Chapter 378： Acute appendicitis

The next day.

Ling Ran was delayed until noon before returning to the hospital.

The ward area of ​​the emergency center is overcrowded, and the treatment room and rescue room downstairs have reached the busiest time of the day. Essential car accident patients, patients with acute abdomen every day, want to come with a cold fever patient , And the families of patients who are bustling, hurrying, impatient, and headless flies ...

The doctors and nurses in white coats are the smallest sprays in the emergency room. They hit the south wall for a while, hit the north wall for a while, floated by the crowd, and were buried by the crowd.

The site of the Ling treatment group was not much better.

The room reserved for three people was packed with five beds. The room reserved for two people became three or even four people. The rows of beds on the corridor made the passageway narrow. Already.

Seeing such a scene, Ling Ran frowned.

"It's too confusing." Ling Ran secretly said a few words, but still went into his small office, took a white coat, and then went to the large office, and said, "Go to the room."

Zuo Cidian seemed to pop up from his seat, quickly came to Ling Ran, and laughed: "Dr. Ling, drink a cup of tea first. The cups have been scalded with boiling water."

The tea cup he used for Ling Ran was actually dedicated to Ling Ran, but he still hot every time and never lazy.

Zuo Cidian, who has spent 20 years in the town hospital, knows that if he has any experience, in this unit environment where he works together for a long time, any cleverness is not long-lasting. It may be useless to make 200 times of tea for the leader, but once you let the leader know that his cup is not clean because of you, then 200 tons of tea may be poured from his head.

Zuo Cidian especially knows Ling Ran's definition of cleanliness, so his cabinets for storing Ling Ran tea cups are all locked.

Ling Ran also took the tea cup with confidence, sniffed slightly, took a sip, and nodded to Zuo Cidian, and asked, "Who was on duty yesterday, how is it?"

"Normal. The anesthesia in bed 17 is not enough. I can't help but feel bad. I opened celecoxib. On bed 68, diarrhea occurred. Samples were collected for routine faeces and montmorillonite scattered water was taken. Symptoms. Three other patients with fever ... "Yu Yuan replied casually, while yawning greatly.

She had been working for a day yesterday. If the night shifts add up, she has been in the hospital for more than 24 hours. Of course, the actual working hours are not that long, and night doctors can often sleep, and if you are lucky, you can sleep for a night. Whenever this happens, the doctor on duty even feels like he's making a profit.

However, most of the time, doctors on duty will be called for a variety of reasons, especially when there are hundreds of patients in the ward, as long as 2% of patients have emergencies, they will become fragmented overnight. Already.

Yu Yuan got a standard 5% last night, which is not good luck, not bad luck, especially compared with other colleagues in the emergency department, it is easier.

If you are a doctor in a general position, you can leave and go to sleep at this time, and come back to work tomorrow. There is no such preferential treatment for hospitalization alone, and we must continue to suffer.

Ling Ran nodded in approval, took a sip with a tea cup, and then said, "The main work today is surgery. After the rounds are over, I will go to the special needs building round ... Well, how many operations are scheduled today? "

"6, three need beds, and three patients bring their own beds." After Zuo Cidian said, "The special needs medical department said that we had a lot of patients recently, and they still occupy the ward. There are more than 20 people. If we want to speed up the turnover rate, I ignore them. "

Ling Ran said "En".

"If there are any patients with their own beds, the Special Needs Medical Department will not let them go."

"Aren't they appointments?" Yu Yuan interjected.

Zuo Cidian smiled bitterly: "Some people are here. Do they dare not make appointments?"

Yu Yuan stunned, and then said again and again: "But it is always good for them to give so many patients."

"That's why it's just called." Zuo Cidian smiled and said, "After waiting, if the special needs building is really full, it will be interesting."

"They must have kept a few beds secretly."

"What a few beds are enough for, they just kept a dozen beds secretly, and soon ran them out." Zuo Cidian's expression at this time was a little smug: "They don't know what they are about to face."

The office tended to be silent, and there wasn't a single fan.

Zuo Cidian looked to both sides, helplessly pinching his lips, from the town health center to Yunyi, this is not so good, the intern will not hold people, it is really a pill.

Zuo Cidian coughed and said, "I can bring my own ward, so I have to deal with it with special needs. Dr. Ling's fame is getting bigger and bigger, and there must be more and more people coming. At the current speed, patients who come again will find special needs buildings if they don't want to live in the corridor in our emergency center. What do you say?

Yu Yuan and several interns all stared blankly at Zuo Cidian.

When Ling Ran drank the tea, put it on the table, and when he was ready to pour water again, Zuo Cidian hurried forward, grabbed the kettle, filled Ling Ran with tea, and then said: With this speed, it can still attract so many patients, and the hospital should provide beds, right? "

At this moment, there are clear question statements, the doctors can only be regarded as the reaction, and they are clamoring:

"That's right."

"We have too few beds."

"Patients who were treated by Dr. Ling were discharged early enough. We just didn't rush someone to check in again."

Management departments at all levels and the hospitals themselves have a turnover rate requirement to shorten the time for patients to be admitted. In order to meet the standards, some departments will advise patients with minor illnesses to be discharged first and then admitted to avoid the problem of turnover rate.

The emergency center does not have such a request for the time being, which saves Ling Ran a lot of effort.

Of course, Ling Ran didn't have time to take care of these requirements. For him, a good operation is the best solution. As for other things, it can be transferred to other people in the department.

"Schedule." Ling Ran drank from the cup and drank water, glanced at the printing paper delivered by Guan Fei, and said, "Lu Wenbin performed tang and arthroscopic surgery with me, Yu Yuan and Zuo Cidian followed me For Achilles tendon repair. "

"Yes." The three assistants quickly agreed.

"Well, set off for rounds." Ling Ran took everyone on a tour again.

Yu Yuan was dying and could only support him. Residents must understand the situation of inpatients, otherwise when they are on duty at night, they have no time to deal with them on the plane. Inpatients are always resident doctors, but they work longer hours.

Yu Yuan can only look forward to waiting for the round to be completed. When Ling Ran and Lu Wenbin go to do the tang method, she can snooze for two hours.

Ling Ran's pace was steady, walking slowly along the ward, looking at each bed.

Every now and then, a treasure chest of heartfelt thanks floats in.

Ling Ran took it easy.

The energy potion is good, but he doesn't use it tightly. It doesn't matter if there is one more bottle and one less bottle.

However, Ling Ran will pay special attention to the proportion of heartfelt thanks to each sick property.

Different wards are run by different tube doctors and nurses.

According to Ling Ran's observations in the past year, the management efficiency of tube bed doctors and tube bed nurses will obviously affect the generation of heartfelt thanks.

In other words, even if the surgeon's operation is done well, if the tube bed doctor and nurse have management problems, they will still affect the production of heartfelt thanks.

This is also easy to understand. Patients will not accurately distinguish between hospitals, administrative leaders, heads of treatment groups, surgeons, tube doctors and nurses.

Any link is not good enough, and patients have reasons to be less "heartfelt".

Although Ling Ran doesn't pay attention to the output of one or two treasure chests now, he cares about reducing output.

Therefore, Ling Ran's Ling treatment group adopted a cross-management scheme, that is, the management scope of the tube bed doctor and the tube bed nurse did not completely overlap. In this way, if someone in the ward felt dissatisfied, Ling Ran could It's easy to notice the weak links.

Residents and nurses in the Ling treatment group also knew that Ling Ran had such discrimination ability, so they were doing things more and more seriously, and even a little hesitant.

At the end of the lap, Ling Ran harvested 14 treasure chests of heartfelt thanks. There were 4 wards that did not send out the treasure chest in three days. Xu Yongchang, who was living in a single ward, was removed. Ling Ran turned his eyes to Lu Wenbin: The management of the ward should be strengthened, not only to sort out the symptoms, but also to pay attention to the patients' emotions. "

"Yes ~ www.novelhall.com ~ Lv Wenbin only accepts orders.

"Please ask how the operating room is prepared." Ling Ran was talking, the phone rang.

The phone vibrated desperately, and the heartbreaking roar: "The king asked me to visit the mountains ..."

Ling Ran looked at the screen of the phone. After answering, he asked, "Doctor Zhou?"

"Ling Ran, didn't you ask before, do we have any patients with appendicitis?" Dr. Zhou's voice was kind and lazy.

"Are you there now?" Ling Ran's curiosity abruptly, he has been a master resection for some days, but he has not had a chance to use it yet.

Dr. Zhou's voice carried a kind and gentle smile: "Yeah, and I came two at a time, the young couple ate, and ate a buffet together the day before yesterday, and came to the hospital together today. I also considered parasitic diseases, and the result was Two appendicitis, do you want to do it? "

"I'll be right away, three minutes." Ling Ran hung up the phone, and said to the junior doctors in the room, his face flushed, "You work first, I'll come as soon as I go."