Chapter 160: The Real Time Management Great... (Ask for subscription)
After Hong Du finished speaking, he looked at Fang Ziye, paying attention to the change in Fang Ziye's expression.
Fang Ziye had never encountered such a thing, to be honest, even Luo Tingzhu didn't give anything when he wanted him to teach.
Now it's like an exchange.
However, where is the teaching between non-master-apprentice and non-teacher-brother relationship not exchange and human affection?
I can come to En'en Central Hospital now, but Professor Li Guohua is holding his face.
"I hope I can help Senior Brother Wu, but if Senior Brother Wu is so good, he must not lack guidance in this regard."
"Director Hong, this Senior Brother Wu, why did you come to Minmin University Hospital?" Fang Ziye asked.
Hong Du explained to Fang Ziye in every detail.
On the other hand, Huang Kai asked Zhang Jinchuan and Zeng Weihang to send the patient out of the operating room with the itinerant nurse, wait for Nie Mingxian at the door, and send the patient back to the ward together.
However, it seems that it is 'hair' Cao Zhen, who knows more about Wu Xuanqi, and also adds: "Director Hong, I seem to have heard that this Dr. Wu has encountered a medical dispute. β
"Then I took the blame for an old director of Tongji Hospital, and then there was retrograde memory loss or something, that is, after the first year of professional graduate students, I was a little silent."
"Then I came to work at the Minmin University Hospital in Enshi, and I didn't study for a doctorate directly, but it was only a year later, that is to say, this Dr. Wu only took less than four years to not only make up for all the knowledge and operations during the undergraduate period, but now he is also studying for a doctorate......"
Fang Ziye listened to it and felt that it was quite legendary.
Speaking of which, Dr. Wu Xuanqi, who used to be the administrative director of the Department of Trauma Surgery at Tongji Hospital and Professor Duan's beloved apprentice, was originally gifted well, but he encountered a medical dispute, was wrongly beaten, and had a rare retrograde amnesia.
Not only did I forget a lot of experiences, but even the knowledge I learned during the period became a blank.
At this time, it was really a bit difficult, so that this Senior Brother Wu could only fill the vacancy of basic medical theory during the master's degree, and then after four years of accumulation, he barely reached the doctoral admission level last year.
That's pretty good.
Wu Xuanqi is a doctor with Senior Brother Yan Zhiming in the department, but in fact, if you count from the master's level, he should be the same as Wang Yuanqi, but it was only a year of World War II.
Four years, eight years of accumulation of beating others, such a record also makes Fang Ziye have to consider, this Senior Brother Wu's qualifications are at least comparable to Luo Tingzhu, or even better.
Luo Tingzhu is currently only in his fifth year of college......
At the same time, speaking of anesthesiologist Nie Mingxian.
Huang Kai blurted out: "Doctor Nie, who doesn't know the time management master in our operating room?" β
As soon as he heard the words of the time management master, Fang Ziye couldn't help but immediately look sideways and looked at Huang Kai. thought that Huang Kai had heard something, and hinted at himself here.
But in fact, Fang Ziye really misunderstood.
Huang Kai also immediately explained: "What about this Doctor Nie, he was originally a top student of Kyoto University, and his qualifications are also very good, but he, because his father is sick, the family has no savings at present, so he can only work first, and then he was picked up by our En Central Hospital." β
"Don't underestimate Dr. Nie, after Dr. Nie came to our hospital, his doctoral supervisor back then also specially visited him."
When Fang Ziye heard this, he raised his hand and gossiped and said, "Brother Kai, if I'm not mistaken, Director Hong said before, this Doctor Nie is a seven-year system?" β
"Yes, the eight-year program will be changed to a seven-year system, and I graduated with a master's degree."
Fang Ziye: "......"
The eight-year genius of the Faculty of Medicine of Kyoto University, really can't be provoked, the score required has always been so high, it has never been lowered, maybe there is no six hundred and eight, you just dream of it.
However, filial piety comes first.
For the first time, Fang Ziye felt that this world was very big and there were many stories......
"Dr. Nie was originally going to join the trauma surgery department of our hospital, but the director of the anesthesiology department of our department discovered Dr. Nie's anesthesia skills, which were so good that they exploded, so he brought them in with a high salary."
"The performance of the emergency department and the anesthesiology department is definitely not comparable, so now the director of the emergency department and the director of the anesthesiology department don't deal with it much......"
"Dr. Nie's anesthesia level is really top. Under the arrangement of his teacher, he graduated with a master's degree in emergency surgery and anesthesiology. β
"After entering the hospital, I took the time management model of a professor from Huazhong University of Science and Technology to the extreme, saying that it was anesthesia for one hour, but it would not be one hour and ten minutes."
"Saying that anesthesia is four hours, it will not be four hours and ten minutes, one-time administration, service to the whole Taiwan, the operation is almost over, and the patient can just wake up after five minutes, and there is no need to send it to the postoperative anesthesia management room."
"That's strong enough, but since this Dr. Nie went out to hold an annual meeting of the anesthesiology department, now he wants to take the word time management to the extreme, and he can even control the off-duty time of everyone in our operating room, don't you say it's powerful enough?"
When Fang Ziye heard this, he could only give a heartfelt thumbs up.
Time control requires not only a sufficient understanding of the depth of anesthesia, but also the level of the clinical operator and the overall difficulty of the operation.
This Dr. Nie has not forgotten his dream of surgery......
Immediately afterwards, Huang Kai and Cao Zhen chatted about Zhang Jinchuan and Zeng Weihang who went out, mainly to beat these two people.
Even Cao Zhen occasionally had to knock Zhang Jinchuan, who was older than him, which made Fang Ziye feel extremely weird!
β¦β¦
Outside the pre-anesthesia room, when Nie Mingxian walked out with his interns, he was still explaining on the side: "Let me tell you, no matter which specialty you are engaged in in the future, or where you study for a master's degree, this time must be grasped well and managed quite strictly." β
"There are several advantages, first, you will be relaxed, your time planning will be more detailed, and you can spare a lot of time to study."
"For example, I can currently leave at least two and a half hours a day, an hour and a half of reading time, and an hour of practice time."
"So how do you control the time?"
"In terms of surgery, it is definitely to increase the basic skills, ensure the quality of the operation, speed up the pace of surgery, and the anesthesia will not be delayed."
"For us anesthesiologists, it is necessary to do a good assessment of the time, such as the reduction of several fracture manipulations to be done today."
When Nie Mingxian said so loudly, he suddenly found that outside the pre-anesthetic room, at the junction of the operating room and the door, there were several people standing there, as if waiting for him.
This made Nie Mingxian's voice stop abruptly.
Wang Zhongxing walked over: "Doctor Nie, we'll wait for you?" This patient is a nerve block anesthesia, and he doesn't need to be revived, do you want to sign it, and we'll send it back to the ward? β
When Wang Zhongxing said this, the little girl next to Nie Mingxian looked sluggish.
Because, before that, Nie Mingxian had said that according to the operation technology and strength of the Hongdu chief physician team, it should be about thirteen minutes to complete the manual reset operation on that side, so they still have nearly six minutes to go over slowly.
Unexpectedly, it was only less than seven minutes, and the patients and the operating team were already waiting at the door of the operating room.
"Oh, are you done reset?" Nie Mingxian reacted quickly, and was not shocked or embarrassed, and went directly to Wang Zhongxing's direction, while taking the anesthesia sheet, signing his name, and asking the patient.
"How do you feel? Your legs are still a little numb, right? But it doesn't matter, after you get back to the ward, you can move a little. β
After Nie Mingxian signed his name, he put the medical record book directly on the hospital bed.
"Okay, thank you, doctor." The patient bowed slightly.
Nerve block anesthesia, he was awake the whole time, except for feeling a little fast, there was no other feeling.
"Well, Dr. Wang, Sister Xia, you can send the patient back to the ward, and by the way, call the nurse to take the next patient into the operating room and send it to the pre-anesthesia room, and I will come over for anesthesia later."
"The patient on my side has been anesthetized and can be sent to the operating room immediately."
"Nerve block anesthesia generally does not involve vital signs, and after going back, symbolic monitoring can be revoked for two hours, mainly depending on the arrangement in the department." Nie Mingxian was doing the handover work very calmly.
Wang Zhongxing and others nodded and said yes.
At the same time, the itinerant nurse Xu Xia began to walk with Nie Mingxian to the pre-anesthesia room.
In the operating room, it is necessary to involve the itinerant nurse to take the patient from the door of the operating room to the operating room, and to take the patient from the pre-anesthesia room or waiting room or the door to the operating room, the itinerant nurse needs to participate.
It's very clear that you can't drag a patient directly into the operating room, even the dean.
Therefore, only two itinerant nurses were arranged in 9 operating rooms, just to speed up the turnover.
After all, Chief Physician Hongdu's surgical strength is very good, and in order to retain this orthopedic champion, special arrangements and care have been made in the hospital and in the operating room.
Walking on the way to push the patient in the pre-anesthesia room, Nie Mingxian asked puzzledly: "Sister Xia, was the last patient reset so quickly?" What's going on? β
Nie Mingxian had already made a time plan in advance, and Fang Ziye was his old classmate and asked Director Hongdu to take it, so there was today's special event of reset.
Otherwise, today it would be Wu Xuanqi himself who came directly to do the manual reset.
However, Nie Mingxian had obviously overestimated Fang Ziye's ability, so he shortened the anesthesia time to fifteen minutes as much as possible, which was comparable to the level of Chief Physician Hongdu's direct operation.
But I didn't expect that there would still be a loss of imperfection.
Nie Mingxian's mood was a little uncomfortable.
"The cooperation between Dr. Fang and Director Hong is so good, basically in one minute, the explanation is finished, and then Dr. Fang is reset in a minute or two, and a plaster cast is also very fast, anyway, there is no need to wait for the plaster to be completely shaped." Xu Xia knew that Nie Mingxian was more concerned about time because he had clinical topics in the hospital.
Hearing this, Nie Mingxian fell silent.
After taking two more steps, he asked in surprise: "So before the reset, Director Hong also explained it to Dr. Fang?" β
I was stunned in my heartββ
Not, brother, old classmate?
What kind of person are you bringing with you, don't you Waterloo.
At this rate, this Fang Ziye's strength may not be lower than yours.
You teach you a chicken feather.
"yes, that's pretty much what it means."
Xu Xia then pondered for a while, and then said: "I think, this Doctor Fang, his technique is reset, and he has a bit of Dr. Wu's demeanor, which is very fast, very decisive, and very crisp. β
"In the same way, the effect of manual reduction is also very good, according to Director Hong, it can basically be said that Dr. Fang's manual reduction operation is very mature."
"Okay, thank you, Sister Xia, then I know." Nie Mingxian smiled and didn't say anything.
Then this will be easy to do, just estimate it directly to Fang Ziye according to Wu Xuanqi's second-level operation time, it should be about the same.
However, in this case, the anesthetic operation of oneself has become the most critical factor affecting the overall operation time.
the groove.
Nie Mingxian cursed in a low voice in his heart.
Since he came to Enshi, he has rarely encountered that he is a factor that delays the rhythm of the operation, basically that is, occasionally when Wu Xuanqi comes over, he makes a mistake in prediction, so he will delay time.
At other times, whether he is anesthesia for elective surgery or anesthesia for emergency surgery, he can basically complete a seamless transition.
That is, this patient has just come out of the operating room, and if there are enough itinerant nurses, the next one can start immediately.
Of course, Nie Mingxian's anesthesia time for the patient who was about to be admitted to the operating room must have been too late to correct, and it would definitely be a little longer.
Because what he had estimated before was that Director Hongdu's side would take more than ten minutes, and he counted these ten minutes into the anesthesia time.
It can't be, it's only operated here, just administered, right?
This kind of operation is only theoretical, and the operation in reality is definitely not reached, but it is just a small goal that can be pursued.
Nie Mingxian didn't care too much about this, so he and Xu Xia took the patient to the operating room again.
"Director Hong, this patient has also been anesthetized."
"Manual reduction is good, there is no need to tidy up the operating room, and there is no need to clean, basically it can be seamless."
"However, the turnaround of the next patient will be relatively slow." Nie Mingxian said.
"It's okay, it's okay, I've worked hard, Mr. Nie." Hong Du continued to show favor to Nie Mingxian like this.
Nie Mingxian's brows were furrowed, but he was helpless, he had mentioned it to Hong Du many times, Hong Du still didn't change his name, and he couldn't help it, he couldn't drag Director Hong Du up and beat him, right?
It's just that Nie Mingxian did not leave the whole process of this technique reset.
After sharpening the knife and chopping wood, he had to thoroughly understand Fang Ziye's level, and then go to anesthesia again, striving to control the turnover of the next six or seven patients, and then leave work early.
After observing the whole process, Nie Mingxian knew that Fang Ziye's comprehension was still quite strong, not too weak, so Chief Physician Hongdu's analysis, he was basically in place in a minute or two.
However, this less complicated method of resetting the operation, Fang Ziye can basically adjust three or five times in two or three minutes, plus the time of perspective and the time of plastering, if you calculate it overall......
"Eight minutes."
"Wu Xuanqi's turnaround only takes five minutes, that is to say, the level of Fang Ziye's manual reduction technique is not particularly far from Wu Xuanqi. At least in simple fracture reduction, that's true. β
"Okay, old Dr. Wu, then you have to suffer." Nie Mingxian's mood improved again.
He was looking forward to it, if Wu Xuanqi knew Fang Ziye's current level of operation, what else would he do to get what to do before taking.
What do you give to others, are you lonely?
At present, Nie Mingxian is one of the few people who can find joy in clinical practice, which is to manage time, and then look at the old classmate who is also very talented, and who may be just a little worse than himself.
After reading it, Nie Mingxian decisively 'signed and drawn', and after confirming that Director Hong Du and others had indeed judged that the effect of manual reduction was very good, he asked the roving and resident doctors to send the patient back to the ward again.
Speaking of which, these two are also hard enough, just came back, and they had to send patients again, and they didn't even have the opportunity to see Fang Ziye and others operate.
"Director Hong, I'll go to anesthesia first. This time, it should be possible to directly receive two patients, and at this rate, it is estimated that before eleven o'clock, it is expected that all the techniques will be reset and disposed of. Nie Mingxian smiled and said.
He already knows the level of Fang Ziye, so he feels that he can control the whole audience in the future.
Nie Mingxian returned to the pre-anesthesia room, notified two nurses at the same time, and picked up two patients to the pre-anesthesia room one after another.
After completing the anesthesia of the first patient, Xu Xia asked Xu Xia to take the patient into the operating room for manual reduction, and then Nie Mingxian said: "It was me before, and there would be an evaluation error, so it will affect the opening of the operation to a certain extent." β
"But can we still do time management at such an extreme time?"
"Yes, we only need to estimate the overall duration of this operation in advance, and then speed up our own operation after anesthesia is done in advance, so that after the anesthesia is done here, we can go out to the operating room, sign and wait for the patient to come out of the operating room."
"Then we'll come back to the pre-anesthesia room and give the next patient a pre-anesthetic."
"To complete such control, the prerequisite is that your anesthesia level is high enough and the anesthesia speed is fast enough."
Nie Mingxian explained, and the little girl over there listened with stars in her eyes.
"Yes, Teacher Nie, you are really amazing, when I followed other anesthesia teachers before, no one was as sensitive to time as you."
"It's alright! Don't believe the rumors in the department, I'm just an ordinary little anesthesiologist. After the next anesthesia was administered in the pre-anesthesia room, Nie Mingxian went out again to prepare to go to the operating room!
found that Zhang Jinchuan and Zeng Weihang, who were struggling, pushed the cart to the corner of the door of the operating room and waited for him.
It didn't become what he expected, he could go to the operating room and pick up the patient directly.
Nie Mingxian's mind was full of stars at the moment, and the intern doctor next to him was almost dizzy, and he occasionally glanced at Teacher Nie, not knowing what to say......
(End of chapter)