The clinic door slammed open, and the nurse leaned into her head and asked the doctor directly: "Doctor Xin, 120 calls out the car, internal medicine patient, are you going or Doctor Dong?"
"I have a more urgent patient here. Go and ask Dr. Dong if he can take some time out." Xin Yanjun replied.
Bang, the nurse came to the door and didn't have to respond anymore. This is an emergency department, and I'm afraid that I would waste my time if I say a word for a long time.
This little episode made the patient and the patient's family a little stunned. They didn't have time to hear clearly what happened, and the other party had already left.
Only medical staff who have been to the emergency department know that emergency department can only be described in four words: like purgatory.
After the patient was lying on the examination bed, he was not feeling pain while sitting and bent down. He might have felt a little more at ease after seeing the doctor coming to see him.
"Which department do you think he should be included?" Xin Yanjun whispered to the students around her.
It is obvious that Teacher Xin is going to test her.
Here we will talk about a common problem in emergency rooms. Abdominal pain is the most difficult to distinguish clinically. Some diseases can be seen in internal medicine and surgical departments. For example, upper gastrointestinal bleeding can be solved by mild patients. If the patient is severe, if the patient has surgical indications, it may be necessary to go to ICU first to stabilize the condition and then perform surgery.
The triage nurse cannot tell at once that the patient is going to the surgery department or the internal medicine department. As long as there is no vomiting blood and no other acute diseases that seem particularly terrible at first glance, they will first arrange to go to the internal medicine department for a look. The internal medicine doctor will then check, and then make a judgment that it is necessary to stay in the internal medicine department for treatment or need to go to the surgical department.
How each doctor makes a judgment based on his or her own knowledge and medical experience. Therefore, although the doctor's judgment standards are guided by medical guidelines, they will vary from person to person. Especially in some diseases with blurry boundaries in internal medicine and surgical treatment, the doctor's personal differences will become more and more obvious.
This difference may be due to the doctor's personal habitual thinking and thinking of certain diseases, or it may be based on the patient's non-conditional considerations. If some patients want to undergo surgery, their first choice is surgery. Some patients want to choose conservative treatment first, and the doctor respects their choice and lets them go to the internal medicine department.
If the patient and himself have no objection, internal medicine and surgery are fine, then another factor may be decided. Each department sends people to take the emergency shift. In addition to the tasks assigned by the hospital, the departments have their own plans.
Although the doctors on the night shift in the ward seem to hate taking emergency patients, every time the department director talks about the department bonus issue, they can only silently collect their voices. No one can't get along with the money, just like a doctor. No patient means no income.
Basically, if you compete with other departments for business, you will definitely explain to the doctors in the emergency department of your department: to take more patients.
Outpatient clinics can accept patients, and emergency departments are also the same source of patients. If you don’t accept them, you will accept all other departments. Over time, if your patients are less, your money will be less, and your chances of exercising skills will be less. The hospital leaders will be unhappy when they see the indicators. You actually like to reject emergency patients.
Of course, doctors will not take the disease that is not treated in their own department to their own department for treatment without their conscience, which is purely causing trouble.
The patient in front of him had pain in the upper abdomen and complained of brown vomit. He had initially suspected upper gastrointestinal bleeding. He was definitely not a patient that could be admitted to the respiratory department.
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Chapter completed!