"Everyone should remember that this is the blood purification room of the Department of Nephrology, and that is the blood purification center of the Department of Urology. They do not belong to the same department. Don't go there!" Lu Xia, a doctoral student who is the director of the Department of Nephrology

He raised his head and reminded the interns with a smile.

A girl stretched her neck and looked across, and asked with some confusion: "Teacher Lu, why do I see that the machines on both sides are exactly the same?"

"Basically, it's almost the same. The machines and equipment are the same, and even the work content is similar." Lu Xia continued to look at the student information in her hand and answered casually.

Duanmuyan became a little curious and asked quickly: "Why is this? Why not integrate it into a blood purification center? In this case, wouldn't manpower and material resources be used more effectively?"

After listening to Duanmuyan's words, Lu Xia finally raised her head again, and said with a half-smile on her face: "You ask me? Who should I ask? And you, don't always pay attention to these problems that cannot be solved.

As an intern, it’s important to study hard!”

After hitting a nail that was neither soft nor hard, Duanmuyan was a little unconvinced, but he didn't say anything anymore. However, Lu Xia flipped through the information a few more times and finally continued: "Tian Lu and Lu Tingting will stay, and the others will follow me."

Go to the ward, and I will notify you to change places later."

The last sentence was obviously meant for Tian Lu and Lu Tingting. After seeing the two nodding, Lu Xia called a female doctor in her twenties, explained a few words and left with the others.

"My name is Sun Ying, and I will be responsible for guiding you these days. Let me tell you first that the work in the blood purification room is relatively simple. The operations are all done by nurses. The doctors only prescribe medicine and formulate treatment plans, so there is basically nothing to do.

I mean, there are a few books on blood purification in the office, take a good look at them these two days!"

As soon as Lu Xia left, the young female doctor Sun Ying turned to Tian Lu and Lu Tingting and said calmly: "Of course, if you are interested, you can go to the treatment room and see how the nurses operate, but it must not affect the normal operation.

Work, do you understand?"

After looking at each other, Tian Lu and Lu Tingting nodded to express their understanding.

Sun Ying then left the purification room on the pretext of a meeting, while the other two people in the doctor's office were just immersed in writing and seemed unwilling to pay attention to the two interns. Lu Tingting picked up a copy of the "2010 Blood Purification Standard Operating Procedures"

"After reading it, Tian Lu hesitated for a moment and walked out of the doctor's office.

During the two weeks of internship in the emergency department, whether it was a big shot like Director Luo or a teaching teacher like Teacher Li, they all had a good attitude towards the interns, taught them with all their heart, and paid great attention to the changes in the students' mentality.

Tian Lu suddenly had an illusion: it seemed that all teachers should be like this.

But after arriving at the Nephrology Department, this beautiful idea was immediately shattered.

Both the science secretary Lu Xia and the teacher Sun Ying just now seemed to have a lukewarm attitude towards the interns, and even had a vague sense of rejection. Someone had already warned Tian Lu about this before the internship.

, but when he actually met this kind of teacher, he still found it difficult to accept it.

Sighing, Tian Lu hesitated, pushed open the glass door that separated the office area and the treatment area, and stepped into the treatment area with the words "Clean Area" printed on the floor. To him, anything on paper

They are all meaningless. What is more important is to understand clinical practice.

It was just when the first wave of patients got on the machine in the morning. A dozen nurses were busy in the huge ward, operating according to the treatment orders written by the doctors. Almost no one was idle. There were four in total.

Ten hospital beds means that there are forty patients going on board at the moment, and one nurse has to be responsible for three or four beds. The workload is not small.

"Who are you......"

Tian Lu was looking around when a female nurse about fifty years old walked out of the preparation room. When she saw Tian Lu, she frowned and asked in a low voice.

Tian Lu nodded quickly and said, "Hello, teacher, I am Tian Lu, a student from Clinical Class 7. Starting today, I will be practicing in our clean room for a few days."

"oh."

The female nurse suddenly realized: "By the way, it's time to change again. Hello, hello, my surname is Zhang, and I am the head nurse of the purification room. Why are you the only one?"

"Another female classmate is reading in the office." Tian Lu replied with a smile.

The head nurse smiled, curled her lips and said, "That's right. Doctors only need to specify treatment plans. It's really not interesting to watch us nurses work."

"Well......"

In response to the head nurse's obviously grumbling words, Tianlu couldn't answer it or not. He had to smile awkwardly and immediately changed the subject and asked: "Teacher Zhang, I think our machine seems to be different. It's a new one."

Is the difference between the model and the old model?”

"of course not."

The head nurse seemed surprised that Tian Lu could spot the difference between the machines so quickly, and replied seriously: "One is a dialysis machine, and the other is a filtration machine. The functions are still different."

After saying that, the head nurse motioned Tian Lu to follow him to a hospital bed, pointed at the machine and said: "Look, this is a dialysis machine, used for hemodialysis and hemoperfusion. The one next to it is a filtration machine, mainly used for hemodialysis and hemoperfusion."

It is used for dialysis filtration. One has one pump and the other has two pumps. The difference is quite obvious."

Tian Lu took a serious look and nodded. He looked at the trademarks specifically. They were indeed products of the same company, with only a small difference in the front.

Soon, Tian Lu set his sights on the patient who was undergoing arteriovenous fistula puncture. The patient's face was dark and it was okay. After all, it was normal for patients who came for dialysis to have dark faces, but the arm being punctured frightened Tian Lu.

It jumped! There was a big bump on both sides of the arm, as if someone had smashed out two big bumps. It was dark, indescribably weird and uncomfortable!

And the operating nurse was holding a puncture needle to prick the big pimple!

The patient was a middle-aged woman in her fifties or sixties. At this time, she was lying quietly on the bed, as if it was not her arm that the nurse was about to inject. When she saw Tian Lu looking at her, she raised her face and said with a smile: "Head nurse.

, is this little doctor an intern again?"

"Yes, I just came today."

Treating the patient, the head nurse smiled and said as if chatting with her old sister: "How about it? How about you donate and let our interns practice on you?"

"Come on you!"

When the middle-aged woman heard this, she immediately felt like she was on fire. Her arms could not help but tremble a few times. The nurse who had punctured the vein and was about to puncture the artery gave a sharp scolding before she became quiet again, but she still yelled:

: "The intern nurse had already tortured me so much last time, and now she wants an intern doctor to come in? I won't do it even if she kills me!"

The patients in several hospital beds around him burst out laughing when they heard this.

Before Tian Lu could figure out what was going on, the middle-aged woman continued to smile and said: "And I can guarantee that this little doctor will ask you that question later. Head nurse, do you dare to bet with me?"

"No gambling!"

The head nurse glanced at Tian Lu and immediately categorically rejected the middle-aged woman's proposal.

"oh......"

Many patients in the ward were booing. A few young patients were fine, but the older ones were laughing and joking happily. The head nurse suddenly became "furious" and scolded them repeatedly with her hands on her hips.

, until finally seeing that it had affected the work of the nurses, he took Tian Lu back to the preparation room.

"Teacher Zhang, what question did the patient say I would ask just now?" Tian Lu asked impatiently as soon as he entered the preparation room.

Being forced to leave by the patients, the head nurse showed no sign of anger. She looked at Tian Lu and said with a smile, "Then you saw anything wrong with the nurse's operation just now."

"Of course!"

Tian Lu nodded and answered with unusual certainty: "I have read relevant information, and it seems that many places are not standardized. For example, the location of the needle, the order of operations, and aseptic operations...

..”

"That's what you read in the book!"

Before Tian Lu could finish speaking, the head nurse interrupted Tian Lu with a wave of her hand: "Just like the problem she betted with me, it's because a big bump has formed at the puncture site. Normally, we shouldn't continue to puncture that site.

But in fact, almost all patients are unwilling to let you choose other parts, do you know why?"

Tian Lu shook his head blankly.

The head nurse shook her head and said: "Because if you have to choose another location according to the regulations before each puncture, these people will soon have every good spot on their arms!"

Tian Lu was stunned when he heard this.

"We all understand the operating sequence you mentioned, including the sterile operating regulations, but what about in actual work? You have also seen that a nurse has at least three or four patients to perform self-checks and prepare supplies.

They have to pre-charge the machine, puncture the patient, get on the machine, etc. Let alone rest, they have to do everything at a trot, and they have to move very quickly. Do you want them to follow the regulations step by step? At least the time must be extended.

If it's doubled, can we finish all the work?" the head nurse said with a wry smile.

"Can......"

Tian Lu seemed to understand something and wanted to nod, but he always felt that there was something wrong with what the head nurse said and felt very awkward.

"Let me tell you this."

Seeing that Tian Lu still looked confused, the head nurse sighed: "Except for our three or four nurses who are about to retire, the nurses in the dialysis room change every few years. Do you know why? The income is low, the work is tiring, and they are young.

No one is willing to work hard and will leave within two years. If you really have such high demands and do everything as in the book, then I’m afraid no one will be willing to come.”

"ah?"

Looking at the busy figures of young nurses outside the door, Tian Lu frowned and said, "Then why not hire a few more nurses? That would not only ensure the quality of work, but also reduce labor intensity."

"Drink! Do you think this hospital is run by your family? You say it so easily!"

The head nurse was amused by Tian Lu's words. She patted her shoulder and said with a smile: "But it's okay. You work hard. When will you become the director of our hospital, you must remember to recruit more nurses for our department."

"I'm optimistic about you!"
Chapter completed!