Chapter 45 Examine Information Group
Earlier than Lu Chen bought his medical license, he couldn’t make a health care provider’s order alone.
Solely below the steering of a superior doctor, a health care provider’s order will be issued.
Solar Guoguo has knowledgeable Lu Chen of all of the medicines that this affected person ought to take and the auxiliary examinations that have to be executed.
Dong Hao personally demonstrated to Lu Chen problem a health care provider’s order, together with auxiliary examinations, routine nursing care, intravenous medication, oral medication, and many others.
“Junior brother, we often use the variety of Senior Sister Solar Guoguo to problem a health care provider’s order.” Dong Hao mentioned, “Sister’s physician’s order has a template, we are able to simply click on on the bundle physician’s order within the template, until there are some particular physician’s orders that we have to enter in particular person, similar to some that require Anti-inflammatory medication for pores and skin testing.”
“Okay.” Lu Chen nodded. This physician’s order system may be very clever. Many of the medicines, assessments, and examinations have been made into templates. The physician solely must examine it.
“Let’s take the affected person you simply accepted for example. Sister Guoguo requested to do a 24-hour dynamic electrocardiogram, cardiac ultrasound, blood routine, biochemistry, myocardial enzymes, and many others.”
Dong Hao patiently advised Lu Chen each step.
…
Lu Chen rapidly completed all of the physician’s orders and was getting ready for Dong Hao’s evaluate.
A nurse’s roar sounded exterior the physician’s workplace.
“Who gave the physician’s order for 12 beds?!”
“Who gave the physician’s order for 12 beds?!”
“Who gave the physician’s order for 12 beds?!”
Necessary issues are mentioned 3 times!
Instantly afterwards, Liu Mei’s head poked into the workplace.
“In case you say your physician, do not let the interns make their very own physician’s orders!”
“Not solely is it a waste of your time, but in addition our evaluate time!”
“Who gave the physician’s order for 12 beds, the physician’s order was flawed!”
“Sister Liu, it is me…” Lu Chen touched his nostril awkwardly.
“Ah? You?” Liu Mei noticed Lu Chen, and instantly put away her severe expression and smiled, “Dr. Xiao Lu simply entered the division at this time, hey, he will not prescribe a health care provider’s order, this can be a regular factor, see extra study it.”
The “outdated folks” within the division checked out Liu Mei with a smile on his face, as if he had seen a ghost.
If the same old Liu Mei finds out that the intern and the regulation trainee have given the flawed physician’s order, it is going to be a scolding, even if you’re a newcomer.
However at this time she met Lu Chen, why did she abruptly turn out to be light?
It is actually bizarre and bizarre!
“Xiao Dong, hurry up and educate extra, do not stay there.” Liu Mei turned to Dong Hao who was beside him.
“Ah? Oh…” Dong Hao nodded, and instantly reviewed the physician’s order issued by Lu Chen and picked out the flawed half.
Whether or not writing a medical report or giving a health care provider’s order, it’s a mechanical and repetitive exercise with out a lot gold content material.
Lu Chen just isn’t very conversant in the physician’s order system of Jinghua Second Hospital, and a few errors are exhausting to keep away from.
“Senior sister, what’s the present consideration for the prognosis of this affected person?”
After Lu Chen issued the physician’s order, he started to finish the medical report and write the primary medical course report.
The preliminary prognosis must be entered within the first illness course report.
“Simply write the reason for the arrhythmia to be investigated.” Solar Guoguo mentioned.
“Okay.” Lu Chen nodded.
“I noticed your evaluation of Director Lin’s ECG this morning and it is fairly good, so what do you consider the 12 sufferers simply admitted, mixed with the signs and the ECG, what’s your preliminary prognosis?” Solar Guoguo mentioned.
Received the electrocardiogram that was simply admitted to the hospital, and Lu Chen checked it once more.
“This ST section is lowered diagonally. I appear to have seen it earlier than.” Lu Chen frowned, “However I am unable to keep in mind it for some time.”
Lu Chen is certain that he will need to have encountered comparable sufferers, however this type of electrocardiogram just isn’t frequent, and he forgot after seeing it.
“Then it’s a must to take an excellent look.” Solar Guoguo smiled, “This affected person’s electrocardiogram may be very typical! I will not inform you the conclusion of the electrocardiogram first. You may return and give it some thought for your self, and inform me the outcomes tomorrow.”
“Okay.” Lu Chen nodded, it appeared that he needed to learn extra books on electrocardiograms when he went again.
…
When Lu Chen wrote his first medical report, it was already 11:30 midday.
After get off work, it’s time for lunch.
Jinghua Second Hospital has three canteens, two employees canteens and one affected person canteen.
Got here to the employees canteen.
Zhou Wei has already taken a spot for Lu Chen.
“Chen’er, the meals on this cafeteria is de facto costly! It is all about stealing cash!”
“I simply ordered two meat dishes and two vegetarian dishes, and it price 25 yuan. The hospital pays 600 yuan a month, so I am unable to afford it!”
Lu Chen nonetheless performed two meat and two greens, and paid 25 yuan.
“As a result of this cafeteria just isn’t for us, it is for the employees.” Lu Chen smiled, “They pay for meals each month, so they do not have to be right here, nor are they obtainable elsewhere.”
“Hey, it seems to be like I will must eat out any further.” Zhou Wei shook his head and mentioned, “It is as a result of I earned more money this month, or I actually cannot afford it.”
“Huh? You continue to do part-time jobs to earn more money?” Lu Chen requested in shock.
There are usually not many part-time medical college students.
“Sure.” Zhou Wei smiled, “I do know a profitable job, I earned 800 yuan final month!”
“You actually have time, is not it some type of tutor?” Lu Chen frowned.
“No.” Zhou Wei mentioned in shock, “I invited you to a bunch this morning, proper there, do not you realize?”
“WeChat group?” Lu Chen appeared puzzled, “Is not {that a} research information group?”
“Hehe.” Zhou Wei smiled slyly, “On the floor, it is a research information group, however you’ll be able to see that there are solely folks within the group asking for steering on a sure topic, however nobody responds.”
“Yeah. I felt bizarre simply now.”
“As a result of this can be a WeChat group for purchasing and promoting night time shifts! The Cardiology Division is asking for steering, that’s, the Cardiology Division has night time shifts and desires to promote it!”
“Shopping for and promoting night time shifts?”
Lu Chen appeared stunned.
Zhou Wei nodded, “It’s best to know that we’ll be assigned night time shifts by the hospital each month any further.”
“Um.”
Lu Chen additionally realized from his roommate yesterday that the hospital will organize night time shifts for all postgraduates and graduate college students.
During which division the rotation goes, the night time shift of which division is organized.
“Some classmates are quickly busy, or the senior brothers and sisters of the third grade are busy with thesis writing, so they may promote the night time shift.”
“And people college students who’re wanting cash and need to make cash will purchase night time shifts.”
Lu Chen frowned and mentioned, “Does the hospital care?”
“Hey, as a result of the hospital cannot deal with it.” Zhou Weidao, “The night time shift is made up of two folks, one is a senior physician, the opposite is a graduate scholar, and the senior physician can be within the division. Writing the course of the illness, doing the examination, and giving the physician’s order, anybody can do it. We work night time shifts, simply comply with the directions of the superior physician, and do it mechanically, there may be not a lot gold content material! “
The hospital won’t permit postgraduates and common trainees to work night time shifts alone, and there can be senior medical doctors on each night time shift.
“Did not you simply enter the division? Can you purchase night time shifts?” Lu Chen checked out Zhou Wei with a smile on his face.
“Sure!” Zhou Wei smiled, “Provided that you’ll be able to write the course of the illness, if you may make a health care provider’s order, you should purchase night time shifts!”
(finish of this chapter)