Rebirth in the medical world

Chapter 425 The Doctor's Fault Or The Nurse's Fault?

The responsible doctor for the patient is Zhang Xinlai, the deputy director of the department, and Li Danping, the nurse in charge!

Zhang Xinlai is in his fifties this year. The chief physician who was promoted last year is considered a good doctor in Jingdu Hospital. Li Danping is the chief nurse, 32 years old, and is also highly regarded in the hospital.This incident happened to these two people, it really puzzled Ouyang Chenhui!
This medical malpractice is indeed a low-level mistake!It stands to reason that no one with a little medical knowledge would make such a mistake!

The two followed Ouyang Chenhui into the director's office.

"Director Zhang, what's going on?" Ouyang Chenhui asked after closing the door.

Zhang Xinlai looked innocent, he shrugged his shoulders, "How do I know! I told Xiao Li to pull out the patient's urinary catheter during my rounds in the morning, but she actually pulled out the bile drainage tube." Now, I really have nothing to say about this matter, I don’t even know what I’m doing when I’m at work!" Zhang Xin said, shaking his head!
"Director Zhang, I can't say no to you, I want to see the doctor's order! At that time you told me to pull out the bile drainage tube. It's too unfair to put the blame on me now, isn't it?" Li Danping also looked very excited!
Ouyang Chenhui didn't say a word, just watched the two people quarreling quietly, after a few rounds, he almost understood what happened!

It turned out that this patient had an operation the day before yesterday, and the operation process was not smooth. On this point, both of them reached a consensus, but whether Director Zhang ordered the nurse to pull out the T-shaped drainage tube, the two gave an opinion. Two diametrically opposite conclusions!

It turned out that Director Zhang had issued an oral doctor's order before the patient's bed!

Logically speaking, under normal circumstances, oral doctor's orders are not allowed to be carried out, unless it is too late to write written doctor's orders during the rescue process or when the situation is critical!
However, nurses also have requirements when carrying out oral doctor's orders, that is, they must repeat the doctor's orders orally before they can be executed after the doctor's confirmation, and the doctor must supplement the written doctor's orders within the lapse of the completion of the rescue. .

However, this time the incident happened suddenly, and after the bile drainage tube was pulled out, the patient suddenly suffered from acute abdomen, and the credibility of the natural doctor's order was greatly reduced!
"In the doctor's order, I clearly stated that the urinary catheter should be removed. You were not clear-headed and caused this medical accident. I was ruined by you. You still have the nerve to make noise here. Dare you say, this T tube is not Did you pull it out?" Director Zhang was not polite at all!

At this time, the patient's medical records had been brought over, and Li Danping's lips trembled with anger when she saw the words "stop catheter drainage" on the doctor's order!
In black and white, she really has nothing to say!
"Dean Ouyang, there's something tricky about it. At that time, I clearly repeated his doctor's order, and even questioned it. The doctor's order he made up was completely different from what he said at the beginning! It's not fair! If this matter is my responsibility, I'll just jump off the nine-story building!" Li Danping was so emotional that she had obviously lost her mind!
"Okay! I will investigate this matter, but the patient has already caused irreparable damage because of our obsolescence, so the top priority is not to investigate who is right and who is wrong, but to appease the emotions of the patient and the patient's family first. , after the patient is out of surgery, you must take good care of it, and if there is another mistake, no one can escape the responsibility!" Ouyang Chenhui has a headache, and the problems in the cooperation of these doctors and nurses are actually the most difficult to deal with Yes, because this is basically speaking according to conscience, if something involves one's own vital interests, it will inevitably cause disputes!And most of the losers are nurses!

Ouyang Chenhui is a doctor, but he is very considerate of nurses, because nurses do not have the right to diagnose and treat patients independently. The nurse's responsibility is indispensable, because there is a process of three checks and seven pairs in the neglected work process, that is to say, no matter whether the patient's doctor's order is correct or not, they have to check it. If the patient's doctor's order is wrong, they have not If they check it out, then they also have to bear the responsibility. Therefore, in clinical practice, nurses are often the most wronged!
However, this is a systemic problem, and there is currently no way to solve it.Just like this case of medical malpractice, since the doctor has issued a doctor's order, and the doctor refuses to acknowledge the oral doctor's order that he has given, then this responsibility can only be borne by the nurse Li Danping!

Ouyang Chenhui didn't want to bring his own interests to solve the problem, but for these two people, he really felt that it was impossible for anyone to make such a low-level mistake!

"By the way, Dean Ouyang, at that time, there was an intern nurse with Nurse Li, you might as well go to her to investigate!" Director Zhang hurriedly said as if he suddenly remembered this incident.

"That's right! Qi Yunyue was there at the time, she must still remember the scene at that time!" Li Danping also said eagerly as if she had grasped at a straw.

"Qi Yunyue?"

Ouyang Chenhui frowned!
"That's right, that's the trainee nurse from Kyoto University of Medicine and Science. She happened to be following me that day!" Li Danping said first!

"Nurse Li, that's right. We have to solve the problem. Look at you. Why were you so excited just now? Why have you worked together for so long? You know who I am. I'm the kind who casually framed others. Is it someone?" Director Zhang finished speaking, and nodded to Ouyang Chenhui: "Dean Ouyang, I'm going to work first, if there is evidence that it is my problem, I will definitely accept the treatment of the hospital!"

After Director Zhang finished speaking, he turned around and walked out. Ouyang Chenhui noticed a meaningful smile on the corner of his mouth!His heart sank suddenly, and he realized that things must not be that simple!
"Principal Ouyang, I'm going to call Qi Yunyue right now. I can't bear this grievance. I have been an excellent nurse in the hospital for more than ten years. I can't bear this scapegoat!" Li Danping said, also in a hurry. out.

Seeing Li Danping's appearance, Ouyang Chenhui shook his head lightly.

After a while, Li Danping brought Qi Yunyue back to the director's office, and Ouyang Chenhui sat there without moving!

"Yunyue, tell Dean Ouyang about the situation at that time. You are still a student, so you should be able to tell right from wrong, right?" Ouyang Chenhui couldn't bear to watch Li Danping's almost collapsed expression!
After Qi Yunyue entered the office, her eyes were always evasive, which gave Ouyang Chenhui even more reason to believe that she would never be a female student who could distinguish right from wrong!

"Qi Yunyue, tell me about the situation at that time!" Ouyang Chenhui glanced at Qi Yunyue and said calmly.

"I, I,..." Qi Yunyue looked at Ouyang Chenhui and then at Li Danping, as if there was something unspeakable!

"Yunyue, just tell the truth, no one will make things difficult for you!" Li Danping looked at Qi Yunyue with encouraging eyes!
"Tell me, I just want to hear the truth!" Ouyang Chenhui said while staring at Qi Yunyue.

Qi Yunyue lowered her head!
After a while, she raised her head, "At that time, Director Zhang asked Teacher Li to pull out the urinary catheter, and then..." Before Qi Yunyue could finish speaking, Li Danping grabbed Qi Yunyue's arm and shook it desperately, "Yunyue, what did you say? Director Zhang asked me to pull out the urinary catheter? Think about it carefully. I told you at the time that the T-type drainage tube usually needs to be left for two weeks before it can be removed. But Director Zhang said that the operation process It didn’t go well, he insisted on pulling it out, we can only execute it, but we must ask clearly, have you forgotten?”

Ouyang Chenhui kept staring at Qi Yunyue.

Qi Yunyue lowered her head and said in a low voice: "Ms. Li, don't lie, Director Zhang clearly asked you to pull out the catheter..."

Li Danping pulled Qi Yunyue madly, "Qi Yunyue, you are still a student now, you can't talk like that!"

"Dean Ouyang, that's all I know, can I go back?" Qi Yunyue suddenly broke free from Li Danping's pull, raised her head, and said to Ouyang Chenhui.

Ouyang Chenhui didn't speak, he couldn't believe that a 22-year-old girl could lie without blushing at all!

At this moment, he can basically be sure that Li Danping will not be responsible for this matter, but in front of the evidence, he has nowhere to help her if he wants to!
"President Ouyang, I want justice. I have worked in Jingdu Hospital for more than ten years. Over the years, I have worked diligently. I don't ask the hospital to reward me. However, I will never take such a blame. I won't recite!" Li Danping yelled loudly and rushed out!

Ouyang Chenhui looked at Qi Yunyue coldly!
"Qi Yunyue, speaking of it, we are still classmates, so I want to hear you say it again!" Ouyang Chenhui said, he still wanted to give Qi Yunyue a chance!

"Dean Ouyang, now that you are the dean, I don't dare to talk to you! I don't need to repeat it. What I just said is what I saw and heard. If there is nothing else, I will go back first!" Qi Yun Yue finished speaking and left in a hurry!
Ouyang Chenhui sat there quietly, frowning tightly!

In three days, he had to give an explanation to the patient's family, how should he explain it?Should Li Danping be assigned the responsibility based on the existing evidence?

Although there is no signature of Li Danping on the doctor's order, the doctor's order is true and effective. With Qi Yunyue's testimony, Li Danping is the person responsible. It seems logical to take her to court, but does he really want to do this?
(End of this chapter)