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

Fang Rui flipped through the observation record to the time of medication administration, checked the medication record again, and then walked to the bedside.

Fang Rui raised the headboard and handed him a small sip of warm water: "Can you swallow it? Does your throat hurt?"

Shen Yan swallowed and slowly turned her head to the sides.

"It doesn't hurt, but my neck is still a little sore."

"Can your eyes still roll upwards on their own?"

"That's all." Shen Yan looked down at her hands. "I was really afraid I wouldn't be able to speak anymore."

"You're recovering faster than expected due to the medication."

The bedside nurse checked the monitoring data, and Chao Fangrui nodded.

"The vital signs are stable, and there has been no recurrence after the medication was administered."

After hearing this, Shen Yan's mother moved her chair closer.

"Then what are we waiting for? She can rest at home by lying down."

"You can't leave right now." Fang Rui closed the review record. "I'll double-check and come back to you right away."

After finishing his follow-up evaluation, Fang Rui returned to his consultation table with the records.

The bed rotation nurse followed to the examination table: "Is this emergency monitoring bed still available?"

"Let's wait for his arrangements."

Lin Ye gestured for Fang Rui to speak.

I want to transfer her to regular observation.

Fang Rui spread out the records.

"She doesn't need resuscitation equipment now, and we can continue her reassessment in the general observation area. The bed can be reserved for patients who need more monitoring. Her drug reaction has only recently subsided, and we need to see if it will recur, so she can't leave the hospital directly. We'll continue to monitor her symptoms in the observation area to see if they recur, and if there are any changes, we'll transfer her back to the resuscitation area. Before she leaves the hospital, the on-duty doctor will conduct another assessment, record her drug reaction, and return the medication bag to her."

"The plan is acceptable. You can handle the arrangements regarding the beds and the families."

Fang Rui confirmed the re-evaluation time on the record and then dialed the observation area's phone number.

"Observation area? We're transferring a patient from the resuscitation area there. The adverse reaction to metoclopramide has subsided, but they still need to be observed."

"A bed just became available, and the final cleaning will take a few more minutes. Can we wait?"

"We can wait. What's the bed number? Which nurse is taking over?"

"Bed five, Nurse Wang."

"Okay, thank you for your help." Fang Rui added the re-evaluation arrangements, "The first re-evaluation is in fifteen minutes. I'll write the time in the record. Check the observation area according to this time."

"Understood, I'll make arrangements when we arrive."

"When the patient was transferred, a fingertip oxygen saturation meter was attached, and the observation record and medication bag were submitted together."

Fang Rui hung up the phone and added the bed number and the person who would take over to the transfer sheet.

After hanging up the phone, he went to find the nurse who was handling the bed transfer.

"The beds in the observation area are still being cleaned, but the resuscitation beds will be kept on hold for now. I'll notify the transfer team once they confirm that the patient can be received there."

The bed turnover nurse checked the bed number.

"I'll call you when I'm done cleaning. Don't keep the patient waiting in the hallway."

Fang Rui tucked in the bed sheet and walked to the bedside.

Lin Ye put down the test report and followed behind, stopping at the foot of the bed.

Shen Yan's mother had already taken off her coat, but when she heard that she would be transferred to regular observation, the expectation on her face faded a little.

"The person is alright now, can't they leave?"

"The scariest part is over."

Fang Rui pulled the chair to the side of the bed.

"His voice and swallowing have also returned. We want to make sure these symptoms won't come back, so we've moved him to regular observation. He's remained stable since then, and the attending physician will assess whether he can leave."

The mother held her coat close to her chest and looked at her daughter.

"She was perfectly fine yesterday, and then she suddenly fell ill. My hands are still shaking."

"She's stable now, and we're keeping her around to keep an eye on her a little longer, because we don't want her to relapse after she goes home."

"Then... how much longer?"

"Let's observe the situation first. I can't give you an uncertain timeframe." Fang Rui handed the medicine bag back to her. "Keep this medicine name safe. Tell the doctor when you see a doctor in the future. She had this reaction after taking metoclopramide."

Shen Yan looked down at the monitoring leads on her chest.

"If we switch to regular observation, do all of these need to be removed?"

"The emergency monitoring will be withdrawn. When transferring them, keep the blood oxygen saturation meter on your finger. The nurses in the observation area will reassess the patient periodically, and if there are any changes, they will transfer them back."

"Is it far from here?" the mother pressed.

"It's on the same floor, just around the corner in the hallway. The call button is by the bed; press it immediately if you need anything."

The mother took the medicine bag, still somewhat uneasy: "What if it's like this again after we get back?"

"If the same action happens again, come back. If your voice changes, you can't swallow your saliva, or you can't breathe, call an ambulance immediately."

Shen Yan stretched her sore neck.

"Mom, let's go first. I don't want to get in the car right away."

The mother then draped her coat back over the chair and tucked her daughter's hair behind her ears.

A call came back saying that the cleaning of the observation area was complete.

Fang Rui helped Shen Yan sit up on the edge of the bed: "Get up and try it. Are you dizzy?"

Shen Yan sat up straight and pressed her temples: "I'm a little sleepy, but not dizzy."

"The medication might make you drowsy, so don't walk there by yourself." Fang Rui asked the nurse to call a wheelchair. "Even when you get to the observation area, don't get out of bed alone; ring the call bell for the nurse first."

The bedside nurse removed the leads from the resuscitation monitoring system and replaced them with a blood oxygen clip for transport.

Fang Rui checked the bed number in the observation area and recorded the destination, then accompanied the transporter to the entrance of the emergency area.

Lin Ye could see Fang Rui stop at the entrance of the observation area from beside the examination table, handing over the medicine bag and observation record to the nurse in charge.

Further inside, the sounds of the handover were drowned out by the movement of the carts pushing through the corridor.

The transfer nurse pushed an empty wheelchair out, and the bed number in the observation area had been changed.

When Fang Rui returned, the signature column already contained the name of the nurse who took over and the time.

He placed the record in front of Lin Ye: "Reassess in fifteen minutes. If there are any abnormal movements, sounds, swallowing, or breathing changes, the observation area should be directly called the resuscitation area."

The original monitoring bed became available.

The bed turnover nurse pushed in a cleaning cart, changed the sheets, and rearranged the bedside equipment.

Lin Ye confirmed that the defibrillator, monitor, and suction device were in place, and then pasted the next pre-hospital report onto the board. Fang Rui reviewed the bed transfer record again, added the medication bag notes during the reassessment period, and then closed the splint.

After finishing her phone call, Zhou Min walked back from outside the emergency room. She saw the vacant monitoring bed.

"Where did Shen Yan transfer to?"

"Routine observation." Fang Rui handed over the receipt. "I mentioned the destination, Dr. Lin will review it. Further evaluation in fifteen minutes, and confirmation by the on-duty doctor before discharge."

Zhou Min flipped to the review page and checked the delivery time in the observation section.

"You can handle the regular outpatient visits first, and Lin Ye will review them. If you need an emergency bed, high-risk procedures, or if the specialist can't coordinate, report it immediately. Formal rotations and assessments will be arranged by the department."

"clear."

The triage nurse brought in a new record.

"A 26-year-old woman just arrived at the general outpatient ward. She had been experiencing fever and sore throat for a day, but her blood pressure and blood oxygen levels were stable. She said she started feeling tightness in her chest in the afternoon, but I didn't ask her clearly during triage."

Fang Rui took the record and first checked the heart rate and body temperature.

"Is the chest tightness constant, or does it only occur when coughing or taking deep breaths? Does it worsen after activity? Do you have wheezing or a rash?"

"Heart rate 98, body temperature 38.1 degrees Celsius. I'll ask again when I get back."

"I'll go with you." Fang Rui clipped the record onto the board. "First, we'll do an electrocardiogram to confirm the nature of the chest tightness and the patient's breathing. If the vital signs change, we'll upgrade you directly from the regular ward."

He took two steps, then turned back to the consultation table and handed over his arrangements to Lin Ye.

"The patient is currently stable. I'll move him to the general ward to get an ECG and a history of chest tightness. If the chest tightness persists, the ECG is abnormal, or there are changes in his breathing, I'll call you immediately."

Lin Ye checked the blood oxygen and heart rate on the triage record.

"Let's proceed with this arrangement."

The triage nurse led Fang Rui toward the general clinic area.

At the same time, the phone rang on the other side. After answering it, the nurse by the bedside handed the receiver to Lin Ye.

"Dr. Lin, the cardiology department called back. They need to confirm Xu Xiao's future arrangements with you."

Lin Ye took the receiver and pulled out Xu Xiao's medical record with his other hand.