Chinese medicine: When you do things to the extreme
Chapter 247 Planning for a Large Trauma Center
Chapter 247 Planning for a Large Trauma Center
Zhou Yanqing did not interrupt again, let alone intervene.
The patient is no longer in danger of death for the time being. What remains is to slowly stop the bleeding, release the arteries of both lower limbs, complete the arterial suture and other treatments.
Chai Zhonglin is the chief resident of the orthopedics department. He is not an idiot. It is impossible that he cannot complete such an operation!
However, when Zhou Yanqing was about to leave, He Qingqing came forward, carefully pulled up Zhou Yanqing's badge, looked at the work number on it, and quickly wrote it down in a notebook.
Then he said, "It's OK, Doctor Zhou, thank you for your hard work!"
Zhou Yanqing was about to reply when the "big brother" next door spoke again: "Can someone take care of me? Why are you all so arrogant in Xiangya?"
It was obvious that he felt very uncomfortable after being scolded by the nurse.
"Okay, hello. Are you feeling any discomfort here? If you're not feeling particularly uncomfortable, take a rest first."
"You've done the examination, and no special problems were found..." He Qingqing moved over, smiling brightly, and put the notebook behind her.
Zhou Yanqing stepped back and left.
I rushed back to the department temporarily.
Zhou Yanqing is the chief resident. When there is an emergency, the emergency task has priority over everything else. When there is no emergency task, he has to go back to the ward to review the medical records and doctors' orders of his group in the hospital.
Although there is always a PhD assistant to help with some management during hospitalization, there are always times when carelessness occurs.
The preparation of discharge medical records also requires Zhou Yanqing's signature.
It is best to carefully implement the group's surgical arrangements every day...
However, Zhou Yanqing has not performed an elective surgery for a long time, and is often "absent" during ward rounds!
Lin Hua said: "Yanqing, it's okay. I have read the discharge medical records and doctor's instructions. You can read them again."
"These junior brothers have pretty good basic skills. The medical records they prepared were revised once or twice at most. These are all corrected."
"All of these need to be sent back for re-examination..." Lin Hua has now replaced Zhou Yanqing's previous position and serves as the 'President of Inpatient Affairs' in the department!
"Thank you for your hard work, Brother Hua." Zhou Yanqing sat down and started reading.
It's not that I don't trust Lin Hua's ability, but I want to be careful and avoid making big mistakes and avoid careless low-level mistakes.
These things are quite trivial and need to be looked at very carefully.
Of course, there was no rush. Zhou Yanqing worked on it while chatting with Chen Yu.
At one o'clock in the afternoon, Zhou Yanqing was lying in the resident chief's office with a novel open. He had just read the nineteenth chapter.
But then came a call from Tan Zhongyu.
I answered the call casually: "Master, is the clinic busy today? Have you had lunch?"
Zhou Yanqing paid attention to the time and realized that today was Tan Zhongyu's outpatient day and tomorrow was Thursday, so there was no surgery scheduled.
Professors and associate professors have staggered surgery and clinic days.
For example, Professor Du Zhonghua's surgery days are Mondays and Wednesdays, so his outpatient days will be staggered between these two days, usually scheduled on Tuesdays or Fridays.
Professor Ding Xiao can arrange outpatient clinics on all days except Wednesday.
"You still remember that I'm the one doing the outpatient work today. It just so happens that I've been invited to the emergency department by Professor Li and Dean Lei!"
"During the clinic hours in the morning, Master delayed his arrival time to let you go to the security office to handle things. Now it's lunch break, so I'm working overtime in the emergency department for you."
"Master's old bones will be broken by you sooner or later..." Tan Zhongyu scolded with a smile, his voice full of doting.
"I'll be there soon, Master!" Zhou Yanqing quickly turned off his cell phone, put on his white coat, and walked out the door!
October 10, Wednesday, sunny and windy.
In fact, Zhou Yanqing had not been away from the emergency department for long. Before he entered the emergency department, Chai Zhonglin called Zhou Yanqing and asked if it was convenient for him to go out with him to deal with the situation.
"Brother Chai, did you just have surgery?"
"I've already eaten." Zhou Yanqing replied.
If the master hadn't asked him to, it wouldn't be a big deal for him to have an extra meal.
"Okay, let's do it together next time." Chai Zhonglin obviously had something to say, but Zhou Yanqing declined, so he didn't dare to bring it up again.
When two things conflict, you have to choose one to take priority. Of course, Zhou Yanqing first rushed to an office on the third floor of the emergency building that his master Tan Zhongyu mentioned.
After entering the door, the lights inside are bright but there is smoke!
"Master, Teacher Lei, Director Li!" Zhou Yanqing called everyone one by one, using unique names.
Li Xiangming was not happy after hearing this: "Why do you call me Director Li when you don't call them Director or Dean?"
Lei Zhong picked up the cigarette box and gave it to Zhou Yanqing. Zhou Yanqing sat down and waved his hand to refuse at Tan Zhongyu's gesture.
He tilted his head and said, "Director Li, being a teacher is a good thing! But you can't expect others to call you teacher just because you are a teacher."
"You are the director, so Zhou Yanqing is right to call you that."
Tan Zhongyu handed Lei Zhong the lighter and said, "This is Teacher Li. Yanqing, you can call him Master Li or Uncle Li."
Uncle Li understands what your uncle means.
"Hey, you two are old hooligans. I can't beat you!~"
Li Xiangming quickly waved his hand to stop. The two people in front of him were younger than him, but they did not show any respect for the elderly.
Then he said directly: "President Lei, you have mentioned many times before that we should build a large trauma center for our emergency department. This matter has been mentioned for several years, but there is still no clue."
"I think it's time to get started?"
“I personally still think that the current system for participating in inpatient general emergency consultations is not rigorous enough.”
"Although fifteen minutes of humanitarian time is a legal requirement, emergency rescue is more urgent than slow."
"In some cases, it won't take fifteen minutes. One minute can mean the difference between life and death!"
Upon hearing this, Lei Zhong tilted his head to glance at Zhou Yanqing, then looked at Tan Zhongyu, took a deep puff of cigarette, and slowly exhaled.
"Director Tan, what do you mean?"
"How do you define our previous plan?" Lei Zhong handed the initiative to Tan Zhongyu.
Upon hearing this, Tan Zhongyu sighed and said directly: "Director Lei, this matter has nothing to do with our hand surgery department."
"You should talk to Director Liang of the Department of Trauma Surgery about this matter. The Emergency Trauma Center should combine the departments of Trauma Surgery, Vascular Surgery, Neurosurgery, and Hepatobiliary Surgery to form a basic structure."
"We in the hand surgery department are very mature in first aid on the spot, even for a thigh fracture."
Tan Zhongyu knew that Zhou Yanqing was unaware of Lei Zhong and others' preparations, so he glanced at Zhou Yanqing again and said, "However, Yanqing took this step by mistake, what other explanation can I have?"
"Of course I respect the hospital's arrangement!~"
"In addition to the rescue area, we will open a surgical trauma center and set up two duty systems within each specialty, one for the inpatient general surgery class and the other for the inpatient general emergency class."
"But who is the most suitable person to take the lead?" asked Tan Zhongyu.
First, Tan Zhongyu denied Zhou Yanqing: "We can't let a bunch of hospitalized patients mess around, right?"
Lei Zhong said: "The original purpose of the emergency trauma center is to save lives, so we need some good people to form a team."
"Huang Yaqin from the hepatobiliary surgery department is good, and Yang Lingchong from the vascular surgery department is also good. I think it is more objective to let them lead the team!"
"In this way, we can save the redundancy of multiple emergency surgery clinics. When emergency patients come, those with trauma can be sent directly to the trauma center."
"There is no trauma. If we go to the surgical clinic, we can save a lot of time! ~"
Tan Zhongyu looked at Director Li Xiangming and said, "Director Li, I have heard of Huang Yaqin's name many times. I heard that she is a very cool girl. Who is she?"
Li Xiangming gave a thumbs up: "It's also a grandmaster chasing after me to feed me."
Zhou Yanqing also tilted his head and whispered: "Master, Sister Qin is really awesome." Although Huang Yaqin is average looking and has no good figure, her temperament is not just due to her appearance.
She is not so careless, but when encountering problems, she is decisive and efficient, more decisive than many men, and her operation methods are very sharp.
It can be said that it is just enough.
Upon hearing this, Tan Zhongyu said, "Director Lei, there is no problem with our department. The chief resident of our hand surgery department was originally replaced."
"So it's fine for Yanqing to go to the trauma center for the emergency consultation class, and for Lin Yuxuan to transfer to the minor surgery class."
"This Lin Yuxuan really needs some training."
"I'm willing to let go!~"
Zhou Yanqing could have been very comfortable as the chief resident of hand surgery, but by some strange combination of circumstances he ended up in this situation.
Such a good technology cannot be kept hidden forever.
Because Zhou Yanqing actually saved several lives from the King of Hell.
Of course, Tan Zhongyu is a more down-to-earth person: "President Lei, we mentioned this in our previous meeting. The Trauma Center has a lot of things to do, heavy tasks, lots of work, and little pay!"
“The financial and human resources subsidies that hospitals need to provide must be in place.”
Lei Zhong kicked Tan Zhongyu directly: "You said that as if we are always hungry?"
Tan Zhongyu asked for money in front of Li Xiangming. Doesn't this mean that their orthopedics department is not doing well?
Tan Zhongyu nodded shamelessly.
Lei Zhong was even more embarrassed.
Li Xiangming immediately said, "President Lei, if someone is willing to stay in our emergency department after the total duty of the trauma center is over, the hospital must provide policy support, right?!"
Lei Zhong refused without hesitation: "Impossible!~"
"If you want to argue, Director Li, go and argue with the specialists yourself. The hospital can't do it for you!"
It would be like throwing a meat bun at a dog, which would never come back. Lei Zhong would never agree to this.
The chief residents who are selected to join the Trauma Center must be highly talented and outstanding talents from various departments. Only they can guard the first solid lifeline of Xiangya Hospital.
If you let all these people run away, it is absolutely impossible for the hospital to cover you!
Li Xiangming was anxious and said, "President Lei, our emergency department is so important, we must have policy support, right?"
"Otherwise, we won't be able to keep the talented people who come..."
Lei Zhongze said: "You will always meet someone who has feelings..."
In the medical field, dogs are not allowed to go to pediatrics and emergency rooms because of the patients’ family members.
In some places, a master's degree holder can settle down in these two departments, resulting in a large loss of talent. Basically, those who can come here are half-baked or "unappreciated talents"!
But the latter are extremely rare.
"Misfortunes sent by Heaven can be avoided, but misfortunes brought upon oneself cannot be survived."
Anyway, everyone in the medical system knows who has the best technology in the hospital, and if someone's child is sick at home, they will call the department directly.
I can’t control other people!
Naturally, it is impossible to import talents into such a hellhole.
Of course, these departments must exist.
You should get along with it if you can. As long as legislative policies are not tightened, the punishment for harming medical workers is not severe enough, and people's thinking habits do not change, it will be impossible for truly talented people to be willing to work in these two departments!
Everyone has to stay alive first.
"Oh..." Li Xiangming had no choice but to sigh.
He was in charge of so many things that the best talents either left or went to other hospitals.
Even a few years ago, there was a promising young person who wanted to change his career to start his own business rather than stay in the hospital to become an emergency doctor.
But Li Xiangming was not furious.
……
Zhou Yanqing followed Tan Zhongyu to the outpatient department and asked, "Master, does this trauma center have many benefits?"
Tan Zhongyu is a person who will not do anything without benefits. If we are willing to put him in, there must be more benefits!
Tan Zhongyu chuckled: "Of course."
"But the specific benefits can only be experienced after you get in. I am not very clear about it for now."
"But one thing is that those who are selected to work in the trauma center are all high-quality talents. They are the top tier for promotion and salary increase, and no one can interfere."
Zhou Yanqing also laughed when he heard this.
"Master, if that's the case, even if I'm a little tired, it's not a loss."
Tan Zhongyu then said in a low voice: "The first batch of people who enter can basically be promoted to higher positions in advance without having to wait for five years."
“Do a good job!~”
After graduating with a doctorate, Zhou Yanqing can be directly recognized as an attending physician without taking the intermediate physician examination.
This is the country's newly revised policy. Hunan Province's regulations in this regard are that there is no need to take an exam, but some provinces still require an exam.
However, the age requirement for the assessment of associate senior positions is very strict.
Only a very small number of people can stand out and get promoted early.
After Zhou Yanqing sent Tan Zhongyu to the outpatient clinic, there was a long queue of people.
Tan Zhongyu sighed: "Okay, you go back first and take a rest when you have time."
"Next month, you're going to go to the trauma center, and your life probably won't be so easy."
"Okay, Master!~" Zhou Yanqing turned and left.
Midway through the trip, Zhou Yanqing received a call from Deputy Chief Physician He Qingqing, the doctor on duty at the emergency department, who said that the family of the patient he had rescued that morning had sent a banner and a fruit basket and asked Zhou Yanqing to go with them.
"Director He, I won't come anymore. You've worked hard. Take a rest."
"You're not coming?"
"Well, I still have to go for a consultation, so I won't come for now. Please thank the family for me." Zhou Yanqing replied.
"Okay then, work is important!"
He Qingqing's voice came from the phone again: "Doctor Zhou has his own things to do, let me thank you!"
"On behalf of all the medical staff, I would like to thank you for your kindness, but this is a rescue area and the emergency department may come at any time."
"Can you please go somewhere else to rest and wait for your family members to be released safely from the ICU?"
After hanging up the phone, Zhou Yanqing's mood returned to calm.
Today, the weather is sunny, and at noon, the wind is gentle and warm...
(End of this chapter)
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