The examiner in the middle is over fifty years old and wears thick glasses.
At first glance, it looks academic.
In front of the three people is a hospital bed.
On top is a medical dummy.
The specific operation will be done on this dummy later.
The glasses examiner checked Zhou Sheng's identity.
The exam officially begins.
There are many items for basic clinical operations.
For example, urinary catheterization, artificial respiration, external chest cardiac compression, use of simple respirator, tracheal intubation, etc.
These only require a serious internship in the hospital for about a year.
There is definitely a chance to get started.
So it's not too difficult.
However, the fact that it is not difficult does not mean that everyone has the same level of completion.
New drivers can also drive.
Veteran drivers can also drive.
An experienced driver can drive a car fast, but can a new driver do it?
Zhou Sheng obviously belongs to the veteran driver class.
You can drive your car like a plane.
His topic comes out.
The patient, a 35-year-old male, was stabbed in his left arm by a knife half an hour ago. He came to the hospital for emergency treatment and saw a wound about 4 cm long on the extended side of his left forearm, which required hemostasis.
Suturing (operated on a medical simulator) (Tip: Check and prepare the necessary items before operation, and use skin substitutes for suturing)
Old business.
Trauma management commonly encountered in emergency departments.
The only difference is that there are no three people "looking for trouble" in the hospital. Another point is that the exam time is shorter. Starting from preparing the items, it only takes 11 minutes in total.
You need to be more agile with your hands and feet.
After reading the questions on Monday.
Start "answering questions" immediately.
The first thing is to prepare the items.
Zhou Sheng was very familiar with the things used in debridement and suturing.
Finally, there is a pillow, which replaces the skin.
The pillow already has many "masterpieces" from previous candidates.
Of course, this thing doesn’t have the same feel as the pig skin that Zhou Sheng, Su Quan and the others used when they first started practicing.
But the exam is an exam after all, and it is mainly an assessment of the operational process.
As long as you have that intention.
The examiner doesn't care whether you feel comfortable or not.
According to the scenario in the exam question, Mr. Zhou cut a 4cm hole in the pillow cloth to replace the skin wound.
This way everything is ready.
Next, it’s time to get started.
The first step is to wear sterile gloves.
This is a test point.
Some people must say, don't you just wear gloves?
There is nothing else to investigate.
Just put two hands directly in and it will be done.
But these are sterile gloves.
There are still rules when it comes to wearing it.
Make sure that the exposed parts of the gloves are not contaminated.
Therefore, hands without sterile gloves are only allowed to touch the outward folded part of the glove sleeve, and cannot touch the outside of the glove.
Wearing gloved hands should also avoid contact with bacterial environments.
Before surgery or wound treatment, hands should be placed on the chest.
For a surgeon, these concepts of sterility should be an instinctive professional reaction.
Regarding this, there are some interesting little jokes circulating on the Internet.
For example, there is a passage that says, if you are in a hospital elevator and see a doctor, use your hand to stop the elevator that is about to close.
Then he must be a physician.
If it was done with the head, it must be a surgeon.
Hahaha, of course this is a joke.
Where would anyone stop the elevator with their head?
It just means that the surgeon's hands are always ready for surgery.
But it cannot be contaminated.
As for the brain.
Hahaha... Physicians all believe that surgeons do not need to use their brains at all, and surgery can solve the problem once!
There were thousands of surgeries on Monday, and various wounds were treated in the emergency center.
How to wear this glove is already an instinctive operation.
Zhou Sheng quickly opened the glove bag and took out the gloves.
Hold the fold of the glove with your left hand.
Insert the 5th finger of the glove with your right hand and put it on.
Then Zhou Sheng used his gloved right hand to insert 4 fingers except the thumb into the fold of the other glove, and put on the glove with his left hand.
The three examiners nodded.
Take the scoring form to score.
5 points, full marks for this step.
A few seconds.
Wearing gloves before starting suturing already gave Zhou Sheng 5 points.
You see, this practical exam is so easy.
Score points are everywhere.
Of course, the prerequisite for it being easy is that you know how to do it and you have practiced it clinically.
Otherwise, even if you memorize it by force, your secrets will definitely be exposed and you will have bumps and bruises when you operate it.
It's not uncommon for him to tremble and drop his gloves on the ground.
Wear gloves.
According to the topic.
The injured person was the left arm.
Monday began to clean the skin around the "wound" with saline on the medical simulator's left arm.
There is a scope of disinfection here, which should cover the entire forearm.
It cannot be limited to the vicinity of the wound.
Then wash it repeatedly with hydrogen peroxide and apply pressure to stop bleeding.
The next step is to suture the wound.
At this time, switch to skin substitutes.
Medical simulators are not cheap.
If you can't sew it, I'll cut it.
For emergencies.
Wound suturing is basic.
Zhou Yisheng, who is skilled in handling scalpels, naturally has no problem.
4cm wound, 4 standard surgical knots.
There are no false knots or slip knots.
Another perfect operation.
An expert will know if it is there as soon as he takes action.
Although it is a simulation.
The three examiners also knew that Mr. Zhou must be practicing on the front line of clinical practice.
The basic skills are very solid.
Every detail is taken care of.
No problem.
Another perfect score of 20 points.
At this point, Zhou Yisheng successfully passed the second station.
After the first and second stops,
In fact, Zhou Shengsheng had obtained full marks at two stations in a row.
The current score has exceeded the passing line by 60 points.
Even if he doesn't take the third leg now.
You will definitely be able to take the written test for the Physician Qualification Examination.
But he didn't know how many points he scored at the moment.
I still have to go to this third stop.
The third stop is working on the computer.
The content of the assessment is multimedia in nature.
There are videos, sounds, and pictures.
The question type is multiple choice.
There are 7 questions in total.
The exam time is 15 minutes.
It looks like there isn't much time.
But they are all multiple choice questions.
In comparison, we have more time than the previous two stops.
The content of the exam is also fixed.
There are two questions each for cardiopulmonary auscultation, imaging (X-ray, CT), and electrocardiogram.
The last question is a sub-question, a video question about medical ethics and practice.
this……
If you choose the wrong question on medical ethics and medical practice, you probably didn’t come to take the exam but to mess up the situation!
Back to topic.
Zhou Sheng's level, participate in this third stop.
Just two words, simple.
God of film reading, looking at X-rays, CT, and EKGs, it’s still not the same as playing.
Cardiopulmonary auscultation?
If you are in another department, your stethoscope can be put away.
In the emergency center, the stethoscope is hung around the neck.
Use it to listen to your heart and lungs at any time.
This thing is the emergency doctor's third eye and ear.
If this thing doesn't work well.
That would be too embarrassing for the emergency department.