Chapter 84 Make trouble! Make trouble! (Please subscribe!)
Yan Haihan and Cai Dongfan went to the director's office. Deputy Director Dong Qiansheng of Yan Haihan's team led a round of wards. Currently, there are only three doctors in charge of the bed: Min Chaoshuo, Xu Yanlin and Pang Dingkun.
Yang Yifeng was not assigned the task of managing the bed. Yang Yifeng just walked around the department and was very free.
It is not close to what he said, that he came here to learn this saying...
Zhou Cheng was naturally led by Luo Yun for ward rounds, because most of the patients in the group had already been processed. Zhou Cheng himself had four post-operative patients and a 28-bed patient with a femoral fracture who was waiting for surgery, so there was no need to deal with it deliberately. .
As long as the swelling in the thigh area subsides as usual, surgery can be scheduled.
For patients who underwent surgery last week, the inflammatory indicators on review have returned to normal, the pain caused by the surgery has also been greatly reduced, and intravenous medication can be stopped one after another.
After starting to strengthen functional exercises such as getting out of bed and walking, you can also switch to oral anticoagulation therapy and be discharged at an optional date.
Yesterday, a patient who underwent manual reduction of fractures can start quadriceps contraction and ankle pump function exercises today to train the muscle strength of the lower limb muscles to prevent atrophy and prepare them for getting out of bed later. preparation.
Of course, in addition to strengthening functional exercises, bone-promoting drugs and preventive anticoagulant drugs must still be used.
Otherwise, a major problem with conservative treatment is that the activity is reduced, the arterial flow rate of the lower limbs will become slow, and the swelling and extrusion will lead to a certain degree of narrowing of the vascular spaces.
After the flow rate slows down, a complication that requires great attention is venous thrombosis of the lower extremities.
In fact, thrombosis is not terrible, it will only cause local edema, but you are afraid of the blood clots falling off!
The thrombus will flow back through the veins and cause infarction wherever it goes, which is terrifying.
Instead of targeted anticoagulant treatment after thrombosis, it is naturally best to prevent thrombus from forming.
Treating the disease before it's too late is actually preventive treatment.
At the same time, review the results of the .
Although the chance of this is very small, Yan Haihan's words are not wrong. The most important clinical quality is stability.
In other words, you need to be cautious.
Patients with intertrochanteric fractures undergoing PTFN (intramedullary nail fixation) also need postoperative X-rays to evaluate whether the intramedullary nail is in place and secure...
After checking the room, Luo Yun took Zhou Cheng and others to determine the diagnostic plan.
It was Zhou Cheng and other bedside doctors who completed things like adding or deleting some medical orders, changing drug dosages, changing dressings, and writing medical records.
"Brother Zhou Cheng, I'm going to the dressing room to grab the dressing cart first. Give me a computer!" The moment he finished checking the room, Zhang Zhengquan immediately put away his pen and ran away.
In the surgical ward, grabbing computers is the daily routine!
You must be active in rushing to change the medicine cart every morning, otherwise, your entire team will fall behind.
There are only two dressing trucks in the department. Zhang Zhengquan grabbed them, which means that Zhou Cheng and Du Yanjun can immediately change the dressings and other operations after Zhang Zhengquan has finished changing the dressings.
The real thing is that one person can act quickly and benefit a group.
Zhang Zhengquan is also becoming more and more dedicated, although his original intention may be to get off work early——
Twenty seconds later, Zhang Zhengquan successfully pushed a dressing cart out of the dressing room and asked Zhou Cheng and Du Yanjun with a glowing face.
"Brother Zhou Cheng, Brother Yan Jun, how many patients do you have who need dressing changes? I'll go get all the dressing packs!" Zhang Zhengquan asked rather awkwardly.
The reason why one person who grabs the dressing cart can benefit the doctors in charge of a treatment group is that if the dressing packs on the cart are not used up, others will assume that you will continue to use them.
Zhang Zhengquan took the dressing kits of all the patients in the group who needed dressing changes at once. If you push the dressing cart away, he can go directly to the nurse station and say that his dressing kits were stolen...
Although a bit ruthless and cautious, this is already the default unspoken rule, and everyone abides by it silently, but they will not do it.
"Awesome!" Zhou Cheng and Du Yanjun both gave Zhang Zhengquan a thumbs up.
"Both of us." Zhou Cheng replied.
Du Yanjun said: "There are three of us."
Then he continued: "Brother Quan, please tell me the medical orders that your team will handle. I will help you finish the medical orders, and you can write the medical records yourself."
To reciprocate the favor, otherwise he would have to wait for the dressing cart after completing the doctor's orders and medical records. He would even have to find the location of the dressing cart in the department and guard it to prevent him from getting there first. This would greatly affect non-surgery days.
off work time...
Zhang Zhengquan also handed over the medical order notes of the patients in his group to Du Yanjun unceremoniously.
Only by supporting each other can we get off work earlier.
…
Fifteen minutes later, Zhang Zhengquan appeared at the door of the office pushing the dressing cart on time.
He sent a message to Du Yanjun in advance, so when Zhang Zhengquan walked inside, Du Yanjun got up and left the computer desk knowingly, leaving him to look sideways.
Pang Dingkun and Min Chaoshuo, who thought they saw the free dressing cart, quickly took their bodies back——
The dressing cart has an owner.
After Du Yanjun entered the office, he scanned around and found Yang Yifeng flipping through his phone idly, looking very leisurely.
Min Chaoshuo, Xu Yanlin and Pang Dingkun were typing on the keyboard very diligently.
Du Yanjun found an empty seat and sat down, then refreshed his patient's medical instructions.
He said to Zhou Cheng in a low voice: "Brother Zhou Cheng, I will finish writing the medical records and get off work later."
"Want to play games together?"
"Will the fracture be reduced manually, or will there be a lot less things to do?"
The sound spread throughout the office, which was otherwise free of noise except for the sound of the keyboard, causing Min Chaoshuo and Pang Dingkun to raise their eyebrows.
Can you manage your patient easily?
There were originally five surgery patients yesterday, but they were all given conservative treatment. There was no need to change dressings, and there was no need to take blood tests to check inflammation indicators.
The medical records can be written very casually, but how can it be so?
Check the time in the lower right corner——
It's just before nine o'clock.
Just be a human being, Zhang Zhengquan!
Are you the director of Inner Ward or something like that?
What about attracting hatred here?
But no one said anything.
Yan Haihan was frustrated by this matter in the morning, how could they dare to make irresponsible remarks.
They themselves were members of Yan Haihan's group, so naturally they did not dare to disobey Yan Haihan's ban.
But I don’t dare to say that Yan Haihan’s ban is right.
"It's time to write medical records, don't force me." Zhou Cheng knocked on Zhang Zhengquan's shoulder and whispered.
The method in the department was reset, and the person in charge was Zhou Cheng. Although Cai Dongfan shouldered the responsibility from above, Zhou Cheng did not want to gain the reputation of being in conflict with the ward director.
This doesn't do him any good.
Zhang Zhengquan's words like this will attract him a lot of hatred in disguise.
"Don't you think this is boring? Just make a joke." Zhang Zhengquan muttered, his voice not too soft.
These words immediately caused Yang Yifeng, who was sitting leisurely, to turn his body slightly.
After looking up at Zhang Zhengquan, he happened to face Zhang Zhengquan, who also imitated his playful expression, and then put away his mobile phone.
Walked towards Zhang Zhengquan...
This Zhang Zhengquan talks a bit too much and seems to be very good at causing trouble, right?