(Thanks to my friends for their hard work, helpless clouds, book friends 20181111113210208, and L Xiaoyu monthly ticket encouragement)

Liu Banxia's nearly three months of cultivation were not for nothing.

I don't know if God is so fond of playing tricks on people, and the upgrade is very slow when he is looking forward to it, but now? After this period of surgical training, he was promoted to level 47 in one breath.

Of course, there are many more related skills that will be improved along with the improvement. The fastest rise is in diagnostics, which has reached 73,452, and sutures and dressing changes are 45,766 and 42,980, respectively.

It is these three basic skills that he values the most, because these three skills are the foundation of his own medical practice. His diagnostic skills have improved so much that at the beginning, he just thought that he would be able to diagnose the disease faster when he received the patient.

Actually, it's not exactly like that, because he has a better understanding of the symptoms, and he will be more handy when doing surgery, which may be because he has done a lot of surgery during this time.

Today's emergency centers have become very busy, and the current vacancy rate of emergency center beds is less than 7% due to this period of operation, combined with the increase in the number of patients matched by dispatch centers.

Standing here and looking around, Liu Banxia was still very pleased. The patient satisfaction in the emergency center is still quite high, at least it will not affect everyone's bonus.

"Sister Li, there are many flu patients, tell the big guys to pay attention too. But don't be tricked, it's time to hire people recently. Liu Banxia said.

Zhou Li nodded, "There are two nurses who have a cold, and I asked them to lie down at home for two days." Now we have more frequent disinfection in the hall, and we need to wear masks at all times. ”

"Boil, at this time of year, the flu and wind chill are the most. When it really gets cold, there will be nothing left. Liu Banxia said with a wry smile.

"You also have a snack yourself, and little girls like romance. It doesn't matter if you're not on a holiday, what about other people? You have to think about it. Even if you can't go back, you have to buy the gifts you should buy. Zhou Li reminded.

"Sister Li, I don't even know what to buy for her. Food, clothing, and play, all of them are piled up at home. Even a lot of jelly bean toys are unopened, so they are left there. Liu Banxia said.

"Nonsense, Qiaoqiao has it is his own business, and what you bought is your mind. Zhou Li gave him an angry look.

"Really, I don't even know what Jojo likes about you. There's no romance at all, and I can't catch a shadow all day long. Even when our old king chased me, the flowers and snacks never stopped. ”

"Come on, I'll buy flowers then, or I really don't know what to buy. You don't know, last time Zhang Luo bought me a car, saying that it would be much cheaper to buy it from Lao Qiu. Liu Banxia was a little helpless.

This can be regarded as a burden for finding a rich girlfriend, and I really don't take money seriously. And when Jojo spends money on him, he never thinks about it.

Anyway, if Liu Banxia had considered it according to the shameless idea, this soft rice would still be quite sweet. It's just that even if he doesn't care anymore, and he doesn't get married seriously now, he has to control Qiaoqiao's desire to buy.

Zhou Li really doesn't know what to say, Qiao Qiao often runs here, and every time she comes over, she brings a bunch of snacks and fruits.

And now Liu Banxia's whole body is also Qiao Qiao is responsible for procurement. Liu Banxia didn't like those Qiaoqiao that he bought before? This is something that must be obeyed unconditionally.

"Doctor Liu, come here, this infusion patient is a little uncomfortable. At this time, nurse Zhou Qian shouted.

Liu Banxia didn't have a brain? Instinctively, he ran towards Zhou Qian.

"What's the situation?" asked Liu Banxia before and after he came to the hospital bed.

"What about infusions? The patient said he was not feeling well, and now he has chills and cannot see clearly. Zhou Qian cried urgently.

"Don't you worry? Your disposal is good. Liu Banxia comforted, and then carefully examined the patient.

Are patients now pale? Chills in the body? Hands on chest.

"Sister Li? Intramuscular epinephrine, promethazine, dexamethasone? Oxygen inhalation, it is not a drug allergic reaction. Liu Banxia said.

"Zhou Qian? Push ECG monitor? Call the patient's attending doctor. Don't panic, the allergic reaction is not serious, and the discovery is very timely. ”

Zhou Qian nodded and went to push the ECG monitor.

There's a lot of movement on their side, and these people are receiving infusion therapy here? Then you can leave. It is also because there are too many flu patients now, and the infusion hall upstairs is full, so I stayed here.

The ECG monitor is connected, the blood pressure is 70/50, and the heart rate is 110. Fortunately, because of the oxygen given, the blood oxygen level is slowly rising, and now it is 92.

Liu Banxia's heart is also a little anxious, whether the rescue can be successful depends on the reaction of the next patient.

"Dr. Liu, what's going on? This is a patient I'm seeing. At this time, Xu Hui ran over.

"Some drug reactions, rescue first, and then review. Liu Banxia patted him on the shoulder.

Xu Hui's brows also furrowed, although no one said that this was also a medical accident, and then he picked up the medical record book next to the bed.

"At the time of the initial examination, the blood pressure was 120/80 and the temperature was 39 degrees Celsius. I reported fever and cough for four days, and there was a crackle in the left lower lung of the lungs on auscultation, and I judged it to be left lower pneumonia, and the administration was levofloxacin, 0.3g: 100ml. Xu Hui said.

"I also took a look at the medicine bottle just now, and it should be fine under normal circumstances. Zhou Qian also reacted quickly, and directly pulled out the needle after finding out that something was wrong. Liu Banxia said.

"Fortunately, my face is better, my blood oxygen is still rising, and my blood pressure is rising. Don't worry, you'll definitely be able to figure out what the problem is. ”

"Sister Li, bring a sealed bag. The drug and the dripper were sealed and kept ......"

Halfway through the talk, he couldn't go on, and he also knew why this patient had such a severe drug susceptibility reaction.

Because he saw that the regulating valve of the infusion tube was now in the upper part, which meant that when the infusion was given to this patient, the infusion was too fast.

Although levofloxacin is a commonly used broad-spectrum antibacterial drug, the speed of instillation must not be fast in its use. The instillation time of such a small vial should be at least one hour or more to be within the safe range.

Nowadays, most of the bottles of medicine have been used, and it is because the control valve is not well regulated, so this accident was caused. There is no doubt that this is medical malpractice.

There is no need for Liu Banxia to say anything, these few people present all know what is going on. Zhou Qian's face turned white with fright, because she was responsible for several patients here, and she was the first person responsible.

"Sister Li, you take Zhou Qian to the lounge first, and leave it to me here. Liu Banxia said in a deep voice.

Zhou Li nodded, naturally knowing the seriousness of the problem.

Emergency centers are thriving these days, and if there is a medical malpractice at this juncture, it is no joke. It is not only Zhou Qian who is affected, but the entire emergency center.

"Brother Hui, you should go back first, I'm here. Liu Banxia looked at Xu Hui again.

Xu Hui glanced at him, "Otherwise, I'll communicate, after all, I'm the one who took the treatment." ”

Liu Banxia patted him on the shoulder, "Don't worry, that's what I'm doing." ”

Xu Hui glanced at him gratefully and returned to his consultation room. However, he also told the guide desk that he would not accept the consultation for the time being, and he also needed to calm down.

When the patient recovers, this matter will definitely be tossed around, and Liu Banxia, who is in charge of handling it, will become the first object of blame for the patient. And in this matter, the hospital is really at fault.

After waiting for more than 20 minutes, the patient finally recovered. It's just that I'm still a little weak, but I can breathe normally without giving oxygen.

"What just happened? How did I suddenly become like that?" the patient said, and gasped for breath.

"Your condition is that there is some drug allergy, and the further cause is still being investigated, and I apologize to you on behalf of the medical staff of the emergency center. Liu Banxia said.

"And I can also call the shots, I can admit you to a single room in our emergency center. Until the matter is clarified, all your expenses will be covered by our hospital. ”

He can't help it, and the most important thing he needs to do now is to calm the patient's emotions. People are not stupid nowadays, and in a situation like that, you want to fool a patient and say that it is his reaction to his illness, which is.

It's better to tell the truth than to be fooled like that.

Seek the patient's forgiveness before compensating. If the patient makes a fuss here, and then the family members are involved, the matter will not end so well.

Even now, they have attracted the attention of the patients around them, and there are people holding their mobile phones to this side.

"You go over first, and then I'll contact the special responsible personnel in our hospital and ask them to come over and deal with it together. Liu Banxia said softly.

"Don't fool me, I know you've just given me a couple of shots. The patient looked at him and said.

"Rest assured, it's our fault and we won't shirk our responsibility. Liu Banxia said seriously.

The patient nodded and lay down on the bed.

This made Liu Banxia breathe a sigh of relief, and this matter should be able to have a satisfactory solution. Give the interns on the side a look and push the patient upstairs.

"Banxia, how is the situation?" After Liu Banxia came to the lounge, Zhou Li hurriedly asked.

"Dr. Liu, I really made it smaller after giving the patient an infusion, I know this. Zhou Qian cried and said.

"Don't worry, there must be another reason for this. I'm coming over to see you, and we'll call up the surveillance later. Liu Banxia comforted.

He believed Zhou Qian's words, because this was the basic requirement of the nurses. And Zhou Qian's business ability among nurses is also very high, otherwise she wouldn't be here to help manage the bed.

It's just that it's not clear what the cause is, but it's something that has happened. Liu Banxia's biggest worry is that the patient adjusts it himself, which is also difficult to deal with.