medical simulator

"Hi, Teacher Du. Hello, I'm Zhou Cheng, yes, I'm the internship supervisor of the Department of Orthopedics." After Zhou Cheng left the office, he received a call from the Clinical College.

Shonan Medical College Affiliated to Shonan University has the School of Basic Medicine, the First Clinical College, the Second Clinical College, and the Third Clinical College.

The Affiliated Hospital of Shonan University is the First Clinical College. After the third year of undergraduate studies, they will be divided into different clinical colleges. Mr. Du is the person in charge of the Academic Affairs Department of the First Clinical College.Responsible for the internship rotation of undergraduate students.

Zhou Cheng himself didn't know his position in the Department of Orthopedics. He only found out after asking Professor Lei Zhong that the Department of Orthopedics attaches great importance to him now, so he directly nominated himself as the intern supervisor.

Another associate professor of joint surgery is the supervisor of the resident training.

"Isn't that okay? Mr. Du, we already have twelve interns in the Department of Traumatology, and we can't add any more. We have more than 40 interns in the Department of Orthopedics, all from different universities."

"Yes, Hengnan University also has them."

"I'm sorry, Mr. Du, we attach great importance to the rotation of internships, and we didn't deliberately make things difficult for the interns." Zhou Cheng quickly apologized!
During the period of attending physician, there is a requirement to teach, which will be judged by the Academic Affairs Department of the First Clinical College. If you fail, you will be rejected by one vote, and the promotion to associate professor will be delayed!
Associate Professor is a teaching title, which is different from Deputy Chief Physician. Zhou Cheng wants to climb the ladder, so he must be responsible for such things.

"Yes, yes, I will ask the professor of orthopedics. We will conduct internal self-examination with teaching staff, and each ward will keep records!" Zhou Cheng hurriedly promised!
After hanging up the phone, Zhou Cheng felt a little tired.

Although the hospital is for their own good, it is indeed a bit powerless to add so many burdens at once.

But after work, wherever there is any easy work, I still have to carry it.

Currently, the Affiliated Hospital of Shonan University has five wards in total.

Trauma surgery, hand surgery, orthopedics, joint surgery, sports medicine, a total of five general hospitalizations, Zhou Cheng is the boss of trauma surgery.

Therefore, Zhou Cheng also needs to contact the bosses of several other wards, and ask them to make arrangements and plans for the professor to bring the interns to teach the ward rounds.

Zhou Cheng did not call Professor Lei Zhong directly, but passed through a large group of internal orthopedic staff.I found the WeChat accounts of several bosses, and was eventually drawn into a small group.

After finishing the group, Du Yanjun walked in: "Brother Cheng, tomorrow's operation has been arranged, do you want to verify it?"

The Affiliated Hospital of Shonan University divides the operation days.

Monday and Wednesday are Professor Ding's surgery days.Thursday is Cai Dongfan's operation day, and Tuesday and Friday are Professor Wang Yunfa's operation day.

Cai Dongfan's group has the fewest patients, so there is only one operation day a week, and all patients in the group should be properly arranged for surgery.

Emergency surgery is not included in the emergency surgery channel.

Even the matter of teaching undergraduates is still urgent, and the matter of arranging surgery still needs to be confirmed. Zhou Cheng took the information and looked at it.

During the previous ward rounds, the hospital beds in the group were already full, and the patients assigned by Ding Changle and Professor Wang Yunfa were all waiting for surgery.

"No problem, let's arrange it according to this, Yan Jun, thank you for your hard work. I should arrange these things." Zhou Cheng returned the operation schedule to Du Yanjun.

During the ward rounds, he had already said that Zhou Cheng would check the operation method, anesthesia method, approximate operation cost and so on.

Du Yanjun is now a professional Ph.D., but he is always in the hospital as a follower, so he will assist Zhou Cheng in these tasks.

"Brother Cheng, I should do everything. We are brothers, and you are covering us." Du Yanjun cast a special look at Zhou Cheng, which was very meaningful.

"Don't tell the outside world. I will ask you to come on stage more as appropriate for the emergency surgery in the future. You go and tell your junior brother that he is a bed doctor. He has to follow the rules and first come, first served. There is no way."

"Although now we

The group has a general hospitalization, but the department still needs to make overall arrangements for learning opportunities. I will arrange an emergency surgery class at that time. If someone is unwilling to come, for example, residents from other departments are unwilling to come to emergency surgery. "

"When the time comes, you can directly call Chongyue and make up for it." Zhou Cheng explained to Du Yanjun more patiently.

"Okay, I see, Brother Cheng, then you should be busy first." Du Yanjun also knows that Zhou Cheng is very busy now.

After Du Yanjun left, Zhou Chengcai sent another message in the group: "Thank you Brother Liang for bringing me into the organization. Let's get together some brothers when you have time."

"Xu Liang, who is this? The boss of the Second Department of Orthopedics?" Another person named Liang Yongping spoke.

Only then did Zhou Cheng see that he hadn't changed the note, so he first reported his family name: "Brother Ping, I'm Zhou Cheng from the Second Department of Orthopedics, and I'm the new chief inpatient this month. Please take care of me in the future."

"@太科一病梁永平, brother Ping, this is the God of Zhou who drove Yi Feng to the vascular surgery department. Just what you said just now is worth four cups."

"@前事适手打板: Little brother Hu Barang, meet the Great Zhou God. The Great Zhou God can call me Xiao Hu or Xiao Gu. If it is not possible, you can also call me Xiao Cang." A person whose comment is Hu Barn in the fourth orthopedic ward , very enthusiastically broke out in the group.

"Xu Liang from the third ward of the Orthopedics Department: My fault, my fault. I just followed Director Lei to make rounds, and I didn't dare to make mistakes. When I saw Da Zhoushen added me as a friend, I quickly pulled him in. There was no way to give Everyone explain."

"I was once Olympic, I was arrested again"

The information has not been sent yet, but everyone understands that this is the current situation of being caught playing with a mobile phone, so the information was quickly sent out to accept criticism.

"Zhou Cheng in the second orthopedic ward." Zhou Cheng also changed his remarks according to the group rules.

"Brother Liang, Brother Cang, Brother Ping, Brother Lei, that's how it is. I just received a message from the Academic Affairs Department of the First Clinical College. Come to our Department of Orthopedics for an examination within a week at the latest, and within two days at the earliest. . "

"Everyone hurry up and fill it up, don't be empty!" Zhou Cheng also made a special point one by one.

"Fuck! How did I find out that our surgery is here? I haven't written it for half a year. @Orthopedics Second Ward Zhou Cheng, thank you God Zhou, there will be similar inspections in the future, brother, please be sure to shout in the group." Orthopedics Zhang Lei in the fifth ward was taken aback.

"Surgery is here for the teaching inspection, are they too busy? It's the start of the school season, so why not organize the start of the school?" Liang Yongping began to complain in the group.

"Da Zhoushen, you should be the intern director of our orthopedics department now, and you must take care of things like this in the future!"

"Everyone should call me Xiao Zhou." Zhou Cheng said politely.

"The only one who can calm a lunatic can only be the Great God, the Great Zhou God, don't be too polite..."

"Zhou Cheng in the second orthopedic ward: I've called the emergency department, see you guys."

"Good luck all around!"

Liang Yongping from the first orthopedic ward withdrew a message.

"Good luck Zhou God!"

On Zhou Cheng's side, there really was an emergency call, but he was still looking at the messages in the group.

After Zhou Cheng connected, he immediately put the mask on his head, tidied up his badge, and walked outside the department.

On the way, a trainee from the department ran over and asked, "Ms. Zhou, can I take a leave of absence? I don't have surgery scheduled for tomorrow, but I have to leave early today, and I will come back in the afternoon to make up for dressing changes. I have already explained to the patient." up."

"Okay, what's the matter?" Zhou Cheng first nodded and agreed.

"My father came to the hospital for an examination. I'll go down and take him." Zhu Pei's voice was not very good, and his expression was a little disappointed.

"If you need help, call me or wechat, and you can do your work. It is also very important to accompany your family to see a doctor." Zhou Cheng understood very well, and hurriedly said: "I have to go to an emergency consultation right now, if I have anything to do, I will wait later call and say."

Zhou Cheng walked towards the elevator, and then sent another message to Du Yanjun: "Yan Jun, please check the doctor's order of Bu Linchen from Professor Wang Yunfa's group.
If you want to correct it, help him correct it. His father came to see a doctor and took a leave of absence. "

"Then ask Chong Yue to contact him, there is an operation to change the medicine, please help."

"Bu Linchen is a resident trainee of other subjects and has no seniors, but we still need to take special care of him."

What Zhou Cheng sent was a voice message, but what Du Yanjun sent back was a message: "Okay, Brother Cheng. I've already made arrangements, and Chong Yue has already contacted."

"Thank you for your hard work!" Zhou Cheng could only make such an arrangement as if he had to tear down the east wall to make up for the west wall.

If a resident doctor asks for leave, he should go to the chief resident within one day, the supervisor of the training for more than one day, and the supervisor of the training for more than three days. These are the rules of the hospital!

Soon, Zhou Cheng saw that in the general inpatient group, the chief inpatients of other departments all—responded, and Zhou Cheng was relieved.

Although he is the intern supervisor of the Department of Orthopedics, the teaching rounds of the interns in each sub-specialty are arranged within the department, and the general inpatient is in charge. He has to notify in place, and it is impossible to go to other wards to check whether others have done it With teaching rounds.

As long as there are information and records on the registration form for teaching rounds.

He really wanted to arrange it.

When he came to the emergency department, as soon as he entered, Zhou Chengcheng knew that there was trouble today, and it was impossible for him to have a chance to catch up on sleep.

The people in the emergency department are doing urgent re-bandaging!
The reason for bandaging again is because the 120 follow-up doctor has already done bandaging once.The doctor in the emergency department is handing over to the people in the emergency department.

It was a severed limb with a severed forearm, and the severed limb had been stored in a storage box.

"Did you call the surgery department? This severed finger is usually their department's business?" Zhou Cheng asked hurriedly, making it clear.

Regardless of whether it is night or day, the first ward of the orthopedics department should deal with severed limbs and severed fingers.

Yesterday's Li Keke, it was because he was an employee of the hospital, Zhou Cheng couldn't ignore the phone call to him.

"Mr. Zhou, I called Mr. Liang from the first department of orthopedics. He said that broken limbs belong to the business of the second department of orthopedics. In the past, Zou Zou, who was in the second department of orthopedics, was not proficient in the business, so the first department of orthopedics passed."

"You are on duty now Mr. Zhou, you should come for the severed limbs. They are mainly responsible for delicate parts such as severed fingers and toes."

"It was indeed divided like this before." A half-Mediterranean in the emergency department explained.

"Is that so? Good!" Zhou Cheng was relieved when he heard this sentence before.

No matter whether it is an emergency department or a regular clinic, if there is a mistake in the distribution of services between different departments, it is easy to cause problems. Zhou Cheng does not want the professors of the Department of Orthopedics to think that he is robbing them of the source of the disease.

But even if everyone in the emergency department said so, Zhou Cheng would still call Ding Changle later.

Zhou Cheng went up and asked the patient's family members: "How long have you been injured? Who are you?"

The injured woman was a woman. It seemed to be a mechanical injury. The stump was hastily bandaged, and a bandage was used to stop the bleeding. At present, the large-scale active hemostasis has stopped, and only the stump is oozing blood.

The spirit is extremely poor, and emergency injuries such as neurosurgery, general surgery, and thoracic surgery are being ruled out, and he is ready to be sent to the operating room for emergency surgery at any time.

"I was injured for two or three hours, and I went to three hospitals, but no one dared to accept me. This is my wife."

"Doctor, you must take my wife in. My brother is an associate professor in your hospital. I will call him for surgery later. You just need to give me a bed." The person who spoke was a A man in his 30s.

Either he is afraid of his wife, or he loves his wife. After saying this, he heard his wife's moan, and ran over quickly.

"Doctors, you should speed up, the problem of paying the money is not a problem, you send it to the operating room first, and I will pay the money right away, it doesn't matter if you see the money and then perform an important operation, but don't let me go The wife healed the hand. "The man held the woman's healthy hand, full of distress.

The doctor in the emergency department explained: "Brother, it's not about money, it's about money.

It is for the sake of life safety, we don't want to find other fatal problems during the operation, it will be troublesome. "

"Although it seems that no other parts are injured, it is still the most important thing to be cautious. Wait for the doctors of our hospital's neurosurgery, thoracic surgery and general surgery to do a simple physical examination before making a decision?"

Such a severed limb injury, because the injury is clear and the diagnosis is clear, is one of the super-emergency surgeries, so CT is generally not a waste of time.

However, because of this, there may be some underlying damage that goes undetected.

After many lessons, everyone dare not be careless.

Zhou Cheng also walked over: "Brother, don't worry, we have checked your wife's condition again, come here, we need to sign."

"Everything is up to the authority. Let's pick and choose the key points and sign directly later to save time. Look good."

However, the elder brother was still on the phone and booed Zhou Cheng.

"Doctor, I can sign the signature right away. I'll call my brother. He is an associate professor in your hospital and also in the orthopedics department. I call him to perform the operation. You can arrange the operation and the hospital bed for me. Okay?" The middle-aged man called once, but the other party didn't answer.

Then he didn't continue to struggle, and took a moment to relax: "He is Associate Professor Ning Ling of your orthopedics department, do you know him? Professor Ning is my cousin, and he will definitely operate on my wife himself."

Zhou Cheng was taken aback by the middle-aged man's words.

Zhou Cheng thought that since the other party was a relative of Associate Professor Ning Ling in the first ward of the orthopedics department, he explained again: "Generally speaking, such emergency operations are handled by the general hospital."

"Currently, I'm in the second orthopedic ward, that is, the general inpatient of trauma surgery. I'm in charge of the replantation of amputated limbs. Are you sure that I don't need to go on stage to deal with it? Do you strongly urge the associate professor of our department to come?"

"If this is the case, you have to sign and confirm, and I will contact you with other associate professors."

The man waved his hand: "Don't worry, I'll call the doctor myself. If you send me to the operating room, don't worry about it. Thank you, brother!"

"Really, you don't even need to contact the associate professor, I can call and sign by myself!"

"I also know it's not easy for you." This man seemed to be very familiar with the rules and procedures in the hospital, and the contents of the signatures were all extremely professional.

"I and my family members refuse the surgical treatment by the chief resident doctor, and strongly request the associate professor to give the treatment, and all the consequences will be paid by themselves."

"Ning Yilong. Relationship with the patient: Husband and wife!" The man wrote two lines of big characters generously, and Zhou Cheng didn't need to point it out at all. It should not be the first time to do such a thing.

Zhou Cheng took a photo directly, and after saving it as a background, he quickly contacted the emergency operating room in the operating room, and then borrowed the computer in the emergency department to type up three documents.

The first is the informed consent form for emergency surgery, the second is the notice for the use of special materials during the operation, the third is the emergency patient admission notice, and the fourth is the power of attorney for the patient's family members. Ning Yilong signed it generously. ...

Another emergency patient came to the emergency department, who had amputated lower limbs. Zhou Chengcheng quickly asked the emergency department to send Ning Yilong's wife to the emergency surgery channel. At the same time, his call to his cousin was also connected... …