When I'm on the night shift, all the department heads can't sleep.
Chapter 22 Save lives first, write reports later
Liu Zhenhua did not answer immediately.
In the emergency room, Zhao Qiang's breathing finally improved, and his complexion slowly returned to ashen. Nurse Zhao reconnected him to oxygen, Sun Zhiqiang completed the doctor's orders, and the on-call thoracic surgeon was on his way.
Zhao Qiang's wife was kneeling on the ground, still trembling when the nurse helped her up.
"Doctor, is he alive?"
Qin Hai took off his gloves: "Stabilize the situation for now, but further action is needed."
The woman nodded while crying.
Liu Zhenhua closed the notebook, his voice lower than before: "The medical record for the treatment just now must be complete. The basis for the judgment, the operator, the people present, and the information given must all be written down."
Qin Hai looked at him: "I can write."
"I'm not referring to emergency room rescues," Liu Zhenhua paused, "but the more urgent the situation, the more important it is to leave a record."
These words sounded more pleasant than when I first entered.
Lin Ye stood beside him and heard it clearly.
He looked at the blank columns on the record sheet.
Time, basis, operator, and personnel present.
These words, though cold and impersonal, manage to transform what just happened from a "reckless act" into a rescue effort.
After the thoracic surgeon arrived, he provided follow-up treatment to Zhao Qiang and arranged for him to be admitted to the thoracic surgery department.
Zhao Qiang's wife followed the stretcher out, but after taking a few steps, she turned back and asked, "Doctor, that injection he just received... will he need surgery later?"
The thoracic surgeon explained as he walked, "First, stabilize the situation. Then, we'll perform closed thoracic drainage to check for rib fractures and lung damage. The emergency decompression was life-saving, not the final treatment."
The woman nodded, tears still on her face, but she was clearly more sober than before.
Lin Ye also wrote down this instruction.
Liu Zhenhua did not leave.
He sat in the emergency room office, watching Qin Hai and Sun Zhiqiang fill in the records, and watching Lin Ye organize the timeline.
"You write one too."
Lin Ye looked up: "Me?"
Liu Zhenhua nodded: "You hand over the instruments, report the vital signs, and participate in the judgment. Write down clearly what you did and what you didn't do."
Lin Ye clearly heard the words "did what" and "didn't do what".
The boundary is drawn clearly in one sentence.
Lin Ye picked up the paper.
He wrote quickly: The patient experienced difficulty breathing after a chest impact in a car accident, with significantly reduced breath sounds in the right chest, distended jugular veins, decreased blood pressure, and decreased blood oxygen saturation. Director Qin Hai, present at the scene, diagnosed tension pneumothorax and performed emergency chest decompression. I assisted by delivering the puncture kit and recording vital signs.
He paused when he wrote the words "with my assistance".
So many people in the emergency room witnessed what just happened. But that section on the paper is blank; whoever saw it doesn't count.
He added "to be implemented after Director Qin Hai's verbal confirmation".
After finishing writing it, Liu Zhenhua took it and read it through.
"Can."
Qin Hai raised an eyebrow: "Rare indeed."
Liu Zhenhua ignored his barbed words and instead looked at Lin Ye: "I've reviewed your cases from the past few days. Your assessments are valuable, but you need to learn to apply that value within your capabilities."
Nurse Zhao muttered to herself outside, "What if the system can't handle the patients?"
Liu Zhenhua acted as if he hadn't heard.
The night patrol ended at 2 a.m.
Liu Zhenhua suddenly stopped when he reached the entrance of the emergency room.
"Director Qin."
Qin Hai looked up at him.
"I will record Zhao Qiang's case in the night inspection log. The emergency treatment was timely and the procedures were fully documented."
Qin Hai hummed in agreement.
Liu Zhenhua added, "But Lin Ye's risk warning statement will not be withdrawn."
Nurse Zhao was about to explode when she heard that.
Liu Zhenhua looked at Qin Hai: "Because he really needs to be mentored and closely monitored. Not because he's wrong, but because he's too easily in the limelight right now."
After saying that, he left with his men.
Before leaving, the teacher from the Science and Education Department glanced at Lin Ye, her tone softening slightly compared to when she entered: "Next week, compile these cases into a teaching debriefing; all resident trainees will have to listen."
Lin Ye responded, "Okay."
After they had walked away, Nurse Zhao whispered, "See? Warning slips and teaching cases—sometimes they're just a matter of whether the patient is alive or not."
The emergency room lobby fell silent again.
Qin Hai sat back in his office and unscrewed and screwed the lid of his thermos back on.
Sun Zhiqiang asked, "Director, will the disciplinary action still be issued?"
"The medical affairs department won't issue a disciplinary action," Qin Hai said. "They'll issue a suggestion for improvement."
Nurse Zhao sneered: "So changing your name will make it stop hurting?"
Lin Ye saved Zhao Qiang's record, and when he removed his hand from the mouse, the tightness in his chest eased a little.
If Qin Hai hadn't been there, he wouldn't have been able to exceed his authority to perform that eight-minute countdown.
But he was able to discover, report, and pass the tools to his superiors.
The system will not treat his illness.
His status also prevented him from treating patients casually.
All he could do was push the patient to the right person, as quickly as possible.
At five o'clock in the morning, Zhao Qiang's wife came back.
She held several payment slips in her hand, her eyes still red.
"Doctor, the thoracic surgeon said he's stable for now. Who was it that first said there was a problem with his chest?"
Qin Hai pointed to the entire emergency room: "Emergency room."
The woman froze.
She originally wanted to find someone to thank.
Qin Hai did not give her a separate name.
"All of you?"
"Yes," Qin Hai said, "Emergency rescue is not a one-person show."
The woman bowed deeply.
Lin Ye stood in the crowd, his white coat cuffs still damp with disinfectant.
He actually felt relieved.
But before he could fully catch his breath, Sun Zhiqiang's phone rang.
He answered the phone, listened for a few minutes, and his expression changed slightly.
"Director, the medical affairs department wants us to submit a written report this morning. The title is..."
Qin Hai looked at him.
Sun Zhiqiang paused.
"Explanation on the rectification of emergency department resident physicians' participation in high-risk resuscitation procedures."
Nurse Zhao placed the medical record folder on the table.
"They actually came."
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