150 Medical Record Writing Standards
"Wei Dabao, go and open a head CT for the patient. Wu Mian said, "Show it to me when you're done." ”
"Hmm!" Wei Dabao nodded vigorously, then patted the sturdy man's shoulder and said, "Let's go, I'll give you a bill." ”
The strong man's face was a little bitter, and it was obvious that he still didn't believe what Wu Mian said.
Wu Mian doesn't care so much, the rest is the most basic clinical work, if Wei Dabao can't even take this, he will talk to him so much as he will be fed to the dog.
The office was cleared, and a new day finally began.
Wu Mian didn't care much about whether the patient had a cerebral hemorrhage, it was just a subdural hemorrhage, not a ruptured aneurysm hemorrhage.
It's not that there is no chance of accidents, but the probability is quite low, and the chance of a problem during CT is not more than 1 in 10,000.
The wind is a bit strong today, and the rustling of the leaves is a bit high-pitched and loud.
......
......
Out of the building, the sturdy man said with a bitter face, "Brother Bao, is that Section Chief Wu from Lao Yu Mountain?" ”
"How can you talk!" Wei Dabao was unhappy, "That's my little ancestor, my master's little uncle." How good was the child who was blown up, and how was the girl who suddenly fainted? Let me tell you, don't say bad things after my little ancestor says goodbye, a few days ago, the doctor came in with a coffin, and my little ancestor lay down directly in it. ”
"But...... Shouldn't you be like you, do something? The strong man didn't know the taboo of Lao Yushan, and said vaguely.
"Everything is the Tao, do you think my master and my ancestor don't know? ”
"Hmm. The sturdy man nodded, "I've heard of it." ”
"The matter between the red dust, it is enough to point you a clear path, as for death or something else, it depends on the fate of each person. Wei Dabao said, "When you enter the world to practice, you can't use spells, otherwise how can you experience the ups and downs of the world?"
"You still have this rule?"
"Yes, don't talk nonsense, hurry up and open a list for inspection. "Wei Dabao didn't dare to say more, this thing is more wrong to say, less wrong to say, not good.
"Brother Bao...... A CT is 120. ”
"The price has gone up, 220. What age is this, pork is more than 30 yuan a catty, and you still want to do CT at 120. 220 is not expensive, so I will buy ten brain flowers. Isn't your brain flower more expensive than the pig brain flower essence?"
The strong man sighed, still a little reluctant in his heart.
"Don't tell me you don't have any money, you have NCMS, and you can't spend a lot of money. ”
After Wei Dabao finished speaking, he saw the laboratory doctor on the first floor of the residential building opposite coming out to smoke, and his heart moved, and he said, "I'm going to smoke a cigarette." ”
The sturdy man walked along.
"Xiao Zhao, I heard that Dean Zhou brought his old man to collect blood early on Monday morning?" Wei Dabao greeted him very familiarly, and he didn't say hello, and went straight to the point.
"Sister Wang picked it up at night. Xiao Zhao said, "Brother Bao, how do you know." ”
"Why don't I know, Section Chief Wu said that acute kidney failure must be good!" Wei Dabao even bluffed, he knew such a little thing, and he said it all in one go.
Xiao Zhao said brightly, "Yes, two days ago, Sister Wang pulled me to talk for a long time. Brother Bao, is the new Section Chief Wu really so awesome?"
"Speak well, change my master, you dare to say awesome?"
Xiao Zhao was dumbfounded, he really didn't dare to speak rudely about Daoist Lin in front of and behind others. However, he couldn't get angry, and said disdainfully, "You always say that it is your master, a few days ago, Lin Daochang came to our Bajingzi, and I didn't see him say a word to you." ”
"You know a fart, you have rules for entering the world to practice. Wei Dabao said angrily, "Section Chief Wu ......"
As he spoke, he lowered his voice and whispered mysteriously, "Section Chief Wu is my master's little uncle, and he is also my little ancestor! Do you know why he came to our Bajingzi?"
"......" Xiao Zhao was shocked by this unbelievable relationship, and asked suspiciously for a while, "It's not for you." ”
"Hey, hey. Wei Dabao showed a tacit expression, and then said, "My little ancestor is amazing, acute kidney failure, no injections or medicine, just a few days." ”
His thumb was up, and his face glowed red.
"Brother Bao......"
"Don't talk nonsense with you, my little master asked me to take him for an examination. Wei Dabao snuffed out his cigarette and said hurriedly, "Don't tell others." ”
"Oh, got it. ”
Wei Dabao knew in his heart that as long as he said this, it was estimated that the entire TCM hospital would know within 1 day.
He didn't think about making any gains, but this kind of thing itself is worth showing off. Simply showing off is a great benefit for Wei Dabao.
Dean Zhou gave red envelopes like the third grandson, and Wei Dabao couldn't keep his mouth shut happily when he thought of it. The little master is awesome, and he can follow the light.
One hour and twenty-five minutes later, Wei Dabao came back with the film.
"Section Chief Wu, this is a film. Wei Dabao said, "That thing said that he wouldn't do an inspection, and I did it after I scared him seriously." ”
"No medical insurance, or lack of money?" Wu Mian asked motionlessly, Chu Zhixi stood up and took out the film from the film bag. There was no reader in the office, so she walked to the window with the film and looked at the sun.
"With NCMS, he is stingy, saying that he is saving money to marry a daughter-in-law. Wei Dabao looked at Wu Mian tightly, and didn't even dare to glance at Chu Zhixi out of the corner of his eye, "Section Chief Wu, did you go to Laoyu Mountain on the weekend?"
"Well, the Taoist temple is well built now. Wu Mian's expression softened a lot, he stayed all night, the stinging in the middle of the night, the spring water dingdong, Chu Zhixi's breath and faint body fragrance, life is indeed very beautiful.
"That...... Section Chief Wu, have you seen my master?" Wei Dabao said in a low voice, with a little pleading in his eyes.
Wu Mian knew what he meant, and patted the 5cm thick A4 paper beside him.
"In 2 weeks, you memorize the clinical medical record writing specifications, and I will take you there. ”
A huge cake, an obstacle that Wei Dabao can't overcome, the two are contradictory and unified, making it difficult for him to choose.
"Brother, the patient has an indication for surgery. "THE AMOUNT OF BLEEDING IS NOT MUCH, THE MIDLINE IS DISPLACED BY 5.5MM, AND IT IS RECOMMENDED TO BE ADMITTED TO THE HOSPITAL FOR SURGERY." ”
"Well, Wei Dabao, can we do neurosurgery in our hospital?" Wu Mian asked, then shook his head, he also knew that it was unlikely.
"I can't do it. Wei Dabao said very firmly, but he was thinking in his heart that he could die if he sneezed and went to the toilet, and he was really lucky to live so big.
"Let's go to the provincial capital and hurry up for surgery. Wu Mian smiled slightly, "Minor surgery, it's okay." ”