"By the way, it doesn't seem like I'll take you around the various areas in the ICU yet. ”

When he brought Zhang Tianyang to a computer, Song Changkong suddenly remembered this matter.

"So, let me tell you about the distribution of ICU wards first. ”

The entire ICU ward of the neurology department is extremely spacious, and it takes about two minutes to walk from beginning to end according to Zhang Tianyang's normal pace.

It is roughly divided into five areas.

Song Changkong took Zhang Tianyang and looked from the place closest to the doctor's office and lounge.

"This cubicle is an exchange area, you can come in from here when you go to work in the future, and there are masks, hats and shoe covers in the cabinet, you have to bring them. ”

Zhang Tianyang nodded.

Very basic aseptic awareness.

The patients who can live here are either very fragile or carry strong germs, no matter what kind of disease they are, they need to be perfectly protected.

Coming in from the cubicle, in an area the size of a normal ward with a toilet, there are seven beds.

"On the surface, it's called Area A, but in fact, we all call it the Critical Zone. ”

Song Changkong's attitude is very good, and he is really explaining to Zhang Tianyang in detail.

"The patients here are all conscious, but they are seriously ill and need to be monitored, and there are no family members to visit them. ”

It is said that the condition is more serious, and that is for all the patients in the entire neurology department.

For the ICU, the patients here are barely the second lightest.

"The patients here, if they are more serious, can be moved next door, and if they are better, they can be moved to the outermost area, so we call it the critical zone. ”

Zhang Tianyang nodded, indicating understanding.

Patients in this area will take two different paths depending on whether their condition worsens or not.

It's also appropriate to call it a critical zone.

After a slight glance, most of the people lying on the hospital beds here are old men and old ladies.

The only young male looked familiar, Zhang Tianyang took a second look, and found that it was the little yellow chicken man who made a fuss about striptease in the emergency department last night.

Now he was in a state of consciousness, but looked visibly sluggish.

He wouldn't look up when the two white coats walked past him.

I don't know if it's because of illness or because of social death.

just let the nurse next to him wipe his body.

Area A, which is often used as an intensive care unit by other departments, is Area B.

"The patients here are in critical condition and are in a coma. ”

Song Changkong continued to introduce, Zhang Tianyang followed behind him, and glanced at it.

The patients here are all old men and women, and indeed as introduced, all of them are in a coma.

Not only on the monitor, but also on a ventilator.

All the patients closed their eyes tightly, motionless, and unresponsive as the nurses and ladies turned their bodies and wiped and massaged.

"If you count the mortality rate in each region, this is the highest here. ”

Song Changkong didn't expand on this, but Zhang Tianyang nodded clearly.

They are all elderly patients, critically ill, unconscious, and breathing on machines......

I'm afraid that many of the patients here will eventually be declared brain dead, right?

That is, it is possible to rely on the machine to continue to "survive", but without autonomous consciousness.

And once you are out of the machine, you will definitely die, and there is no hope of salvation.

Speaking of which, it is also a very desperate thing.

Family members are also not allowed to visit patients here.

But here is facing the two windows that you can see from the right turn of the elevator, and the thick curtains will be opened during the visitation time, so that the family can look through the glass from a distance.

Zone B, with only five beds.

When he saw this, Zhang Tianyang made a discovery that Song Changkong did not mention.

The beds in the neurology ICU are spaced very far apart, which can effectively prevent the infection of adjacent beds.

And each area has 2 separate computers, which are placed right next to the bed.

In this way, the doctor needs to use a computer to stand directly next to the bed.

There is no need to carve out an additional place for the computer.

In addition, the bedside is equipped with a large bundle of sputum suction tubes, a stack of gloves, and a stethoscope for each patient.

From the aspect of the sense of hospitality alone, it is indeed very good.

After all, there is such a thing as a stethoscope, and each doctor has one doctor, but all patients of the same doctor share it when they are auscultating.

Further out, you need to pass through a glass door to enter Area C.

"Area C is also known as the infection zone. The patients here are all infected with drug-resistant bacteria. ”

Song Changkong turned his head and told Zhang Tianyang very seriously.

"There are gloves in front of every hospital bed here, so don't go near the bed without gloves, and you can't put your clothes on it. ”

"If you touch it, you need to change your gloves or wash your hands right away. ”

Zhang Tianyang nodded and raised his hands in understanding.

Drug-resistant infections are a nuisance.

For the patients themselves, various intracranial infections, sepsis and other diseases caused by drug-resistant bacteria may be life-threatening and difficult to treat.

For doctors, if they don't take good precautions, if they are infected with drug-resistant bacteria, they may have to come in and lie down with the patient one day.

For the patients next door, the drug-resistant bacteria in each bed are different, and in case of cross-infection, the already troublesome things will be even more troublesome.

The configuration of Zone C, which is the infected area, is also very different from other areas.

There is an infusion stand at the head of each bed, but instead of liquids, two sets of white isolation gowns are hung on it.

Doctors and nurses need to wear isolation gowns, gloves, masks, and hats when they need to be close to the hospital bed to perform close operations on patients.

The two isolation gowns next to each bed are dedicated, and when you change a patient, you have to change into an isolation gown hanging next to the next bed.

Although it may seem troublesome, it is effective in ensuring the safety of both doctors and patients.

Further out of Zone C, there are Zones D and E.

Patients in zones D and E require monitoring, but are conscious and in stable condition.

During the daily visits, the family members can see them through the windows.

And two days a week, family members can even come in and visit the patient at the bedside.

The entire ICU ward went around, and Zhang Tianyang had a deeper understanding of the layout of the department.

His eyes glanced at the slightly empty ward, and Zhang Tianyang asked more.

"By the way, Mr. Song, there should be consumables for lumbar puncture, endotracheal intubation, internal jugular vein catheterization, tracheostomy, etc.? ”

Aside from the fact that the suction tube was inserted at the head of each bed, he just didn't see a place to put the consumables for other operations.

But the placement of various consumables is actually extremely important.

Familiarize yourself with their location, and the faster you move when rescuing, the chance of the patient being rescued may be greater.

Song Changkong obviously understands the importance of this matter, but there are too many things, and he forgot to talk about it just now.

Zhang Tianyang was able to take the initiative to ask, which surprised him.

"Xiao Zhang, you've been interning for a while, haven't you?"

He has been studying in the Department of Neurology of Dongfang Hospital for a long time, and he has helped bring many interns.

The little white cat who has just gotten out of the clinic lacks experience, and the senior doctor says what should be said, and he will never think of taking the initiative to ask if he doesn't say it.

Only "senior" interns who have been in the clinic for a while, have experienced various emergencies, and have not only some experience, but also think they can help, will think of these problems.

Zhang Tianyang had just opened his mouth to answer, but there was a loud slap in the distance.

In the middle of Area B, the attending physician who had just said that he would be doing the ward rounds half an hour later appeared early, clapping his hands and shouting.

"Come on, come on!"

Song Changkong nodded at Zhang Tianyang.

"Then I'll do a ward check first, and I'll tell you after the inspection. ”

hurriedly explained, and the "chief physician" with gray sideburns and an old age rushed in the direction of the attending physician.

Then he helped the attending physician clap his hands and call people, "Rounds, rounds, come here!"

Behaved very positively.

Zhang Tianyang was stunned behind him for two seconds, sighed, shook his head, and followed.

The white coats scattered in all corners of the huge ward also gathered together and prepared to start the computer rounds.

The attending doctor glanced at it, nodded and noticed two unfamiliar faces, including Zhang Tianyang and Lin Ke'an.

Zhang Tianyang obviously felt that the other party's eyes stayed on him for a little longer than others.

Then the head doctor clapped his hands again.

"New students are here today, and the atmosphere is just right, so let's have a teaching round!"

In an instant, Zhang Tianyang keenly captured the gasping sound of trainees and trainees from all directions.