"Who is in charge of the emergency department operating room?" Zhong Hui asked coldly.

"I am!"

Dr. Koh was calm.

"Give us all the surgical records, cases, and course records of the last month in the emergency operating room. Our quality control department needs to do a comprehensive investigation and understanding of the surgeons, nurses, and attending doctors involved yesterday. ”

The purpose of the medical quality control department is very obvious, it is to come to the medical accident that happened yesterday.

Seems ready to dig deeper.

This is also the first time that Zhou Can has deeply felt the serious consequences of medical malpractice.

Surgical records are generally recorded and kept by nurses.

Liu Xia is the nurse in charge of the operating room, and after receiving the notice, she rushed over in time.

Then take out the relevant records and submit them to the quality control team for review.

Because Zhou Can, Dr. Xu, and the nurse on duty yesterday all have to be investigated. I can only call Dr. Fu over to temporarily top it.

Otherwise, the emergency operating room will not be able to function.

……

In a small office, Dr. Xu was called in and came out after questioning.

"Zhou Can, come in!"

The young woman from the quality control department didn't give Dr. Xu a chance to communicate with Zhou Can.

It must be to prevent the two from colluding.

Zhou Can walked in, and Zhong Hui, the team leader of the quality control department, sat there with a serious face.

The woman from the quality control department closed the door and walked to the computer next to Zhong Hui and sat down. She acts as a recorder.

There was a camera pointed at Zhou Can.

I feel that the atmosphere of this interview is particularly serious.

"Zhou Can, when did you become a regular doctor?"

"May 7 of this year."

"When will I enter the emergency department operating room for standardized training?"

"May 7 of this year."

On the day he passed, he was assigned to the emergency department. Then he followed Dr. Xu in the operating room for surgery.

Originally, the training direction he wanted to apply for was general education.

However, it is definitely much better to be able to enter Tuya Hospital with the qualification of general practice trainees than to directly orient general surgery training. Both the gold content and the actual status are much higher.

The future of development will also be even greater.

"When did you start getting involved in surgery?"

"May 7th."

"When did you start participating in secondary surgery?"

"I really don't remember that. It must have been half a month after entering the operating room. ”

"When will you start to independently administer first-degree surgery?"

"Never. Surgery has been performed under the guidance of senior doctors. ”

Zhou Can is not stupid, how can he admit this kind of thing.

He still understands the basic rules of surgical access.

"Zhou Can, now is the organization asking you seriously, and you must answer honestly. If you deliberately conceal it, the hospital has the power to impose a series of penalties on you. Including the removal of regulations, inclusion in the industry blacklist, and the negative evaluation of bad records in the personnel file. ”

Zhong Hui's voice was calm and powerful, and his threatening words were like mountains pressing down.

The psychological pressure Zhou Can endured was beyond imagination.

It's just that he finally resisted this invisible pressure, his face became calm, and his eyes returned to clarity.

"Everything I say is the truth, and there is no deception."

He replied calmly.

"We learned through our investigation that you have personally presided over a large number of first-degree surgeries, even including second-degree surgeries, do you still want to quibble?" Zhong Hui's tone aggravated, and his face became more stern.

Zhou Can's heart sank.

Keep your mouth shut, but others may not be able to do it.

Nurses, other doctors, can be a breakthrough and pour out the truth.

Zhong Hui's gaze was tightly pressed at him, and the invisible coercion made people breathless.

"Just do it, just admit it. Now it's just our hospital dealing with this matter internally, so don't worry too much. The young female officer was there to help.

The two sang and harmonized, trying their best to disintegrate Zhou Can's inner defense.

It's okay if she doesn't say it, but as soon as she says this, Zhou Can immediately realizes that these two people are tricking him.

If they really have conclusive evidence, can they still use such painstaking inducements?

"I really didn't have any surgery alone, and it was all done under the guidance of Dr. Xu. If you don't believe me, feel free to investigate. ”

Zhou Can's tone and attitude became firm.

Disappointment flashed in Zhong Hui's eyes.

But he was still not reconciled.

"We were standing outside the operating room, but we saw with our own eyes that you were removing the patient's appendix. It was all filmed at the time, do you still have to quibble? ”

This is the last pressure.

"Didn't you see my senior doctor standing by?"

Zhou Can pursed his lips, secretly crying out in his heart.

Faced with the interrogation of the two just now, fortunately he didn't admit it.

The stipulation is dead, but man is alive.

There are some permission issues in the operating room, and there is a lot of room for maneuver.

As long as I don't admit it, no one can help him.

"Just watch your words and answer our questions directly!"

The young female officer scolded with a cold face.

Next, the two conducted a series of questions about Zhou Can. Zhou Can is careful to deal with it.

"Alright, you can go back to work! If there is a need in the future, we will look for you again. Thank you for your cooperation. ”

She stood up to see off the guests.

Zhou Can was 'invited' out of the small office. The questioning was not over, and Dr. Lu was still waiting outside.

All the doctors involved are subject to investigation.

Seeing Zhou Can come out, Dr. Lu stood up and asked, "Are you okay?" "He's very smart, and that's the result of questioning.

"It's good."

Zhou Can blinked.

"No communication is allowed until the investigation is over. Dr. Luk, it's your turn! Please come in! ”

The female officer in the quality control department immediately stopped the two from continuing their conversation.

The two exchanged glances, and both smiled slightly.

This situation made the female officer next to her angry.

A face is so cold that it almost drops ice slag.

Dr. Lu walked into the office quickly, with his hands behind his back, and made an OK gesture to Zhou Can.

It means don't worry, he knows how to answer.

Zhou Can almost didn't laugh.

Everyone has disadvantages and advantages. Dr. Lu has many shortcomings, but when faced with such a major event, he is very clear.

Although the team of doctors in the emergency department is a little inferior in terms of medical skills, and the soft and hard facilities of the department are also very poor, they are unusually united when facing the outside.

Last time in the rescue room, the directors were like this.

Now, the same is true for these low-level doctors.

……

Zhou Can returned to the operating room, and Dr. Xu had calmly continued the operation.

Seeing Zhou Can come back, Dr. Xu cast an inquiring look.

"Very good!"

Zhou Can only said two words.

Dr. Xu must still be a little worried. Now that he learned that Zhou Can did not have Kuang Scoop, he was obviously relieved.

The most worrying thing is that Zhou Can will make a mistake in the investigation.

After all, Zhou Can is the youngest and has no experience in dealing with this aspect.

"Hurry up and get the surgery! Strive to deal with all the surgical patients with external pressure as soon as possible, and it is estimated that there will be something later. ”

Dr. Xu said to him.

"Okay!"

Zhou Can walked to the sub-operating table inside, and Qiao Yu also followed.

Whispered, "Are you alright?" ”

"It's impossible to go back to the operating room if there's something."

Zhou Can looked relaxed.

"Hey, thank you for speaking for me yesterday. If Tian Tian hadn't sent a private message to scold me, I wouldn't have known that you were helping me. ”

When she looked at Zhou Can, her eyes were watery.

Is this moved to tears? Or is it the spring heart rippling after the heart is moved?

Zhou Can made so much effort to help her, but he didn't tell her.

This kind of secret help, without expecting anything in return, made her doubly moved.

"I just told the truth, nothing to thank. It's Tian Tian, a woman, she made a mistake herself, why does she still have the face to scold you? "Zhou Can rarely hates a person in particular.

I used to think that Dr. Lu was unpleasant.

But compared to Tian Tian, Dr. Lu is a 'good person'.

"Let's have surgery first, and I'll talk to you when I have a chance."

She avoided it like this, which showed that Tian Tian's scolding words must be particularly ugly.

……

I was busy until more than 5 o'clock in the afternoon, and I finished processing all the surgical patients in the queue.

When it was time to take over the shift, Dr. Cui, who was rarely on the night shift, came over to take over.

The entire emergency department operating room was disrupted.

"Xiao Zhou, Doctor Lu, don't leave after work, go to the office of the emergency department." Dr. Xu told the two.

Dr. Choi must have learned about what was going on in the emergency department from some sources.

Slightly worried, he said, "That Tian Tian is really involved, and the entire emergency department is involved." I heard that the quality control department is here, so it's okay, right? ”

If Xiao Zhou's answer was not flawed, there would be nothing. Otherwise, it's hard to say if I can go to work tomorrow. In case you can't come, you young people have to work harder and fight to get to the top. ”

Dr. Xu is already in a guilty position, and if something happens again, the hospital will definitely deal with it seriously.

"Teacher, you don't believe me!" Zhou Can smiled wryly.

"No, no, no, I have a lot of trust in you. It's just that you are still very young, and you are inexperienced in the face of the questioning of the medical department, and you are prone to make mistakes. Even if there is anything, I don't blame you. With my surgical ability, I can live a good life in any hospital. After staying in Tuya all these years, I was unwilling to do so, and I fantasized that one day I would be able to get up again. Second, I am a person trained by Tuya, and some hospital leaders have treated me very well, and I want to help Tuya Hospital improve the surgical capacity and rescue level of the emergency department with my own strength. ”

Dr. Xu would never say such things in front of so many people.

If he doesn't say it at the moment, he is worried that he will not have a chance to say it again in the future.

"Alas! Unfortunately, my abilities are limited after all. Although the operating room of the emergency department has been improved, it is far from growing. Originally, if Xiao Zhou had no accidents, it would only take three years at most, and as soon as the training was over, there would be an additional high-level surgeon in the operating room of the emergency department. ”

Dr. Xu has a very high opinion of Zhou Can.

There are high hopes.

"I can grow from a surgical rookie who can't even do seams to the point where I am now, and you have cultivated me the most. I'm sure you and Dr. Chow will be fine. This matter was originally the responsibility of the surgical nurse Tian Tian, and the hospital leaders must be able to distinguish it. ”

Dr. Cui said with some emotion.

When people part, they are most likely to reveal their true feelings.

If you hide it in the bottom of your heart, you are worried that if you don't say it again, you won't have a chance to tell the other party again.

"Do a good job, this is the best reward for me and Director Lou."

Dr. Xu patted Dr. Cui on the shoulder and walked out of the operating room first.

There were two nurses with red circles under their eyes.

The parting words of several doctors just now are indeed touching.

It has the feelings and ambition to strengthen the emergency department, and also has the care and support for the younger generations.

This is a warm department.

……

After Zhou Can changed his clothes, he came to the emergency office with Dr. Lu and Jin Mingxi.

Director Lou and Deputy Director Han Changqing are here.

The atmosphere was slightly oppressive.

"It's all here! Close the office door! ”

Director Lou's gaze swept over everyone.

"In the past month, the number of surgeries in our emergency department has increased by more than 900. This is a very gratifying result. ”

Director Lou first summarized the results of this month.

Zhou Can alone can complete 14-20 surgeries in one day. Jin Mingxi's surgical ability is also good, and he can also do more than a dozen first-level surgeries a day.

Dr. Lu's surgery was a little slower than Kim's, but not much.

It is not surprising that the number of surgeries completed in a month has increased by more than 900.

"Yesterday's medical malpractice did not cause serious consequences, and the fault was not with the doctor, but with the surgical nurse. Originally, the superiors would not have made such a big fuss about our emergency department because of this incident. ”

Director Lou's face showed a hint of helplessness.

"At the last morning meeting, Director Xie of the Department of Surgery was already dissatisfied with our snatching of the surgical operation. After all, he thinks that the total revenue generated by the surgeon has been reduced, which is understandable. ”

An appendicitis excision operation, in the case of open abdomen, about 8000. The price of laparoscopic surgery is more expensive, more than 12,000 yuan.

Ordinary first-level surgery costs a few hundred yuan at a lower price, and about two or three thousand yuan at a higher price. The average price should not be lower than 1500 yuan.

If only a dozen surgeries are snatched, the surgeon's income will be reduced by about 20,000 or 30,000 yuan at most.

This income is spread over many departments of surgery, which is a drop in the bucket.

Now I've made more than 900 units a month than usual, which is really scary.

The emergency department can increase its revenue by at least two to three million yuan.

Enough to cause surgical pink eye.

In fact, this income is evenly distributed among so many departments of surgery, which is still nothing.

But for the emergency department, which has always been weak and cold, it is definitely a rainstorm.

Not only doctors and nurses in operating rooms and medical technology departments can increase their income. Moreover, the emergency department can also obtain some department development funds and obtain some medical resources.

As long as you persist for a year or two, the emergency department can gradually become stronger and improve by leaps and bounds.

It has to be said that this is a good opportunity for the emergency department to get out of the predicament and break the deadlock.

"Director Han, let's talk to the big guy next!"

Director Lou took a sip of water and stopped halfway through his talk.

The number one, even speaking behind closed doors, sometimes has to pay attention to the impact.

When necessary, the second-in-command must be a pioneer and say what the first-in-command cannot say.

"Why is the Medical Quality Control Department doing this? Simple. Zhong Hui, the team leader of the medical quality control department, used to be a general doctor in surgery. He has always been mediocre in medicine, but he has shown great talent in administration. Later, with the help of Director Xie and many directors of the Department of Surgery, he successfully became the team leader of the quality control department step by step. ”

It turns out that Zhong Hui and Director Xie still have this relationship.

No wonder they would work so hard to investigate a medical malpractice, big or small.

"We robbed part of its surgery, and after being skillfully resolved by Director Lou last morning, we must be unwilling. But there was no way, they could only wait for their chance. This medical accident can be regarded as giving them an excuse for the operating room of the emergency department. ”

A hospital is not a place for a single person.

In the midst of intricate relationships, everyone needs to follow the rules.

Each department will prioritize its own interests.

This is true regardless of the hospital.

Because it is about the status and income of each department member.

"Now it is almost certain that the Department of Surgery asked Team Leader Zhong Hui to thoroughly investigate this medical accident in order to reduce the number of surgeries in our emergency department. We have been informed by the Medical Section that we will go now. Telling you so much is to hope that everyone will be mentally prepared. ”

Deputy Director Han's gaze swept over Zhou Can and the others.

To put it bluntly, the in-depth analysis of interests just now is for young doctors such as Zhou Can, Dr. Lu, and Jin Mingxi.

"Director Han, let's go together!"

Director Lou looked at Deputy Director Han.

"Me? This time, I only informed you and the doctor involved in the operating room to go there, so I didn't need to attend, right? ”

"Our emergency operating room has made a lot of progress and development, don't you take this opportunity to fight for the emergency internal medicine?" Director Lou asked with a smile.

"There are no talents like Zhou Can and Jin Mingxi in internal medicine. No matter how many patients I rob, it's useless, I can't digest them. Deputy Director Han shook his head in annoyance.

It is more difficult to train people in internal medicine than in surgery.

It is impossible for talented internal medicine talents to flow into the emergency department.

Director Han wants to expand the emergency department, but he is also weak.

"That's right, that's fine, you're in command here. But don't do anything else. Director Lou took Dr. Xu, Zhou Can and others to the medical department.

I entered the small conference room No. 2.

It seems that every internal conversation takes place here!

Zhou Can couldn't help but smile bitterly, he had become a frequent visitor here.

Not long after sitting down, Section Chief Xin of the Medical Affairs Department, Zhong Hui, the team leader of the Medical Quality Control Department, and the woman who made the record, entered the conference room one after another.

Immediately afterwards, Vice President Ye appeared.

The cooperation of these hospital leaders is quite tacit.

Today was supposed to be Saturday, and many people in the administrative department were not working.

Director Xie's energy is really great.

In order to reduce the number of surgeries in the emergency department, a quality control team leader was asked to work overtime.

It is estimated that after two days, things have subsided. It's hard to talk about it again. Only then did he strike while the iron was hot and seize the opportunity to attack the emergency department.

"I wasn't supposed to be at work today. Just came back from attending the program. ”

After Vice President Ye greeted Director Lou and Section Chief Xin, he directly began to talk about things.

"Last time, we held a morning meeting on surgical safety, and in the operating room of your emergency department, this is giving me eye medicine!"

didn't slap the table, didn't get angry, just said to give him eye medicine, then it means that the problem is not big.

"Team Leader Zhong, have you investigated everything clearly?"

Vice President Ye looked at Zhong Hui.

"It's been checked. The cause of yesterday's accident in the operating room of the emergency department was because Tian Tian, a surgical nurse, was talking and chatting with others during the operation, neglecting her duties, and mistaking isoproterenol for the anesthetic tetracaine when dispensing superficial anesthetics, which eventually led to dangerous symptoms such as increased wound bleeding, headache, chest pain, and shortness of breath. ”

Zhong Hui's work is still quite detailed.

"This incident reflects a number of lapses in the safety management of the emergency department's operating room. During the operation, the senior doctor failed to stop it in time, which is one of them. When a nurse makes a mistake in dispensing anesthetic, no one notices it, and there is a lack of supervision. After investigation, there is a more serious problem. Xu Chen, the attending doctor in the operating room, privately asked Zhou Can, a regular trainee, to participate in the important steps of the second-level operation. ”

This is a list of sins against these people.

After hearing this, Vice Dean Ye glanced at Zhou Can with some surprise.

If memory serves, this young man named Zhou Can just became a doctor this year, right?

It has only been standardized for more than a month, and the important steps of secondary surgery can be completed?

He wasn't convinced.

As for the first two charges listed by Zhong Hui, they are all minor problems, just admonish a few words, and pay attention to them in the future.

As the vice president of medical care, I also know that the emergency department is not easy.

When a big leader, he is generally very tolerant of his employees. If the requirements are too harsh, they will only deviate from morality.

Just boot it right.

"Dr. Xu, the emergency operating room is basically up to you. During the operation, the nurses and doctors chatted, you have to take care of this, and you can't let them go on like this in the future. When the nurse wakes up the medicine, if possible, the doctor still has to supervise it properly, and some nurses are very irresponsible. I will also report to the Nursing Department and ask them to strengthen the training of all nurses in our hospital and standardize their operations. ”

Vice President Ye has a deep understanding of the situation in the emergency department.

Even Dr. Xu is in charge of the operating room, he knows it.

And his attitude towards Dr. Xu is quite polite.

Zhong Hui next to him was anxious for a while, and it took a lot of effort, he thought that he would have to call the emergency department operating room three shocks, but now Vice President Ye's attitude is so kind, how can I talk about the next things!

He came with a mission.

If it can't be done, Director Xie can't explain it.

"Please rest assured, I will strengthen management."

Dr. Xu solemnly stated.

"Tell me, which important step did you let Zhou Can participate in the secondary surgery?" Vice Dean Ye seemed to be more interested in this matter.

"It's nothing, it's just sewing a skin or something."

Dr. Xu is an old man, but he will not let his guard down because of Vice President Ye's amiable attitude.

He is also very careful when he speaks.

(End of chapter)