"Everyone should remember that this side is the blood purification room of the Department of Nephrology, and the blood purification center of the Department of Urology is over there, and it does not belong to a department, so don't go over there!" Lu Xia, a doctoral student who is the director of the Department of Nephrology, raised her head and reminded the interns with a smile.

A girl craned her neck to look at the other side, and asked a little puzzled, "Teacher Lu, why do I look at the machines on both sides are exactly the same?"

"It's basically the same, the machines and equipment are the same, and even the content of the work is similar. Lu Xia continued to look at the ******** in her hand and replied casually.

Duanmuyan was a little curious, and hurriedly asked, "Why is this? Why not integrate into a blood purification center? In this way, wouldn't human and material resources be used more effectively?"

After listening to Duanmuyan's words, Lu Xia finally raised her head again, and said with a smile on her face: "You ask me, who will I ask? And you, don't always pay attention to these problems that can't be hit, as an intern, it's only serious to study hard!"

Touching a nail that was neither soft nor hard, although Duanmuyan was a little unconvinced, he didn't say anything more, but Lu Xia finally continued after flipping through the information a few more times: "Tian Lu and Lu Tingting will stay, and the others will go to the ward with me, and I will inform you to change places when I go back." ”

The last sentence was obviously said to Tian Lu and Lu Tingting, and after seeing the two nodding, Lu Xia called a female doctor in her twenties, and after explaining a few words, she left with the others.

"My name is Sun Ying, and I'm in charge of taking you these days. Let me tell you first, the work of the blood purification room is relatively simple, the operation is done by the nurses, and the doctors only prescribe drugs and formulate treatment plans, so there is basically nothing to say, there are a few books on blood purification in the office, you can take a good look at them in the past two days!"

As soon as Lu Xia left, the young female doctor Sun Ying turned to Tian Lu and Lu Tingting, and said lightly: "Of course, if you are interested, you can also go to the treatment room and see how the nurses operate, but it must not affect the normal work, you know?"

Glancing at each other, Tian Lu and Lu Tingting nodded to show that they understood.

Sun Ying then left the clean room on the pretext of having a meeting, while the other two people in the doctor's office were just immersed in writing, as if they didn't want to pay attention to the two interns. Lu Tingting casually picked up a copy of "2010 Blood Purification Standard Operating Procedures" and read it, while Tian Lu hesitated and walked out of the doctor's office.

During the two weeks of internship in the emergency department, whether it was a big name like Director Luo or a teacher like Mr. Li, he had a good attitude towards the interns, taught with all his heart, and paid attention to the changes in the students' mentality, which made Tian Lu have an illusion for a while: it seems that all the teachers should be like this.

But when I arrived at the nephrology department, this beautiful idea was immediately shattered.

Whether it is Lu Xia, the secretary of the department, or Sun Ying, the teacher just now, it seems that their attitude towards the interns is lukewarm, and there is even a faint sense of rejection. Before the internship, someone had already warned Tian Lu, but when he really met this kind of teacher, he was still a little difficult to accept.

Sighing, Tian Lu hesitated, pushed open the glass door that separated the office area and the treatment area, and stepped into the treatment area with the words "Clean Area" printed on the floor. For him, anything on paper is meaningless, and it is more important to understand clinical practice.

At this time, it was the first wave of patients on the plane in the morning, and a dozen nurses were busy in the huge ward, operating according to the treatment orders written by the doctors, and almost none of them were idle. A total of 40 beds means that there are 40 patients on the machine at this time, and a nurse has to be responsible for three or four beds, which is a lot of work.

"Are you。。。。。。 ”

Tian Lu was looking around, and a female nurse about fifty years old walked out of the preparation room, frowned after seeing Tian Lu, and asked in a low voice.

Tian Lu hurriedly nodded and said, "Hello teacher, I am Tian Lu, a student of the seventh clinical class, and I will practice in our clean room for a few days from today." ”

"Oh. ”

The female nurse suddenly realized: "By the way, it's time to change the next wave." Hello hello, my surname is Zhang, and I am the head nurse of the clean room, why are you alone?"

"Another female student was reading a book in the office. Tian Lu replied with a smile.

The head nurse smiled, pouted and said, "Also, as a doctor, you only need to specify the treatment plan, and it's really not interesting to watch our nurses work." ”

"Ugh。。。。。。 ”

As for the head nurse's obvious complaint, Tianlu didn't pick it up, and it didn't answer it, so he had to smile awkwardly, and immediately changed the topic and asked: "Mr. Zhang, I think our machines don't seem to be the same, is it the difference between the new model and the old model?"

"Of course not. ”

The head nurse seemed surprised that Tian Lu could find the difference between the machines so quickly, and replied seriously: "One is a dialysis machine and the other is a filtration machine, and the function is still different." ”

After speaking, the head nurse motioned for Tian Lu to follow him to a hospital bed, pointed to the machine and said, "Look, this is a dialysis machine, which is used for hemodialysis and hemoperfusion, and the one next to it is a filtration machine, which is mainly used for dialysis filtration." One of the two is one pump and the other is two pumps, and the difference is still obvious. ”

Tian Lu took a serious look at it, nodded, he deliberately looked at the trademark, it is indeed a company's product, only the front one has a small difference.

Soon, Tian Lu set his sights on the patient who was having an arteriovenous fistula puncture. After all, it is normal for patients who come to dialysis to have a black face, but the arm that is being pierced makes Tian Lu startled! A big bump was raised high in both places of the arm, as if someone had smashed out two big bags, black, indescribably weird and uncomfortable!

And the nurse who operated it was holding a puncture needle and sticking it into the big bump!

The patient was a middle-aged woman in her fifties and sixties, and she was lying quietly on the bed at this time, as if the nurse was about to prick the needle in her arm, and when she saw Tian Lu staring at her, she raised her face and smiled: "Head nurse, this little doctor is an intern again?"

"yes, I just came here today. ”

The head nurse smiled at the patient, as if chatting with his old sister, and said, "How about you? Why don't you dedicate yourself to let our interns intern do an internship on you?"

"Come on, you!"

When the middle-aged woman heard this, she immediately burned like a fire, and her arm couldn't help but tremble a few times, so that after the puncture of the veins, the nurse who was about to puncture the arteries scolded sharply, and then quieted down again, but still shouted: "The intern nurse had already tossed me miserably last time, so I asked an intern doctor to come?"

When the patients in the surrounding beds heard this, they all laughed.

Before Tian Lu could figure out what was going on, the middle-aged woman continued to laugh and said, "And I can guarantee that this little doctor will ask you that question later, head nurse, do you dare to bet with me?"

"Don't bet!"

The head nurse glanced at Tian Lu and immediately vetoed the middle-aged woman's proposal categorically.

"Oh。。。。。。 ”

Many of the patients in the ward were coaxed, a few young patients were fine, and those who were a little older were laughing happily, which made the head nurse suddenly "furious", crossed his waist and scolded them again and again, until finally saw that it had affected the work of the nurses, and then pulled Tian Lu back to the preparation room.

"Teacher Zhang, what question did the patient say I would definitely ask?" As soon as he entered the preparation room, Tian Lu couldn't wait to ask.

was forced away by the patients, but the head nurse didn't mean to be angry at all, looked at Tian Lu and smiled: "Then you watched the nurse's operation just now, did you notice anything wrong?"

"Absolutely!"

Tian Lu nodded, and replied with great certainty: "I've read the relevant information, and it seems that many places are not very standardized." For example, the position of the needle, the sequence of the procedure, and the 。。。。。。 of the aseptic procedure ”

"That's what you read in the books!"

Before Tian Lu finished speaking, the head nurse interrupted Tian Lu's words with a wave of his hand: "Just like the question she made with me, yes, because the puncture site has a big bulge, it is said that you should not continue to puncture that part, but in fact, almost all patients are reluctant to let you choose other parts, do you know why?"

Tian Lu shook his head blankly.

The head nurse shook her head and said, "Because if you have to choose another position according to the regulations before each puncture, these people will soon have every good place on their arms!"

Tian Lu was stunned when he heard this.

"And the operation sequence you mentioned, including the aseptic operation regulations, we also understand, but what about the actual work? You have also seen that a nurse has at least three or four patients, and they have to turn on the self-test, prepare the materials, pre-fill the machine, puncture the patient, get on the machine, etc., etc., not to mention resting, everything is done all the way at a trot, and the action is very quick, you let them follow the regulations step by step? At least the time should be doubled, can these tasks be done?" said the head nurse with a wry smile.

"Yes。。。。。。 ”

Tian Lu seemed to understand something and wanted to nod, but he always felt that there was something wrong with what the head nurse said, and he felt very awkward.

"Let me tell you that. ”

Seeing that Tian Lu still looked dazed, the head nurse sighed and said: "Except for three or four of us nurses who are about to retire, the nurses in the dialysis unit change every few years, do you know why? If you really ask so much and do everything the same as in the book, then I'm afraid no one wants to come. ”

"Huh?"

Looking at the busy figure of the young nurse outside the door, Tian Lu frowned and said, "Then why not recruit a few more nurses? That can not only ensure the quality of work, but also reduce some labor intensity." ”

"Drink! You think this hospital is run by your family?

The head nurse was amused by Tian Lu's words, patted her shoulder and smiled: "But it's okay, you work hard, when you become the director of our hospital, you must remember to recruit more nurses for our department." ”

"I'm optimistic about you!"