Chapter 4 Modified Gastric Tube Fixation
I taught my mom all night last night.
In the morning, Zhang Gu was in good spirits again.
When he came to the hospital and changed his clothes, Zhang Gu inspected the ward as soon as possible.
As soon as Zhang Gu came, the little nurses took the initiative to greet him.
"Dr. Zhang is here!"
"Doctor Zhang, morning!"
Zhang Gu greeted calmly, wondering why these nurses were suddenly so enthusiastic.
"What about yesterday's duodenectomy patient?"
A few little nurses scrambled and said, "In our intensive care bed." ”
The Department of General Surgery has two intensive care beds, which were specially approved by Xiang Jianhua for the signboard of the three hospitals. It is convenient for some patients with major surgery to observe the postoperative risk period.
When he came to the hospital bed, Zhang Gu first checked the patient's condition and various indication data.
Eventually, his eyes fell on the stomach tube.
A clear stomach tube is attached with medical tape to the sides of the nose and cheeks, and the other end is in the nasal cavity.
He beckoned to the little nurse on duty: "Xiao Liu, are our patients' gastric tubes so fixed?"
Xiao Liu blinked his eyes wide, "That's right." ”
Zhang Gu said: "Help me get the medical cotton thread." ”
Xiao Liu hurriedly ran to get it.
Zhang Gu folded the cotton thread in half, took the middle part, tied the knot on the gastric tube outside the nasal cavity, and then knotted the cotton thread along the pinna of both sides to the lower jaw to fix the gastric tube steadily.
Gently remove the unreliable fixing tape that has been soaked in sweat.
"Xiao Liu, I will use this method to fix the gastric tube in the future. ”
Xiao Liu muttered, "Okay, but I have to ask the head nurse." ”
Zhang Gu smiled and didn't speak, and left.
This new method of fixing the gastric tube came with the postoperative rehabilitation part of duodenectomy in Zhang Gu's mind, and Zhang Gu saw it and used it easily.
Not long after he left.
Xiang Jianhua brought several doctors to round the ward.
Seeing that the big boss of the department was coming, all the nurses looked tense and hurriedly stood up.
The head nurse also hurried over and accompanied the director to make rounds, while constantly reporting last night's duty.
Xiang Jianhua listened and walked to the intensive care bed.
At a glance, I saw the cotton thread of the fixed gastric tube on the patient's face,
He sighed, slightly surprised.
He had the impression that the stomach tube had never been so fixed.
"Who made this cotton thread?"
The head nurse was anxious for a while, she thought that who was in trouble, the ward was her territory, what happened here, she didn't even know at all, and couldn't help glaring at Xiao Liu on duty next to her.
Xiao Liu stood up timidly, "Director Xiang, it was just ordered by Dr. Zhang." ”
Xiang Jianhua was puzzled: "Doctor Zhang, which Doctor Zhang ...... Oh, Zhang Gu!"
Nurse Xiao Liu was afraid that the big boss would be guilty, so she hurriedly sold Zhang Gu and told everything.
Xiang Jianhua snorted, a little curious, and stepped forward to take a closer look at this new cotton thread fixing method.
The others were nervous, afraid of being angry with the director, so they quietly looked at each other, quietly.
After a few minutes, Xiang Jianhua nodded in admiration.
"Corey used to use duct tape to fix the tube, right?"
The head nurse hurriedly said, "Yes, we have been using the adhesive tape fixation method trained by the Provincial Medical Association. ”
Xiang Jianhua pondered for a while, and the expression on his face became more and more exciting.
Dr. Zhang's cotton thread fixing method solves many drawbacks of the adhesive tape fixing method at once. For example, some patients have a large amount of sebaceous sweat gland secretion, coupled with the patient's physical discomfort, coughing, sneezing, vomiting and other factors, resulting in the fixation tape is easy to loosen, resulting in the prolapse of the gastric tube. ”
The head nurse was deeply touched: "Yes, there are often patients in our ward who have a prolapsed gastric tube, and they have to be re-intubated every time. ”
A deputy chief physician next to him said: "Re-intubation means that the patient has to experience pain again, and repeated intubation will also damage the nasal mucosa, and even cause the risk of bleeding from the surgical anastomosis." ”
Xiang Jianhua smiled: "You look at Dr. Zhang Gu's cotton thread fixation method, the cotton thread band is knotted along both sides of the auricle to the lower jaw, which produces upward and backward pressure on the gastric tube, which is not easy to slide on the gastric tube, and the auricle also plays a supporting role, so that the gastric tube will not easily come out." ”
The head nurse's eyes lit up as she listened. This is her most professional field, and when she heard the director's analysis, she suddenly became enlightened.
"Director Xiang, you're right! This cotton thread fixing method also solves another problem! Some patients are allergic to the irritation of the adhesive tape, and they will be fine if they change this cotton thread. ”
Xiang Jianhua smiled and nodded: "This doctor Zhang is quite careful, this improved new cotton thread fixing method is worth promoting! Tomorrow there will be a meeting of the major surgical team, and I will talk about it at the meeting." ”
When they heard this, they had different thoughts.
The old doctor was amazed in his heart, yesterday he heard that this Xiao Zhang was used as a deputy to Director Xiang to hold the mirror, and today he actually took out this improved method of fixation, this Xiao Zhang is about to take off!
The nurse on duty breathed a sigh of relief, it seemed that this was not only not a bad thing, but also had to be promoted throughout the hospital. The guilt of betraying Zhang Gu in his heart has been reduced a lot.
The young doctors were envious and jealous, how could they not come up with such a simple improvement method by themselves?
......
The general surgical team will meet.
Xiang Jianhua is not only the director of the Department of General Surgery, but also the director of the Department of General Surgery. Therefore, this major surgical team meeting was also presided over by him.
After the meeting was made a routine statement.
Xiang Jianhua said: "Recently, a lot of new generation of innovative forces have emerged in various departments, and in the Department of General Surgery, there are young doctors who have improved the method of gastric tube fixation, which I have seen, and it is very worth promoting! ”
Many department directors are speculating in their hearts that the Department of General Surgery has just recruited a scholar Feng Xuebin, this innovative improvement method, should it be the handiwork of this Xiao Feng?
Ma Chenglin, director of the Department of Neurosurgery, said: "Teacher Xiang, our department has recently admitted many patients with stroke and dysphagia, most of whom require gastric tube placement. Ma Chenglin was also a student of Xiang Jianhua, and it seemed kind to call the teacher.
"Well, I will borrow half a day from you to invite this young doctor directly to our neurosurgery department and train the nurses of our department!
Xiang Jianhua smiled: "You can talk to Xiao Zhang in private." ”
Xiao Zhang: Not Xiao Feng?
Several other veteran department directors muttered to themselves, there are a lot of good seedlings in this general surgery!
......
Ma Chenglin and Zhou Dongfeng said hello.
summoned Zhang Gu to the neurosurgery department.
More than a dozen young nurses lined up, and Ma Chenglin also stood next to him with two doctors, and the battle was not small.
"Xiao Zhang, Director Xiang is at the conference, but I praised your improved gastric tube fixation method by name, you will train our nurses today, don't hide it!"
Zhang Gu hurriedly said: "I don't dare to talk about training, let's discuss and learn together." ”
Xing Wanhong, the head nurse, sneered: "Doctor Zhang is quite modest, you must be right to praise the director by name!"
A group of little nurses also looked at Zhang Gu with a smile.
Zhang Gu: "Then let's start here?"