Chapter 407 Is the sky going to collapse today?!

The next day, 7:57 in the morning.

The trauma center is preparing for the morning shift. Today, all employees in the department, including professors, associate professors, attending physicians, bedside physicians, and even all nurses, are all absent. Even the nurses on the night shift are all absent.

Ying came to the shift room.

There was a room full of people standing around the big table where shifts were handed over, and everyone's face was very serious.

Li Dongshan was sitting in the director's position, staring at the time above the projection screen with an expressionless face, motionless.

"07:57:36!"

"07:57:37!"

"..."

On Li Dongshan's right hand, sitting side by side with Li Dongshan is the head nurse Peng Yu. The first person on the left is Professor Zhang Xin, Professor Liu Chengqian, Associate Professor Fang Xiao, attending physician Du Xueshen and chief resident Lu Cheng...

To Peng Yu's right, sitting in a vertical row were several nurses in charge, and then the staff nurses in the department.

In both rows of the long table, labor dispatch nurses, graduate students, bedside doctors, training doctors, etc. were all standing. Of course, there were also intern doctors and intern nurses, who were also trembling and waiting for time to beat.

Today, even two professors, Zhang Xin and Liu Chengqian, did not dare to take out their mobile phones. Instead, they turned their phones to silent, placed them on the table, and lay quietly.

And in the standing crowd, everyone was constantly checking the volume settings on their mobile phones, fearing that a sudden ringtone would break the silence and become the target of public criticism.

The breathing sounds of many people have become much quieter.

Finally, at eight o'clock, Peng Yu looked at Li Dongshan who was still expressionless and didn't want to talk, and said: "It's time, let's start handing over."

The nurse in charge on the night shift just started the detailed handover of newly admitted patients, surgical patients and critically ill patients yesterday.

The shift handover is too detailed, including the diagnosis, age, bed, admission time of each newly admitted patient, accurate to minutes, postoperative patients, all drainage volumes, bleeding volume accurate to single digit milliliters, VAC duration accurate to minutes, VAC

The current negative pressure drainage pressure is accurate to 1KPA.

After the nurse has finished her shift, the doctor on duty will hand over her shift. It is not the kind of "nursing department handover is detailed without special additions", but a doctor's shift handover from beginning to end, which also includes detailed information about newly admitted patients and the details in the department.

The results of the four inspections of critically ill patients, the blood loss and drainage volume of postoperative patients; the preparation status of patients before surgery...

"The patient's condition is stable, there is no special shift, and the shift is completed." After the doctor on duty said a lot, the time came to 8:25, and it came to the end of the nurse's shift handover.

But under normal circumstances, this shift handover would have ended twenty minutes ago.

After the doctor on duty finished speaking, Peng Yu reminded him again: "Director Li, the shift has been handed over, should we go directly to the ward rounds?"

Li Dongshan blinked his eyes, and then said slowly: "I will delay everyone for a while today and say a few words."

"I believe everyone should be aware that in the past few days, the atmosphere in our hospital has been quite anxious. From top to bottom, everyone is on a tightrope. However, at this time, we cannot afford to be careless, nor can we be careless.

Being able to let down your guard.”

"We are in the medical industry. We must manage our diagnosis and treatment process and our wards in a more detailed manner. Our nursing department must also implement medical orders and implement nursing work into details and daily work.

.”

"There is a knowledge gap between patients and our staff in the medical industry. The ones who have the most contact with patients are your nurses, and our doctors who manage the beds. So the nurses and doctors who manage the beds, you are actually the most important to the patients.

people."

"The patient's medical instructions, nursing work, and communication with the patient and their families are all the responsibility of you. You must shoulder your responsibilities."

"Detailed management is the focus of our future work. We must shift the center of our work tasks."

After Li Dongshan finished speaking, he paused for a moment and then said: "In addition, Professor Zhang, Professor Liu and myself in our department, as well as all the senior doctors in our department, must also take up their own responsibilities. We must

Think more comprehensively about diagnosis, make medical orders and diagnosis and treatment processes more precise, and think deeply and reflect on each patient's diagnosis and treatment plan in an individualized and precise manner."

"Thinking is necessary, and reflection is extremely important. Don't have a one-size-fits-all model. All superior doctors must take responsibility. I don't want to apply the medical order template to happen in our department. Moreover,

The superior doctors of each group must also keep a close eye on each group's medical record writing, the quality of the medical record writing, the completeness of the interviews and signatures, and the contents of the signed consent forms."

Then, Li Dongshan lowered his voice slightly and said: "This is not to scare or force everyone. This time, we must make great efforts to rectify it. Just yesterday, Dean Qin was dismissed as the dean.

Dean An is now acting as the dean."

"The head nurse of the operating room was dismissed, the director of the gastroenterology department, the professor of the urology department..."

"The performance coefficients of all departments are reduced by one-quarter, and the performance of operating rooms, anesthesiology departments and above are halved."

"Pursuing responsibility to the end, this sentence is really not a joke."

"And our bedside doctors must also manage their own behavior. Although there are currently no postgraduate students and regular training students being dropped out of school or training, there is no such possibility. Although you are students, you cannot feel that

As a student myself, I can completely avoid punishment."

"Although the school and health system have protection mechanisms for your students, they are definitely not a protective umbrella..."

After Li Dongshan finished speaking, Zhang Xin said: "Although we professors no longer directly manage the ward, we are all well aware of what you, the doctor in charge of the bed, are doing."

"Nowadays, it is said that studying medicine is not easy. However, in the student stage and the learning stage, what you have to learn is professional knowledge and skills, rather than learning some messy things."

"Of course, I think our superior doctors have also failed to do their job well. The current teaching process in our department is still too little. Therefore, in the future, more tasks will be added to the department and the chief resident will be responsible."

"From now on, in our department, each group will conduct teaching rounds once a week. There will be a major teaching round once a month, and group discussions twice a week..."

After getting off the morning shift, Li Dongshan didn't say much. He just asked when everyone was leaving: "Peng Yu, how many surgeries are there today? Which group is it?"

"It's Professor Zhang Xin's group. There are only two surgeries in total. The pace of our department has slowed down in recent days." Peng Yu is very familiar with the situation in the department. She has been resident in the department in recent days.

"Yeah!" Li Dongshan nodded.

"Slow down the pace, be more meticulous in the surgery, and manage the patients more appropriately after surgery. It doesn't matter, there is no need to deliberately pursue the quality of the surgery."

"Okay, Director Li." Peng Yu nodded.

After Li Dongshan finished chatting with Peng Yu, he said: "Xiao Lu, come with me, I have something to do with you."

Lu Cheng was preparing to take people to do ward rounds at this moment. After all, Li Dongshan had been extremely busy in the past few days, so he was the one taking people to do ward rounds.

Said: "Okay, Master."

Lu Chengcheng followed Li Dongshan all the way to the office.

"Master! How have you been these past few days?"

Ever since the Jinyi team changed from dark to bright, Li Dongshan has rarely been seen in the department, and according to Fang Nixin, Brother Zhu from the fourth ward of the Department of Orthopedics is often not in the department. He knows every ward and every

The head of the department has a lot of things to do now.

Lu Cheng didn't dare to ask Li Dongshan, so he wasn't particularly clear about all the changes.

And even in special times, Lu Cheng is also the chief resident and needs to fulfill his responsibilities as chief resident.

Li Dongshan pursed his lips and said, "You heard it this morning. The hospital is now in a troubled state. President Qin has been dismissed from his post, and the directors of the anesthesiology department and operating room have been investigated. The director of the gastroenterology department has been demoted from the title of professor.

Reduced to associate professor..."

"Of course, not only our Second Xiangya Hospital, but also the three hospitals in the Xiangya system and several large hospitals in Shashi have traces of the undercover investigation team. There are also many people from the Health Commission who have been arrested."

"The more it is at this time, the more vigilant we need to be. Since the Jinyi Group is here, there may be more than one wave, and there may be people from the secret investigation group who have not yet come to light. They are just waiting for us to relax our vigilance."

"In addition, we also have some issues in the Department of Orthopedics. Liu Jun from the Second Department of Orthopedics and your teacher Min Hong are both at the forefront of the storm now. Alas!"

"I guess our lives will become more and more difficult in the future."

"Moreover, in a few months, the medical reform is expected to undergo major changes, with bulk purchasing and centralized purchasing; by then a steel plate will cost several hundred yuan, and a fracture operation will only cost four to five thousand yuan.

.”

"The cost of surgery will also be reduced. The hospital will take part of it, and the department will be responsible for its own profits and losses. It's really not certain whether the people in the department will be able to eat."

Lu Cheng has actually known about the medical reform for a long time. Today's medical industry itself is in a period of major reform. It's just that the people who come to reform are not from clinical background or even from the medical industry, so everything is a drastic reform.

, it is not changed according to the facts at all...

Nowadays, the salary of a middle-level employee in a company is just as high as that of a professor in a tertiary hospital.

Some people may say that being a doctor means having medical ethics, treating diseases and saving people, and practicing medicine to do good.

However, people who say this generally don’t have family members who are doctors or nurses. They don’t even consider whether some people can survive. Anyway, they judge people from the highest point of morality from the beginning.

It is true that if you want to make money, don't become a doctor.

However, this does not mean that you are not qualified to live as a doctor. It is a bad idea to even support your family. If you cannot even support your family, how ridiculous is the so-called superior medical ethics?

There is currently a huge talent gap in China's medical industry, especially in pediatrics and emergency departments.

Why, one is the doctor-patient relationship, and the other is salary and benefits. Except for a small number of sentimental people, who is willing to dig into that nook and cranny?

When I see incidents related to doctors, I scold the butchers in white and wish I could kill all the doctors in the world. When I go to see a doctor, I resent the lack of doctors in the hospital. I have to wait here and there.

but?

Otherwise?

I don’t know how many years it will take to fill this gap, or even whether it will ever be possible to fill it.

After all, the total time required from high school graduation to doctoral degree is eleven years. After graduation, even if you go to a provincial-level tertiary hospital, the salary is only about 10,000 yuan, after deducting five insurances and one housing fund.

Later, I got six thousand...

How come anyone who is not a doctor in the medical field is so cheap?
To be continued...