, and try to let the head nurse think about taking care of you earlier with a few girlfriends."

Tang Xiaoyu was full of love for a moment: "Director Ding, Dr. Zhou is very interesting."

Ding Changle waved his hand: "Head nurse, please don't think that Xiao Zhou is just talking about it, he is half as good at what he says, so I don't think you need to ask me, head nurse, about this matter."

"Okay, let's not gossip too much. Next, let's all claim the people in our group."

"Tianzhu, the new junior doctor in our team, you are in charge of approaching him."

"Zhou Cheng, you belong to Professor Cai's group, the junior physicians in your group, you took it by yourself and allocated the beds carefully. And then, in Director Wang's group, Director Wang?"

Wang Yunfa looked at a small man standing far away, and immediately a mature-looking man who was only about 1.5 meters tall said: "After the bed doctor in Director Wang's group finished his shift, he came to report to me and was in charge of the bed. . "

Ding Changle just smiled.

Then the shift is about to end: "Let's go to work first, there are not many things to do, and the grouping, bed allocation, and on-duty matters should be determined early. In addition, Xiao Zhou, you can arrange the second-line class and the third-line consulting class in our department. Things should be implemented as soon as possible.”

"It's still the same as before. The second-line class is responsible for dealing with emergency miscellaneous. When you encounter an emergency problem that cannot be solved, you call the second-line class. The third-line class is responsible for general consultations that require trauma surgery in the hospital."

"One thing, from now on, in our ward, there are cases of level 4 and level 5 medical records. The bed doctor is responsible for it himself. If the medical records are not filed in time, the general inpatient is responsible!"

"The general hospitalization must be promptly urged."

"So be it."

After Ding Changle finished speaking in a grand manner, Zhou Cheng raised his hand and shouted, "Professor Ding, let me say one more thing."

"At 09:30 in the morning, all the bed doctors will come to the shift room again. We will hold a small meeting, which belongs to this month's small work meeting.
If the rules are set in detail, only the bed doctor is required to participate.Thanks everyone! "

Then, everyone dispersed.

After hearing Zhou Cheng's words, Ding Changle, Wang Yunfa and the others all laughed at each other. It seems that Zhou Cheng went to Shanghai No. [-] Hospital this week, and really gained a lot of knowledge. He took over the task of the general hospitalization and entered the state. Get in very fast.

Around 08:30, there was basically no ward rounds.

Some interns who came to rotate arrived one after another. The graduate students and regular trainees who rotated were obviously much more courageous, so they were all crowded at the door of the doctor's office at the moment, introducing and discussing with each other casually——

Which department did you study in before?How many years are you training this year?Do you know if the boss at the Emergency Trauma Center is vicious?What's the difference from the emergency department below, these.

In addition, the interns stood in a row with their backs facing the wall of the doctor's office, well-behaved, not daring to move.

Looking at the white coats coming and going, I don't know who to look for. When a person comes, a row of people just turn their heads and pass by, as if the person who walked by can take me and others away, with such anticipation on his face .

Zhou Cheng knew that after he took over the work of the general hospitalization, in addition to taking on the responsibility of the department's doctor's orders, medical record writing, daily rescue, consultation, etc.
But before Zhou Cheng started to take over the work, he already knew the name of the junior doctor sent to the trauma surgery department by heart...

"Who are the trainees in this batch of new departments?" At 09:30, Zhou Cheng appeared at the door of the shift room on time again, walked over directly, and asked the people standing at the door.

When everyone heard the voice, they knew that it was the boss of the trauma surgery department, they turned around quickly, and then saw someone who was not a few years older than them, who was almost the same age calling them.

But when he looked at the opponent's badge again, there was a more or less surprised look on his face.But what I think in my heart is that maybe others are young, but they are not young anymore.

The resident physicians and graduate students immediately stood in a row.As well-behaved as an intern.

There were twelve people in total.

Zhou Cheng continued to ask: "Which people have a doctor's qualification certificate? Who do not have a certificate, tell me."

Ask them if they have a certificate, mainly for the purpose of arranging duty.Only with a doctor's qualification certificate can he work the night shift alone, otherwise, he can only work as a follower. He has to determine when he can be a little lazy.

To take the doctor's qualification certificate test, you must be affiliated with the unit or study for a graduate student for one year after graduating from an undergraduate degree before you can apply for the test. Only after passing the test can you get a certificate.

At that time, five or six people raised their hands.

After careful inquiry, I found out that among the graduate students and resident trainees assigned this time, two are first-year graduate students, and one has just entered the regular training without a certificate.

In addition, there are three other students who have not passed the examination this year and need to come back next year. Among them, two of them are suspended in the operation, and one graduate student failed in Waterloo during the written examination.

It is equivalent to only six people who can be on duty alone. Zhou Cheng sighed with emotion. If six people work in shifts, they must rotate a shift in five days. This shift is a bit too much!

"How about this, you guys with certificates and those without certificates are divided into two teams. Counting today, we have a total of 26 days in this month. We will randomly arrange shifts. For the remaining two days, brothers with certificates will work harder."

"When an uncertified bed doctor is on duty in the ward, he must remember to call and send me a message if he has something to do. I will be in the hospital 24 hours a day."

"I assigned them randomly. If you have other ideas in private, you can bring them up now!"

"Then if someone you know wants to change to a group, you can negotiate and resolve it yourself. The grouping problem was assigned by the previous boss, and I am new. time, reprint it and stick it on the wall. It’s a random shift.”

"Everyone should not have any opinions. If there is a need to change shifts, you must notify me in advance. Only with my consent can you change shifts."

"didn't hit

Greetings, without my consent, I couldn't find the doctor on duty in the department, so I called me, I will call three times, and give you three chances.If you can’t get through the phone, just call the Education Office and Graduate School and ask them to come to you. "

"At that time, you will need to re-rotate or your tutor will take you back to your own official church. Everyone will know what the consequences will be."

"That's how everyone came here."

"There are basically no other precautions."

Zhou Cheng said it very seriously at the moment, and he also became the cold-faced Yan Luo that he hated the most when he lived in Peipei.

Back then when Zhou Cheng was training, every department head who was in charge of arranging the personnel would also use the training office to threaten him. Zhou Cheng felt that this person was too ruthless at the time, but he never thought that one day he would become such a person .

But there is no way, if not, the on-duty system in the department will not be well managed.In case of an accident, if the doctor on duty cannot be found, what should I do if the patient is gone?
Twelve people shook their heads and nodded at that time. Looking at Zhou Cheng, who was tall but petite, they put a serious label on him in their hearts.

"I just want to emphasize one more point. If you encounter any clinical problems, call and ask more questions!"

"The current phone bill is not expensive. If you can't afford it, remember to call me at any time. I will be responsible for your phone bill for this month. Are you clear?"

"Including medication and other issues, everything is subject to the arrangement of the superior. You prescribe whatever the superior physician asks you to prescribe. Don't make up and understand it yourself. Don't think that the superior physician is less solid than your pharmacology."

"If you feel that after thinking about it, you still think that the superior doctor is wrong, then go to consult and discuss it, and learn from each other. Don't even go to the superior doctor without checking the doctor's order!!!"

"The chance of a superior doctor making a mistake is one-tenth of yours, understand?"

Everyone nodded, this is not a super cute newcomer who just came to the department for the first month of training.

"There is nothing else to do. People in our group, stay here. I will explain the rules of our group to you in detail. Everyone else can go to work on their own."

Zhou Cheng gave an order, and eight people left the shift room one after another.

Then Zhou Cheng asked the four people in his group: "Are there any orthopedic graduate students and regular students among you?"

One person nodded, raised his hand and said, "Mr. Zhou, I am a student of Mr. Ning Wang in the Fourth Department of Orthopedics, a first-year graduate student this year. My name is Xie Wenhua."

"Okay, I see. What about the others?"

Li Chongyue also raised his hand, Zhou Cheng glared at him: "You don't need to talk."

Only then did Li Chongyue let go of his hands again.

This Li Chongyue belongs to the one without a certificate.

"Yan Jun, bring in the interns, and I'll assign them where to go." After Zhou Cheng made the arrangements, he called Du Yanjun.

Du Yanjun is Cai Dongfan's professional doctoral candidate. He is currently the long-term attendant in the group. When Zhou Cheng is away, Du Yanjun is in charge of the small affairs of the general hospital. But after all, when Zhou Cheng is here, Du Yanjun can only retreat temporarily. The second line, there is still a long time for him to do things in the future.

After calling a few people to leave, Zhou Cheng made another round of arrangements for the interns.

There are ten interns from Hunan University School of Medicine, Hengda University, and Hunan Normal University. There are ten interns in total, four girls and six boys.

Zhou Chengcheng kept four in his own group, and sent the other six to the other two groups. He then carefully explained some rules to the people in his own group, such as which medicines are routinely prescribed after surgery, and which medicines should not be taken. When I come to the orthopedics department, which general surgery doctor's orders should not appear, etc...

In this way, Zhou Chengcheng basically set the rules, and then looked at the time, it was already close to eleven o'clock.

Ding Changle and other senior doctors came in again, mainly Wang Yunfa and Ding Changle brought their team over.

The senior doctors all knew Zhou Cheng, and they nodded kindly to him, beckoning him.

Hu said: "Xiao Zhou, come to work? Are you still used to it?"

"It's okay. Thank you, Teacher Wang, and Teacher Ding for your concern."

"Brother Xiao, Brother Shen, Brother Kun, Brother Ding Dang. I'm Zhou Cheng, you can call me Xiao Zhou." Zhou Cheng nodded and politely met other senior doctors in the department.

Professor Cai Dongfan's group now only has Associate Professor Guangyan Hu and Zhou Cheng as a general inpatient.

Professor Wang Yunfa's group also followed an associate professor Fang Xiao and Du Xiaoshen's attending physician.

Professor Ding Changle's group has the largest number of people. The first associate professor is Qin Tianzhu, who has dealt with Zhou Cheng many times. There are two attending doctors, one is Nong Zhengkun and the other is Ding Dang.

This Ding Dang has nothing to do with Ding Changle, it is purely a coincidence that they are all surnamed Ding.

These people were all Zhou Cheng's superior physicians.

Ding Changle and the others haven't spoken yet.

"Didi Didi~~~~~~"

"Drip, drop, drop, drop ~~~~~~"

The magical ringtone that belonged exclusively to the old-fashioned Lugia mobile phone rang, and Zhou Cheng couldn't hang up, so he could only apologize and leave the shift room.

The phone number of the general hospital is 24 hours, no matter what the occasion, you can't hang up at will.So Ding Changle and the others could also understand, and continued to pretend that Zhou Cheng didn't exist: "Well, other things are fine."

"Professor Wang, let's all pay attention to the quality of surgery in the new year. A treasure like Xiao Zhou is in the department. Everyone takes what they need, and cooperates with each other to make progress together."

Wang Yunfa said to the people in his group: "Have you heard clearly? If you don't know what Xiao Zhou has done, go to Baidu."

Qin Tianzhu jokingly said: "Professor Wang, Baidu is still less than Baidu, pubd is almost the same."

"Haha!" Wang Yunfa laughed.

Ding Changle just went out, Zhou Cheng greeted him, and said with apologetic face: "Professor Ding, there is an emergency down here, and it is likely to go directly to the stage."

"Hurry up and get a consultation. Today is your first day in the hospital. How can you spend so much time? When new bed doctors come, you have to blindly allocate their beds one day in advance. There is no room for picking and choosing." , Whoever is lucky, manages the patients easily, it all depends on luck." Ding Changle immediately started cursing at Zhou Cheng.

"Come to learn and pick and choose, you can stand them!"

Ding Changle no longer has the energy he used to have.

There is a kind of attitude that if you are trapped in the department and the contract is signed, you will have nowhere to run.

Zhou Cheng was a little guilty, mainly because he had just been admitted to the general hospital, and he was not very proficient in these tasks, and he was not ruthless enough, and he hadn't learned the ruthlessness of the senior doctors who assigned bed doctors he had met before.

I want to try my best to be considerate of the junior doctor, but in fact, the clinic will not give him too much time to take care of the subordinate doctor's emotions, because there are still lives waiting for him.

After listening to Ding Changle's scolding, Zhou Cheng quickly put his stethoscope in the direction of the emergency department...

Ding Changle waited in the department for an hour, but he didn't see Zhou Cheng return to the department to meet with him, the director, to discuss the salary again. : "Xiao Zhou, how is your situation?"

While answering the phone, Zhou Cheng said, "I'm sorry, Professor Ding, I'm a little slow here. The operation is over. I'll be back to the department right away!"

Hearing what Zhou Cheng said, Ding Changle looked at the time, and it was less than 12:30, that is to say, Zhou Cheng completed one operation in less than an hour. The speed of this operation seems to be okay.

According to Zhou Cheng's previous experience as the chief surgeon, it is impossible for Zhou Cheng to be perfunctory in the operation of the operation.

So he said: "Come up after the simple operation. I thought you just became the boss, and you are just like Zou Qian before. You have to report to me for any operation?"

When Ding Changle said this, he was a little relieved. There is a general inpatient specializing in orthopedics, and he is very friendly to him, and he can handle many surgeries by himself!
Zhou Cheng
Upon hearing Ding Changle's words, he asked in a slightly strange tone: "Professor Ding, I forgot to ask you. I am currently in the trauma surgery department of our hospital, do I have level [-] surgical authority?"

Ding Changle thought about it for a while. It seems that Zhou Cheng's operation in Shanghai No. [-] Hospital had a great impact, so the medical department authorized most of the operation authority to Zhou Cheng in the hospital, but he couldn't be sure.

He replied, "Should there be?"

"No, why are you asking me this? What was the emergency operation you just had? A fracture with vascular injury?"

For small, simple emergency operations, only fractures associated with nerve or blood vessel injury can be classified as a fourth-level operation, otherwise it is a third-level operation.The chief resident physician and the medical department will still give permission for routine tertiary surgery.

Even if he didn't have time to give it, but issued the signboard of the general hospital, that is also the responsibility of the medical department!

The issue of Zhou Cheng's professional title was originally a special case. Even if Zhou Cheng's operation was discovered, it could only be because of the medical department's dumb eating coptis.What's more, they should have expected Zhou Cheng to have an operation, otherwise why did you bring Zhou Cheng to the hospital?
"Just one open comminuted fracture of the pelvis, classified as C1. It was also accompanied by partial damage to the femoral artery. I saw that the damage to the blood vessel was not too serious, so I dealt with it together!"

After Zhou Cheng replied on the phone, he said, "Professor Ding, let me change my clothes first!"

Ding Changle was stunned for a moment after listening, and then looked at the time, it was indeed 27:[-]!

Then he yelled into the phone: "Zhou Cheng, stop! I suffered an open fracture of your pelvis for more than an hour???"

"Run back to the operating room and see if the sutures are finished!"

"The patient has not left the operating room, even if you die, you will die in the operating room, and you are not allowed to come out!"

While cursing, he took off his white coat and ran towards the elevator.