Chapter 3 Clinical practice does not look at the process, but only the results
In the corner of the doctor's office, the senior sister had a serious face.
"Which of you two gave it?"
Senior Brother Pimple's eyes wandered, and he didn't dare to look at Senior Sister, "I sent 35, and he sent 17." ”
"What the hell is going on with 35 beds?"
As soon as the pimple brother gritted his teeth, he had to stand up and be beaten if he made a mistake.
"Just, I just pushed him downstairs, and I saw his blood oxygen concentration dropping, I took the mask and wanted to ventilate him, but I don't know why it didn't work, the blood oxygen still kept falling, and then Tianyang came......"
Senior Brother Pimple looked at Zhang Tianyang, and Zhang Tianyang took over the conversation.
"I gave him continuous assisted breathing, 60 times a minute, and the blood oxygen concentration returned to more than 90% within a minute, but the child never breathed on his own, so we sent him back immediately. ”
"The family followed?"
The pimple brother looked worried, "Yes, the 35 bed refused to sleep, the nurse asked me to feed some milk, and when I was breastfeeding at the door, I was seen by the family, so I followed." ”
"The family members are relatively stable and seem to be very easy to talk. Zhang Tianyang added silently, and soon received a grateful look from Senior Brother Pimple.
"That's right. ”
Senior Sister was silent and thought for a while, and suddenly stared at Senior Brother Pimple, "You can tell me about the approximate condition of the 35th bed." ”
Senior Brother Pimple was stunned for a moment, "I, I'm not a 35-bed bed doctor......"
"Have you ever thought if you sent him for a check-up and would experience apnea?"
"I ...... I didn't...... This is the first time I've encountered this kind of ......"
"Okay, don't talk about it. The senior sister hugged the senior brother, and suddenly turned her head to look at Zhang Tianyang, "What about you, do you know the condition of bed 35?"
Zhang Tianyang shook his head.
"What about the 17-bed?"
"Bed 17 is a premature baby with intrauterine distress, born 12 days ago, gestational age 32+4......"
Senior Sister raised her eyebrows, "You are a 17-bed bed doctor?"
"It's not. Zhang Tianyang followed sincerity, "I took a look at the medical records before sending him out." ”
"You were the one who just turned on the ventilator?"
"It's me. ”
"I remember you were a classmate who just got out of the clinic?"
"Today is my sixth day in clinical practice. ”
Senior Sister nodded, and rarely put away her fierce face, "Not bad." ”
In the end, the senior sister once again fell on the face of the pimple senior brother, "Bed 35 is also a premature baby with intrauterine distress, four days old, there is orthostatic apnea, you send him out for a checkup, these basic medical history should always be known." ”
Although he didn't say a word of scolding, Senior Brother Acne understood everything, and for a moment he only felt that his face was dry and panicked, and he wanted to dig a pit and bury his head in it.
"Okay, the clinic only looks at the results and doesn't look at the process, even if this matter is over, you don't care about the family, I'll talk about it. ”
The senior sister stepped on the slippers with a fierce face and left, and the acne senior brother breathed a sigh of relief for the rest of his life.
"It's horrible! This is really the first time I've ever encountered something like this...... You're just out of the clinic, so you're so good!"
"It's a blessing that the patient is okay. I still have a lot to learn from my brothers and sisters. ”
Zhang Tianyang didn't have the heart to listen to the rainbow fart of the pimple senior brother, so he dealt with it with a haha.
Today is his sixth day in clinical practice, but it is also his last day in the neonatal unit.
The first round of hospital-wide rotation covered all the departments of Dongfang Hospital, and Zhang Tianyang and his team had to complete the rotation of so many different departments in one year, and the corresponding time spent in each department would be relatively short.
The neonatal department is a small department, and they only stay for a week, and tomorrow and Sunday are off, which means that today is his last day here.
"I'm going to finish the medical records! Zhang Tianyang rubbed his temples and continued to work.
Of course, Zhang Tianyang, who was serious and focused, could not have known that outside the glass door, which was only three or four meters away from him in a straight line, the family members of the 35-bed bed thanked their senior sister for their surname and made a decision in their hearts.
He wouldn't have known that the fierce senior sister also remembered his name and made a decision in his heart.
......
At six o'clock in the afternoon, Zhang Tianyang, who had finally finished his work, completed the handover of all patients.
"Good work. Senior Brother Acne brought milk tea, "Please accept my thanks to you!"
"Don't be so polite. Zhang Tianyang felt that he had just done what he could, and it just happened that he had touched it, and it happened that he had the ability, and that was it.
The senior brother was gracious, and Zhang Tianyang could only accept the milk tea.
But milk tea is something that girls like, and it's a little tired of him.
Girls like it!
Zhang Tianyang's heart moved, and before going out, he happily gave the milk tea to the office nurse, "This cup of milk tea will be drunk for the nurse who is the most tired from working overtime, you have worked hard." ”
Walking out of the neonatal department, Zhang Tianyang paused, always feeling that he seemed to have forgotten something.
"I brought the schoolbag, key, wallet, and white coat, and the family members of the 35 beds didn't see it, and the patients were all handed over......"
What the hell have you forgotten?
"Forget it, it shouldn't be a big deal. ”
Zhang Tianyang chose to give up.
Wave your sleeves and don't take away a cloud.
In the neonatology department, I stayed for a week, managed three patients, wrote countless medical records, and saved a child.
After all, the life of a clinical intern is so colorful and exciting.