"I'm sorry. ”

The desperation on the little nurse's face made Zhang Tianyang feel a little guilty.

But what patients need is what they need, whether it's a doctor or a nurse, whether it's almost time to leave work or not, they have to do the same work.

"Bed 41, male, 55 years old, severe depressed edema of both lower limbs, please establish peripheral venous access for him, and urgently check six items of blood routine, liver and kidney function, and ion, and the doctor ordered me to prescribe it immediately. ”

"It's a hassle to raise the patient's lower limbs slightly, and in addition, there is a rupture in the patient's right leg, and there is oozing, so it is better to put something on it so as not to get the sheets wet. ”

Zhang Tianyang said as he glanced at the clock hanging above the nurses' station.

"At 5:28, if albumin is reopened at this point, the pharmacy outside is closed, and the family is estimated to not be able to buy it.

The hospital pharmacy doesn't deliver medicine at night, so we can only see if Cory has stock.

I really can't do it, so I can only borrow it from other patients. ”

Nephrology patients generally have mild swelling of the lower limbs, and many patients carry two or three bottles of albumin, which can always be borrowed.

"Okay, I see, is there anything else?"

"It's not for the time being, the rest is the work of our doctors. ”

The little nurse put away the despair on her face, quickly entered the state, and went into the dispensing room to prepare something.

There are only two robotic nephrology units of the CRRT at the bedside, which are proper high-end equipment, and can only be contacted by Professor Liu, and Zhang Tianyang cannot intervene.

Performing their duties, he quickly found a computer, logged in to Professor Liu's account, and opened a few items for urgent blood investigation first.

After a brief completion of the current medical history, I quickly wrote a series of documents such as the power of attorney, the bedside CRRT consent form, and the consent form for the use of human blood albumin (blood products), and quickly printed them.

"Senior sister, have you been contacted?"

When she hurriedly rushed into the ward again, there was a woman in red next to Senior Sister Liang, and Senior Sister Liang seemed to be explaining something to her.

"Ah, junior brother. ”

Senior Sister Liang took the document handed by Zhang Tianyang, and while checking whether there were any omissions, she signed her name in the "Doctor" column.

"I just contacted Professor Liu, and he also helped us make an appointment for the CRRT equipment at the bedside, and the nurse there will push the machine over in about half an hour. ”

"But Professor Liu has a very important meeting tonight, so he shouldn't be here tonight. ”

The implication is that the treatment of this patient depends on the two of them!

Fortunately, the patient's condition is not as critical as last night's 40-bed bed.

As long as the bedside CRRT is done within today's time, the edema of his lower limbs will slowly relieve.

"Let's bookmark the consent first. ”

Zhang Tianyang sorted out several consent forms, the time was at least half an hour, not so urgent, he was ready to explain to the patients one by one.

"Uncle, here are a few consent forms that you need to sign......"

"What a consent form, show it to me!"

As soon as the document was handed to the 41st bed, an arm diagonally behind him suddenly stretched out and snatched the document.

Zhang Tianyang turned his head, frowned, and looked at the woman in red who snatched the documents, "Are you?"

"I'm his daughter!"

The woman in red looked twenty-seven or eighteen years old, quite a strong woman, and her brows were furrowed deeper than Zhang Tianyang.

"Why are there so many consents!"

"Power of attorney, well, I'm his daughter, this can be signed. ”

"Bedside CRRT? Isn't that what kind of dialysis? Chongshan Hospital said that my dad didn't have kidney failure, so why did he have dialysis?"

The eyes of the woman in red behind the glasses were extremely sharp, with scrutiny and questioning, "Are you suspected of excessive medical treatment?"

Senior Sister Liang's face was not very good-looking, but she still opened her mouth to try to explain.

"The Chinese of bedside CRRT is called bedside continuous renal replacement therapy, also known as bedside hemofiltration, which is ......"

"Kidney replacement, hemofiltration, isn't it dialysis!" The woman in red directly and rudely interrupted Senior Sister Liang's explanation and continued to be aggressive.

"Chongshan Hospital told me that my father didn't have kidney failure at all, I checked the information myself, and kidney failure only needed dialysis, and my father didn't need it at all!"

"I saw so well in Chongshan Hospital, how did you get kidney failure without any examination?

I don't know what the real job of this woman in red is, but now she is full of aura, and a sense of oppression is coming to her face.

The little nurse who was beating the patient's dorsal veins was so buried that she didn't dare to speak, and Senior Sister Liang's face was visibly darkened.

"We didn't say he had kidney failure......"

"Why do you have dialysis if you don't have kidney failure!"

"Point-of-care CRRT is not necessarily a dialysis ......"

"The doctor at Okiyama Hospital said ......"

"Chongshan Hospital, Chongshan Hospital, then you are staying in Chongshan Hospital, how did you transfer to our hospital!"

Senior Sister Liang couldn't stand it anymore and yelled back directly.

She has a straight temperament, and she has rich clinical experience, and former patients and family members are willing to believe her, how can she stand such nonsense grievances.

The woman in red was shocked by Senior Sister Liang's roar, and her eyes glared at the boss, "What is your attitude! What about your senior doctor! I want to complain!"

Zhang Tianyang's heart was beating wildly, and he quickly grabbed the senior sister who was also excited, and held down her sentence that was almost blurted out, "If you complain, you will complain!"

"Senior sister, calm down, calm down!"

The woman in red was full of teeth and claws.

The woman's image was exactly what his teacher said about "difficult patients" in his last class before he went to clinical practice.

The aura is very large, intellectuals, and they may be in high positions in ordinary life.

Have a superficial understanding of medical-related knowledge, but not a deep understanding, trust your own judgment, and are more inclined to solve problems by yourself, such as inquiring about Du Niang.

He clearly remembered that when he said this paragraph, the teacher on the podium had a serious and serious face.

"Students, when encountering such patients or their families, you must be careful and careful.

Because they are likely to interfere with the patient's treatment process by questioning the doctor's decision, which will affect the patient's condition and cause unforeseen consequences.

And in the end, they will question you about the changes in the patient's condition.

So when you encounter this kind of person, please don't be reckless and face it alone, and be sure to report it to your senior doctor.

They are more experienced than you, and their theoretical knowledge can also crush their families, so it will be easier to solve.

Remember, be sure to report it!"

What the teacher said actually makes a lot of sense.

If Professor Liu, who has half-white hair today, now says that patients need to do bedside CRRT, it is estimated that there will not be so many moths coming out.

But now, Professor Liu can't come.

Senior Sister Liang has entered a state of "being provoked", and she can't count on it.

He was the only one left.

Zhang Tianyang took a deep breath and activated the active skill "Calm +1".

When he faced the woman in red again, his tone also became slightly tougher.

"If there is an opinion about our doctors, the hospital has a special complaint box. Please refrain from making a lot of noise in the ward and disturbing other patients. ”

"Our suggestion is to treat the patient with bedside CRRT right away, do you believe our judgment is your own right, but your father's leg is so swollen that you really don't want to deal with it?"

"If you insist on doubting our medical standards. ”

Zhang Tianyang gently pulled the stack of documents out of the woman in red's hand and found the one he had deliberately placed at the back.

"Then sign this one. ”

A thin piece of A4 paper was handed to the woman in red.