Skills Training Room 1321 is an orthopedic-related skills training room, which has a total of seven or eight different skill operators.

Fang Xian chose a relevant operating instrument that could practice incision.

The skill operator is divided into an operating table and a display screen, on which you can select the difficulty coefficient of the operation of the practice, and on the operating table, you can sense the subtlety of the operation.

Fang Xian chose the difficulty level 2 of the operation technique.

Ask to appear.

[Incision Level 2: Please follow the laser marking, make an arc incision with a length of 10 cm, and cut the deep subcutaneous fascia!] 】

[Requirement 1: The incision cannot be repeated, the incision cannot have a broken line, the incision side movement cannot deviate from the laser reticle by 0.5mm, and the incision depth cannot be no more than 0.5mm away from the subcutaneous fascia. The incision length error shall not exceed 0.2cm, and the operation time shall not exceed 5s. 】

[Require 2:3 operations, and calculate the average value separately.] 】

At the same time, at the operation console, a polyolefin polymer material memory silica gel was synthesized from ethylene and benzoylpropylene, and an S-shaped green laser arc reticle appeared on the operating surface that could still be restored after cutting.

Fang Xian picked up the scalpel on the side and carefully identified the requirements of the operation and the corresponding details of the incision.

I picked up the scalpel with a precise pen grip and began to operate—

About two minutes later, Fang Xian paused for half a minute to take a break between each operation, and completed 3 operations.

In the end, the result came -

"The average time limit for operation: 3.2s. no more than 4s, up to standard."

"Average incision depth: 0.5003 cm. The subcutaneous fascia was not injured, and the subcutaneous fascia was less than 0.5mm, which was up to standard. ”

"The average bias between the incision and the laser reticle: 0.04mm, no more than 0.5mm, the standard is met."

"The average length of the incision: 10.03cm, the incision length error does not exceed 0.2cm, and the standard is reached."

Overall rating: 97! Skill Proficiency: Level 2 (proficient). ”

"Whew! ~" Seeing the result, Fang Xian exhaled a long breath.

My feeling is right, my strength has really improved.

In this way, the degree of control over the depth, length, and arc of the incision, even if it is taken to the patient, it can be operated, and it will not be like the level 1 skill, there will be too much deviation, which will make the senior physician embarrassed!

Immediately afterwards, Fang Xian came to the X-ray reading skill training instrument and practiced and confirmed the skills related to X-ray reading......

Three hours passed, and Fang Xian left the skill training room with a slight frown.

He felt like he was still thinking a little too much.

Except for the skill point plus point to show that the level 2 skill has been reached, the level of other related skills remains the same, and there are no unexpected gains.

However, Fang Xian was not discouraged.

Being able to reach 3 level 2 skills is already very good.

And after reaching 3 level 2 skills, Fang Xian felt that the bottom line requirements for the skills of trauma surgery room assistants in the Affiliated Hospital of Shonan University were more objective.

Because right now, after Fang Xian has level 2 skills, and then goes to operate and operate, he will have a kind of confidence, I can do it, at least I can guarantee that when I am an assistant, I will not make a big mistake, put this bottom line here, your superiors can rest assured.

After this, Fang Xian came to the department again.

Because Fang Xian already knew that he could increase the damage to the disease and gain skill points through the doctor's order, then he had to carefully ponder and examine again whether his existing three patients had any news that he had ignored, or whether he could get greater benefits by changing the doctor's order.

It may not be useful, but even so, by carefully disaggregating the patient's medication principles, it is possible to improve the basic theory of trauma surgery and the theory related to pharmacy.

This is a part that surgeons and bed doctors tend to ignore.

Because the main battlefield of surgery is still in the operating room, if the operation is done well, then everything is fine, if the operation is not done well, you want to solve the problem for the surgical patient simply through medication, it is too difficult, unless you want to challenge the surgical indications and contraindications formulated by a group of experts!

The three patients in charge of Fang Xian are all postoperative patients.

The current medication regimen is basically the same, with only slight differences.

The principle of postoperative medication in surgery is to prevent anti-infection, analgesia, personalized gastric protection, and anticoagulation! Then according to the different characteristics of different patients, different drugs are given, for example, hypertensive patients will see whether their blood pressure is well controlled, and diabetic patients will be given insulin to adjust blood sugar, etc.!

Of course, these are all things in the basic theories of medicine, and Fang Xian is naturally clear.

Therefore, Fang Xian carefully questioned a circle of patients in his charge, and once again confirmed that they did not have such underlying diseases.

This made Fang Xian a little confused.

At present, there are three patients, one is a pelvic fracture, one is a femoral bone defect after bone transfer, and the other is a tibia and fibula comminuted fracture after internal fixation.

These patients have open fractures, and postoperative antibiotics need to be used until the inflammatory markers tend to subside, and even consult a doctor to change the antibiotics at any time.

Antibiotics can't move, anticoagulation can't move, gastric care related drugs except for the patient with a pelvic fracture who had surgery yesterday to continue to protect the stomach, other patients have stopped the relevant doctor's orders......

"So, except for the 15 beds of painkillers that can be stopped, everything else can't be changed!"

Fang Xian sighed, feeling that he was a little funny, he would whimsically want to move such a big outline as a doctor's order, and then get a big harvest in one hit?

This is also naïve!

However, just after Fang Xian stopped the painkillers in the 15 beds and changed them to oral analgesics.

The panel flashed again -

"+2 skill points!"

"Stopping the application of intravenous non-selective steroidal analgesic drugs in time reduces the burden on the patient's body, reduces the probability of complications such as intragastric bleeding to a certain extent, causes 2 points of harm to the patient's current sub-health symptoms, and obtains 2 skill points!"

Seeing this prompt, Fang Xian's eyes flashed instantly?

"Ahh ~This? ”

Stopping a painkiller can also reduce the physical harm of the drug to the patient and cause harm to the patient's sub-health state?

In other words, this patient currently has sub-health, but it is not reflected in the current treatment!

Fang Xian immediately captured the key points.

This is analyzed from the panel information, based on its own medical-related basic theories.

Sub-health!

Fang Xian continued to extract the corresponding knowledge reserves, sub-health status, generally not through medication, but through lifestyle changes.

Based on the available data, it can only be determined that the patient has gastrointestinal sub-health, and if it is not a disease, is there a problem with the patient's recent diet?

Fang Xian is not sure, because sub-health is not a specific diagnosis, but you can ask!

"Auntie, what have you been eating lately? You didn't eat what you told you not to eat, did you? For example, pepper and pepper, you should pay attention to this wound. Fang Xian asked while wearing a white coat and standing in front of the 15th bed.

"No, Doctor Fang, you said you can't eat chili peppers and peppercorns, I haven't eaten them, I've been drinking fish soup and eating fish meat recently." The 15-bed aunt came back like this.

But as soon as the 15-bed aunt said this, another grandmother in the 14-bed, that is, the grandmother with a broken pelvis, sued: "Doctor Fang, she added millet pepper to the fish soup, and added quite a lot!" ~”

The old lady said very seriously.

Fang Xian listened to the grandmother of the 14th bed, and then looked at the aunt of the 15th bed, her eyes were awe-inspiring.

The 15-bed aunt said, "Doctor Fang, just this time, I will definitely not eat next time." You know, we're generally not spicy......"

When Fang Xian heard this, he instructed: "Auntie, it's okay to eat chili peppers usually, but eating chili peppers after surgery is easy to cause local inflammation, and capsaicin will enter the blood and cause irritation." You can't be so disobedient and spoil your own body, right? ”

"Grandma, you help me supervise, next time I see it, I will sue Professor Lin directly!"

"Let Professor Lin scold her."

Professor Lin is the leading professor of Fang Xian's group, a giant in trauma surgery in the province. The temper is very hot, in addition to not daring to scold the superiors, up to the head nurse, down to the doctor in charge of the bed, to the side to the patients and their families, they are all scolding, and the scolding is so bad that he has no temper.

Professor Lin has no superiors above him.

The aunt quickly shook her head and said, "Don't, Doctor Fang, don't dare, don't eat again, I promise." ”

At this time, her daughter said: "Mom, I'll tell you, don't eat it, others are doctors, they are professionals, they can definitely find out, you still don't believe it......"

"Doctor Fang, I promise not to give it to my mother, and she won't give it to me if she begs me again." She gave assurances.

……

"Persuading the patient to return to a normal diet accelerates the recovery of the wound, reduces the damage of the gastrointestinal tract, causes 6 damage to the current sub-health state, and obtains 6 skill points!"

When Fang Xian walked out, he flickered like this.

The corners of Fang Xian's mouth instantly became happy.

There are no useless skills, and there are no useless theories, it's just up to how you use them.