medical simulator

Zhou Cheng took the coffee and said, "You're too polite, Brother Rui. I'm just making soy sauce in the department. It's mainly because of your hard work, Brother Rui."

It's beautiful in my heart, the current gratitude value has reached 16 points, maybe I can directly reach [-] today, and then open the second copy.

Du Ruiqi stretched his back and said seriously: "It's a fact that you have worked hard. I am on duty. I am still clear about this. I will order lunch at noon, brother Zhou Cheng, don't grab it."

Zhou Cheng didn't worry too much, nodded and said yes: "Are you sending me to kill a big family? Brother Rich?"

"I'm not impolite?"

"You poked me again. I'll go to work first." Du Ruiqi grinned and walked away. He was on duty, so naturally there were many patients and things to do.

Although there are not too many new patients now, it is also the time to deal with the preoperative doctor's orders for tomorrow's surgery patients.

Zhou Cheng took his coffee and went into the lounge to think.

Now I need to come to the ward when our group is on duty and Director Hu Ming's group is on duty, so the free days are much less.

This may affect the quality of the dungeon simulation. Before the simulation, it is impossible to make high-quality preparations.

Can not develop more new directions.

There will be multiple new dungeons at that time, and I must tell my superiors at that time, 2/3 is on duty, the single-break system, and I have to be on duty myself, which is not feasible.

But currently, this is the best way to get more thank you points.

……

At [-]:[-], two patients came to the emergency department, one with a dislocated joint and the other with a fracture.

Du Ruiqi immediately called Zhou Cheng out to help, and said politely: "Brother Zhou Cheng, two patients are here at the same time, you go and deal with the patient with joint dislocation. I will settle the patient with fracture first, and then I will help you."

Although Du Ruiqi was polite before, he didn't really treat Zhou Cheng as a sub-superior doctor who could deal with joint dislocations.

Since Zheng Xuanlin was only talking about patients with dislocated joints, he had to inform Next Zhou Cheng first.

That just happened to throw the patient to him first.Waiting for the patient with a fracture to be admitted to the hospital, and after completing the procedures, I will come to help, which can save time and at the same time, I can also observe how Zhou Cheng does the manual reset.

You can relax and learn things.

Kill two birds with one stone.

Zhou Cheng smiled and nodded, he didn't care about it, he went directly to the computer in the nurse's office, took the patient's medical card and gave the doctor's order for joint dislocation manual reset, and then gave a doctor's order for forearm sling.

The dislocated patient was then dragged into the treatment room.

……

It is impossible for Du Ruiqi to reset patients with fractures. Anyway, if there is a fracture, they will be admitted to the hospital first, and then they will be dealt with one by one after Hu Ming comes to make a ward round tomorrow.

It is also impossible to call Zheng Xuanlin and Hu Ming at any time and ask them to come over 24 hours to evaluate whether the patient can perform manipulation repositioning on the spot.

Du Ruiqi is very familiar with the process of admitting and treating patients. He first issued a hospital certificate, and the patient's family members went to pay the fee.

Then according to the specific situation, decide the next step of treatment.

Of course, when the patient is hospitalized, it is still necessary to put a plaster on the patient for temporary fixation, and sign the admission to talk about these tasks.

Plaster belongs to the routine operation of orthopedics, because there are polymer materials widely used in clinical practice, so it is simpler.

The admission interview is to explain the treatment process and the possible complications of the fracture itself to the patient.

Du Ruiqi is naturally very familiar with these.

22 minutes later, Du Ruiqi took the admission statement and walked out of the ward, and walked out amidst the thanks of the patient and his family.

Du Ruiqi also smiled and said in detail: "You're welcome, it's all we should do. Your inspection list has an appointment time for inspection. You can go to the address in the upper right corner about 10 minutes in advance to do the inspection. "

"The nurse will also remind you when to leave."

The examination of the Eighth Hospital is an appointment system, accurate to within 10 minutes before and after.

"Okay, okay, Doctor Du, thank you for your hard work, you are so careful." The patient's family thanked him again, and sent Du Ruiqi back to the ward.

Then Du Ruiqi walked into the nurse's station and put the record of the admission conversation into the medical record book, then walked towards the operating room, opened the door, and said, "Brother Zhou Cheng, I'm sorry. I'm over there."

But halfway through, after pushing the door open, I found that there was no one inside, where was Zhou Cheng and the patient's family members?

Du Ruiqi was stunned, took a few steps back, and hurried to the nurse's station to ask the nurse on duty: "Sister Yu, what about the patient with dislocated joints? Could it be that he was sent to the Second County Hospital?"

This was a routine operation for Du Ruiqi and the others when they were on duty.

"No?" The nurse on duty today is the nurse of this hospital, Qin Ruyu.

After she returned, she raised her eyebrows and continued, "Didn't the patient and family members of the dislocated joint go for reexamination? I guess it will be coming up soon. You don't even know that you are the doctor on duty?"

"Then go ask Zhou Cheng, you handed over the patient to him before."

Qin Ruyu is not too clear about how the doctor's treatment group is arranged.

So he asked about Du Ruiqi?

"Oh, oh. I'm sorry, Sister Yu, I'll ask Brother Zhou Cheng next time." Du Ruiqi hurriedly turned around and left, not daring to disturb Qin Ruyu any more, for fear of making him angry.

The nurses naturally don't care about the matters of the doctor's treatment group and the internal communication of the doctors.

When he came to the rest room, Du Ruiqi saw Zhou Cheng looking at the official account. What Zhou Cheng was looking at now was the arthroscopic routine anatomy atlas and the choice of approach.

"Brother Zhou Cheng, the patient with dislocated joints? Have you finished repositioning?"

"I didn't help you at all." Du Ruiqi asked with a smile.

Zhou Cheng nodded: "Well, it's just a simple anterior dislocation of the shoulder joint, nothing special, so it doesn't take so many people to leave it there."

"And I saw that you were busy when I just reset, so I didn't bother you."

Although Du Ruiqi is also a resident trainer in the department and a member of Kuhaha, Zhou Cheng and Du Ruiqi only met each other, and there is no friendship.

If Zhang Zhengquan or Du Yanjun were on duty, Zhou Cheng would specially wait for them to come and then reset the technique, or give them some tips. If you want to learn, you should first find out the learning opportunities yourself.

The relationship between Du Ruiqi and him has not yet reached this stage, Zhou Chengcheng can't control it anymore.

"Brother Zhou Cheng's movements are quite nimble. I finished the reset so quickly." Although he got Zhou Cheng's affirmative answer, Du Ruiqi was still a little horrified in his heart.

Is Zhou Cheng bold and reckless this week?Or is it really fast and good?

Although I haven't had a deep understanding of joint dislocation before, I have heard from hearsay that it is impossible to reset the joint dislocation so quickly.And he also asked his senior brother, and the answer he got was that it was about three to ten minutes.

But it only took 10 minutes, and Zhou Chengcheng sent the patient away without a trace?

"Is it okay?" Zhou Cheng looked at the time after returning, "I think the patient's reexamination is coming soon, let's go and have a look together?"

Just as Zhou Cheng was talking, a nurse intern came to call, saying that a patient with reexamination had come up and was looking for Dr. Zhou.

Zhou Cheng went out with Du Ruiqi together.

5 minutes later.

Du Ruiqi watched in a daze as Zhou Cheng was explaining the details to the patient and his family members, and he gave the patient and his family members a face-to-face re-examination of passive mobility and explained the results of the re-examination to them.

I feel a little regretful in my heart.

It seems that my idea was wrong from the beginning.

Although Zhou Cheng is just an ordinary resident trainee, without the hat of a graduate student, it doesn't mean that he can't bow his head to him and take the initiative to learn something from him.

On the contrary, Zhou Cheng was able to gain the trust of Hu Ming and Zheng Xuanlin, and he came to treat patients with joint dislocation alone when he was on duty. It was because of his uniqueness that he could do this.

Du Yanjun, a serious professional graduate student, although he is a student, has no less clinical work experience than Du Ruiqi. He still voluntarily follows Zhou Cheng's buttocks and is on duty with Zhou Cheng.

Is this just friendship, without other tricks?

Therefore, after sending the patient and his family members away, Du Ruiqi immediately said: "Brother Zhou Cheng, I'm sorry, I was supposed to be on duty today, but you took care of all the patients."

"It's really troublesome, and it will definitely not happen in the future."

If you want to learn, you have to take the initiative to find opportunities to learn.

Want others to leave you learning opportunities?How is that possible?

Now the department is doing manual reset with great fanfare, which must have a deep meaning.If you can't follow this general trend and ride the wind, you will definitely become the one that gets eliminated.

"It's okay, Brother Rui, it's just a matter of convenience." Zhou Cheng replied indifferently and sincerely.

This is also the most sincere thought in Zhou Cheng's heart. He wants to deal more with patients to gain gratitude, so he still has to give it to him today from Du Ruiqi.

This is an objective fact.

"It's easy, but it's hard work. After all, I'm on duty. Brother Zhou Cheng, next time there is a patient with joint dislocation, I'll call you after I've prepared the preparations before the reset." Du Ruiqi was very determined, obviously also had a very good idea people.

"Brother Zhou Cheng, that's it. I'll call you later when there is a patient."

"I've already ordered a box lunch, so stop calling."

"I'm going to the duty room to write the medical records first. I haven't finished the pre-operative talk for tomorrow's operation." After speaking, Du Ruiqi walked out of the lounge and walked towards the office.

Zhou Cheng looked at Du Ruiqi's back, and the corners of his mouth twitched slightly.

Secretly, he was able to react so quickly, let go of his figure, this Du Ruiqi is also a person who can afford to let go, if he didn't get this mock copy, he would definitely be a gap that he couldn't get over.

But Du Ruiqi was polite enough, Zhou Cheng naturally didn't mind taking him a little bit.

……

At noon, while eating.

While eating, Du Ruiqi gave Zhou Cheng a thumbs up: "Brother Zhou Cheng, you are really amazing."

"Really, it's awesome! I'm convinced."

"This hip dislocation, you can handle it so quickly. It really gave me a lot of insight. I just told my brother about it, and he thought I was bragging?"

"I saw it with my own eyes, could it be bragging?"

Du Ruiqi also deliberately showed Zhou Cheng the chat interface, and he didn't know whether it was showing off or flattering.

Zhou Chengqiu pretended that he hadn't heard or seen it, and smiled: "This is a conventional reset method, not so mysterious and profound."

While eating, Zhou Cheng's phone rang suddenly.

At first glance, it belongs to Luo Yun.

Zhou Cheng quickly stood up, and after answering the call, his expression changed for a while.He said to Du Ruiqi: "Brother Rui, you can eat first, I'm going to the orthopedics department."

"Ah? Are you going to the Department of Orthopedics? Did Teacher Luo Yun call you to help?"

"Hmm! Teacher Luo didn't call it." Zhou Cheng nodded and shook his head.

Du Ruiqi immediately petrified.

The orthopedic department must ask Brother Zhou Cheng to save the scene——

Then I still can't save my face, how big is my Du Ruiqi's face?

Chapter 1 If you want to swear, just call directly!

The first ward of orthopedics should be handed over early!After the on-duty doctor and the on-duty nurse finished the routine shift in the department.

Zeng Yi, the current chief director of the Department of Orthopedics, said: "From today onwards, our Department of Orthopedics will be responsible for the manual reduction of upper limb dislocations, and we will also select some patients for manual reduction of fractures."

"Patients that the doctor on duty can't figure out will call the front-line consultation team. If the first-line consultation team is not sure, the directors of each group will come and deal with the patients in person."

When Zeng Yi said this, everyone in the department looked at each other in astonishment.

Li Changhong even interjected directly: "Director Zeng, we assigned this joint surgery department to the second department of orthopedics, and Yan Haihan and the others took care of it? Why does our department suddenly engage in joint dislocation manipulation?"

Every day, tertiary first-class hospitals have third-line shifts, which are first-line on-duty shifts, and there are doctors on duty in the wards 24 hours a day.

The first-line consulting class is composed of attending physicians and associate senior physicians, who are responsible for dealing with patients who cannot be handled by the on-duty physicians at any time.

The director of each group is in charge of the second-line consultation class and handles the problems that cannot be solved by the first-line consultation class.

The reason why Li Changhong said this was because what Zeng Yi said just now directly touched his interest in rest.

If you encounter regular patients on weekdays, most of the first-line consultation classes are taken care of, unless it is extremely rare that he is needed to come forward, and it is only once or twice a year, which is normal.

But if the department also brought over the dislocated bones and joints of the upper limbs, then the number of times he came to the department would not be less.

Zeng Yi glanced at Li Changhong, did not reply, but first opened his mouth and explained to Wang Yongjin: "Director Wang, you are not counted among the on-duty personnel for this arrangement. The second-line consulting class when you are on duty will be organized by me. Share it with Chang Hong."

There are three groups in the first department of orthopedics, led by Zeng Yi, the current director of the first department of orthopedics, Li Changhong, the chief physician, and the former director of the department of orthopedics——

Chief Physician Wang Yongjin.

Wang Yongjin has already retired and was hired back to lead the hospital. He is also well-known in Hunan Province. He is one of the veteran signs in the Department of Orthopedics who are still active in the clinical frontline.

And the seniors of Wang Yongjin's generation have either completely retired, or only a few of them are sitting in outpatient clinics.