I Can See Health

Chapter 37 Superstitious Hospital

Time passed slowly, and more and more doctors and nurses came to the department.

Although Lu Chen was an unfamiliar face, no one paid attention.

Because there are really a lot of people in the department!

In addition to doctors in the undergraduate department, there are also graduate students, regular trainees, interns, and doctors studying in lower-level hospitals.

There are too many people, and no one can recognize everyone.

The originally quiet doctor's office gradually became noisy.

"Junior brother, there are two graduate students in our group. Like you, they are both graduate students of Teacher Li Yao this year."

"In addition, there is a training doctor from a lower-level hospital, a doctor who is rotating through regular training, and two intern doctors from our school."

"The superior of our group is Teacher Li Yao. I am the attending physician in the group. The rest are you."

Counting instructor Li Yao, there are nine doctors in the entire team.

The general medical team follows the three-level physician system.

The highest-level director/deputy director, the intermediate-level deputy chief physician/attending physician, and the lowest-level resident physician.

Doctors at each level have different responsibilities and tasks.

The chief/deputy chief physician is mainly responsible for coordinating the overall situation, formulating treatment plans for patients, or solving difficult clinical problems.

The attending physician is the middle force in the department. Most medical actions are completed by the attending physician under the guidance of the resident physician.

Resident physician, the lowest level of doctors. From asking for medical history, writing medical records, pasting laboratory test sheets, and accompanying patients for examination, all are completed by resident doctors.

However, today's hospitals are increasingly going to extremes.

Especially in large tertiary hospitals.

The superior chief physician of a group usually works in the outpatient department and occasionally comes to the department for ward rounds. The attending physician almost always manages all patients.

As for resident doctors, there are almost no resident doctors in large hospitals.

This is because doctors who can stay in large hospitals must have at least a master's degree. After graduating from the master's degree, they can be promoted to attending physicians soon.

All current large tertiary hospitals have a strange phenomenon - there are no resident doctors in all the medical teams, but there are a lot of attending doctors!

But someone has to do the dirty and tiring work!

Therefore, regular trainees, graduate students, and advanced students have completely replaced the role of residents.

It would definitely be difficult for any department in a large tertiary hospital to operate if it relied solely on doctors from the undergraduate department.

You said you want the hospital to recruit people?

how could it be possible!

To recruit a doctor, the hospital will pay more.

With a few more doctors in each department, the entire hospital will earn hundreds of thousands in salary every year.

And for graduate students and regular trainees, it’s cheap and easy to use!

The key is to use it endlessly, with fresh blood coming in every year.

Seeing this, you have to admire the "wisdom" of the leadership of the National Health Commission.

At a very small cost, the problem of shortage of staff in the hospital is directly solved.

"Junior brother, we have a total of seventy-five hospital beds in the eight districts."

Sun Guoguo continued.

"Teacher Li Yao is the director of the ward, so we are the director's group. There are three other groups. Our group manages more patients, with a total of twenty hospital beds."

"Well, because junior brother you are here, the beds in our group will be redistributed next. The three graduate students, the advanced students, and the regular trainees will jointly manage twenty beds."

Interns don't have to be in charge of beds, they just do odd jobs.

…

7:40 am.

Others in the same group began to arrive one after another.

After not seeing each other for several months, Jiang Qingyan still looked cold.

However, when she saw Lu Chen, she was still stunned for a moment and nodded slightly as a greeting.

Another female graduate student named Ke Yue was a shy girl. When she saw Lu Chen, she just smiled and didn't communicate too much.

Her undergraduate degree was from a not-so-famous medical school, and this time she was admitted to Beijing Medical University, which was considered a success.

The doctor who is training is a cardiologist from a county-level hospital below. She is a female attending physician in her thirties. Because promotion from an attending to deputy director requires further study experience, most attendings will go out to study for half a year to a year before being promoted.

Guipei Sheng is a boy and one of the few boys in the group. Because I was not admitted to graduate school, I went directly to the training program.

The other two interns are both girls, and their presence is relatively weak. They usually help with electrocardiograms or blood pressure measurements.

…

The time reached eight o'clock sharp, and the morning shift in the department began.

Most of the doctors and nurses in the entire department came to the doctor's office.

Except for the director and the attending physician, who had a place to sit, everyone else stood or leaned.

According to the tradition of shift handover, the nurse usually starts the shift handover. The content of the nurse's shift handover is the patients who were admitted, discharged, transferred to other departments, and died during the previous day's day shift, and then there are special patients, such as critically ill patients.

After the nurse takes over her shift, the doctor on duty takes over.

The doctor on duty last night was Sun Guoguo.

She put her hands behind her back, looked serious, coughed slightly, and began to hand over the shift.

Doctors' shift handover is not as complicated as that of nurses. They mainly handle patients who have changed.

"Last night at 8 o'clock, bed 23 complained of palpitation and chest tightness. An electrocardiogram showed atrial fibrillation. I considered atrial fibrillation for the first time. I took codalone and potassium supplement. About two hours later, the patient complained that the palpitation had improved, and the electrocardiogram was reviewed. , restored sinus rhythm. UU Reading www.uukansｈhu.net"

"At 11 o'clock at night, bed 49 had black tarry stools discharged three times in total, about 400ml. It is considered that gastrointestinal bleeding may be related to dual anti-bacterial therapy. Please seek emergency consultation from the gastroenterology department to stop the bleeding..."

"At around 7:10 in the morning, bed 10 suddenly had difficulty breathing. He was considering an acute heart failure attack and was given diuretic dilation treatment. The patient's symptoms were relieved..."

"The condition of other patients is stable and the shift has been completed."

At the end of the shift, all doctors and nurses return to their posts.

Li Yao usually takes everyone for ward rounds, but today the department director, Teacher Li Yao, was out of the clinic and she did not come to the department.

After the morning shift ended, Sun Guoguo took eight people in the same group to start the ward rounds.

"Before the ward rounds, the beds should be reallocated so that when the ward rounds come later, everyone can pay more attention to the patients in charge of their own beds!"

Sun Guoguo said to the people in the same group.

"Everyone except the interns has 4 beds."

"Jiang Qingyan, you are in charge of beds 1, 2, 3, and 5."

Although the hospital is a place that advocates science, superstition is inevitable.

There are no 4 beds, 14 beds, 24 beds, 34 beds...

There are no beds with 4 in single digits, but 4 is allowed in tens digits.

"Ke Yue, you are in charge of beds 6, 7, 8, and 9."

"Lu Chen, you are in charge of beds 10, 11, 12, and 13."

"..."

Except for Jiang Qingyan, several other people in the group were very strange.

This guy named Lu Chen started taking care of the bed as soon as he arrived in the department?

He has just entered the department, and this should be his first department.