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

At 7:14 PM, the designated hospital called the clean area of ​​the fever clinic.

Shao Dequan has been admitted to the infectious disease intensive care unit and continues to receive high-flow humidified oxygen therapy. His blood oxygen saturation remained between 92 and 94 during the journey. Upon admission, he was able to answer questions about his name, age, and family relationship, but his response time remained slow.

The recipient, following the contact list provided with the vehicle, first dialed Shao Kai's number.

As soon as the bell rang, Shao Kai and the child on the bed looked over at the same time.

Shao Kai answered the phone, holding the phone in one hand and the hospital bill from the bedside table in the other, and jotted down the ward's contact number.

After hearing about his father's arrival at the hospital, he inquired whether the high-flow oxygen therapy was still in place and whether the father was able to speak normally. The recipient explained the current situation and also told him that subsequent treatment and risk assessments would be coordinated by the bedside doctor.

The child had been listening the whole time, and only asked after Shao Kai hung up, "Has Grandpa arrived?"

"We've arrived." Shao Kai entered the number into his contacts. "He still needs oxygen; the doctor is watching him."

Shao Kai then called his mother and briefly relayed what the recipient had said. Chen Xiulan, hearing that her husband had arrived at his bedside, still reminded her son to keep his phone nearby and not to put it on silent.

The dedicated lane did not immediately resume normal traffic.

The access control staff first waits for the cleaning and disinfection reports after the vehicles leave the hospital, and then adjusts the roadblocks according to the instructions of the general duty officer.

Lin Ye had just exited the electronic handover form when the Administration Building List Verification Office called.

Ma Hao's first question was: "Did you pick them up?"

"Entered the department at 7:14 PM, still using high data usage, and was able to answer basic questions correctly."

"Okay, I've changed the transfer status." Ma Hao clicked his keyboard a few times on the other end, then asked, "Teacher Song asked me to ask you how many people are in the clean area of ​​the fever clinic now, and who can take over the late night shift."

"What about over there?"

"Teacher Song told me to work until 9:30, then switch to another person." Ma Hao's voice was still a little hoarse. "When I look at the screen now, the names are all blurry. If we don't switch people soon, I'm afraid I'll record Shao Kai as Shao Dequan's father."

Lin Ye could tell he still had the energy to joke around: "Check your age before you record."

"You're actually trying to think of a way to fix this."

The chair shifted slightly, and Ma Hao's voice came closer to the receiver: "Enough with the small talk, give me the headcount."

Lin Ye looked at the area schedule on the wall.

The nurse who was originally scheduled to come in to take over the shift that night had previously gone to the eighth floor to provide support during the day.

She has already stayed in the original area on the eighth floor and can no longer cross the two zones to reach the fever clinic.

The other doctor who was originally scheduled to take over the bedside was currently assisting with the emergency and critical care channel in the regular emergency room and was temporarily unavailable.

"There are three of us in the clean zone, including myself. The bedside doctor on the observation side has been on duty since the morning shift handover, for more than eleven hours now, and someone needs to relieve him. Tang Wenjie is a respiratory specialist, not on the fever clinic's shift schedule."

Ma Hao relayed these words to Song Lan.

Song Lan took the phone: "Don't break up the shifts on your end yet. The medical on-call team is being rearranged by area, and those who can enter the fever clinic via the clean route are listed separately. Lin Ye, you just got up at 4:30, you can stay on for a while longer, but the bedside staff who need to be relieved can't keep working."

"Know."

"There's one more thing." Song Lan flipped through the report beside her. "The Municipal Center for Disease Control and Prevention just released a new batch of results. There were six more positive double-target retests from the two events at the Kangning Hotel, four in the morning and two in the afternoon. The list is handled by the local CDC, and the hospital is keeping the result numbers and whether there are any routes to their hospital."

Ma Hao's voice came from the side: "Of the six people, we haven't been able to find out if any of them have been to the First Municipal Hospital. We'll have to wait for the local authorities to finish verifying their medical records."

"Once the local authorities find out who has been to our hospital, have them call this work number directly," Song Lan instructed Ma Hao. "Make sure you remember the time they arrived at the hospital and the areas they visited. The part about the event venue will continue to be verified by the local authorities; don't ask both sides the same question."

"You continue with the follow-up." After saying this to Ma Hao, Song Lan turned to Lin Ye, "Gao Yuan and other people under observation are still at the fever clinic. First, check the next time each person under observation will have their temperature, blood oxygen, and follow-up examination. When the next shift arrives, hand everything over in person."

After hanging up the phone, Lin Ye opened the regional shift schedule and the observation position review page side by side.

At exactly 8:00, the inside line from the observation side came through on time.

Gao Yuan's body temperature was 38.1 degrees Celsius, his blood oxygen level was 96%, and his respiratory rate was 20 breaths per minute. He still had a sore throat, but he was able to get up to drink water on his own and said he did not feel short of breath.

After the doctor at the bedside announced the measurements, the nurse next to him reminded him, "The next measurement is at 10 PM."

"I'll set an alarm," Gao Yuan said, picking up his phone. "So I don't fall asleep and have to be woken up."

Lin Ye then checked the other two observation positions, with their follow-up examination times at 8:15 and 8:30 respectively.

Every time a nurse on the observation side reports a bed, Lin Ye checks the doctor's orders, the timing, and the existing records.

One of the observers had a blank follow-up section, so he immediately called the bedside doctor.

The other party confirmed that the patient's condition would be reassessed at 8:30 PM, and whether further tests would be conducted would be decided by the attending physician.

Lin Ye filled in the re-evaluation time on the handover page, leaving the sampling items for the incoming doctor to evaluate.

At 8:05, the medical duty officer sent the new shift schedule to the clean zone workstations.

Dr. Wei Heng, the night shift doctor at the fever clinic, will enter through the clean passage before 9:00 PM to begin work at the bedside of the observation patient.

The nurses were reassigned from the original area of ​​the fever clinic, and the one who went to the eighth floor during the day will remain on the eighth floor.

The handover arrangements have also been added to the emergency department section.

Zhou Min's day shift was originally scheduled to end at 5:30 PM, but after the temporary closed-loop system was activated, she remained in the original emergency room area to handle cases.

With the new shift schedule set, the emergency room night shift supervisor will take over the entrance triage and critical care channel at 8:30 PM.

After paying the bill, Zhou Min went to the cleaning and rest area in the emergency building and did not go to the administration building or the fever clinic.

The infection control team has also been replaced.

At 9:00 PM, the night shift staff received the local call back and the hospital's list from Song Lan. After handing over the numbers that were still waiting for a reply, Song Lan went to the cleaning and rest room in the administration building.

The new schedule also includes two rest areas marked on the back.

After personnel from the observation side leave, they must complete the required procedures of removing their protective gear, disinfecting, and changing clothes before proceeding to the designated temporary rest room. Personnel from the clean area remain in a separate rest room; the two rest rooms are not shared.

The logistics department divided clean bedding, bottled water, and disposable toiletries into two batches, labeled "Clean Area Personnel" and "Observation Side Personnel" on the outside of the bags, and then delivered them to the duty stations along their respective channels.

The access control system recorded the delivery time and the person in charge of each batch of items separately, and the two batches of items were kept separate throughout the process.

The doctor at the bedside, seeing his shift change time, let out a long sigh over the intercom: "Someone's really coming at 9:00 PM?"

"The replacement has been decided. Be there before 9 PM," Lin Ye said. "Take over to Gao Yuan and the other two observation positions, then go and rest."

"What I'm afraid of is that things will change at the last minute."

"Once everyone arrives, the access control will report the time. You should first arrange the shift handover order."

The doctor at the bedside then went to organize the shift handover sequence.

Lin Ye's shift change was scheduled for 10 PM. After another resident physician took over, he would go to the designated rest room.

Ma Hao's break time was half an hour earlier than his.

As soon as the new shift schedule was released, Ma Hao called over on his work phone to boast: "I'll go to sleep at 9:30, and you'll go to sleep at 9:00. That half hour is enough for me to have a very long dream."

"Don't set the alarm clock incorrectly."

"Shut up, I can't stand it when people talk about time right now."

At 8:47, Wei Heng completed the registration in the clean area.

The retests at 8:15 and 8:30 were completed. The body temperature and blood oxygen levels of the two observers were similar to the previous ones. Lin Ye handed him the two records and pointed to Gao Yuan's retest arrangements at 22:00.

After reviewing the clean zone records, Wei Heng changed into protective gear and entered the observation area. He and the bedside doctor checked the current vital signs, the next re-evaluation time, and the pending results at the three observation positions.

After both sides were cleared up, the bedside doctor, who had been working continuously for more than twelve hours, began to prepare to remove the equipment.

Just as Wei Heng entered the observation area, Song Lan called from the administration building again: "The on-duty supervisor just reminded everyone that those staying in the hospital tonight should call home during the shift change to let their families know they're safe and can stay at the hospital tonight. Don't tell anyone about the patients or the patient list."

Lin Ye took out his phone and sent a message to his parents: "The hospital has made a last-minute shift change, so I'm staying on duty tonight. I'm fine. Please wear masks when you go out these next few days."

Less than half a minute after the message was sent, the mother's reply appeared.

Does your hospital have any patients with infectious diseases?