Chapter 37 Superstitious Hospital

Time handed slowly, and increasingly docs and nurses got here to the division.

Though Lu Chen was an unfamiliar face, everybody did not care.

As a result of there are such a lot of individuals within the division!

Along with the docs within the undergraduate room, there are additionally graduate college students, graduate college students, interns, and docs in lower-level hospitals.

There are such a lot of those who nobody can acknowledge all of them.

The initially quiet physician’s workplace has step by step turn out to be noisy.

“Junior brother, there are two graduate college students in our group. Such as you, they’re each graduate college students of Trainer Li Yao this yr.”

“In addition to, there may be additionally a trainee physician from a lower-level hospital, a physician on a daily coaching rotation, and two trainee docs from our college.”

“The superior of our group is Mr. Li Yao, I’m the attending doctor within the group, and you’re the relaxation.”

Together with Li Yao’s mentor, there are 9 docs in the entire group.

The final medical workforce follows a three-level doctor system.

The best-level director/deputy director, the middle-level deputy chief doctor/attending doctor, and the lowest-level resident doctor.

Medical doctors at every degree have totally different duties and duties.

The chief/deputy chief doctor is principally to coordinate the general state of affairs, formulate remedy plans for sufferers, or remedy tough scientific issues.

The attending doctor is the center pressure of the division. Many of the medical behaviors are accomplished by the attending doctor below the steering of the resident doctor.

Resident doctor, the lowest-level physician. From asking the medical historical past, writing the medical file, pasting the take a look at sheet, and accompanying the affected person to examine, it’s all performed by the resident doctor.

Nevertheless, at present’s hospitals are increasingly excessive.

Particularly in massive tertiary hospitals.

The senior chief doctor of a bunch often sits within the outpatient clinic, and infrequently involves the division for ward rounds. Virtually all of the sufferers are managed by the attending doctor.

As for the resident physicians, there are few resident physicians in massive hospitals.

As a result of docs who can keep in massive hospitals ought to have at the least a grasp’s diploma, they are often promoted to attending doctor quickly after graduating with a grasp’s diploma.

There’s a unusual phenomenon in all the big tertiary hospitals now—there aren’t any resident physicians in all medical teams, however there are loads of attending physicians!

However these soiled and tiring jobs should be performed by somebody!

Subsequently, common trainees, graduate college students, and superior college students have fully changed the function of resident physicians.

A division of any massive tertiary hospital, if it solely depends on the docs of the undergraduate division to work, it should positively be tough to function.

You stated you need the hospital to recruit individuals?

how might it’s attainable!

Hiring a physician, the hospital pays an additional wage.

With just a few extra docs in every division, the complete hospital pays lots of of 1000’s extra yearly.

And graduate college students, graduate college students, low cost and simple to make use of!

The bottom line is to make use of it endlessly, and recent blood is available in yearly.

Seeing this, it’s important to admire the “knowledge” of the management of the Nationwide Well being Fee.

At a really small value, the issue of scarcity of individuals within the hospital was immediately solved.

“Junior Brother, there are seventy-five hospital beds in eight districts in our hearts.”

Solar Guoguo continued.

“Mr. Li Yao is the director of the ward, so we’re the director group. There are three different teams, and our group manages extra sufferers, with a complete of twenty hospital beds.”

“Nicely, due to your presence, junior brother, the beds in our group will probably be reassigned. You three graduate college students, superior college students, and common coaching college students collectively handle 20 beds.”

Interns don’t should be answerable for beds, they simply do chores.

…

7:40 within the morning.

Others in the identical group started to reach one after one other.

After not seeing her for just a few months, Jiang Qingyan nonetheless seemed chilly.

However when she noticed Lu Chen, she was nonetheless surprised, nodded barely, and stated howdy.

One other feminine graduate scholar named Ke Yue is a shy and shy woman. When she noticed Lu Chen, she simply smiled and did not talk a lot.

Her undergraduate diploma was from a not-so-famous medical college. This time, she was admitted to Jinghua Medical College, which was thought-about a profitable touchdown.

The physician who’s learning is a heart specialist on the county hospital under, and she or he is a feminine attending physician in her thirties. As a result of the promotion of the chief government to the deputy director requires additional research expertise, many of the chief executives will exit to check for half a yr to a yr earlier than being promoted.

Gu Pearson is a boy and one of many few boys within the group. As a result of I did not go to graduate college, I went on to the coaching program.

The opposite two interns are each ladies and have a weak sense of presence. They often assist with electrocardiograms or blood stress measurements.

…

The time arrives at 8:00 sharp, and the early shift of the division begins.

Many of the docs and nurses in the complete division got here to the physician’s workplace.

Apart from the director and the attending doctor who can sit, everybody else is standing or leaning.

The custom of    handover is usually that nurses begin the shift. The content material of the nurse’s shift is the sufferers who had been admitted, discharged, transferred to departments, and died in the course of the day shift the day earlier than, after which there are particular sufferers, equivalent to critically ailing sufferers.

When the nurse is completed, the physician on obligation will probably be handed over.

The physician on obligation final night time was Solar Guoguo.

She put her fingers behind her again, seemed severe, coughed softly, and began to shift.

The content material of the shift of the physician just isn’t as difficult as that of the nurse, and it’s primarily to elucidate the sufferers who’ve modified.

“Final night time at 8 o’clock, mattress 23 complained of palpitation and chest tightness. An electrocardiogram was performed to indicate atrial fibrillation. Contemplating the primary analysis of atrial fibrillation, Dalone and potassium supplementation had been used. After about two hours, the affected person complained of palpitation and improved, and the electrocardiogram was reviewed. , restored sinus rhythm.”

“At 11 o’clock at night time, 49 beds had tarry black stools, a complete of 3 times, about 400ml. Contemplating the gastrointestinal bleeding, it could be associated to the dual-antibody remedy. Please seek the advice of an emergency gastroenterology division for hemostasis…”

“Round 7:10 within the morning, 10 beds skilled sudden dyspnea. Contemplating the assault of acute coronary heart failure, diuretic tube dilation remedy was given, and the affected person’s signs had been relieved…”

“Different sufferers are in secure situation and their shifts have been accomplished.”

After the shift is over, the docs and nurses all return to their posts.

Often, Li Yao leads everybody across the room, however at present, the director of the division, Mr. Li Yao, went out of the outpatient clinic, and she or he didn’t come to the division.

After the early shift was over, Solar Guoguo began rounds with eight individuals in the identical group.

“Earlier than the ward rounds, the beds ought to be reassigned, in order that when the ward rounds come later, everybody pays extra consideration to the sufferers who’re answerable for their very own beds!”

Solar Guoguo stated to the individuals in the identical group.

“Apart from the interns, everybody has 4 beds.”

“Jiang Qingyan, you might be answerable for beds 1, 2, 3, and 5.”

Though the hospital is a spot advocating science, it is usually inevitably superstitious.

No 4 beds, 14 beds, 24 beds, 34 beds…

There aren’t any beds with 4 within the single digit, however a 4 within the tens digit is allowed.

“Ke Yue, you might be answerable for beds 6, 7, 8, and 9.”

“Lu Chen, you’ll be able to deal with beds 10, 11, 12, and 13.”

“…”

Aside from Jiang Qingyan, a number of different individuals in the identical group are very unusual.

This man named Lu Chen began to handle the mattress as quickly as he arrived within the division?

He simply entered the division, this ought to be his first division.

To not point out seeing sufferers, it’s estimated that even the physician’s order and medical file system is not going to be used!

(finish of this chapter)