When I'm on the night shift, all the department heads can't sleep.

When Lin Ye arrived at the clean area of ​​the fever clinic along the designated route, the negative pressure ambulance was still on its way.

The on-duty nurse transferred Gao Limin's electronic medical record to the workstation, the bedside doctor's review record had been updated, and the hospital's phone call had been verified.

"Gao Yuan hasn't taken the things out of his hands yet." The nurse pointed to the inner line of the isolation area. "After he heard that his father had left first and that he couldn't go with the car, he kept asking if he could see him one last time."

Lin Ye received the call from the inside.

Gao Yuan's voice quickly came through: "Doctor, I won't go over and touch him. Can I just pass the things to the nurse through the door? I've been keeping that X-ray slip with me; what if he can't find the information at the new hospital?"

"The data will be retrieved by the nurse through the passbox," Lin Ye said. "You stay in the observation area and don't go to the door yourself. The electronic images have already been sent to the receiving hospital, and the film strips and data bag will also be taken with the vehicle."

"My dad doesn't know I can't go."

"The bedside doctor will tell him. You can ask the nurse to turn to him now if you want to say anything."

Gao Yuan was silent for a moment, then said, "I want to talk to him myself."

Upon hearing this, the on-duty nurse picked up another ward work phone: "I'll dial the work phone next to Gao Limin's bed and connect you to the same internal line. You can say a few words if you want; don't let the old man talk too much, because his oxygen level drops every time he coughs up blood."

The call was transferred, and the first thing I heard was a cough.

Gao Limin took a few breaths and asked, "Are you still going to burn it?"

"He's still burning up, but it's nothing serious." Gao Yuan's voice was already hoarse, and his words sounded even more muffled. "You go ahead, I'll stay here and wait for instructions. I'll have the nurse bring you the file folder."

"Don't take my box of blood pressure medication."

"Who took your medicine?"

"The two medicine boxes look the same; you made a mistake last time."

Gao Yuan looked down and rummaged through the bag beside him, finally finding a small blue pillbox. He stared at it for a few seconds, then lowered his voice: "It's with me. We'll give it to the nurse later."

"Put your phone on the charger. Your fever hasn't gone down yet, so don't just keep asking me questions."

Gao Yuan opened his mouth to retort, but then he heard another cough coming from the phone next door. He swallowed his words back: "I know. When you get there, listen to the doctor. Don't try to remove the oxygen tube yourself just because it's uncomfortable."

Both sides were silent for a few seconds.

The on-duty nurse glanced at the time and reminded them that the transfer team would be arriving soon.

Gao Limin concluded by saying, "You still have a fever, so leave some battery on your phone. When you get there, I'll have the doctor call you back."

"Take care of yourself first."

After the phone call ended, Gao Yuan handed the retrieval slip, document bag, and blue medicine box to the nurse in the isolation area.

He looked down and saw that his phone only had nine percent battery left. He then called the nurse over the intercom: "Could you find me a charging cable? I need to receive a call from the hospital, and I'm afraid my phone will shut down."

The nurse noted down the connector type, took a spare cable from the clean area, and handed it to the nurse in the isolation area through the pass cabinet.

Gao Yuan plugged in his phone, but the screen remained stuck on the call log page.

The nurse verifies the name, puts the documents and medicine box into sealed bags, attaches patient labels, wipes the outside of the bags, and puts them into the passbox.

The nurse in the clean area takes it from the other side and sends it to the workstation to check the catalog.

Lin Ye first checked the name on the medicine box, then verified the medication record. The medicine name and dosage matched the electronic medical record, and Gao Yuan confirmed the last medication time via internal line.

Lin Ye added the information from the medicine box to the past medication column of the electronic handover record, and then handed the data to the nurse on duty: "Put the film strips and imaging data together, don't put them in the family contact record."

The nurse packed the items according to the catalog, sealed them, and reported the time of handling.

When the transport doctor arrived at the clean area, the bedside doctor had already completed the final reassessment.

Gao Limin was conscious. His blood oxygen saturation was 94% with a nasal cannula oxygenation rate of 3 liters per minute, and his respiratory rate was 28 breaths per minute. His blood oxygen saturation would drop briefly after coughing, but would recover after rest.

The pulmonologist confirmed via work phone that low-flow oxygen would continue during the transport, with continuous monitoring throughout the journey. If oxygenation further declines or respiratory status changes, the transport physician will assess the situation on-site and contact the receiving hospital in advance.

The transporting doctor checked the estimated journey distance and remaining oxygen supply, and confirmed that the vehicle could leave directly from the dedicated exit of the fever clinic.

The transporting doctor still allowed the spare oxygen source to be carried in the vehicle, and the vehicle did not stop in other areas during the journey.

Lin Ye displayed the electronic handover form on the clean area screen: "The most recent blood gas analysis, chest imaging, and medication records are all there. The paper documents have just been completed, and the pill boxes and retrieval strips have been bagged separately."

After reviewing the case, the transporting doctor asked, "Who should the receiving hospital designate as the primary contact person?"

"The primary contact person registered is Gao Yuan. After the patient arrived at the hospital, the ward contacted him directly."

The security guard immediately called to inform them that the negative pressure ambulance had stopped at the designated exit and that all other personnel in the passageway had been cleared.

After verifying the license plate and the accompanying personnel, the on-duty nurse notified the isolation area to prepare the gurney.

The bedside doctor called back from the isolation area: "The patient has understood the transfer arrangements and agrees to be transferred. We are now preparing to switch to the transport oxygen source."

The patient's signed informed consent form for transfer was also delivered to the clean area. Lin Ye checked the signing time and the doctor's signature, added the original to the hospital's medical record, and put a copy into the accompanying document bag.

Lin Ye remained in the clean zone, leaving the oxygen source switching time and post-switching blood oxygen levels blank on the handover form until the operation was completed in the passage.

When Gao Limin was pushed to the special passage, Gao Yuan's observation position was separated from the passage by two doors, and he couldn't even hear the sound of the bed wheels.

He asked over the intercom, "Could you leave the phone on so I can hear him getting into the car?"

The nurse inside the transfer channel answered another work phone and walked forward with the gurney.

I heard the soft sound of bed wheels rolling over the threshold over the phone, followed by the voice of the transport doctor verifying my name and date of birth.

The oxygen interface was switched, the monitor lit up again, and the blood oxygen level stopped at 94.

Before the car door closed, the staff checked the sealing of the document bag one last time.

The inside of the transfer channel immediately reported the switching time, and Lin Ye added the two pieces of information to the handover form.

Gao Yuan listened until someone on the other end of the phone told him that the vehicle had already left.

At 5:52 PM, the negative pressure ambulance drove away from the designated exit. Gao Yuan was still holding the work phone at the observation post, not letting go immediately.

"Someone will call you when he gets there," the nurse said. "Take your temperature and blood oxygen level again now."

Gao Yuan extended his hand to the nurse, his gaze still fixed on the work phone he had just spoken on.

His temperature was 38.3 degrees Celsius, his blood oxygen saturation was 96%, and his breathing showed no significant changes. The doctor at the fever clinic continued to observe him as a mild case, and further arrangements for beds and transportation await notification from the medical treatment team.

Sixteen minutes later, the designated hospital called back, informing them that Gao Limin had been admitted to a intensive care unit in the infectious disease ward.

During the journey, his blood oxygen level remained between 93% and 94%. He was conscious during the handover and received all the accompanying documents and medicine boxes.

The ward then called Gao Yuan's mobile phone.

After the call connected, Gao Yuan first asked if the box of antihypertensive medication had been given to the doctor. The recipient checked the handover list and told him that the box had been delivered to his bedside, and that the ward would recheck the medication administration for subsequent doses.

After hanging up the phone, he tucked the charging cable along the bed rail to the wall to avoid pulling it out when he got up. The nurse at the observation station checked his blood pressure again and reminded him to focus on his fever and sore throat first.

After receiving the confirmation that the transfer was completed, the on-duty nurse at the clean zone workstation was preparing to lift the temporary control over the dedicated passage.

The access control staff are still waiting for notification to resume operations, and the temporary roadblocks outside the dedicated exit have not been removed.

The registration for the next vehicle is still blank.

Another intercom went off first. The staff responsible for disinfection had just returned the handover panel to the clean area.

The call came from the quarantine observation station where Shao Dequan was located.

The bedside nurse first reported the current situation: "His blood oxygen level has dropped from 93 or 94 to 91, and it just hit a low of 90. He's breathing 31 times per breath. When asked to open his eyes, he's responding more slowly than this afternoon."

Lin Ye retrieved Shao Dequan's most recent blood gas and bedside records, and a prompt immediately appeared at the edge of his field of vision.

[Risk Factor: Oxygenation status is deteriorating]

[Key gaps: current oxygen flow rate, repeat blood gas analysis, and time to change in consciousness]

Lin Ye looked at the records beside the bed and asked the nurse, "What's the current oxygen flow rate? When will the blood gas analysis be repeated? When did the slowed reaction start?"

The bedside doctor had already walked to the monitor and taken the intercom: "I'm checking the oxygen flow rate now, and also checking when the response slows down. Blood gas analysis will be done immediately. The respiratory department has already notified us to hold the transport route open for now."

Lin Ye looked at the handover board that had just been returned.

Gao Limin had just finished recording the transfer when Shao Dequan reported the lowest value of 90.