Having a super talent like Jiang Wei join is naturally a good thing that cannot be sought.

I'm afraid I can't afford it.

Zhou Can currently has some net worth, but he is far from being a capital predator, and he himself is not able to support talents. At least not yet.

"I was mentally prepared before I came to you. It's okay to be bitter now, but I'm sure the days will get better and better in the future. The HR side had already asked me about my salary requirements yesterday. My minimum salary requirement is an annual salary of more than 300,000 yuan and an ordinary labor contract. If I'm not satisfied, I can walk away at any time. If the hospital thinks I'm not qualified, they can fire me at any time. ”

Her salary requirements are really not high.

There are many nurses in Tuya Hospital who earn between 8,000 and 15,000 a month. The monthly income of senior nursing care is at least 12,000 or more, and the most can reach 28,000.

However, the profession of nurse is basically at this salary level in China.

No matter how high it is, the hospital can't afford it.

Jiang Wei belongs to special talents, with an annual salary of 300,000 yuan and a monthly income of 25,000.

It is considered a high salary among nurses, but her academic qualifications are there, and many hospitals are rushing to ask for this price.

"If I want to keep you, it seems that I will have to work hard to take on a big job in the future!"

Zhou Can showed a wry smile.

"Huh! It's a great idea! The only departments that can make achievements are the Department of Cardiology, Divine Externality, Divine Interior, Respiratory Surgery, and Orthopedics. Aren't you very capable of cardiothoracic surgery? Take on more cardiothoracic surgery work, let alone raise me a nurse, even if you raise a few more, it's no problem. ”

She replied with a smile as she stroked her smooth forehead.

is worthy of being a person who has seen the world, and his speech is very incisive.

In the hospital, there are indeed only a few departments that can really make achievements.

Obstetrics has developed better and better in recent years, and it also has the potential to produce results.

However, compared with the old and powerful departments such as outside the heart, inside and outside, and orthopedics, obstetrics is relatively weak.

At this time, the two had already arrived at the inpatient ward.

The emergency department is actually not big, whether you think of the operating room, inpatient ward, emergency room, ICU, basically it will not be more than three minutes away.

During the ward rounds, Zhou Can intended to see her level.

The first bed that happened to be found was a very frail elderly patient. Because of acute intestinal perforation, Zhou Can performed debridement and intestinal repair surgery on her. He is currently recuperating in a hospital bed.

The recovery of the elderly is not very ideal, he is already seventy-six years old, coupled with his thin body, it is much more difficult than the recovery of ordinary people.

Zhou Can's conservative assessment of this old man is that he can be discharged from the hospital in seven days.

If an abdominal infection occurs, it is difficult to say whether you can be discharged alive, let alone be discharged from the hospital in seven days.

"Jiang Wei, you are a professional nursing, let's see if there is anything that can be improved in this patient's care?"

Post-operative care of patients is extremely important.

The current level of care in the emergency department is not very good, it can only be regarded as decent.

"Okay!"

She said yes and began to learn more about the patient's condition.

"From her current signs, appetite, gas, and urine output, it can be seen that the operation was successful, and there is no postoperative infection, or secondary intestinal perforation or leakage. Her post-operative care is mainly anti-infection, and I recommend eating some liquid food to promote intestinal peristalsis and provide her with better nutritional support. In addition, it is recommended to consume at least 50 grams of ground soybeans every day in a liquid diet to increase the amount of gas and be more conducive to intestinal recovery. ”

After Zhou Can listened, his eyes lit up slightly.

This was his first formal exposure to the flexible use of nutrition in nursing.

Postoperative care is also supported by nutrition in the intensive care department, but it is only a nutritional support to protect the patient's life. And most of them use simple and crude nutrient solution input.

Jiang Wei's dietary therapy suggestion at this moment is obviously one level higher than that ordinary nutritional support.

"It is worthy of a doctorate in studying abroad, and this advice is very good. You tell the family a detailed list of diets and let them watch the preparation. Zhou Can deliberately mentioned Jiang Wei's status as a doctor studying abroad.

This is to increase the family's trust in her.

In the clinical diagnosis and treatment of doctors and nurses, family members are more willing to listen to the doctor, and will automatically ignore the presence of nurses.

To this day, most patients and their families still have some prejudice against nurses.

Thinking that nurses will only give injections to change dressings, or even injections will make mistakes, when encountering obese patients with inconspicuous blood vessels, or children with very thin blood vessels, often need to prick needles two or three times to succeed.

These discriminations are unfair to nurses and are a cause of the high turnover rate of nurses.

"She is a Ph.D. who has returned from studying in the United States, and her level is extremely high, and the advice she just made is very good. Remember, feeding this grandmother some liquid food as she suggested can shorten her hospital stay and save a lot of treatment costs. ”

Zhou Can has already been handy in communicating with his family.

You say something else, the family tends to be when you're farting. Just mention that it can reduce the cost of treatment, shorten the length of hospital stay, speed up recovery, and ensure that the family will immediately become particularly motivated.

"Okay, please, I'll buy it as soon as I remember it."

The patient's daughter must also be in her fifties, and after listening to it, she took out her mobile phone and pressed the record button on the spot.

Zhou Can couldn't help but feel nervous.

Every time he sees a patient or family member take out his mobile phone to record or video, he feels nervous. I believe that other medical staff are similar.

Because after these people make video recordings, they are likely to be collecting evidence to prepare for future complaints and lawsuits.

However, this family member should be older, and there is no pen and paper around him, so he had an idea and thought about recording with his mobile phone.

"Soybeans are ground into flour, about 50 grams a day, and no more than 100 grams at most. Fish soup, especially crucian carp and black fish soup, has good nutritional value and is more conducive to wound recovery......"

She gave some advice on dietary therapy.

Regarding the patient recording, Jiang Wei seemed very calm.

Zhou Can listened silently beside him, and the list of dietary therapies she gave was very common.

However, every food can be just right for the patient's condition or physical condition, which shows that her nutritional level is very high.

Just like Zhou Can's incision level reaches level 6, when he encounters a need for dissection during surgery, he can often swing freely, accurately and quickly. Every time the tissue is cut or the lesion is removed, it can be just right.

Her dietary advice to her patients is also at this high level.

Each food and the amount to be consumed is tailored to the patient's physical condition.

In the following rounds, she can give some good advice from time to time in the critical care or treatment of some patients. Even medications.

And she can be targeted every time, which makes Zhou Can deeply agree.

Even Zhou Can has benefited a lot from some medication suggestions, learned some new medication knowledge, or got some inspiration.

For example, when I checked a patient with 27 beds just now, because this patient had undergone cardiac vascular stent surgery, this time he was hospitalized for pneumonia. She suggested that patients should consider increasing the dose of anticoagulant drugs when taking drugs for the treatment of inflammation.

Some other medication adjustments will need to be made.

Because inflammation and coagulation activation are 'two lanes'.

The inflammatory response can lead to hypercoagulation.

This increases the risk of blood clots.

At the same time, hypercoagulability causes activated coagulation factors to bind to PARs in a variety of cells, which promotes the synthesis and release of more inflammatory mediators, further exacerbating the inflammatory response.

She proposed that the drug regimen should not only consider the increased risk of blood clots, but also break the 'cross-talk' between the inflammatory response and the activation of blood clotting.

Don't look at it as a small suggestion, but it has benefited Zhou Can a lot.

At the same time, it also shows that the level of internal medicine diagnosis and treatment in the emergency department is poor.

It can also be considered that her pharmacological level is very high, which highlights the poor level of emergency medicine doctors.

After checking the room, Zhou Can's heart was very happy.

This time I really found a treasure.

Having such a highly skilled nurse join his team is definitely a big help. It can greatly improve his team in an instant.

Take her into the operating room after changing her clothes.

The first operation was an emergency trauma operation, when the patient stepped on a banana peel thrown by a passer-by during his morning run because it was dark and the street lights were not very bright, and then unfortunately took a free flight.

Eventually, he threw a deep wound into the elbow of his right hand.

Zhou Can examined the wound on the patient's right arm, which was about 4cm long, which could only be regarded as a small wound. At least in the eyes of a doctor, it was nothing.

The depth of the wound was more than 2 cm, and blood was still bubbling out.

It seems that the arterial blood vessels are broken.

Because if it is a vein, it can generally stop the bleeding automatically, and the color of the blood will be duller.

It seems to be just a small injury, but the difficulty of the patient's surgery has increased a lot.

Because after examination, Zhou Can found that the broken blood vessel was likely to be the ulnar recurrent artery.

Both the anterior and posterior branches of the ulnar recurrent artery are important.

In addition, the ulnar and radial arteries belong to the terminal branches of the brachial artery, which is the main blood supply artery at the end of the arm.

It is simply and rudely ligated to stop bleeding, which will cause the patient's right arm to lose part of the blood function and cause many problems. Dysfunction may even occur, and some muscles and tissues will die of avascular necrosis.

In addition to debridement, surgery requires evaluation and repair of the broken blood vessels.

As long as the patient does not go to the grandmother's house at the time, there should be no need to consider vascular grafting or artificial blood vessel replacement.

Sometimes, if the broken vessel segment is long, autologous venous grafting may be considered.

The doctor gives advice on how to treat the treatment, and the patient and his family make their own choice.

Speaking of which, it is necessary to mention the principle of surgical signature.

If the patient is an adult and conscious, the patient's consent is required for the surgical plan. Otherwise, even if the family members sign and the patient does not agree, the doctor must respect the patient's wishes and cannot force the operation.

There have been similar cases where the doctor did not respect the patient's wishes, and the patient sued the patient in court, and finally ordered the hospital to compensate the patient for the loss.

It's just that for the patient, some important organs or functions have been lost, and no amount of money is worth compensating.

Think about it, if one of a woman's breasts is cut off, or the uterus is cut out, what is the use of the money she gets?

"Jiang Wei, can you be the instrument nurse for this operation?"

Zhou Can asked directly.

Instruments and medicines, sutures and other items, Qiao Yu has been prepared.

Jiang Wei only needs to pass instruments, medicines, and consumables to Zhou Can.

The instrument nurse in the surgical nurse also has a not-so-nice name, called handwashing nurse.

If taken literally.

It's a nurse who specializes in helping doctors wash their hands, what kind of technical content can this have?

In fact, the technical content of the instrument nurse is indeed not particularly high. As long as you are familiar with the surgical process, you can basically do this job well.

During the operation, the surgeon will sometimes be reminded of what is needed.

Such as how many sizes of scalpels, how many sizes of sutures, and so on.

Of course, high-level nurses can prepare in advance without a loud reminder from the surgeon.

For example, like Qiao Yu, she was able to prepare all the instruments and consumables for Zhou Can in advance very tacitly during the operation. When encountering rescue, it can be more helpful, and even directly provide some rescue suggestions.

After following Zhou Can as a surgical nurse for two years, Qiao Yu's actual combat ability is now very strong.

She has been self-educating herself on advanced nursing knowledge such as nutritional support, critical care, and more in preparation for studying abroad.

This time, a nurse who had studied abroad came to school, which was also a good opportunity for Qiao Yu.

She can learn from Jiang Wei about what preparations she needs to make to study abroad and study nursing.

"I'll try!"

Jiang Wei calmly walked to the position of the instrument nurse, while Qiao Yu stepped aside and said to her kindly, "Jiang Wei, don't be nervous, just operate normally." If you have any questions, feel free to ask me. ”

"Okay, thank you!"

Jiang Wei nodded at Qiao Yu and smiled gratefully.

The operation began, and Jiang Wei began to deliver or receive surgical instruments and consumables according to Zhou Can's needs. The whole assistance process is extremely easy and skillful, and it is obviously easy to navigate.

Qiao Yu, Ma Xiaolan, Pu Dingdong and others were dumbfounded.

I thought it was just a novice egg, but who knew that a king-level master was coming.

The first operation ended quickly, and Zhou Can found that Jiang Wei was replaced as a nurse for him, and there was no sense of disobedience. It's even like there's no substitution.

The kind of tacit understanding between Qiao Yu and him, this Jiang Wei also has.

If Qiao Yu can have this ability, which is the crystallization of talent and hard work, then this Jiang Wei is definitely outstanding.

"Jiang Wei, that's good! Your familiarity with instruments, medicines, and sutures makes you a seasoned surgical nurse. ”

Zhou Can did not hesitate to praise her.

"Hehe, thank you for your recognition! Your surgical skills are also the best among any young doctors I have ever met, whether it is debridement, vascular repair, or cortical suturing, every step is impeccable and perfect. ”

She has worked in at least two hospitals, especially at Zhongyuan University, and must have seen many powerful surgeons.

"And the speed of your surgery, it's astounding."

(End of chapter)