Chapter 29 Sister Tan Min, please keep your voice down (please collect, recommend, and read more!)
Zhou Cheng walked out and saw that the person at the door was Tan Min.
When she saw Zhou Cheng, she said: "Oh, it turns out you are on duty today. If something happens later, I will call you directly instead of running over to call you."
The nurses at the nurse station basically don't write down or check who the doctor on duty is today every day. Because both nurses and doctors may change shifts and do not strictly follow the schedule, when looking for the doctor on duty, they first go to the office.
Or the lounge is called.
"Okay, Sister Tan Min, you can just send us a WeChat message." Zhou Cheng knew that Tan Min would not take the initiative to call other doctors in charge of the bed under normal circumstances, and even if she did, she would always use the department's phone number.
He was also lucky, and he and Qin Min came in the same year, so they exchanged WeChat and other contact information very early.
"Are you on the long day shift again today?" To be honest, even though Zhou Cheng has been in the department for two or three years, he still hasn't figured out what the shift scheduling mechanism is at the nurse station.
It doesn't actually matter which nurse is on duty when he is on duty. Speaking of which, he is a regular trainee.
Nurses in our hospital like Qin Min may not necessarily look up to them. You are lucky if I remember you. Otherwise, I won’t even bother to remember your name. Anyway, you will have to leave in three years at most.
"Well, I switched to the Changbai shift with Jiaojiao."
"No more chatting, let's go see the patients quickly. The patients have all come to the nurse's station. I'm afraid it will make a lot of noise if I go late." Tan Min was extremely serious and responsible during working hours.
"Okay!" Zhou Cheng also quickly put on a mask and set off to the nurse station.
There are two types of emergency patients. One is special emergency, which is the kind that is about to die in the emergency department or ICU. Such real emergency patients need to call the superior doctor of the doctor on duty to ask them to come to the scene.
In other words, an attending doctor like Luo Yun must be present.
The other is sub-emergency, where there is a fracture, but the condition is not serious. The doctor in the emergency department will ask the patient's family to push the patient to the ward and see the doctor directly.
It saves you the time of making a trip.
Because most of the specialist treatment is done in the specialist's operating room, if you need to be hospitalized, you can directly arrange a bed first.
Zhou Cheng came to the nurse's station and saw an old man wearing blue overalls and covered in lime, being pushed in front of the nurse's station by a middle-aged man of similar age dressed in the same clothes.
He was holding an imaging data bag with the name of the Imaging Department of Shashi No. 8 Hospital, while his coworkers were asking the nurses whether they wanted to perform surgery.
The nurse who was questioned responded: "This needs to be evaluated by the doctor after seeing it. We are nurses and will not look at it."
As she said this, she turned her head and saw Zhou Cheng coming behind Tan Min. She immediately said, "The doctor on duty is here. You can ask him later."
When they saw Zhou Cheng, the two uncles turned their heads very shrewdly and waited eagerly for Zhou Cheng to approach.
Zhou Cheng's pace was not slow, and he quickly arrived in front of the two people. While picking up the impact information bag from the patient's hand, he asked: "How were you injured? Did you fall or bump into it?"
Even though Zhou Cheng's current strength is much higher than when he was on duty before, Zhou Cheng is quite confident.
However, the patient's injury mechanism is still a top priority and needs to be understood, because the injury mechanism can help you discover occult fractures that are difficult to detect with routine radiography.
"It fell. We accidentally fell down when we were painting the exterior wall. It was about four to five meters." The patient himself shook his head helplessly.
After the injury, no matter whether you need surgery or not, it will take so long and cost money, so what can you do?
"Are there no safety measures?" Zhou Cheng glanced at the two of them.
Generally, at such a height, there will be safety measures, usually a seat belt around the waist. Such patients are not uncommon in the department.
"It's just for convenience, so I didn't do it. Besides, my friends are all old workers, and nothing happens to them usually." This sentence was explained by his coworker.
"Doctor, in my case, do I need an operation?" He looked at Zhou Cheng eagerly, his eyes full of helplessness.
"I'll tell you after reading it. Whether you need surgery or not depends on the actual situation."
"Is this a work-related injury?" Zhou Cheng asked while continuing to read the film.
Don't look at people wearing construction site clothes like this. They must be working on the construction site. They may have fallen and injured themselves while doing private work.
This is the star district of Shashi, a very suburban area. Many people are repairing their own houses and then hiring people to do so. With such a relationship, they may not be able to compensate for this.
The man said nothing.
His coworker rolled his eyes slightly and asked, "Surgery? How much does it cost?"
It is estimated that when they were in the emergency department, the emergency doctor who first diagnosed them told them that they might need surgery after seeing the fracture. And this situation was definitely not a work-related injury, so they were a little nervous.
"Not in a hurry."
"Come on, move your toes and curl them up."
Although Zhou Cheng has read the radiographs and clearly identified the patient's fracture classification, he can manually reduce the fracture classification, but he must first rule out damage to nerves and blood vessels.
The best way to rule out nerve damage is to check the patient's movements.
Although most of the activity functions are limited due to the fracture, the normal plantar flexion and dorsiflexion functions of the injured side still exist. As long as you see such a range, you can know that the nerve function is sound. Otherwise, if the nerve is ruptured,
It is impossible to move.
Manual reduction is not a rough reduction, and the absolute contraindications to manual reduction must be eliminated first.
The patient tried hard to move, but not much, and then gave up, saying, "It hurts and I can't move."
He thought Zhou Cheng wanted to see his usual activities.
"Okay, okay." Zhou Cheng said as he handed the bag of films to the patient's coworker, and then said: "You push him into the operating room first, given your situation."
"It is certain that the bone is fractured, but the fracture is not particularly complicated at present. We can try manual reduction."
"If it can be restored through manual reduction, there is no need for hospitalization and surgery, but if it is not restored, hospitalization and surgery are necessary."
"If you don't want to try it or you can't accept the result that it can't be restored, then just go to hospital and wait for surgery."
Zhou Cheng was also very good at blocking the patient's words, so he blocked the way back before the patient even asked whether he wanted surgery.
"No, no, no, I'll perform manual repositioning," the patient said quickly.
His injury does not fall into the category of work-related injuries, so he has to pay for the surgery himself. Even if he cannot work later, no one will subsidize him.
He was repairing a house for his eldest brother's house. His eldest brother was not a professional, so he told them to pay attention to safety. They did it themselves and did not take protective measures. In this case, they would go to their brother to ask for compensation.
Then no one’s money comes from the strong wind.
Zhou Cheng smiled: "It's not certain whether the manual reduction can be done. I'm going to prepare the materials and tools for the manual reduction first. You may have to wait for me for a while."
When he heard these words, Tan Min at the nurse station frowned slightly.
When the patient entered the operating room and Zhou Cheng went to the equipment room to prepare plaster, local anesthetics and other supplies, Qin Min sneaked into the equipment room and asked:
"Zhou Cheng, are you really prepared to perform manual repositioning on him?"
"Isn't this too risky?" She was a little worried about Zhou Cheng's recklessness.
Zhou Cheng explained: "No, Sister Tan Min."
"Manual reduction of fractures and external fixation with plaster is a first-level surgery. Yesterday, Director Cai authorized me to have a first-level surgery. And anyone who performs manual reduction has the possibility of failure. Just make it clear." Zhou Cheng can't possibly be too big.
Bao Dalaan just smiled and said.
After hearing this, Qin Min was surprised and said: "Oh? Have you also obtained the authorization for surgery?"
"Other training?"
"Sister Tan Min, please keep your voice down." Zhou Cheng interrupted quickly. There were still many people working in the department and had not returned. Zhou Cheng did not feel that the fact that he had obtained the authorization for surgery needed to be exposed and cause a fuss.