medical simulator
Chapter 5 Inside Volumes Start small!
Chapter 5 Inside Volumes Start small!
After Zhou Cheng got acquainted with the patient himself, it was time to hand over the shift early.
After the on-duty doctor and the on-duty nurse handed over the general situation of yesterday's new admissions and surgical patients, the right to speak was handed over to the director.
The director of the ward is Yan Haihan, a middle-aged man in his 50s, with a medium build, thin body, slightly dark skin, a little hot temper, and a lot of prestige in the department.
Yan Haihan said: "Let me emphasize again, safety is the first priority, safety is the first priority, and the director who leads the team must take responsibility."
"In addition, it is necessary to strengthen the teaching work of the regular trainees and graduate students in our department."
"The hospital now attaches great importance to the teaching situation of each department!"
"Even the hospital has even given the number of places to stay in the hospital. We have two wards in the orthopedics department, and there are two places in total. Comrades in our department, Gui Peisheng, you have to work hard. This is your senior brothers and sisters from the previous sessions. There is no chance."
Yan Haihan's words obviously encouraged many people. Zhou Chengyou noticed that the eyes of Zhang Zhengquan and Du Yanjun in his group became brighter.
Finally, after the shift was over, Luo Yun took Zhou Cheng and Du Yanjun to the ward rounds. Chief Physician Cai Dongfan was in the outpatient clinic today and was at the outpatient clinic on time at eight o'clock, so he didn't even attend the early shift.
There are three groups in the department, with a total of 48 beds including extra beds!The three groups are divided equally, each group has sixteen beds.
The beds belonging to Cai Dongfan are 25-36 beds, +9 to +12 beds.
There are only three doctors in charge of the bed, and each person has an average of five to six beds.
Zhou Cheng and Zhang Zhengquan are two people, each with five beds.
Du Yanjun manages six beds by himself, and the extra bed is because Du Yanjun is a graduate student in the department, so he needs more learning opportunities.
However, having more beds does not necessarily mean that there are more learning opportunities. Now the department is not full of patients, and there are only twelve patients in Zhou Cheng's group.
Ward rounds are daily rounds. Under the leadership of Luo Yun, after a detailed look at the existing twelve patients.
Then Luo Yun looked at the duty list again and said, "Is it Yan Jun's turn to be on duty again today?"
Because Du Yanjun is on duty, Luo Yun, as Du Yanjun's superior doctor, needs to be on the second-line shift.The time is not fixed.
There are a total of ten people in the department, and each person has three sets of classes per month.
In any case, Luo Yun will also be on duty for nine second-line consulting classes, mainly dealing with emergency patients.
"Yes, Teacher Luo." Du Yanjun nodded.
Then said: "It's okay, Mr. Luo, I can call you anytime if there is a situation. You can come back in time."
Du Yanjun wanted to reassure Luo Yun that he was in the department and took care of common emergency patients, so he would not trouble Luo Yun.
Of course, asking this question is also a test. If Luo Yun dares to let go more, then he will have more opportunities to operate. The more opportunities to learn and operate, the greater the chance of getting a place in the hospital in the future.
Zhang Zhengquan frowned slightly when he heard the words, and thought to himself.
Has this scheming boy, Du Yanjun, started desperately involving himself from now on?
But he has a natural advantage. The director who leads the group is a teacher, so Luo Yun and Cai Dongfan must be more at ease to let him go. If he and Zhou Cheng don't have such a natural status advantage, everything has to be done by themselves. strive for.
Luo Yun thought for a while, nodded and said, "Okay, I won't go far either, if you have any questions, please call me anytime."
After all, Luo Yun was following Cai Dongfan's doctor, and Du Yanjun was Cai Dongfan's student, and Luo Yun himself had a doctor's qualification certificate, so there was nothing wrong with being on duty alone.
However, in order to balance the psychology of Zhang Zhengquan and Zhou Cheng, Luo Yun said again: "Zhou Cheng, Zhang Zhengquan, after you finish the preoperative preparations for tomorrow's surgery patients today, don't go far away."
"If there is an emergency operation, you may be on stage."
"Okay, Mr. Luo. I don't have patients for surgery tomorrow, and I have time anytime today." Zhang Zhengquan immediately raised his hand and volunteered.
Compared to Zhang Zhengquan's initiative, Zhou Chengcheng was a step slower, and he also nodded to Luo Yun.
"Okay, Teacher Luo."
I sigh in my heart, I am not the only one who is not willing to die.
……
Zhou Cheng happened to have a preoperative patient. Tomorrow, he had to arrange an operation. It was a simple fracture of the distal fibula. It was the fifth day after the injury. At present, the swelling of the calf has subsided and the operation can be performed. What Zhou Cheng has to do is to carry out the operation Routine preoperative talk and sign these.
Then, by the way, inform the patient and the patient about the risks associated with the operation, and obtain informed consent.
Only then can the corresponding operations be performed.
……
There is a template for signing the conversation, and Zhou Cheng can memorize the risks related to fractures, so Zhou Cheng finished signing the conversation before eleven o'clock, and then informed the patient and family members of the corresponding precautions, because Du Yan Jun is on duty and can help him track down the blood test results of postoperative patients.
I went back to the dormitory.
In the afternoon, Du Yanjun reported that the patient's blood test results were good after the operation, and Zhou Cheng was relieved.
Then start emulator simulation with peace of mind.
Zhou Cheng is quite looking forward to it. Now that he starts the game with two skills, he won't be in a bad situation, right?
get started.
[Are you sure you have the skills to carry: open reduction and intramedullary nailing for fractures (proficient), simple open reduction and plate and screw internal fixation for fractures (introductory) to start the simulation? 】
Yes!
[You have seen many patients with fractures. 】
[You know that you can't easily try the main operation and make fun of the patient, so you decide to hide your strength and bide your time. 】
[Your knowledge of anatomy and traumatic fractures is very solid, and you were quickly appreciated by your superiors. 】
[You started to cooperate with the superior physician to perform open reduction, plate and screw internal fixation of fractures. In the collaborative operation, you performed extremely well, which made your superior physician admire you. 】
[In the first month, your superior physician felt that you could perform the operation alone, so he was willing to give you the opportunity to perform the operation. 】
It's been a month since I went on stage for fracture surgery, so this time it shouldn't be too bad.
Keep going……
[The level of surgery you performed is no less than that of the director of the department, and you started to move towards closed reduction and intramedullary nailing of fractures.Your senior doctor was very impressed by your surgical talent and recommended you to the hospital. 】
【Your superior doctor thinks that you are a talented person, and let you start learning open reduction, plate and screw internal fixation for complex fractures. 】
[In the third month, you once again gained the trust of the superior physician, and you started to be the chief surgeon of open reduction, plate and screw internal fixation for complex fractures. 】
[Because you have proficiency skills, you have successfully completed the first complex fracture operation, even more beautifully than your superior doctor, who attaches great importance to you...]
[After half a year, you successfully got the opportunity to be hired by the academy. 】
[Your superior physician started to develop business in the direction of pelvic fractures. You have little understanding of pelvic fractures, but your superior physician still encourages you, I hope you will not give up...]
[One year later, you have made considerable achievements in the field of basic limb fractures, and you can gain a firm foothold in the department.But your progress in pelvic fractures is still very slow, and your superior doctor feels that the department is restraining you, so he decides to send you to further study...]
Seeing this, Zhou Chengcai breathed a sigh of relief. Has he finally got on the right track and started to go out to study?
Zhou Cheng laughed.
PS: Ask for collections, ask for recommended tickets.
(End of this chapter)
After Zhou Cheng got acquainted with the patient himself, it was time to hand over the shift early.
After the on-duty doctor and the on-duty nurse handed over the general situation of yesterday's new admissions and surgical patients, the right to speak was handed over to the director.
The director of the ward is Yan Haihan, a middle-aged man in his 50s, with a medium build, thin body, slightly dark skin, a little hot temper, and a lot of prestige in the department.
Yan Haihan said: "Let me emphasize again, safety is the first priority, safety is the first priority, and the director who leads the team must take responsibility."
"In addition, it is necessary to strengthen the teaching work of the regular trainees and graduate students in our department."
"The hospital now attaches great importance to the teaching situation of each department!"
"Even the hospital has even given the number of places to stay in the hospital. We have two wards in the orthopedics department, and there are two places in total. Comrades in our department, Gui Peisheng, you have to work hard. This is your senior brothers and sisters from the previous sessions. There is no chance."
Yan Haihan's words obviously encouraged many people. Zhou Chengyou noticed that the eyes of Zhang Zhengquan and Du Yanjun in his group became brighter.
Finally, after the shift was over, Luo Yun took Zhou Cheng and Du Yanjun to the ward rounds. Chief Physician Cai Dongfan was in the outpatient clinic today and was at the outpatient clinic on time at eight o'clock, so he didn't even attend the early shift.
There are three groups in the department, with a total of 48 beds including extra beds!The three groups are divided equally, each group has sixteen beds.
The beds belonging to Cai Dongfan are 25-36 beds, +9 to +12 beds.
There are only three doctors in charge of the bed, and each person has an average of five to six beds.
Zhou Cheng and Zhang Zhengquan are two people, each with five beds.
Du Yanjun manages six beds by himself, and the extra bed is because Du Yanjun is a graduate student in the department, so he needs more learning opportunities.
However, having more beds does not necessarily mean that there are more learning opportunities. Now the department is not full of patients, and there are only twelve patients in Zhou Cheng's group.
Ward rounds are daily rounds. Under the leadership of Luo Yun, after a detailed look at the existing twelve patients.
Then Luo Yun looked at the duty list again and said, "Is it Yan Jun's turn to be on duty again today?"
Because Du Yanjun is on duty, Luo Yun, as Du Yanjun's superior doctor, needs to be on the second-line shift.The time is not fixed.
There are a total of ten people in the department, and each person has three sets of classes per month.
In any case, Luo Yun will also be on duty for nine second-line consulting classes, mainly dealing with emergency patients.
"Yes, Teacher Luo." Du Yanjun nodded.
Then said: "It's okay, Mr. Luo, I can call you anytime if there is a situation. You can come back in time."
Du Yanjun wanted to reassure Luo Yun that he was in the department and took care of common emergency patients, so he would not trouble Luo Yun.
Of course, asking this question is also a test. If Luo Yun dares to let go more, then he will have more opportunities to operate. The more opportunities to learn and operate, the greater the chance of getting a place in the hospital in the future.
Zhang Zhengquan frowned slightly when he heard the words, and thought to himself.
Has this scheming boy, Du Yanjun, started desperately involving himself from now on?
But he has a natural advantage. The director who leads the group is a teacher, so Luo Yun and Cai Dongfan must be more at ease to let him go. If he and Zhou Cheng don't have such a natural status advantage, everything has to be done by themselves. strive for.
Luo Yun thought for a while, nodded and said, "Okay, I won't go far either, if you have any questions, please call me anytime."
After all, Luo Yun was following Cai Dongfan's doctor, and Du Yanjun was Cai Dongfan's student, and Luo Yun himself had a doctor's qualification certificate, so there was nothing wrong with being on duty alone.
However, in order to balance the psychology of Zhang Zhengquan and Zhou Cheng, Luo Yun said again: "Zhou Cheng, Zhang Zhengquan, after you finish the preoperative preparations for tomorrow's surgery patients today, don't go far away."
"If there is an emergency operation, you may be on stage."
"Okay, Mr. Luo. I don't have patients for surgery tomorrow, and I have time anytime today." Zhang Zhengquan immediately raised his hand and volunteered.
Compared to Zhang Zhengquan's initiative, Zhou Chengcheng was a step slower, and he also nodded to Luo Yun.
"Okay, Teacher Luo."
I sigh in my heart, I am not the only one who is not willing to die.
……
Zhou Cheng happened to have a preoperative patient. Tomorrow, he had to arrange an operation. It was a simple fracture of the distal fibula. It was the fifth day after the injury. At present, the swelling of the calf has subsided and the operation can be performed. What Zhou Cheng has to do is to carry out the operation Routine preoperative talk and sign these.
Then, by the way, inform the patient and the patient about the risks associated with the operation, and obtain informed consent.
Only then can the corresponding operations be performed.
……
There is a template for signing the conversation, and Zhou Cheng can memorize the risks related to fractures, so Zhou Cheng finished signing the conversation before eleven o'clock, and then informed the patient and family members of the corresponding precautions, because Du Yan Jun is on duty and can help him track down the blood test results of postoperative patients.
I went back to the dormitory.
In the afternoon, Du Yanjun reported that the patient's blood test results were good after the operation, and Zhou Cheng was relieved.
Then start emulator simulation with peace of mind.
Zhou Cheng is quite looking forward to it. Now that he starts the game with two skills, he won't be in a bad situation, right?
get started.
[Are you sure you have the skills to carry: open reduction and intramedullary nailing for fractures (proficient), simple open reduction and plate and screw internal fixation for fractures (introductory) to start the simulation? 】
Yes!
[You have seen many patients with fractures. 】
[You know that you can't easily try the main operation and make fun of the patient, so you decide to hide your strength and bide your time. 】
[Your knowledge of anatomy and traumatic fractures is very solid, and you were quickly appreciated by your superiors. 】
[You started to cooperate with the superior physician to perform open reduction, plate and screw internal fixation of fractures. In the collaborative operation, you performed extremely well, which made your superior physician admire you. 】
[In the first month, your superior physician felt that you could perform the operation alone, so he was willing to give you the opportunity to perform the operation. 】
It's been a month since I went on stage for fracture surgery, so this time it shouldn't be too bad.
Keep going……
[The level of surgery you performed is no less than that of the director of the department, and you started to move towards closed reduction and intramedullary nailing of fractures.Your senior doctor was very impressed by your surgical talent and recommended you to the hospital. 】
【Your superior doctor thinks that you are a talented person, and let you start learning open reduction, plate and screw internal fixation for complex fractures. 】
[In the third month, you once again gained the trust of the superior physician, and you started to be the chief surgeon of open reduction, plate and screw internal fixation for complex fractures. 】
[Because you have proficiency skills, you have successfully completed the first complex fracture operation, even more beautifully than your superior doctor, who attaches great importance to you...]
[After half a year, you successfully got the opportunity to be hired by the academy. 】
[Your superior physician started to develop business in the direction of pelvic fractures. You have little understanding of pelvic fractures, but your superior physician still encourages you, I hope you will not give up...]
[One year later, you have made considerable achievements in the field of basic limb fractures, and you can gain a firm foothold in the department.But your progress in pelvic fractures is still very slow, and your superior doctor feels that the department is restraining you, so he decides to send you to further study...]
Seeing this, Zhou Chengcai breathed a sigh of relief. Has he finally got on the right track and started to go out to study?
Zhou Cheng laughed.
PS: Ask for collections, ask for recommended tickets.
(End of this chapter)
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