"In many cases, only when you are on duty at this point, see the sky that is not yet bright, and see that the critically ill patient has survived the night, can you rest with peace of mind. Pen × fun × Pavilion www. ｂｉｑｕｇｅ。 info "The top student talks to himself slowly.

I glanced at him, and the man who had just been serious and serious was sunk into the stool on all fours, closed his eyes tiredly, and let out a long breath.

"You just see too little, like the director, you can get a general idea of the patient's situation by visiting the ward, and expect which patients will have an accident at night, so that maybe you won't always hang your heart and be too tired. Under his infection, I also let out a long breath, "But ah, in our business, there is really no patient who is necessarily risk-free, and it is also necessary to be vigilant at all times, a busy doctor has a group of busy nurses behind him." ”

"Hehe~~ Your statement is fresh, is this saying that doctors are stressed or emphasizing that nurses have a lot of things?" The high-achieving student was amused by my words, and immediately became energetic as if he wanted to distinguish what was black and white with me.

"It's all too much. "I reluctantly immediately gave myself a step down, who has the energy to discuss this high-end topic with you at three or four o'clock in the morning. "What school did you graduate from, and how did you come to our hospital?" I quickly changed the subject.

"It's been a few years since we graduated from medical school, and when I came to the department, many of the little nurses hadn't come yet, and you didn't come either, did you? But I went to Ireland after working for less than half a year, and I came back after studying for many years, so many nurses didn't know me, and they still treated me like a little doctor who didn't know anything. Gao Xuesheng closed his eyes and replied to me while saying something else specious. Why does it sound like you're sarcastic...... Did I drink him five or six...... I silently shook my heart for a moment, but I didn't dare to react to anything on my expression...... Doctors and nurses are collaborators, and if my partner is unhappy, my life will not be easy, after all, this is still a shift......

The top students closed their eyes, not knowing whether they were closing their eyes to recuperate, or thinking about some major life events. I glanced at the work card on his chest, and the name column said Vanda, and the title showed the attending officer, and I shrunk my neck, I was young, and I was really not to be underestimated? I turned and left the nurse's station, intending to make a round of wards.

The ward in the dark night seemed quiet and eerie, I took the pupil pen and started to patrol from the 1st bed, during which I had to go around a long corridor, a corner to reach the last 72 beds, and the ward from the 68th bed was a single room, distributed in the farthest place from the nurse's station, quiet, less people moved around, and was less disturbed. The cost of a senior ward is more expensive than an ordinary triple room, and the medical insurance can only reimburse the cost of the ordinary ward, so most of the patients who ask to live in the senior ward are wealthy people who don't care about the hundreds of bed fees, and usually they don't save the cost of treatment. But in the cardiology department, the patient's condition changes relatively rapidly, is a high-risk department for sudden death, so in the ward so far away from the nurse's line of sight generally will not place critically ill patients, but there is a special thing, today 72 beds live in the night to admit acute heart failure elderly patients, no way, there is no ordinary bed, for the time being, it can only be like this, but this has to let me cross the entire ward every once in a while to see him, this is an 85-year-old man, consciousness is no longer clear, the bed is accompanied by his 60-year-old daughter, the rest of the family left in the second half of the night, before the colleagues on duty and I said that the old lady is very stubborn, it is estimated that the old lady is afraid that the old lady will not be comfortable at night and can not call peopleAt night, I lay on the side of the hospital bed to rest, not leaving a step, sighing at the same time of filial piety, I also have some worries about whether the old lady's body can afford to eat, nursing a heart failure patient requires a lot of patience and physical strength. I thought about this and walked to bed 72, pushed open the door, turned on the floor lamp, and the bedside ECG monitoring showed that the patient's vital signs were stable, and the breathing rate was somewhat fast, which matched the characteristics of his disease, so I didn't have to worry too much. But the patient's daughter is not around, no, when I came to see more than half an hour ago, the person was still lying in front of the bed, and no one walked past the nurse's station during this period, I looked around and saw that the toilet light was on, but there was no sound coming out, I had a premonition that something was wrong, I hurriedly turned on the headlights and went to open the bathroom door. As soon as the door opened, I saw the old lady fall to the ground, her face was painful, but she didn't seem to make any ** sound, I quickly rang the emergency call bell in the bathroom, hoping that the senior students who had just rested at the nurse's station were still there, and when they heard the call bell, they could come over and take a look at it alertly. The old lady was still conscious, her hand clenched her fist and kept beating her left chest, weak, weak, and her face was pale, "Is it a pain in your chest?!" I asked her anxiously, she nodded, unable to speak. As a nurse in the cardiology department, she is particularly sensitive to the complaints of chest pain, but as the first nurse to discover the change in her condition, she is required to not leave the patient's side, but at this time, a single ward that is not as far away from the nurse's station as the fourth person is impossible to let the old lady lying on the hospital bed get up and call for help...... "Doctor Fan!!!!!!" I made sure that the old lady was still alive, and shouted to the top student on duty, and ran out. At this time, I really hope that there is a one-button call device, I press it, and the doctor knows where I am and can come quickly, but fortunately, when I rushed to the door of the ward, I saw that the top students were also running over.

"The family member of the 72nd bed fell in the toilet!" "Seeing Gao Caisheng coming, I immediately turned around and went back to look at the old lady, and as soon as I came to my senses, he was by my side.

"ECG machines, ambulances, defibrillators, contact with families. Gone, he gave a serious order, and before he could finish speaking, I had already rushed out, and by the way, I glanced at the old lady on the hospital bed, but there was no response.

I couldn't hold everything with one hand, but fortunately, at four o'clock in the morning, the aunt who was cleaning in the ward had already started to work, "Auntie, help me push this car and follow me!" By the time I got to the ward, the old lady who had fallen to the ground had been carried back to the sofa in the ward.

I helped expose the skin, and he urgently checked the full-lead ECG.

"Draw a myocardial infarction pentament, coagulation pentagram, blood routine, kidney function electrolytes. He gave medical orders as he operated.

"If you are not an inpatient, you can't type a QR code, you can't test the blood sent from the past, we're not an emergency. "Even though I reminded him, I quickly set up intravenous access, put the indwelling needle in place, and draw the four tubes of blood he requested.

At the same time, the results of the ECG came out, "Extensive anterior myocardial infarction." The top student quickly judged that it was indeed a heart attack.

"I'm going to do the heart attack five first, you contact the family?" I asked for the opinion of the top student. It's the first time I've encountered a family member's illness, and I still have this kind of illness that can kill people every minute, and I panicked for a while.

"Normal saline 50 plus **5mg pump her first. It's okay to do the five things about myocardial infarction, anyway, it's already clear. He was still serious, "I'll contact the family." ”

I copied the geriatric machine on the patient's bedside table, "Oh, it's faster to hit this!" and I ran out to get my stuff ready.

In the next 20 minutes, Dr. Fan and I carried the old lady to the transfer bed, and then I pushed the handlebar monitor, oxygen inhalation device, and microinjection pump all over.

"How can I get oxygen without a hospital bed?" asked me inexplicably.

"Well, we've got oxygen cylinders!" I replied as I picked up the monitor. Then he enjoyed his sudden realizations for a second.

The tacit understanding between doctors and nurses is quite important, each performing its own duties, just stuck in position, especially when rescuing patients, busy but not chaotic, this tacit understanding requires a long time to understand and take shifts to cultivate, which is why doctors have special favorite nurses, and nurses also have a certain doctor who is particularly willing to take a shift. Today, the first time I met a top student, the first time I worked with him, and the first time I encountered an unconventional situation, but I quickly settled down and did everything I needed to do for the patient in an orderly manner.

When the family members hurriedly arrived, the results of the five items of myocardial infarction also came out, and they showed normal.

The old lady was still in pain on the transfer bed, the hospital bed was full, and there was no way to arrange a bed for the time being, ** could only slightly relieve the symptoms of her chest pain, and the effect would not be obvious. Gao Caisheng called Director He and another deputy director, and the three doctors were surrounded by family members, who kept asking if they could be sure that it was myocardial infarction, and Gao Caisheng explained over and over again why the heart machine markers in the five items of myocardial infarction were normal, but they were still the cause of myocardial infarction. The doctor suggested emergency surgery to open the diseased blood vessels, and the family hesitated, after all, the old lady had just been hospitalized, the situation was not good, and then the old lady was operated on at this time, the mental and financial pressure was too huge, and the more important factor was that the old lady's son was far away in Z City, and he would not be able to come back for a while, and the remaining daughter felt that she could not be such a big master, in the final analysis, she was afraid of taking the risk of surgery. I contacted the old lady for a bed at the nurses' station, and begged my father and grandmother to ask if I could let the old lady borrow it in another department, but when others heard that it was an acute myocardial infarction, they all said that it was not a specialist and could not take care of such a patient. I was anxiously waiting for the next ward to pick up my phone, watching the sometimes quiet and sometimes noisy scene in the doctor's office, and even hearing the high-level students contacting the DSA room to prepare for emergency surgery, but the final result was not surgery, intravenous thrombolysis treatment, which was not the best for the old lady.

At this time, the phone was connected, and the thoracic surgeon agreed to borrow the bed, but in the office, the eyes of the top students were a little dim.

The situation behind the old lady is not very clear, because after I turned a duty cycle, the 72 beds had already been replaced by patients, and after inquiry, I found that a day ago, the old lady was transferred to the hospital in her son's city, and the 85-year-old old lady was automatically discharged.