Chapter 398: The Trouble of Relationship Protection, You Handled It Well
After this major operation, Zhou Can didn't have time to catch his breath, and then began to quickly complete some emergency surgeries. For example, traumatic hemostasis and suturing, spleen rupture and massive bleeding caused by trauma, abdominal femoral hernia, finger replantation, etc., are all common surgeries in emergency departments.
If it cannot be treated in a timely and effective manner, it will cause serious consequences such as necrosis of the patient's severed fingers, or death from hemorrhage.
I was busy until nearly 1 p.m., and finally managed to deal with all the backlog of patients who urgently needed surgery.
Zhou Can took off his rubber gloves, "Everyone has worked hard, let's go eat first, rest for a while, and then come back for surgery." "Tuya is a very good platform.
The volume of outpatient and emergency visits is considerable.
The steady influx of patients of all kinds also provided ample surgical opportunities for Zhou's team.
"Oh, I'm so tired! I'm breaking my leg this morning! ”
Ma Xiaolan, a roving nurse, snorted.
"Working with Dr. Zhou, there is nothing else, just a lot of work. Of course, there is a lot to learn. ”
Luo Shishen took her words.
"Xiaolan, there is a lot of work, but our income will be quite considerable! Following Dr. Zhou, I think that as long as I can bear hardships and stand hard work and study hard, the future is quite bright. ”
When Qiao Yu said this, he was by no means showing off how high his income was.
It's to help Zhou Can keep people.
At the beginning, I followed Zhou Can for surgery, because the amount of surgery was too large, so it was far more difficult than the general nurse position.
For adults, it's okay to be tired. As long as the money is in place and the future is bright, everyone's motivation will naturally be very high.
"Really? So how much can you get in a month? ”
When Ma Xiaolan heard that the income was very good, she immediately became interested.
However, inquiring about the income of a colleague is obviously a violation of the rules.
The age of female colleagues and the income of others are all personal privacy. Unless it is a very good friend, it is possible to reveal it.
Otherwise, it is generally not said.
"Hehe, everyone's salary is different, you will know it after working for a month. It's not too early, let's go to the cafeteria to eat! It's late, but there's only some vegetable scraps left! ”
Qiao Yubing and Xue are smart, and they are light and fluttering.
……
After the four of them finished eating, they returned to the emergency operating room one after another.
Qiao Yu immediately threw himself into the work, preparing the surgical instruments, consumables and other items needed for the next operation. Speaking of which, it is necessary to introduce the division of labor and responsibilities between instrument nurses and itinerant nurses.
Many people think that instrumental nurses have a higher status, but on the contrary, itinerant nurses are generally older and more experienced in surgical cooperation.
The roving nurse will work closely with the entire surgical team and the anesthesiologist during the operation.
If necessary, we will coordinate and invite doctors from other departments to come for joint surgery.
Then, the records of various surgeries are generally also taken care of by the itinerant nurses.
Before surgery, the visiting nurse should be the first to enter the operating room to assess the operating environment and check whether the instruments and equipment in the operating room can be used normally. Bed making is also done by itinerant nurses.
Once the patient is in the operating room, the itinerant nurse is responsible for the important tasks of checking information, correctly carrying out the doctor's orders, assisting with anesthesia, and even assessing pressure ulcers.
You say it's not heavy.
The pressure ulcer evaluation is divided into three parts, including the patient's name, gender, age, wound type, wound name, cause of injury, location, wound duration, and date of initial consultation.
and systemic assessment. This includes the underlying disease, nutritional status, name and duration of the drug used, mobility, excretion status, sleep and psychological status, diagnostic tests, etc.
There is also a local assessment, wound color, amount and nature of exudate, wound odor, extent of skin edema around the wound, wound area, depth and direction and depth of sneaking, wound photograph, etc.
Through these, you can see how high the professional requirements of itinerant nurses are.
This is also why itinerant nurses are generally very old.
Don't be surprised to encounter a chief nurse who is working as a visiting nurse during a third- or fourth-level major surgery, this is just a normal operation.
Therefore, when many rookie doctors go to the operating room to exercise, they will feel that the itinerant nurse is more fierce than the chief surgeon.
After scolding this and that, the key is that no one dares to talk back to her.
Sometimes, even the chief surgeon is criticized by the itinerant nurse, and he has to endure it.
The instrument nurse is sometimes called the handwashing nurse, and it is not necessary to say that her status is lower than that of the itinerant nurse.
However, in normal cases, the qualifications of instrument nurses may be relatively low.
There are also some surgeons who are used to cooperating with full-time instrument nurses and are reluctant to change. In this case, the status of the instrument nurse in the operating room is very high.
Basically, in the mind of the chief knife, it is equivalent to a right-hand man.
For example, Qiao Yu, in Zhou Can's mind, status is very important.
Playing with her, Zhou Can doesn't have to be afraid of being injured by the sharp weapon handed to him.
Not to worry about stitches and items left behind, the gauze is exchanged for one piece, and she can remember the position of each piece of stuffed gauze. This kind of thing was originally the duty of a doctor, but she helped Zhou Can share it.
The angle at which she handed the instrument and Zhou Can always matched it, she would not slap the other party's fingers or connect the air, and the operation was closely and tacitly coordinated.
When to deliver what items, she can prepare in advance without Zhou Can's reminder.
As for some subtle considerations in the operation, only Zhou Can can feel it.
If someone else used him as an instrument nurse, his surgical efficiency would have slowed down by at least one-third.
Finally, a hand-washing nurse.
In many cases, it is the instrument nurse who also serves as a nurse.
There are also dedicated handwashing nurses, who are really just responsible for helping the surgical team wash their hands and get dressed.
It is generally seen in the luxury of the top surgical team.
Most of them are related households.
It is precisely because the handwashing nurse has no sense of existence and low technical content that the status of instrument nurses is seriously reduced.
"Xiaolan, tell you something! I'm a straightforward person, and I don't mind if it's not right for you. When I was taking the equipment and medicine just now, I found that some items were not put back in their place after use, and even placed in a mess, which is not good. When you get busy, it's very easy to go wrong. ”
Qiao Yu said to Ma Xiaolan in a friendly tone.
Zhou Can was studying the patient's data and didn't care about this kind of trivial matter.
"I did so many surgeries in one morning, I was so busy, how can I take care of it! Even if some of the items aren't neatly arranged, that's fine. Why would you take such a trivial matter to go online? ”
Ma Xiaolan's answer was really shocking.
It is said that three women are in one play.
When two women get together, they either become good sisters, or they don't get along and fight directly.
Unfortunately, the newcomer Ma Xiaolan and Qiao Yu seem to be a little out of tune!
Zhou Can was still looking down at the information and did not intervene.
He wants to take this opportunity to see what kind of bird Ma Xiaolan is?
Before the contact, I felt that this woman was disguised with a lot of things. It was only this past morning, and she was beginning to reveal her true form.
"Surgery safety is no small matter, and if you don't develop good habits, you are really prone to safety accidents. At that time, not only will the patient's life be threatened, but your future will also be ruined, and even our entire surgical team will suffer. ”
Qiao Yu looked serious.
As someone who has worked in the intensive care unit, she knows how fragile human life can be.
Sometimes, the slightest negligence on the part of a health care worker can lead to the death of a patient.
"Yo, look at what you said, who are you scaring about? What kind of old-fashioned pretence? I'm also an intern in the surgical department, so I don't need you to lecture me. ”
Ma Xiaolan saw that Zhou Can had not spoken, and became even more energetic, feeling that Zhou Can was supporting her.
As soon as she joined Zhou Can's surgical team and directly asked her to serve as a roving nurse, she felt a little fluttering in her heart. thinks that this is Zhou Can looking at Ye Tingting's face and taking special care of her.
This made her hold a more important position than Qiao Yu.
It can only be said that people who like to be amorous will always have a rich inner drama and feel good about themselves.
"Nurse Ma, I think Qiao Yu is just a kind reminder."
Luo Shishen played a round game next to him.
He followed Zhou Can for more than a month of surgery, so he naturally knew Qiao Yu's weight in this team.
Ma Xiaolan's behavior is no different from death.
He persuaded Ma Xiaolan to prevent her from being kicked out of the surgical team by Zhou Can.
Finally, a roving nurse came, and his medical assistant was much easier. Otherwise, he will do all the chores of picking up and dropping off patients.
Now it is shared by Ma Xiaolan.
"Stay there! What qualifications do you have as an intern to teach me a itinerant nurse? ”
Ma Xiaolan's anger seems to be even greater.
It is not ruled out that she deliberately wanted to take this opportunity to establish herself in the surgical team.
Luo Shishen shrank his head when he was scolded, and he really didn't dare to speak anymore.
The status of interns is the lowest, and they are afraid that if something goes wrong during the internship and is sent back by the teacher of the science and education department, it will be ruined.
Qiao Yu was so angry that his face turned red.
People with high cultivation, regardless of gender, are generally not good at quarreling.
is obviously reasonable, but he is often scolded so powerlessly.
"Ma Xiaolan!"
Zhou Can naturally wouldn't let the two nurses quarrel anymore, this is the operating room. He didn't care, Dr. Xu should come in with a black face and clean up the situation.
Don't underestimate Dr. Xu's ruthlessness.
It's nothing to clean up this Ma Xiaolan, I'm afraid that Qiao Yu will be punished together, and then Zhou Can can only watch Qiao Yu be wronged.
"Yes! Dr. Zhou is asking me to pay attention to the unity of the surgical team! I'm measured, but I just think she, a handwashing nurse, shouldn't accuse me of being a traveling nurse in that old-fashioned tone. ”
Ma Xiaolan's IQ is really a bit anxious.
How much does this have to feel good about herself, so that she can lose even the most basic ability to observe words and colors?
"I am suspending your eligibility for surgery. You go back to the office and write a deep review of today's behavior. If the review is not qualified, I will personally report your performance in the operating room to Nurse Niu and Director Lou. When the time comes, prepare yourself to leave. ”
Zhou Can's face was cold.
You shouldn't have recruited a related party in the first place.
Suffer a loss, grow a trench.
No matter who intercedes in the future, this kind of thing will not be agreed.
"You, you're asking me to write a review?"
Ma Xiaolan looked at Zhou Can in disbelief. His eyes were full of grievance and surprise.
"If you don't want to write, you can leave now."
Zhou Can said coldly.
Ma Xiaolan recognized the reality this time and knew that she had heard it correctly.
She didn't expect Qiao Yu's status in the surgical team to be so high, and she didn't expect Zhou Can to turn his face ruthlessly and leave no trace of affection.
Only a newcomer like her, who has not worked for a long time, will naively think that having a meal means that everyone is an acquaintance with a very strong relationship.
"I write!"
Ma Xiaolan bit her lip, and there were already tears rolling in her eyes.
Rushed out of the operating room without looking back.
"Forget it! She's just a newcomer, and she probably doesn't know the rules of the workplace yet. ”
Qiao Yu was soft-hearted.
Ma Xiaolan treated her with such an attitude just now, and now she is still helping to say good things and plead for mercy.
"Rules are rules, and if she can't learn them, then I can only say sorry. We don't have to be influenced by her and get to work. ”
Zhou Can is even more ruthless than Dr. Xu in this kind of thing.
Not accommodating.
He has strong ambitions to lead the surgical team to become the top comprehensive team in China and even in the world. He wants to become a real super doctor in China.
If even a small nurse can't cure it, and says that if you release water, you will release water, how can the team be strong?
A grain of rat poop can really spoil a pot of porridge.
Luo Shishen reduced his sense of presence as much as possible, because he felt the invisible murderous aura on Zhou Can's body.
If Zhou Can's anger spreads to him, it won't be enough.
Qiao Yu didn't say anything more, silently and quickly sorted out the messy item cabinets and countertops.
In this dispute, Zhou Can supported her and helped her clean up the domineering Ma Xiaolan, which made Qiao Yu very useful in his heart.
Her position in the surgical team and being recognized by Zhou Can made her very happy.
……
In the evening, Zhou Can finished the last operation and finished work.
"Xiao Zhou, come with me to the small conference room!"
Dr. Xu threw down a sentence and left the operating room early.
Qiao Yu looked at Zhou Can with some concern.
"It's okay, although the teacher is very strict, he has always handled things fairly. Even if you scold me twice, it's nothing, and it's not that I haven't been scolded by him. ”
Zhou Can gave her a reassuring look, then changed her clothes and went to the small conference room.
Dr. Xu does not have a dedicated private office, so he can only talk to him in a small conference room. Other doctors or nurses sometimes talk about things that should not be made public.
"What's going on in the operating room today?"
Dr. Xu asked expressionlessly.
Ma Xiaolan, a new nurse, did not return the surgical instruments and medicines to their original places when they used them up, and there was a chaotic situation. Qiao Yu reminded her a few words, and she went crazy, playing tricks in the operating room, trying to establish her authority and status. I am also to blame for this, Ma Xiaolan came in with Ye Tingting's relationship, and I shouldn't have recruited familiar workers in the first place. ”
In front of Dr. Xu, Zhou Can did not hide it at all.
I've said it all.
"It's good to be able to recognize mistakes. Also, you can decisively pull down your face and let Ma Xiaolan write a review, which is very right. Whether it is leading a surgical team, managing a department, or even a hospital, in addition to being benevolent, needs to be ruthless. ”
(End of chapter)