【1410】Inpatient department and emergency department are different
In past surgical consultations, if the surgical plan was mentioned, everyone knows that surgery is about manual work. Even if you can understand what the expert means, you may not be able to do it.
Huh. Director Zheng took a breath. It was too hot in the room and needed to calm down. He said, "This is what Crohn's patients are like. Once various complications occur, it is difficult to treat. The timing of the operation must be controlled well."
"I don't know how the surgery they performed on him before did not achieve the purpose of completely draining the pus. Now the patient suddenly had a high fever and convulsions after being transferred to our hospital, and there is a possibility of blood loss. Although he was the patient introduced by Director Yang,
It is basically difficult for surgery to operate in this situation." Li Guoxin said, pointing the finger at the doctor who decided to admit the patient to the surgery today.
"It was said that you decided to admit him to our surgery department after discussing it in the emergency room." Director Zheng seemed to have asked Section Chief Yang similar questions and raised questions.
"I was not in the department during the day, and they accepted it." Li Guoxin clarified, "It was said that Director Yang wanted to accept it, how could I not accept it."
Dr. Jiang was scratching his head. Director Yang actually didn't lie. In the emergency room, they decided to admit the patient to surgery after an academic debate. Later, he told Li Guoxin the situation at that time. Maybe Li Guoxin didn't remember what he said or didn't.
Take it seriously.
Superior doctors are always very busy, and patients are admitted as soon as they are admitted. No matter what the emergency situation is, after admission, they must only follow the strategy of the inpatient ward. Because after the attending doctor takes over, the patient's treatment plan is all based on the attending physician of the inpatient department.
If you have lost your way of thinking, you will not care about what your doctor said before.
"That's it, Director. We discussed it this morning and agreed -" Dr. Jiang was afraid of being held accountable by Section Chief Yang later, so he stepped forward and explained it to his superiors again, "The patient must be drained of pus first, otherwise he will not be treated."
Internal medicine was also useless, so he was admitted to our general surgery department."
"Your patient needs to have pus drained again, so he can only do another surgery. He doesn't have the conditions to do another surgery, don't you know?" Li Guoxin scolded Dr. Qi Jiang. You have to look carefully before admitting a patient. You really can't admit him.
You need to make it clear to your leader. It’s hard to get off the ground now.
The patient was transferred to the National Association of Emergency Department in the morning, and it was almost noon when he was transferred to the surgical department and a bed was available for admission after the formalities were completed. This hospitalization process was considered very fast, but he could not meet the attending doctor Li Guoxin.
Li Guoxin has to perform a whole day of surgery. The volume of surgical operations in a tertiary hospital is always very heavy. Surgeons are too busy to hang around in the ward. Except for routine ward rounds in the morning, Li Guoxin is basically not in the ward, busy with operations.
Visits and consultations in outpatient and emergency departments, busy with meetings, busy with research, and busy with a lot of things. Doctors have a lot of chores.
Moreover, according to the practice of the hospital department, new patients in the ward must be handed over to the doctors below to handle the new patients and exercise the abilities of the doctors below. When he actually sees the patients and medical records, he has to wait until the next morning for ward rounds.
It's time. Anyway, new patients who come in are examined first. It's not too late to discuss the results after the examination results come out. The doctor's prescribed treatment plan must have data at hand as a basis.
What to do if a newly admitted patient is rescued? According to the rules of general surgery, the attending doctor must be in place. Li Guoxin came here tonight, and after taking a look, he found out that this patient's situation was more difficult than he thought.