IU directors are directors after all.

I figured out the key in an instant.

"The recommended time limit for the use of a bag of domestic enteral nutrition preparations is less than four hours. ”

"But at the current rate, it would take at least seven or eight hours for this bag of enteral nutrition to drip out. ”

"And now, less than a fifth of the nutrient solution left in the bag remains!"

"This means that this bag of nutrient solution has been used for at least six hours!"

Enteral nutrition is rich in proteins, fats, carbohydrates, vitamins and other substances, which can give patients lying in a hospital bed enough energy to survive.

But at the same time, it is also the most fertile medium for bacteria to grow.

The reason for the time limit is that once the enteral nutrition preparation is opened, in case of contamination, bacteria will multiply rapidly inside.

It is then transported into the patient's intestine with an artificially created pathway.

It's a lot scarier than eating a bad stomach!

No wonder the infection indicators of patients remain high!

There is such a channel that continuously transports bacteria into the body, it is no wonder that it can be good!

Zhang Tianyang's reminder next to him seemed to be nothing more than an inconsequential question out of curiosity in the circle of white coats next to him.

But for the director and attending doctor of the IU, it is no less than a thunderstorm on the ground.

They instantly realized how deadly this detail, which they had been ignoring all along, was.

"That little nurse, how often do you change these enteral nutrition preparations?"

"The head nurse, come over here. ”

"Doctor in charge, how many times a day do you prescribe enteral nutrition to patients?"

The director of the IU frowned, and his momentum was pressing.

The attending doctor was on the side, also with a serious face.

In the entire IU ward, the atmosphere that had just been mixed was only solemn in an instant.

This is a proper accountability link!

All the little white cats are extremely nervous.

But Zhang Tianyang, the culprit who pushed everything, has become the most calm one.

There was a burst of accountability, and the chase was so high that people turned on their backs.

The little nurse in charge of changing the fluids certainly didn't know the seriousness of the matter.

They just do what they're told.

So the head nurse became the one who took the blame.

But the head nurse was also very angry, she was obviously giving the medicine according to the doctor's instructions, and the doctor's instructions said twice a day!

The nurses didn't finish the 12-hour drip, and they were already very good, okay!

Therefore, the various training doctors and training doctors who were responsible for prescribing these medical orders lowered their heads and obediently received the scolding of the director of the IU.

But they are also wronged.

Therefore, the three resident doctors who did not explain to them the time limit for the use of enteral nutrition preparations, together with the attending doctors, were all burdened with a thick black cauldron.

The director of IU scolded one by one, and scolded for half an hour before finally wiping his sweat and temporarily stopping for a while.

At this time, Zhang Tianyang casually paced to the 79th bed next to him, pointing to the enteral nutrition preparation that had just been replaced, "Director, it seems that many patients here are using this?"

The turmoil that finally calmed down suddenly rose again with this simple sentence.

The director of the IU supported the body that had consumed a lot of money, and started a new round of accountability.

In view of the fact that almost 90% of the patients in the entire IU ward need to be given enteral nutrition preparations, there are white coats of patients in their hands, and one is counted as one, and none of them have escaped this scolding.

Zhang Tianyang, who provoked a full-scale war with just one sentence, quietly hid beside him, looking at his nose and his nose.

Just like when I was desperately asked questions and reprimanded by the director of the IU, the reaction of others was the same.

Ten minutes passed, and the director of the IU cursed again and sweated profusely, and finally gave the order to die.

"In the future, all the enteral nutrition preparations in our IU ward will be replaced with imported ones, and the infusion time will be strictly controlled.

The time limit for imported preparations is six hours, and we try to control it within five hours, no matter how much is left, and replace it directly.

Don't be afraid to waste the patient's money, antibiotics are more expensive if you are infected!"

"In the future, when we talk regularly, the doctor in charge of the bed will explain to the family about the use of imported enteral nutrition preparations, and the new doctors, you, the superiors, will be responsible for explaining this matter to them. ”

"Now, all the patient's enteral nutrition preparations, except for the ones that have just been replaced, are now being replaced. ”

"Whew-"

A bunch of orders were issued, and the director of IU, who was scolding and scolding a little prostration, breathed a sigh of relief, and his body shook slightly.

Beside him, a figure flashed by, helping him to covet him.

The director of IU turned his head and looked at Zhang Tianyang, who had just flashed over and was still very calm, and couldn't help but sigh.

"Alas, thanks to Xiao Zhang!"

Why didn't you notice such a simple thing!

He didn't know when these domestic enteral nutrition preparations in the IU ward began to be used in this way, but he really didn't notice this matter.

If it continues, patients who are lucky enough not to be contaminated with the preparation, or who have better resistance, may not be a big problem.

But this 78 bed may not be any better.

The attention of a group of scolded white coats finally returned to Zhang Tianyang.

looked at the calm look on the face of the culprit who stirred up the storm with a wave of his hand and caused them to be scolded in vain.

Look at the old face of the director of IU facing Zhang Tianyang, smiling so much that the folds came out.

I don't know why, while they have mixed tastes in their hearts, they are also inexplicably a little sour.

And Zhang Tianyang, who was once again in the center of everyone's attention, raised a smile.

He behaved modestly.

"I'm sure you've already discovered the key to the infection, otherwise why would you suddenly ask me? ”

When he said this, it sounded like a compliment, but the IU director's face turned red.

Have you found out that you don't have points in your heart?

I asked Zhang Tianyang this question, obviously out of wanting to embarrass him!

The white coats next to him were also full of words.

Zhang Tianyang claimed to be throwing bricks and leading jade.

But in their eyes, the bricks thrown out of it smashed a large piece and killed them!

Subconsciously, they took half a step back in unison.

After this incident, Zhang Tianyang lived a very stable life during the second half of the rounds.

Although the director of IU is thick-skinned, he is also ashamed.

Zhang Tianyang has behaved like this, how can he embarrass him with questions again?

Besides, the questions in his hands are estimated to be difficult for Zhang Tianyang.

With something buried in his heart, the director of IU was a little sluggish, and he didn't even bother to find the stubble of the other little white cats, and quickly ended this anticlimactic teaching round.

Zhang Tianyang was happy to end the ward rounds early, and prepared tools to make waist wear for the 76-bed old lady.

And the director of IU stared at his back and looked at it, and called his own chief to the office again with a lot of concern.

"What do you think, how is Xiao Zhang?"

The attending doctor, who was scolded by Zhang Tianyang for a while, was speechless for a while, and it took a while to recover and hold back a few words.

"I think it's good. ”

"Well, it's not bad!"

Director IU sighed and suddenly began to regret his previous actions.

Although Professor Liu used Zhang Tianyang to pretend to be forced to lose face, what does that have to do with Zhang Tianyang!

"Xiao Zhang, this kid, even if there is a mistake, it is too good!"

Such an excellent seedling, although it has been determined by Professor Liu, hasn't he signed a contract yet?

That person who is engaged can be pried into the corner, why can't this Xiao Zhang be abducted by him?

It's just that in the first half of today's rounds, I seem to be a little too aggressive.

Director IU sighed and looked at the attending doctor beside him.

"You say, I'm currying favor with him now, can I still kidnap him to our neurology department?"

The attending doctor laughed with him and did not dare to speak.

He was afraid that if he told the truth, he would be scolded again.

"Alas"

"Alas"

At the same time, in another corner of the internal medicine building, another doctor also let out a sigh because of Zhang Tianyang.

。