641 The ICU that is short of people
I slept steadily all night. Last night there were patients who needed emergency surgery, but it was not very serious, so Wei Yuan did it directly.
After breakfast, Liu Banxia came to the ICU.
"Who will come to our ICU tomorrow?" Zhang Zhiyuan asked.
"Xu Yinuo. What's wrong? Are you really thinking about it?" Liu Banxia asked.
"Or what if it's going to be a supplement to us after the New Year. It's been so long, and I haven't seen anyone." Zhang Zhiyuan said.
"Although amphotericin B was used, the symptoms should not be improved immediately. However, we have appropriately reduced the amount of oxygen supply and maintained blood oxygen, which is still effective."
Liu Banxia nodded, "Her symptoms are too special, otherwise you can just take medicine. Are there any adverse reactions?"
"At present, we have been paying attention to liver and kidney function. There is no hypokalemia, so there should be no problem." Zhang Zhiyuan said.
"And I guess, I will be able to get the tube extubation in two days. As long as the edema in her bronchial dysfunction subsides, we can change to oral medication."
"Intubation is not that easy, I am still so young. Now we are constantly going to comfort me. If it weren't for monitoring liver and kidney function, I would have wanted to transfer it back to the general ward and let her parents accompany her."
Liu Banxia frowned, "I'll ask Sister Li to go and see if the nursing work in the hospital is busy now. There have been no side effects after so long. It should be nothing."
"If she can be transferred back to the ordinary ward, her parents can feel more at ease. With her parents accompanying her, the child will feel less fear. I'll arrange it."
"Thank you, we can at least be more relaxed here." Zhang Zhiyuan said.
"Brother Zhang, the court must be working hard in the repair of people. But everyone knows the situation in the ICU. There are not many people who are willing to really like to do this industry." Liu Banxia said.
"Hey..., I know too. If you have the chance, see if you can talk to the yard. If it really doesn't work, just level the bonus." Zhang Zhiyuan said.
"This will be somewhat attractive. In terms of recruiting interns, the emergency center can also formulate some preferential employment policies. Even if we are slowly cultivated, we can still see the light."
"Otherwise, even if there are other regular doctors or interns who come to our place to rotate, it will not be very meaningful. If you can all have the level of the interns you have brought, how can we use it with confidence if you have no experience?"
"Hey..., this is also something that often criticizes people for internships or regular training." Liu Banxia nodded.
"I'm actually very troubled now and want to do a good job in teaching and training. But it's still a bit difficult to master the standards. Each department has its own difficulties."
"Just like the situation you just mentioned, interns or regular doctors come to rotate. If they don't have a solid medical knowledge to fill it, it will probably involve some of your energy."
"I was fooling these people, including when I was rotating in the ICU. I was hoping to finish the job quickly, pass the exam quickly, and then go to other departments."
"Actually, I regret it now, otherwise I wouldn't add another round to the interns. Even if it's not a long time, only one week, it will have many benefits for them."
"That's it. We have come into contact with more critically ill patients, which can broaden our horizons and exercise our response and emergency response capabilities." Zhang Zhiyuan said with a smile.
"So, let's think about it with the director or the hospital, and strive to give some more preferential policies to attract more interns."
"Just say that, as long as there are interns who dare to come here, I will dare to promise you that they will learn all our abilities."
"It's okay to have more numbers, it doesn't matter. Even if some people are not so serious, they can still act as nurses, so that our nurses can also be more relaxed."
Liu Banxia glanced at him helplessly, but she didn't know what to say.
However, there is also a problem from this point of view. The shortage of people in the ICU is imminent. As long as you can stuff someone to him, anything will be fine.
"I'll work hard. This matter is not something I can decide. I can only coordinate slowly." Liu Banxia said.
"Come on, let's ask Sister Li again to see if she can take good care of this young patient. If she can get there, she will be transferred to the general ward immediately."
Liu Banxia nodded and walked out.
Nowadays, there are many patients hospitalized in the hospital, and nursing work becomes very burdensome.
It’s not what people often understand. Every day, nurses come in and take a thermos to take their blood pressure and finish it. That’s because the ward you are in is not very serious, and there are many businesses you haven’t seen.
"Sister Li, this is the situation. What do you think? Can you take care of it?"
After talking to Zhou Li about the situation, Liu Banxia asked.
"It's okay, fortunately it's not very complicated, just be careful." Zhou Li nodded.
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"Sure, I'll inform the ICU and the parents of the children. They are also worried that they are not good enough and have been staying outside the ICU." Liu Banxia said.
This arrangement can be regarded as a comfort to the children's parents. Although they also know the details of the children, if they can't see it, they will always have to worry about it.
"Teacher Liu, are you busy now?" Xu Yinuo walked over.
"Is there anything wrong?" Liu Banxia asked.
"Actually nothing is wrong. Do you think that operations like ours yesterday can form a pattern? In that case, will it be much more convenient for us to encounter similar situations in the future?" Xu Yinuo asked.
"This idea is very good, but there will be many problems during the operation." Liu Banxia said.
"First of all, it is a problem of usage rate. Together, all hospitals can encounter several similar patients in a year? Secondly, it is a problem of personnel. Interns alone are definitely not good, right? The doctors in the hospital have to be involved."
"In another situation, there may be many false positives in the future. Because some symptoms are very similar in performance, this is why I had to go there in person yesterday and have to see it with my own eyes to confirm."
"But although it is not universal, you can still think about it in this regard. For example, if someone encounters difficulties when diagnosing a disease, you can serve as a channel for private communication."
"It's similar to a consultation, but the timeliness of the news cannot be guaranteed, right? And they also have their own instructors. If it's a case involving assessment, is this considered a cheating type?"
"Anyway, you think about it and see how to avoid possible problems. I think it's pretty good. Even if you don't use it in normal times, it can play a big role at critical moments."
Xu Yinuo nodded with a stern head. What Liu Banxia said just now was indeed a problem that needs to be noticed.
Her initial idea was to think that she could build a platform for each hospital to operate together so that she could play a role in the diagnosis process and find related cases.
But now all the questions that Liu Banxia mentioned cannot be avoided, especially the last one.
Many instructors will have temporary small tests, and if they can't prepare, some people will take shortcuts. They are too lazy to read the book and check it slowly, and they will directly reach out to ask for the answers.
"Don't be discouraged, it's still useful. The key is that you can't limit this platform. Anyway, you can think about it yourself." Liu Banxia encouraged again.
"I don't have the time to think about these things now. The education and training work has made me very impressed. I'm still thinking about it now. Do you have any suggestions?"
Xu Yinuo shook his head. How could she have any suggestions for such a profound question?
"Don't control it, that is, what kind of suffering you encountered during your internship? Is there anything that hinders your growth?" Liu Banxia continued to ask.
Xu Yinuo shook his head again, "This is really not the case. We have enjoyed so many benefits. What are the shortcomings?"
"Even if it is the new standard, it shouldn't be as strict as when we were internships, right? In fact, it's not easy to ask other interns."
"Many people are thinking about it more relaxed, just pass the internship. Anyway, I think you have to think about it yourself, so I'll withdraw it first."
After saying that, Xu Yinuo ran away.
I am very worried that Liu Banxia will keep her and continue to study this issue. She doesn't want to consume brain cells because of this.
Liu Banxia shook her head helplessly, saying that this matter has to be considered by herself. And there is still another problem that needs to be solved, that is, the ICU that lacks people.
After hiring an external doctor for so long, I haven't hired it, so basically don't have too many ideas. It will be a mess to transfer people from other departments.
It is indeed possible to take this opportunity to recruit more targeted interns. The preferential policies can be tilted, and the contract will be signed at that time.
However, he was not able to decide on this matter, and Zhou Shuwen had to take it to the yard for discussion.
It is also said that the profession of doctors looks very glamorous, and only those who have worked know how tired they are. A hospital that fools things is very good at working there, but a doctor like that should not expect to make money.
There are not so many noble ideas to contribute, and doing this hard work is all about making money.
At this time, his phone rang. When he saw that it was Wang Xiaoyan who called, he hurriedly answered, "Swallow, what's the matter?"
"A student here fainted and was driving to your hospital." Wang Xiaoyan said.
"Okay, come here just now, I'm fine," said Liu Banxia.
"Okay, it'll be here in a while." Wang Xiaoyan hung up the phone after saying that.
Liu Banxia doesn’t think about anything else, so she will wait to go on and receive the doctor.
Chapter completed!