Chapter 145 Classified Management
Lotte looked at Wang Chengming with a smile and asked:
"What, you're also assigned to the general care area?"
"How can I choose?" Wang Chengming responded with a smile: "I was assigned by the hospital, but how can Dr. Li come to general care, with your qualifications, you should be in the intensive care ward, right?" ”
"I came on my own volition." After Lotte muttered, he handed over the case in his hand to Wang Chengming and said, "You help me register first, I have an idea, and I will talk about it after reading all the patients in the general care area." ”
"Okay."
After Wang Chengming agreed, the two began to be busy, there were many wards on the third floor, and the doctors and nurses assigned were interns, so Lotte's qualifications were a little higher, and they were busy for about 2 hours, and then they walked through all the wards.
Lotte took the case and looked at it while walking, followed by many interns, and when everyone returned to the nurse's station, Lotte put down the case and said to everyone:
"You take care of the patient first, I will study and study, and if there is any emergency, I will notify you in time."
The doctors dispersed, Lotte entered the station with everyone's cases, the nurses were still sleeping, Lotte didn't bother them, walked to the desk, took a pen and paper and began to classify and study.
Until around 11 o'clock in the afternoon, Wang Chengming hurriedly ran in, "Doctor Li, there is a patient in room 407 who is vomiting, and it seems to be a little serious. ”
Lotte hurriedly stood up, and Wang Chengming didn't suppress his voice when he said this, and the nurse in the station heard this, and woke up from the dream that all the occupational diseases were committed, and they all got out of bed to look for their own things, and then followed Lotte out of the station lounge.
The nurses acted completely subconsciously, rubbing their eyes as they walked, trying to keep themselves awake, and Lotte said as she walked:
"If you are tired, you can go back and rest again, don't worry."
"Ah, Dr. Li, how long have I been sleeping?" A nurse asked blankly, probably she was puzzled, how could the big celebrity in this hospital, the young Dr. Li Letian, work with them in their general care.
Lotte smiled and didn't answer, everyone's hurried footsteps attracted many nurses to follow suit, and in an instant, the team gathered more and more, attracting all the patients to stop and watch.
Entering the ward, the patient was retching because he had not eaten, and all he vomited was stomach acid, which looked very uncomfortable, and a nurse was taking care of him at this time.
As soon as everyone came in, they were busy, and all kinds of body temperature and blood pressure checks were used.
"The patient's temperature is 39.1°!"
"Blood pressure 80~120."
Lotte picked up the case and took a look, this patient's previous body temperature had been stable at about 38 degrees, why did it suddenly worsen?
Suspiciously, he prescribed medicine and injections, and after the antiemetic and antipyretic injection, the patient fell into a state of confusion, Lotte checked the situation, frowned and said, "List him among flu patients." ”
I picked up the case and looked at it, the patient's previous symptoms were not too severe, what caused it?
Looking sideways, there were no patients in this ward who were too serious, most of them had a fever of about 37 degrees, and only one had a severe cough with a bronchial infection.
Don't worry about it for now, for the time being, control the patient's body temperature first.
After all kinds of dispensing were quiet, and finally relieved, everyone breathed a sigh of relief, everyone walked out of the ward, Lotte dragged his chin and thought, Wang Chengming muttered:
"Why does the patient suddenly worsen, and what is the reason?"
"I'm infected." A little nurse said this casually.
Lotte looked at her suspiciously and asked, "What do you think?" ”
Lotte suddenly asked, the little nurse was a little stunned, waved her hand again and again and said, "I'm talking nonsense, don't care." ”
Lotte asked suspiciously: "Nonsense also has ideas, talk about it." ”
The little nurse looked embarrassed, she was a trainee nurse, and she had just come down from school, how dare she talk nonsense in front of Lotte, but seeing Lotte's expression so solemn, the little nurse knew that if she didn't say something, this matter would never be finished, so she had to bite the bullet and say:
"Well, my idea is actually very simple, let's not say whether this stubble is H1N1 flu, first say that the weather suddenly becomes cold, some people have insufficient resistance, and it is normal to have a fever and cold, but do you think, if you meet a flu patient in the case of a decrease in body resistance, is the chance of being infected much higher?"
Lotte thought about it and said, "You're right, everyone come and help." ”
After saying that, Lotte rushed into the nurses' station first, and the other doctors and nurses looked at each other blankly, and then followed.
Lotte came in and picked up all the cases and said to everyone:
"Help me find what the patients have in common."
Everyone shared these cases in a daze, and the above symptoms were basically the same, headache, brain fever, cough and vomiting, and even the pulse was very similar, and it was impossible to distinguish them for a while.
Everyone crossed the river by feeling the stones and looking for a while, but the distribution of cases became more and more chaotic, and they couldn't tell the reason at all.
Seeing this, Lotte said, "In this way, we divided the patients into three groups, those who suspected a simple cold, those who suspected the flu, and those who had a severe fever. ”
"Doctor Li, everyone's symptoms are basically the same, how can you tell the difference?" A nurse asked.
Wang Chengming remembered something and said: "Use the elimination method to separate the patients with severe fever first." ”
"That's right, pick it out first." With everyone's efforts, 4 patients were finally singled out, and Lotte picked up the case and looked at it, then put it aside and said:
"This eligible patient will be transferred to a ward for a while, and try not to mix with other patients."
"And then what?" The nurse asked.
Lotte thought about it and said: "The characteristics of patients with severe fever, cough accompanied by bronchial infection, separate patients with cough. ”
Then everyone divided into more than 20, and Lotte looked at them one by one, "No, these patients have tonsil inflammation and bronchial infection, so they must be separated, don't mix them together." ”
In front of experienced professional doctors such as Wang Chengming, the patients suspected of influenza were finally identified, but at this time, a nurse held a case and said:
"Dr. Li, this patient has a bronchial infection, but his body temperature is very stable and not so serious, how can this be distinguished?"
Lotte picked up the person's case and looked at it, "Male, 44 years old, cleaner, was cleaning the glass of the building before the onset of the disease. ”
Lotte thought for a moment and said: "It's still in the suspected flu case, I suspect that he is in good physical condition, so he hasn't gotten sick yet." ”
However, at this time, Zhang Yunfang hurriedly ran in and said, "Lotte, there is another patient in ward 407 who has vomiting symptoms. ”
Lotte happened to be holding the case and hurriedly asked, "Is it a 44-year-old cleaner for the man?" ”
"It's him!" Zhang Yunfang replied.
"That's right, transfer him to the confirmation area." After finishing speaking, Lotte took the case and said, "Everyone else is assigned to other wards, and everyone acts." ”
Lotte clapped his hands, and everyone ran out of the inner station with brushes, first took care of the cleaner of 407, and when his condition was controlled, he began to reassign the room bed.
In the entire hospital, the busiest is only on the 3rd floor, where every doctor and nurse does not stop for a minute.
……
At 2 o'clock in the afternoon, several Audis were parked at the entrance of the hospital, and several men in suits stepped out of the car, and they walked into the hospital gate in high spirits. Lin Maosheng learned the news in advance, and came to the gate of the hospital early to greet him, and when he saw the large group of people coming, Lin Maosheng hurriedly complimented and said:
"Director Liao Fan, thank you for taking time out of your busy time to come to our hospital."
Liao Fan is the director of the Pharmaceutical Supervision Bureau and the manager of the relevant departments of the hospital, and he has taken on the important work of epidemic prevention and control during this flu outbreak.
Liao Fan shook hands with Lin Maosheng and said:
"Dean Lin has worked hard."
"It's not hard, you ran a few hospitals this day, and you worked hard."
A group of people flatteringly entered the hospital hall, and when they entered the elevator, Liao Fan said:
"The relevant departments attach great importance to this epidemic and have also done a lot of epidemic prevention measures, you call the attending doctor, and I will talk about the precautions for prevention and control."
"Let's go to the conference room first, and I'll call the doctor."
When the elevator reached the top floor, Lin Maosheng said directly to the assistant beside him: "Go, call to notify the meeting." ”
The group entered the conference room in a big way, and Liao Fan said with emotion: "There is no accurate answer from the scientific research institute yet, but according to the analysis of international case reports, 90% of this influenza has been determined to be H1N1 epidemic abroad. ”
"Alas, it's a great responsibility!" Lin Maosheng said with emotion.
"Yes, let's do a good job of epidemic prevention first."
Not long after, the attending doctors came in one after another, there were a lot of people, Lin Maosheng didn't notice that Lotte was not there, and when he saw that people were almost there, he said:
"In order not to delay Director Liao's time, let's start first!"
"Good!" Liao Fan stood up and said, "I won't delay everyone's time, this outbreak of the epidemic is very serious, thank you for your hard work." ”
The applause rang out, Liao Fan beckoned everyone to stop applauding, and then said: "Everyone, in response to this epidemic, the country has the following measures, classified management, severe isolation, and prevention of the spread of hidden dangers. ”
Later, under some explanations, the doctors also understood how to deal with this epidemic.
"Alright, let's get to work, hard work."
The doctors applauded again, and Lin Maosheng reached out again to shake hands with Director Liao Fan, "Thank you for being able to guide the epidemic prevention work in person." ”
Liao Fan said: "What should I do, as usual, I want to go to the ward to see the classification management of patients, is it convenient?" ”
"Director Liao Fan does everything himself, I really admire it!" Lin Maosheng led the group of people to go out, and at the same time made a strong look, telling the doctors to go to work quickly.
In an instant, all the doctors were busy again, and this group of people from the Medical Supervision Bureau, under the guidance of Lin Maosheng, first looked at the intensive care area, which was managed very cleanly and not noisy, which is rare in this case.
"Dean Lin's management is worthy of being a benchmark, after walking through so many hospitals, your ward area is the cleanest."
"Director Liao exaggerated!"
Lin Maosheng knew that this inspection was a process, and it would be over after a look at the intensive care area, and they would not go to the busy place, after all, this was a flu with a very high contagion rate.
But as soon as he thought of this, Lin Maosheng remembered that when he had just held a meeting, he didn't seem to see Li Letian, and asked the assistant in a low voice, "Why didn't Li Letian come?" ”
This article is from the book online novel