medical simulator

Zhou Cheng didn't speak, nor did he sit down.

If Du Yanjun doesn't express his thoughts and demands, he will not be at ease.Knowing what others are asking for can really put your mind at ease.

"Brother Zhou Cheng, I just want to continue to learn from you. For example, how do you read books? What you talked about today is not in books." Du Yanjun still stated his purpose.

He wants to learn from Zhou Cheng.

Wanting to learn is a very solid desire.

Zhou Cheng didn't hide his secrets and said: "It's the textbook for undergraduates. Is it written in the book? Why didn't it be written?"

"Which chapter do you go to look at? Isn't it about defining first, then positioning, then finalizing, finally classifying or typing, and finally talking about treatment?"

Du Yanjun was dumbfounded after hearing this.

It seems that what Zhou Cheng said is true in the textbook.

But how did Zhou Cheng find out?

How did he find out?

Du Yanjun would never have imagined that Zhou Cheng had stood at the same height as them.

After Zhou Cheng finished speaking, seeing Du Yanjun's expression of enlightenment and confusion intertwined, he immediately reacted, as if he was a little bullying.

I didn't mean it, Yan Jun!

Chapter 24 Surgical Empowerment!

"Well, Yan Jun, this is not appropriate! After all, even Pang Ge is on duty alone."

"You have obtained the certificate now, and you are still on duty with me. Other brothers will think that I am unconventional, which is inappropriate." Zhou Cheng quickly refused.

Are you kidding, Du Yanjun is going to be on duty with him, so how can he go beyond the surgical adaptation and reset the patient's manipulation.This is the only opportunity that Zhou Cheng can win at present.

If Du Yanjun was not around, Zhou Cheng could still turn a patient with surgical adaptation syndrome into a manipulative reduction syndrome patient. After all, his manipulation reset is a bit different.As long as the principles of fracture treatment are strictly grasped, and the reduction and fixation are done well, even if the superior finds out by accident, they won't say much.

But this is also to dismiss patients who are suitable for surgery and patients who need surgery with manual reset.

From a moral point of view, Zhou Cheng did it for the benefit of the patient and saved the patient a lot of money.

But from a professional perspective, Zhou Cheng did not strictly implement the guidelines, and you performed manipulative resets on patients who clearly stated in the guidelines that needed surgery, which was a wrong choice of treatment method.

You, Zhou Cheng, are not Cai Dongfan, you are at the director level, where do you have the power not to follow the guidelines?

What's more, from the perspective of department efficiency, if Zhou Cheng does one more manual reset, there will be one less surgical patient in the department. The current hospital is a differential establishment, and basically all departments are responsible for their own profits and losses.

As far as surgery is concerned, because of the volume purchase of equipment, only when the number of operations is increased can more money be paid for bonuses. Otherwise, the basic salary of 4000 yuan obtained by relying on the establishment, will the superior doctors eat dirt?

The profession of doctors is a bit special. When they basically work, they all start a family and start a business.

If they found out that Zhou Chengming was violating the guidelines and doing things that affected their bonuses, they would really jump out and remove Zhou Cheng's authority on duty, and even expel him from the second orthopedic department.Zhou Cheng can go for training wherever he wants.

Therefore, it is impossible for Zhou Cheng to let Du Yanjun follow him on duty.

It's just that you can't tell the real reason out of your mouth, so I dragged Pang Dingkun, an employee of the hospital and a master of academic doctorate, to be on duty alone, so as to stop Du Yanjun's mouth.

But Du Yanjun just smiled and said: "It's nothing, Brother Zhou Cheng, I just started to be on duty. And I used to follow you."

"Brother Pang is not in our group, and the deployment of our own duty in our group will not affect him, and it's not that I am not on duty, so I let him be on extra duty. It doesn't matter."

Speaking of this, Du Yanjun actually unilaterally said: "Okay, brother Zhou Cheng, it's settled. I will write the progress record of the newly admitted patient with + 9 beds later. If you have nothing to do, you can go early." Go back and rest."

"I'll contact you on WeChat when the time comes."

"Me!" Zhou Cheng was so suppressed by Du Yanjun that he couldn't say anything.

This Du Yanjun's thinking is too weird, even if you want to learn, get in touch with patients to practice more, but you are on duty with me, grabbing the operation opportunity that should belong to me, what does this mean?

Even if you are a student of Director Cai Dongfan, you can enjoy certain preferential treatment. Both your teacher and Teacher Luo Yun are willing to give you the opportunity, so they just give it.

But the way you eat now is too ugly, right?

But now there are quite a lot of people in the doctor's office. After Du Yanjun snatched the computer, Zhou Chengcheng had no computer to use.

I could only walk slowly into the doctor's lounge rather depressed, and kept touching my head.

Good guy, he said why Du Yanjun was so warm to him all of a sudden in the morning, so he was here waiting for him.

There is nothing to be courteous, and it is either a traitor or a thief.

Zhou Chengzheng really wanted to hit someone.

While walking towards the doctor's lounge, Zhou Cheng happened to meet Tan Min, who just came out of the nurse's lounge next to the doctor's lounge.

Maybe today is her day shift, so when she saw Zhou Cheng, she hurriedly said, "Zhou Cheng, is your patient prescribed it? Why are you going to rest so early?"

"Don't you suddenly come out with a bunch of doctor's orders when we are resting at noon?"

Nurses on the day shift already execute a lot of doctor's orders. If they are concentrated in one time period, they can be processed in batches.They were afraid that some new doctor's orders would pop up all of a sudden, which would annoy them to death.

Of course, Tan Min actually knew that Zhou Cheng would not be such a person. She mainly wanted to remind Zhou Cheng that you really work hard and don't give up so easily.

Running to the lounge so early, isn't it obviously thinking about fishing?

Didn't you see how diligently the other Gui Peisheng have been courting the superior doctor recently?

"Sister Qin Min, don't worry, I will definitely not increase your workload. It's just that the computers are limited, and there is no rush, so I won't be free for a while." Zhou Cheng will definitely not mention Du Yanjun's matter, so as not to be upset.

Qin Min frowned slightly and said, "I don't believe you are someone who can't grab a computer. I think you have lost your fighting spirit, right?"

"In the past, you were the most active in prescribing medical advice."

Qin Min is telling the truth. Zhou Cheng is the most reliable when other training doctors are still trying to fish, and he is the most punctual to complete the doctor's orders of the patients under his care.But in recent days, the time for Zhou Cheng's bed to be prescribed by the doctor has obviously moved later.

Although there is a certain reason that other people have become more diligent, relatively speaking, Zhou Cheng must have also become lazy.

Qin Min really didn't want to see such a change.Although Qin Min analyzed what Zhou Cheng said last time, he also felt that what Zhou Cheng said was very reasonable, but there may be a glimmer of hope in arguing. If you don't even have the idea of ​​arguing, you really can only wait. was eliminated.

"Don't do that again."

"After all, it hasn't been decided yet, how many people will stay in the end." After Qin Min told Zhou Cheng, she hurried towards the nurse's station.She also has a lot of things to do, and now is the peak time for ordering medical orders, and her nurse in charge is still waiting for her to do things.

"Okay." Zhou Cheng also responded to Tan Min's kindness, and then he was about to open the door and walk into the lounge.

But at this moment, Luo Yun suddenly appeared from the door of the director's office, and shouted from a distance: "Zhou Cheng, just in time, I have something to do with you. Come here."

Zhou Cheng was quite surprised, but he didn't think much about it, so he replied, "Oh, yes, Mr. Luo."

Then he took a few steps back and walked towards the director's office, still hesitating in his heart whether he should tell Director Cai Dongfan and Luo Yun about Du Yanjun.

But in front of Cai Dongfan like this, if he makes a small report on his students, will he hit the wall?

After entering the door, Zhou Chengcheng saw that Cai Dongfan looked at him with a smile in his eyes, and there was no malicious intent.

"Teacher Luo, Teacher Cai." Zhou Cheng called out very politely.

"Zhou Cheng, don't be so nervous."

Cai Dongfan took the initiative to persuade Zhou Cheng to put down his guard, and then said, "The main reason I called you here today is to tell you about the authorization of Type I surgery."

"According to the regulations promulgated by the National Health and Health Commission, you are now in the second year of obtaining a doctor's qualification certificate. You are a low-year resident doctor and can perform Class I surgery."

"Besides, after the previous few surgeries, Luo Yun and I discussed with the attending physician and decided to grant you Class I surgeries and operation permissions. This is the application form, you fill it out, and then go to the director of the ward and the medical department today. Sign it and prepare a case..."

Zhou Cheng's expression gradually changed from stunned to overjoyed when he heard the words...

Chapter 25 I am actually walking ahead of you all alone!

Seeing the smile on Zhou Cheng's face, Luo Yun and Cai Dongfan's hearts moved inexplicably.

Then there was a strange emotion in my heart, a little sour and astringent.

The current National Health Commission's grading and classification of surgery is divided into one to four levels.

Level [-] surgery: Various surgeries with low technical difficulty, simple surgical procedure and low risk.

Junior resident physicians: Under the guidance of superior physicians, they can preside over first-level surgeries.

The classification of junior residents refers to those who have worked as residents for less than 3 years, or those who have obtained a master's degree and worked as residents for less than 2 years.

In other words, people like Zhou Cheng and Du Yanjun, including academic graduate students such as Lin Lin, who have not been employed as resident physicians, are all within the scope of low-year resident physicians.

In principle, both Zhou Cheng and Du Yanjun can preside over and carry out first-level surgeries under the guidance of superior doctors.

However, all surgeries and operations require authorization.

If you are not authorized, you can only participate in the operation as an assistant and cannot preside over the operation. Otherwise, it is a violation of the rules and a leapfrog operation. If there is any problem, you need to bear the responsibility independently.Although the superior physician is also jointly and severally liable.

But the responsibilities he independently assumed were enough to ruin a doctor's life.

Authorization of routine surgery, first-level surgery: the approval of the attending physician or above and the department director or the deputy director of the department authorized by the department director.

Second-level surgery: Approved by the department director. When the approval of emergency second-line surgery is under the responsibility of the second-line physicians, the attending physician and second-line physicians should carefully examine the patient.

In other words, currently only Cai Dongfan can routinely approve and grant authorization for first-level surgeries, and even Luo Yun can only temporarily grant approval in case of emergency.

Now that he can get the authorization for this operation, Zhou Cheng can complete the first-level operation such as manipulative reduction and plaster external fixation of fractures with more peace of mind.

Zhou Cheng obtained the doctor qualification certificate last year. Because he had to be on duty alone, he registered and obtained the qualification certificate. The place of practice is Shashi No. [-] Hospital, and now he has been approved by the superior doctor for surgery. Even during the reset process, There was a little accident, which was also an error within the scope of medical treatment.

It does not belong to the category of leapfrog surgery.

Therefore, Zhou Cheng thanked Luo Yun and Cai Dongfan very happily: "Thank you Teacher Cai, thank you Teacher Luo."

It is impossible to obtain the authorization of first-level surgery from the chief physicians of other groups, and others don't bother to care about you. Zhou Cheng naturally wants to thank his superiors for their appreciation.

However, Zhou Cheng's thanks made Cai Dongfan feel a little more uneasy.

After all, logically speaking, the No. [-] Hospital in Shashi is a third-class first-class hospital, which is already the highest in terms of hospital level.Basically, the resident doctors in the hospital should start to let the lower-level doctors take on the duty after obtaining the doctor qualification certificate, and at the same time, give them a certain degree of decentralization.

For example, Cai Dongfan's own student, Du Yanjun, only passed the certificate examination this year, and only got the results. The certificate has not yet been obtained, and he has obtained the authorization for surgery.Zhou Cheng had obtained the certificate for more than eight months, and it took a full year to get it after passing the grades.

So much later than Du Yanjun.

Cai Dongfan dare not say that he has no selfishness at all, he is a qualified teacher for superiors.

Of course, while Cai Dongfan's heart was touched, he said: "It's nothing, this is what our superior doctors should do. Work hard, come on."

"Go and do your own work first. Our superior doctors must have noticed your performance."

Luo Yun immediately understood what Cai Dongfan meant. Probably, it was Zhou Cheng's happy expression just now that touched a string in Cai Dongfan's heart, making him quite guilty, so he wanted Zhou Cheng to disappear as soon as possible.

So Luo Yun immediately said: "Let's go out and fill out the form, and then I have to go to the medical department."

"Well, okay. Thank you, Teacher Cai." Zhou Cheng thanked Cai Dongfan again.

Leng is once again deeply stabbed a knife into Cai Dongfan's heart.

Seeing Cai Dongfan's mouth twitch slightly, Luo Yun quickly patted Zhou Cheng: "Be quick."

But I dare not say it.

Who said you need a knife to kill?

Inner anxiety and suffering, in fact, will make people more uncomfortable.

Speaking of which, Zhou Cheng called Cai Dongfan a teacher, but Cai Dongfan rarely regarded Zhou Cheng as his student, which was the source of his uneasiness.

He and Zhou Cheng left the director's office together, and walked to the doctor's lounge together. After pushing the door and closing it, Luo Yun saw that there was no one in the lounge, so he locked the door.

Zhou Cheng looked at Luo Yun and knew that Luo Yun must have something to say.

Luo Yun didn't hold back, and said directly: "Zhou Cheng, in fact, I told you to leave earlier just now because Director Cai felt a little uncomfortable."

"Well, it's because of you, not all because of you. But it's all in the past, and the past things can only be let them go."

"I'll just tell you straight up. Up to now, among the bed doctors, you are the fifth one who has obtained the first-level operation authorization."

"The first one is Pang Dingkun, then there are Du Yanjun and Min Chaoshuo, and Lin Lin and Du Ruiqi also got authorization for surgery from Director Hu. Next, it's you."

Speaking of this, Luo Yun sighed with emotion, looked tangled and said: "The reason why I told you so bluntly is that I hope you don't hold any grudges in your heart."

"After all, even Xu Yanlin hasn't been authorized for surgery yet."

Xu Yanlin, his uncle is in the Department of Hepatobiliary Surgery, he is the deputy director, and he is also a social trainer. Zhou Cheng was greatly surprised that he did not get authorization for surgery.

"Hasn't Yan Lin got the authorization yet? I thought he got it long ago." Zhou Cheng replied in great surprise.

Luo Yun said calmly: "What's so strange about this? Although his uncle is the deputy director of the Department of Hepatobiliary Surgery, medical treatment and clinical practice are not child's play. Even clinical operations are not repetitive and rescue. .”

"Under such circumstances, who would want to take responsibility for him? Director Yan is not his real uncle."

"The main thing is to be reliable and capable. In clinical practice, patients and family members will not give you any chance of trial and error."