Chapter 112 Difficult Family Members (1000 Orders and Updates)
Zhang Tianyang clicked on the old lady's name, and then saw a blank medical record.
This old lady had never been seen in Dongfang Hospital before, and this time she came in a hurry, so she was directly sent to the emergency room for intubation, and she didn't have time to write a word in the medical record.
Zhang Tianyang now needs to ask the patient's family to sign two documents, one is called the power of attorney and the other is called the critical illness notice.
A power of attorney is a power of attorney that is given to the next of kin when the patient is unable to decide whether or not to receive treatment on their own.
It's simple, just a signature and an ID number.
The critical illness notice should fully inform the patient's family that the patient's condition is critical, which needs to be combined with the medical history.
He turned to look at Professor Yang.
"Teacher Yang, why don't you simply write about this situation of Sun Wei's family?"
"Okay, I'm writing. ”
Professor Yang stared at the screen, typing out characters one by one.
The senior brother who was waiting quietly behind her said hello to Zhang Tianyang.
"Hello. In the future, we both follow Professor Yang, your name is ......"
Senior Brother looked at Zhang Tianyang's badge, "Senior Brother Zhang." ”
Zhang Tianyang also saw his senior brother's badge clearly.
Wenqi Deng, Rotation Doctor.
"Hello Senior Brother Deng, I'll only stay for a week. ”
"Is it only a week?"
Deng Wenqi was surprised, and then looked at Zhang Tianyang's badge carefully, "Then you are the first round of rotation of the whole hospital?
"Yes. ”
"Then you are very powerful!" Senior Brother Deng did not hesitate to praise himself, "I just saw your state, you are much more reliable than me, I thought you were at least a rotation doctor!"
"Clinically capable people will fly very fast, Senior Brother Zhang will take me with him in the future!"
Senior Brother Deng came up with a meal, and the smile on his face could be seen to be from the heart.
Zhang Tianyang generally had no fluctuations in his heart when he was questioned, but he was a little embarrassed to be praised like this.
"I was in too much of a hurry just now, so I thought about inserting the endotracheal tube as soon as possible, and I didn't think about it so much. ”
He smiled and changed the subject a little stiffly, "By the way, senior brother, why don't you tell me about the shift of these patients? I see that several of their vital signs are still very problematic." ”
"Good. ”
There are a total of 11 beds in the rescue room, and two or three more can be placed in the corridor, so there are 14 beds in total.
With these 14 beds, the turnover rate is very large.
After all, the emergency department is actually a place where patients are triaged to various departments after emergency treatment, and many patients will not stay in the emergency room for two or three days, and will be directly transferred to the corresponding department, or admitted to the emergency ICU in the interior.
Zhang Tianyang was lucky when they took over, and there are only 6 beds with patients at present.
Senior Brother Deng and Zhang Tianyang, two white coats, took the shift schedule and looked over one bed at a time.
The old lady in bed No. 1 was a hypertensive emergency, and her blood pressure was 230 when she came, and it dropped to 180 after taking medicine, and the doctor on the previous shift had already called the bedside CRRT, Zhang Tianyang, and they needed to follow up.
The uncle of bed No. 2 has a complication after cerebral infarction, and has contacted the general inpatient of the neurology department and is waiting for consultation.
3 beds is an uncle......
4 beds are an aunt......
Bed 5 is a middle-aged man in his fifties......
Bed 6 was the only one who looked young, only 18 years old, suffering from hemophilia, this time it came in with severe pain in both knees, and the hematology department was unwilling to admit it, so he could only stay in the emergency room.
Looking at his medical records, he has been in the emergency room for 14 days.
Bed 7 is the newly admitted old lady, and her breathing after tracheal intubation is fine, but it does not mean that her other conditions can be recovered.
It's just that no tests have been done now, and there is no way to judge the condition.
The intravenous access has been established, and now a bottle of saline is hung to keep the passage smooth, and other medicines can only be used until the family members pay for the medicine and come back.
The little nurse in the emergency room has drawn blood for the old lady, including blood routine, liver, kidney function, six ions, troponin, two infections, four preoperative items, etc., all of which are routine and mandatory items.
To the naked eye, the patients in the emergency room are almost the same, and only with the help of the results of blood tests and other examinations can the cause of the patients be clarified and the symptoms can be treated.
The emergency department is only a step away from the payment office and the pharmacy, and after the family pays for the blood sample, the results of the emergency blood test will be available soon, and then the patient will not be delayed in the payment for the medicine.
It's just that her medical history seems to be a little complicated, and Professor Yang is still typing after Senior Brother Deng took Zhang Tianyang to tour the patients.
Zhang Tianyang glanced at the screen and found that this old lady had a history of cerebral infarction, liver cirrhosis, and problems with the circulatory system, digestive system and respiratory system.
Zhang Tianyang stared at the medical history that had not yet been written but had already been written on most of the screen, and thought for a moment, "Teacher Yang, does this patient want to call a bedside CT?"
The patient is unconscious, and it is impossible to push her to go for an examination, so the doctor can only push the CT machine to come and do it at her bedside.
Yang Wen stared at the screen and didn't look back, "I want it." ”
"Okay, I'll call the bedside CT now. ”
There are so many departments in the entire East Hospital, and there are more patients who can't move but need to be examined. There is only one machine, which pushes the hospital all over the place, and it must be booked in advance.
Seeing that Zhang Tianyang and Professor Yang and even Senior Brother Deng were ready to get busy, the team leader who had been waiting behind them couldn't help it.
"The ......"
Behind the two white coats, he covered his right waist, his face cold sweating.
"Brother Yang, senior brother, teacher, can you also help me look at my waist ......?"
The team leader only felt like crying at this moment.
He was actually assigned to the emergency surgery department, and when he was ready for surgery, he could help lift his hand and resist a leg or something.
Today he was also assigned a big night shift, so this point will appear in the hospital.
Compared with the possibility of chickens and dogs jumping at any time in the emergency room, emergency surgery is still very idle at this point in time. It is only in the dead of night, at one or two o'clock, three or four o'clock, after everyone has drunk and drunk, that the emergency surgery department is easy to open.
And as soon as the business is opened, it is extremely easy to prosper, and the patients are not sent one by one, but several together.
So until then, the instructor of emergency surgery asked him to go around and see for a long time.
Unexpectedly, this turn was opened to the public, and the patient who opened the opening was still himself.
"How did you get it?"
Zhang Tianyang was calling the bedside CT, and Senior Brother Deng first showed the team leader and touched it.
"Twisted?"
"yes, I got in the way when the patient came in, flashed too fast and that's it. ”
"The family members of the old lady who were outside just now were about to come in, didn't Brother Yang ask me to stop them, a man came up and pushed me, and then suddenly it hurt even more. ”
"Shoved you?"
Yang Wen suddenly withdrew from the state of tapping on the medical records, and frowned, "Is there something wrong with this patient's family?"
"I don't feel good. ”
The team leader also frowned, half of it was painful, half of it was unpleasant.
"The emergency room couldn't let the family members in, not to mention that your situation was so urgent just now, didn't you add to the chaos when you came in! But the family members thought that we wouldn't let them see the patient, so they pushed me.
If I hadn't grown strong and been fierce again, I guess I would have wanted to squeeze in. ”
"That's it. ”
Yang Wen quickly typed out the last bit of medical history, sorted out the critical illness notice and printed it out, and stood up.
"Xiao Zhang, this patient's family may be a little difficult, and I will communicate later, you may not be able to deal with it. ”
"Xiao Deng, let's see if you want to contact the medical staff on duty when you see the situation. ”
Zhang Tianyang just hung up the phone on the CT scan next to the bed and nodded.
To be honest, all he had in contact with the old lady's family was the moment when he sent the patient into the emergency room.
But he always felt bad.
Maybe it was the face of one of the family members that made him look uncomfortable, maybe their eyes were wrong, anyway, he felt that he wanted to subconsciously stay away from them.
Professor Yang has been in the emergency department for so many years, and since he has also judged that this group of family members is difficult, it is estimated that there is really a problem.
Professor Yang held two pieces of paper that needed to be signed, Zhang Tianyang grabbed several tubes of blood, and the two white coats walked out of the rescue room together.
The door had just opened, and the two of them had not had time to shout out the words "Sun Wei's family".
The other family members turned their heads, but they just glanced at this side, and they didn't call their names, and they didn't react.
But the old lady's family members, I don't know who shouted, "The doctor is out!"
In the next moment, a group of people surrounded him.
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