Chapter 124: Mistakes in the busyness
Dr. Wang had just fallen asleep. [No pop-ups.] Hear a scream. I had to get dressed and get up. He was a little annoyed, "The emergency room must be shirking. Maybe it's an ordinary trauma patient. ”
He was angry. He didn't lift his head. I closed the door of the duty room and left.
Liu Liu didn't know where the doctor's anger came from. Exactly. She still didn't understand the situation. But she didn't have time to go into any detail at this point. Because the fever patient just now had a body temperature coming out. He is now in high fever. The thermometer shows 40°5.
What can I do about it? Liu Liu walked into the ward with his family. Inquire about him carefully.
"What time did he have a fever at night. Liu Liu asked again.
"Six o'clock in the evening. I looked for the nurse at the time. She said it was fine. The family replied.
I had a fever at six o'clock in the evening. Liu Liu was puzzled. Then why did Qiao Lili never find a doctor to deal with it. So she then asked, "He operated during the day." ”
"That's right. My husband was the first thoracic surgeon to be performed today. It was fine during the day. I don't know why I started to have a fever at night. I went to the nurse several times. She said it was fine. ”
"Then you first wipe him with warm water. Now the doctor is going to the emergency room for a consultation. I'll tell him when he comes back. Liu Liu felt that this matter could not be decided privately. He had just had surgery. Immediately had a high fever. That's not a good sign.
"Oh. Good. Then I'll wipe him again. You'll have to ask him when the doctor comes back. "The patient's family is worried. But it's understandable.
Liu Liu returned to the nurses' station. Only then did she remember what Qiao Lili had said about other patients with fever. She pulls out the doctor's order. Find the temperature slip. Look it up one by one. It turned out that Qiao Lili was deliberately causing trouble. She didn't take out the patient's medical record folder for the fever. I didn't point it out when I handed over the shift. Liu Liu lacks experience. I had to look for it one by one. A lot of time was spent on this.
Suddenly, the patient's saline ended. She hurried into the configuration room and found the salt water in the bed. Wait for the salt water to be changed. Liu Liu began to rummage through the cases again. Duration. The family of the patient with a high fever has never been there. Liu Liu is busy with this and that. I actually forgot about it.
Dr. Wang went to the emergency room. It turned out to be a seriously injured patient with chest injuries in a car accident. He immediately prepared to perform emergency surgery on the patient.
"Hey. Is it thoracic surgery? I'm Dr. Wang Binrong. I'm going to have surgery now. In a moment you will have the ICU bed ready. The patient arrived at the department about two hours later. ”
Liu Liu let out a "hmm". Hang up the phone and go busy.
There is also an empty bed in the intensive care unit. Liu Liu prepared the monitoring equipment. After making the bed into the operating position, it is time to change the saline.
During the day, most of the patients who operated on the saline were still unfinished. Fifteen infusion patients are left with ten. Liu Liu rummaged through all the cases. Finally found the fever patient. A night shift. Liu Liu has been dealing with the problems left over from the middle class. Wait for the cases of those patients to be found. The thermometer is closed. Then. The patient who had undergone emergency surgery returned to the ward.
"Prescribe a post-operative routine right away. "Dr. Wang is wearing a surgical gown. I didn't have time to take off my mask in a hurry. The patient was hurriedly pushed into the intensive care unit.
Liu Liu has not taken over the surgery patient alone. So she is not very clear about the professional postoperative routine.
She followed the doctor into the intensive care unit. Dr. Wang is inserting a nasogastric tube into a patient.
"I'm sorry. Dr. Wang. Liu Liu was a little flustered. "Could you please explain that clearly? What exactly is the postoperative routine? ”
"Hmm. What did you say. Dr. Wang raised an eyebrow. "What a joke. I don't even know about the post-operative routine. That's what kind of night shift is it? "He's so good, you're welcome. Liu Liu was embarrassed. His face was red and white for a while.
He placed the sick in place. After all the tubes were put away, he came to the nurse's station with a tiger face.
"Bring me the case folder. He huffed. He said angrily: "It's really inexplicable. I was asked to do the vocational training for new nurses. ”
Liu Liu knew he was talking about himself. He apologized vigorously: "I'm sorry Dr. Wang." I'm really bothering you. ”
Dr. Wang took out his pen. The tip of the pen flutters on the doctor's order. "It's the first time I've written a doctor's order in such detail. You watch it a few more times. Enter the computer carefully. Don't go wrong when the time comes. ”
Liu Liu nodded modestly. "Got it. Thank you Dr. Wang. ”
"Why is the work of a nurse so sloppy now. Didn't a new nurse have to take it a few times on night shift? The head nurse is really bold. A new nurse with no experience was on duty on Tuesday night. "Dr. Wang is the attending doctor. One night shift a week. But he also survived from the residency. I've worked with so many nurses. Naturally have a good understanding of the process of nurse work.
"I'll try. Trouble Dr. Wang. Liu Liu took the doctor's order. Prepare to go to the computer and enter the doctor's order first.
"You're a waste of time. You should first hang the patient's saline. Then we will deal with the doctor's order and the rest of the matter. Dr. Wang shook his head. I thought: Alas. This little nurse is in a hurry. There are no priorities. He has a bad temper. But the heart is still not bad.
"Oh. Oh. I know. Then I'll go and prepare the patient's saline first. Liu Liu's face turned even redder. She herself felt that one word best described her. That's the "rookie". And a noob with a clue.
Dr. Wang stood for a moment. I think she's pretty much up to the task. At the door, he said, "I'm going to sleep now." Busy all night. It's almost three o'clock. Again, that's the same sentence. Something important is called to me. ”
"Hmm. Liu Liutou agreed without even raising his head. She's busy preparing salt water.
Wait for the patient to be given fluids. Liu Liu had time to enter the doctor's order. She typed them one by one. I'm afraid I'll make a mistake. Since the doctor's orders were entered by Nurse Wang during the day. So she is still very new to the computer doctor's order system. Two pages of doctor's orders. Liu Liu typed it repeatedly for a long time. There are also patients in the middle of the infusion. She also had to change the salt water.
I don't know how long it's been busy. One night, Liu Liu didn't have a moment to rest. Until five o'clock in the morning. Liu Liu sorted things out a little bit.
That's when she remembered the feverish patient. She hurried to the ward. At this time, she noticed that the patient's breathing was very short.
"Nurse. Dr. Wang hasn't come back yet. The family hurriedly asked.
"Ahh I'll call you. Liu Liu was frightened. Didn't expect an hour or two of delays. The patient's condition has become so bad.
"Have you forgotten? It's so irresponsible. The family began to complain. Liu Liu knew that it was his own negligence. Apologize quickly.
When Dr. Wang got out of bed and saw the patient's condition. His face immediately turned iron-blue. "How do you get to work. A surgical patient. High fever to more than 40 degrees. I didn't report it all the time. ”
"I ......," Liu Liu was speechless for a while. "At that time. You happened to go to the emergency room for surgery......"
"That's not the reason. Then why didn't you report it immediately when I came back? Who is responsible if the patient is in danger? He was scolding Liu Liu. Liu Liu lowered his head and didn't dare to reply more. She did something wrong.
Dr. Wang quickly arranged for the patient to receive oxygen. Then a few extra bottles of brine were added on the fly.
"You hang these bottles of saline to the patient first. Then record the change in body temperature for half an hour. If the body temperature continues to rise. You'll report right away. Got it? Dr. Wang's tone was fierce. Liu Liu bit his lower lip. "Hmm. "Yes.
Return to the nurses' station. Liu Liu hurriedly prepared to dispense the infusion. She was filled with remorse. It was useless to resentfully myself.
Actually, it's no wonder. Liu Liu is a newcomer. She did not participate in the early on-the-job training. The rest of the daytime shift didn't learn anything at all. In addition, she also has regular weekends off. In this way. There is no chance of solo training. Right now. Her eyes were black. Bite the bullet at work. A new nurse with so little experience. Let her manage a large ward of nearly 8,0 people at once. The situation is certainly hard to manage. So. Negligence is inevitable. I was lucky that I didn't make a big mistake. What's more, it's still on the day of surgery. Encounter some unexpected situations. Liu Liu was caught off guard all of a sudden.
Liu Liu quickly prepared the infusion. Come to the bedside and carefully do venipuncture for the patient. As instructed by Dr. Wang. She came over regularly to check her temperature.
After a hectic moment. Only then did Liu Liu remember that the inspection card in the ward had not been pasted. She looked at her watch. It's almost six o'clock. "Oops. I'm about to take my early temperature. Liu Liu said to himself. She ran into the operator's room. It was found that the thermometer was still disinfected and soaked. She fished out all the thermometers. After rinsing it with water. The scale of the thermometer was not observed. I hurried to the ward to distribute it.
Most patients are still awake. She handed out the thermometer to each patient in turn. Take advantage of the interval between temperature measurements. She hurriedly took back the inspection cards for each ward. Bed by bed, pasted in the case card.
Not only is she in a hurry at the moment. And there are also some six gods without masters. Because the patient is getting up gradually. The ward also began to be lively. Liu Liu looked at the clock. Yikes. It's almost half past six. So she put aside the half-pasted patrol card. Go to the ward immediately and get the thermometer.
"Miss Nurse. How many degrees am I? A patient asked casually.
Liu Liu held the form in one hand. Hold a thermostat in one hand. "Hmm. 37°8。 She replied.
"Ahh Do I have a little low-grade fever? Yesterday was normal. "The patient was a little anxious. Because he had surgery a few days ago. The average surgical patient is sensitive to body temperature.
"How many degrees did you have yesterday. Liu Liu asked.
"It was around 36° for the first few days. There is no more than 36°5. ”
"Oh. I know. The doctor will do a round in a while. He'll pay attention. Liu Liu turned around and took another thermometer.
"How much am I. "Almost every patient asks.
“39°3。 You have a fever. Liu Liu looked at the thermometer. What's going on.
"No, I don't. You touch my forehead. I'm fine. "This patient is a little baffled. His temperature was normal. Why did I have a fever?
Liu Liu looked at the thermometer again. That's right. It's 39°3. She touched the patient's forehead in confusion. It's really normal. Hey. What's going on. Could it be that there is a problem with the thermometer?
"Miss Nurse. I don't have a fever. The patient said.
"I think it's weird, too. It was fine the other day. Why did I suddenly have a low-grade fever. Could it be that there is a problem with your thermometer. Another patient asked, confused.
"There is a problem with the thermometer. Liu Liu muttered in his mouth. She looked down at the thermometer at the bedside. It dawned on me. "Yikes. I forgot to throw the machine back into place. Liu Liu was shocked. Then she looked at her watch. It's almost seven o'clock. Half an hour later. Everybody's coming to work. What can I do?
。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。。 Baby dividing line
Readers' list round 3: zcz13706091252, y my love, thank you for your support of the baby.
Baby's buckle: 2376871410. WeChat: xuyi2dd. Waiting for you (⊙o⊙). Friends, if you have ideas and suggestions for reading the text. Feel free to leave a message.
...