My Medical Skills Give Me Experience Points

Chapter 1003: Chapter 396: Team Expansion, Patient with Foreign Body (2)

Speaking of which, there is a certain difficulty in management.

The vast majority of relatives or acquaintances, relying on that bit of acquaintance, always believe they should have special privileges at work. They naturally carry a sense of superiority in front of other employees.

Ma Xiaolan is showing signs of this right now.

It’s just not too obvious yet.

"If you have anything you need, you can ask Qiao Yu for guidance."

By saying this, Zhou Can basically established Qiao Yu as the one in charge at work.

It also secretly reminded Ma Xiaolan that even if she got in through connections, she still had to listen to Qiao Yu.

"Okay, okay, Sister Qiao Yu, don’t find me annoying when the time comes!"

Her attitude was still okay.

"We’re all nurses on the same team, so we should learn from each other and help each other. If you have any questions and I know the answers, I’m more than willing to share them with you."

Qiao Yu was far more generous in her speech and actions than Ma Xiaolan.

She also demonstrated a high level of cultivation.

"Dr. Luo, isn’t your internship in the Emergency Department ending in about two days?"

Zhou Can arranged the work for the new nurse and then turned to look at Luo Shishen.

"Yes! But I want to apply to the Science and Education Department to see if I can stay in the Emergency Department for my internship. Of course, that’s assuming you’re not kicking me out. I’ve learned a lot in this month of surgeries with you. But I’m lacking in many areas, and there might be things I do that don’t please you."

Luo Shishen is a rather sensitive person.

Sometimes, if he doesn’t do something well, even if Zhou Can doesn’t scold him and just speaks a bit sternly, he becomes particularly restrained.

No one is perfect, but generally speaking, he’s still considered a relatively excellent intern.

"As long as you maintain your current work attitude and ambition, continuing to learn and improve, I’d be very happy for you to keep being my assistant." Zhou Can said with a smile.

"Really? That’s great!"

Luo Shishen was overjoyed to hear Zhou Can say this.

"I’ll apply to the Science and Education Department later. I just don’t know if they’ll agree!"

He said somewhat uncertainly.

"When you apply, if the Science and Education Department doesn’t agree, just tell them that I want you to continue working in the Emergency Department. It might not necessarily work, but it’s worth trying."

Zhou Can is quite nostalgic.

Having trained Luo Shishen for so long, seeing this guy improve bit by bit makes him very happy.

If Luo Shishen can intern with him for a few more months, he’s sure to learn more surgical knowledge. This will be greatly beneficial for his future standardized training and employment.

If during an internship you can meet a good mentor, you can indeed open up a gap with others in just one year.

Like how Yang Chan was appreciated and valued by Director Zhang in Obstetrics and Gynecology, she made a leap in surgery, medical theory, and clinical experience within a year.

So much so that in the standardized training recruitment exam, her results were quite remarkable.

To be honest, the fact that an undergraduate can stand out among countless graduate students, even PhD students, and rank among the top is already quite extraordinary.

Don’t be fooled by the fact that Zhou Can is also an undergraduate who directly clinched the first place.

That’s because of a systemic bonus and extra points for medical ethics.

Zhou Can’s classmates, without exception, were all eliminated. This is the true harsh reality.

"Thank you! Thank you!"

Luo Shishen, overwhelmed with emotion, bowed to Zhou Can, his voice sounding a bit choked.

"Work hard!"

Zhou Can patted his shoulder and entered the operation to start the day’s work.

The biggest feature of emergency surgery is that from the time a patient is admitted to the decision to operate, the time is short, and the process tends to be relatively streamlined.

Specialty surgeries often require a period of inpatient observation, then surgical assessments, risk analysis, planning, prognosis, etc. Generally, it’s time-consuming, and many examinations need to be done.

Sometimes, even a tricky puncture test or imaging test requires an appointment.

Even with the lowest risk knee joint bone puncture, residents or even resident doctors can sometimes mess up.

Not to mention, a nurse inserting a urinary catheter into a pregnant woman causing her to miscarry.

The hospital’s Level 3 review management system is not there for show.

When performing risky operations, if a chief physician knows the risk is high and still hands it to a trainee, when something goes wrong, the chief physician bears the major responsibility.

Not the trainee.

During rounds, if a chief physician is just going through the motions, barely visiting the inpatient ward once a week, and the trainees under them or ward doctors fail to timely detect risks, the chief physician still bears responsibility when issues arise.

This Level 3 management system, akin to ancient joint punishment, serves to greatly deter complacent senior doctors.

Emergency Department surgeries typically deal with emergencies such as trauma, intestinal perforation, appendicitis, massive bleeding, etc.

If it were like a specialty, slowly doing a series of various examinations for patients, then gathering the directors of the department for consultation and discussing surgery plans, it surely wouldn’t work.

Some specialty exams require time for appointments, and once conducted, results also take some time.

From application to result, it’s often a matter of days.

Waiting that long, emergency patients might no longer need treatment—it’s likely they’d have already been sent directly to the crematorium.

Zhou Can was reviewing the test results of the first surgical patient.

It’s a rather special male patient who needs an object removed from his rectum. Judging from the test results, the rectum shouldn’t be ruptured. If handled carefully, the object might be removed using equipment.

If it can’t be clamped or if it’s severely stuck, then surgery is the only option.

"Xiaolan, the anal lubricant is in this drawer. When you need to use it during surgery in the future, make sure to put it back in place. Many agents can easily get mixed up. The three checks and seven verifications must be strictly implemented."

Qiao Yu, embodying the veteran team member’s spirit of guiding newcomers, reminded Ma Xiaolan of some precautions when using items.

Once Ma Xiaolan gets familiar with the setup, the instruments, consumables, and medications inside will be under her management.

Including tidying up after surgery and requesting supplies before surgery, all these are tasks of the circulating nurse.

The nurse’s base, the treatment room, has more medications and medical equipment in it.

Management there is more detailed and strict.

"Get familiar with the positions of drugs, consumables, and instruments in the operating room first. Some special emergency instruments and drugs are in the largest operating room outside."

Qiao Yu left her ample time to learn and adapt.

Soon, the first emergency surgical patient was brought in. He was a man about forty years old, walking with a limp, legs pressed together.

I heard he rushed to the hospital for treatment at around five in the morning.

At that time, only Dr. Lu was on night duty in the operating room. He issued him a check application. After taking X-rays, they found the foreign object stuck inside was a bit big, making it difficult to remove, so he didn’t dare to try.

Dr. Lu has always been quite slick. When performing surgeries, he never shows off when faced with challenging or high-risk surgeries.

He deflects whenever he can.

This constant self-preservation is why he’s managed to stay out of trouble.

Other than the time when Dr. Xu suspended his surgeries for a while, this past month, Zhou Can hadn’t heard of Dr. Lu encountering any issues in the Emergency Department.

Furthermore, Dr. Lu’s surgical skills have significantly improved compared to three years ago.

Undeniably, Dr. Lu is quite talented.

It’s just a shame he’s lazy, extremely irresponsible, and loves to cut corners, so he remains a resident doctor.

Don’t underestimate him, though—he passed his attending physician exam last year.

He’s already experienced in the chief resident role.

Currently, he’s in line with Dr. Cui, waiting for the hospital’s attending physician contract.

To put it bluntly, those like them, who have passed the attending physician exam but have to wait for a long time for the contract, usually have some issues.

They’re at least not outstanding.

Otherwise, the hospital isn’t naive—they wouldn’t have to wait too long in the first place.

They worry that the wait might drive them away.