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"Who is in charge of the operating room in the emergency department?" Zhong Hui asked coldly.
"I am!"
Dr. Xu responded calmly.
"Give us all the operation records, cases, and course records of the emergency operating room in the last month. Our quality control team needs to conduct a comprehensive investigation on the surgeons, nurses, and receiving doctors involved yesterday."
The purpose of the medical quality control team is very obvious, it is aimed at the medical accident that happened yesterday.
And get ready to dig deep.
This is also the first time that Zhou Can deeply felt the serious consequences of medical accidents.
Surgical records are generally recorded and kept by nurses.
Liu Xia is the nurse in charge of the operating room, and rushed over in time after being notified.
Then take out the relevant records and submit them to the quality control team for review.
Because Zhou Can, Dr. Xu and yesterday's nurse on duty are all subject to investigation. We can only call Dr. Fu over to give him a temporary top.
Otherwise, the emergency operating room will not be able to operate.
…
In a small office, Dr. Xu came out after being called in to ask questions.
"Zhou Can, come in!"
The young woman in the quality control team didn't give Dr. Xu a chance to communicate with Zhou Can at all.
It must be to prevent the two from colluding.
Zhou Can walked in, and Zhong Hui, the leader of the quality control team, sat there with a serious face.
The female officer of the quality control team closed the door, walked to the computer next to Zhong Hui and sat down. She acts as a recorder.
There is a camera pointed at Zhou Can.
I feel that the atmosphere of this questioning is very serious.
"Zhou Can, when did you become a regular doctor?"
"May 7th of this year."
"When will I enter the emergency department operating room to participate in standardized training?"
"May 7 this year."
On the day he passed the training, he was assigned to the emergency department. Then I followed Dr. Xu in the operating room for surgery.
Originally, the standard training direction he wanted to apply for was General Foreign Studies.
However, being able to enter Tuya Hospital with the qualifications of general practice training students is definitely much better than direct general training. Both the gold content and the actual status are much higher.
The prospects for development will also be greater.
"When did you start participating in surgery?"
"May 7th."
"When did you start participating in secondary surgery?"
"I really don't remember this. It should be half a month after entering the operating room."
"When will you start independently presiding over the first-level surgery?"
"Never. I have been operating under the guidance of superior doctors."
Zhou Can is not stupid, how could he admit such a thing.
He still understands the basic surgical admission rules.
"Zhou Can, now the organization is asking you a serious question, and you must answer honestly. If you deliberately conceal it, the hospital has the right to impose a series of punishments on you. This includes dismissal from the training program, being included in the industry blacklist, and recorded in the personnel file. Bad negative reviews etc.”
Zhong Hui's voice was calm and powerful, and his threatening words were like mountains pressing down.
The psychological pressure that Zhou Can endured was beyond imagination.
It's just that he finally resisted this invisible pressure, his face became calm, and his eyes became clear again.
"Every word I say is the truth, there is no deceit."
He replied calmly.
"We learned through investigation that you presided over a large number of first-level surgeries alone, including second-level surgeries. Do you still want to quibble?" Zhong Hui's tone became more serious, and his face became more severe.
Zhou Can's heart sank.
I keep my mouth shut, but others may not be able to do it.
Nurses and other doctors may become breakthroughs and reveal the truth.
Zhong Hui's gaze was fixed on him, the invisible coercion made people breathless.
"Just do it, just admit it. Now it's just our hospital dealing with it internally, so don't worry too much." The young female officer assisted.
The two sang together, trying every means to break down Zhou Can's inner defense.
It's fine if she doesn't say anything. Zhou Can immediately realized that the two were trying to trick him.
If they really had conclusive evidence, would they still need such troublesome inducements?
"It's true that I didn't do any surgery alone. They were all done under the guidance of Dr. Xu. If you don't believe me, you can investigate casually."
Zhou Can's tone and attitude became firm.
Disappointment flashed in Zhong Hui's eyes.
But he is still not reconciled.
"When we entered the operating room, we saw you removing the appendix of the patient. It was all filmed at that time, do you still have to quibble?"
This is the final push.
"Could it be that you didn't take pictures of my superior doctor standing next to me?" Zhou Can curled his lips, thinking that it was dangerous in his heart.
Facing the interrogation of the two people just now, fortunately they did not admit it.
Regulations are dead, but people are alive.
Some permission issues in the operating room have a lot of room for maneuver.
As long as he doesn't admit it, no one can do anything to him.
"Please pay attention to your words, just answer our questions directly!"
The young female officer scolded with a cold face.
Next, the two conducted a series of questions to Zhou Can. Zhou Can dealt with it carefully.
"Okay, you can go back to work! If there is a need later, we will find you again. Thank you for your cooperation."
She stood up to see off the guest.
Zhou Can was 'invited' out of the small office. The questioning was not over yet, Dr. Lu was still waiting outside.
All the doctors involved are subject to investigation.
Seeing Zhou Can come out, Dr. Lu stood up and asked, "Are you okay?" He is very smart, and this is the result of asking questions.
"fine."
Zhou Can blinked.
"Until the investigation is over, no communication is allowed. Doctor Lu, it's your turn! Please go in!"
The female officer of the quality control department immediately stopped the two from continuing to talk.
The two exchanged a look, and both showed a smile.
This situation made the female officer next to her very angry.
A face was so cold that it was about to drop ice scum.
Dr. Lu walked into the office quickly, with his hands behind his back, and made an OK gesture to Zhou Can.
Meaning don't worry, he knows how to answer.
Zhou Can almost burst out laughing.
Everyone has flaws and strengths. Dr. Lu has many shortcomings, but when faced with such a major event, he is very clear.
Although the doctor team in the emergency department is not good at the level of medical skills, and the soft and hard facilities of the department are also poor, they are extremely united when facing the outside world.
Last time in the emergency room, the directors were like this.
Now, the same is true for these low-level doctors.
…
When Zhou Can returned to the operating room, Dr. Xu calmly continued the operation.
Seeing Zhou Can come back, Dr. Xu cast a questioning look.
"Good!"
Zhou Can only said two words.
Dr. Xu must still be a little worried. Now that Zhou Can didn't have Kuang Piao, he was obviously relieved.
The most worrying thing is Zhou Can's mistakes in the investigation.
After all, Zhou Can is the youngest and has no experience in this area.
"Hurry up and do the surgery! Try to get rid of all the backlog of surgery patients as soon as possible, and I guess there will be things to do later."
Doctor Xu said to him.
"OK!"
Zhou Can walked to the auxiliary operating table inside, and Qiao Yu followed.
He asked in a low voice, "Are you okay?"
"It's impossible to go back to the operating room if something happens."
Zhou Can looked relaxed.
"Hey, thank you for speaking for me yesterday. If Tian Tian hadn't sent a private message to scold me, I wouldn't even know you helped me."
When she looked at Zhou Can, her eyes were watery.
Is this moved to tears? Or is it the spring heart after being moved?
Zhou Can spent so much effort to help her, but didn't tell her.
This kind of secret help, without expecting anything in return, moved her deeply.
"I just told the truth, there is nothing to thank. But this woman Tian Tian, she made a mistake herself, how can she still have the face to scold you?" Zhou Can seldom hates a person in particular.
I used to think that Dr. Lu was not pleasing.
But compared with Tian Tian, Dr. Lu is considered a 'good man'.
"Do the surgery first, and I'll tell you when I have a chance."
She avoided it like this, which shows that Tian Tian's scolding words must be particularly unpleasant.
…
I have been busy until after five o'clock in the afternoon, and then all the surgical patients in line have been processed.
When it was time to change shifts, Dr. Cui, who was rarely on the night shift, came to take over.
"Xiao Zhou, Doctor Lu, don't leave after get off work, go to the office of the emergency department." Doctor Xu told them.
Dr. Cui should have learned about what happened in the emergency department from some sources.
He was a little worried and said, "That Tian Tian is really, it has dragged the entire emergency department. I heard that the quality control team has come, is there anything wrong?"
"If there are no loopholes in Xiao Zhou's answer, nothing will happen. Otherwise, it's hard to say whether I can go to work tomorrow. If I can't come, you young people must work harder and strive to be the top."
Dr. Xu is already waiting for the crime. If something happens again, the hospital will definitely deal with it seriously.
"Teacher, you don't believe me!" Zhou Can smiled wryly.
"No, no, no, I trust you very much. It's just that you are still very young. Facing the medical department's questioning, you are inexperienced and prone to mistakes. Even if there is something, I don't blame you. With my surgical ability, I can live a good life in any hospital. I stayed in Tuya all these years. Firstly, I felt unwilling and dreamed that I could get up again one day. Secondly, I was trained by Tuya. Some hospital leaders It is very good to me, and I want to use my own strength to help Tuya Hospital improve the surgical capabilities and rescue level of the emergency department."
Dr. Xu would never say these things in front of so many people.
If he doesn't say it now, he is worried that he won't have a chance to say it again in the future.
"Ah! It's a pity that my ability is limited after all. Although the operating room of the emergency department has been improved, it is far from being strong. Originally, if Xiao Zhou did not have any accidents, it would only take three years at most. Once the training is over, the emergency department There will be one more high-level surgeon in the operating room."
Dr. Xu spoke very highly of Zhou Can.
It has high hopes.
"I can grow from a surgical rookie who can't even sew skin well to the present situation. You have cultivated me the most. I believe that you and Dr. Zhou will be fine. This matter was originally the surgical nurse Tian Tian. The hospital leadership must be able to clearly distinguish the responsibilities."
Doctor Cui said with some emotion.
People are most likely to reveal their true feelings when they are parting.
If you hide the words in your heart, you are worried that if you don’t say it, you will not have a chance to say it to the other party in the future.
"Work hard, this is the best reward for me and Director Lou."
Dr. Xu patted Dr. Cui on the shoulder and walked out of the operating room first.
There were two nurses with red eye circles.
The parting words of several doctors just now are really touching.
He has the feelings and ambition to strengthen the emergency department, and he also has the care and support for the younger generation.
This is a warm department.
…
After Zhou Can changed his clothes, he came to the emergency office with Dr. Lu and Jin Mingxi.
Director Lou and Deputy Director Han Changqing are both there.
The atmosphere is a little depressing.
"Everyone is here! Close the door of the office!"
Director Lou's eyes swept over everyone.
"In the last month in our emergency department, the number of surgeries has increased by more than 900. This is a very gratifying result."
Director Lou first summarized the results of this month.
Zhou Can alone can complete 14-20 operations in one day. Jin Mingxi's surgical ability is also good, and he can also perform more than a dozen first-level surgeries a day.
Dr. Lu's operation speed is slightly slower than Jin Mingxi's, but not too slow.
It is not surprising that the number of surgeries completed in one month has increased by more than 900.
"Yesterday's medical accident did not cause serious consequences. The fault was not with the doctor, but with the surgical nurse. Originally, the superior would not have made such a big move against our emergency department because of this incident."
Director Lou had a look of helplessness on his face.
"During the last morning meeting, Director Xie of the Department of Surgery was already dissatisfied with us for stealing the operation from the Department of Surgery. After all, he felt that the total revenue generated by the Department of Surgery had been reduced. I understand."
An appendicitis resection operation, if the laparotomy is performed, is about 8,000. The price of laparoscopic surgery is more expensive, more than 12,000 yuan.
Ordinary first-level surgery is a few hundred yuan lower and about two to three thousand yuan more expensive. The average price should not be less than 1500 yuan.
If only more than a dozen surgical operations were robbed, the operating room would lose about 20,000 to 30,000 in revenue at most.
This income, spread over the heads of multiple surgical departments, is a drop in the bucket.
Now more than 900 units have been produced in a month than usual, which is really scary.
The emergency department can increase revenue by at least two to three million yuan.
Enough to cause surgical pink eye.
In fact, it is still not a big deal if this income is evenly distributed to so many surgical departments.
But for the emergency department, which has always been weak and shabby, it is definitely a rain of rain.
Not only the doctors and nurses in the operating room and medical technology department can increase a lot of income. Moreover, the emergency department can also obtain some department development funds and obtain some medical resources.
As long as you stick to it for one or two years, the emergency department will gradually become stronger, and there will be a leap-forward improvement.
It has to be said that this is a good opportunity for the emergency department to get out of the predicament and break the deadlock.
"Director Han, let's talk to the big guy next!"
Director Lou took a sip of water and stopped halfway through the speech.
Even if the leader speaks behind closed doors, sometimes he must pay attention to the influence.
When necessary, the second-in-command must be the vanguard, saying what the first-in-command cannot say.
"Why did the medical quality control group do this to us? It's simple. The leader of the medical quality control group, Zhong Hui, used to be an ordinary doctor in surgery. He has always been mediocre in medicine, but he has shown great talent in administrative management." Later, with the help of Director Xie and several surgical directors, he successfully became the leader of the quality control team step by step."
It turns out that Zhong Hui and Director Xie still have this relationship.
No wonder he would investigate a medical malpractice of any size so hard.
"Surgical jealousy, we robbed some of its operations. After Director Lou cleverly resolved the last morning meeting, we must not be reconciled. But there is no way, they can only wait for the opportunity. This medical accident is considered to be given to them. An excuse against the emergency department operating room."
Hospitals are by no means just one person's word.
Under the intricate personal network, everyone needs to abide by the rules.
Each department will prioritize its own interests.
This is the same no matter which hospital.
Because it is related to the status and income of each department member.
"Now it is basically certain that the surgical team asked Zhong Hui, the team leader, to thoroughly investigate this medical accident, in order to reduce the number of surgeries in our emergency department. The medical department has notified us to meet in the past, and we will go now. Tell you so much, just I hope everyone is mentally prepared."
Deputy Director Han glanced over Zhou Can and the others.
To put it bluntly, the in-depth benefit analysis just now was for young doctors like Zhou Can, Dr. Lu, and Jin Mingxi.
"Director Han, let's go together!"
Director Lou looked at Deputy Director Han.
"Me? This time I'm only notifying you and the doctor involved in the operating room. I don't need to participate, do I?"
"Our emergency operating room has made a lot of progress and development. Don't you take this opportunity to fight for the emergency medical department?" Director Lou asked with a smile.
"There are no such talents as Zhou Can and Jin Mingxi in the Department of Internal Medicine. No matter how many patients I grab, it's useless. I can't digest them." Deputy Director Han shook his head in distress.
It is more difficult to train talents in internal medicine than in surgery.
It is impossible for talented internal medicine talents to flow into the emergency department.
Director Han wants to expand the emergency internal medicine department, but he is also powerless.
"That's right, that's fine, you are in charge here. But don't let anything happen." Director Lou took Dr. Xu, Zhou Can and others to the medical department.
It turned out to be the small meeting room No. 2.
It seems that every internal conversation is held here!
Zhou Can couldn't help but smile wryly, and he has become a regular visitor here.
Not long after sitting down, Chief Xin from the medical department, Zhong Hui from the medical quality control team, and the female officer who took notes entered the meeting room one after another.
Immediately afterwards, Vice President Ye appeared.
The leaders of these hospitals cooperated quite tacitly.
Today was originally Saturday, and many people in the administrative department did not go to work.
Director Xie's energy is really great.
In order to reduce the number of surgeries in the emergency department, the quality control team leader was asked to work overtime.
It is estimated that I was also worried that after two days, things have subsided. It's not good to talk about it again. Only then did they strike while the iron was hot, and seized the opportunity to attack the emergency department.
"I didn't go to work today. I just came back from studying."
After Vice President Ye greeted Director Lou and Section Chief Xin, he started talking directly.
"The morning meeting on surgical safety was held last time. Your emergency operating room, this is giving me eye drops!"
He didn't slap the table, didn't lose his temper, and just said to give him eye drops, which means that the problem is not serious.
"Group leader Zhong, have you investigated everything?"
Vice President Ye looked at Zhong Hui.
"It has been found out. The cause of the accident in the operating room of the emergency department yesterday was that Tian Tian, the surgical nurse, chatted with others during the operation, neglected his duty, and mistook isoproterenol for an anesthetic when preparing superficial anesthetics." Tetracaine eventually led to dangerous symptoms such as increased wound bleeding, headache, chest pain, and shortness of breath.”
Zhong Hui's work is still very detailed.
"This incident reflects that there are many omissions in the safety management of the operating room of the emergency department. The superior doctor failed to stop the chattering during the operation. Second, after investigation, there is a more serious problem. Xu Chen, the attending doctor in the operating room, privately asked Gui Peisheng Zhou Can to participate in the important steps of the secondary operation."
This is a list of crimes for them.
After hearing this, Vice President Ye glanced at Zhou Can in surprise.
If I remember correctly, this young man named Zhou Can just became a Gui Pei doctor this year, right?
It took more than a month of standardized training, UU Reading www. Can uukanshu.com complete the important steps of secondary surgery?
He didn't quite believe it.
As for the first two crimes listed by Zhong Hui, they are minor problems, just give a few words of warning, and pay attention to it in the future.
As the vice president of medical treatment, I also know that the emergency department is not easy.
When you are a big leader, you are generally very tolerant of your employees. If the requirements are too harsh, it will only lead to alienation.
Just guide it correctly.
"Doctor Xu, you are basically in charge of the emergency operating room. During the operation, nurses and doctors are chatting, you have to take care of this, and you can't let them go on like this in the future. Now, doctors still need to supervise properly, some nurses are very irresponsible. I will also report this matter to the Nursing Department and ask them to strengthen training for all nurses in the hospital and standardize operations.”
Vice President Ye knew the situation of the emergency department very well.
He even knew that Dr. Xu presided over the operating room.
And the attitude towards Dr. Xu is quite polite.
Zhong Hui, who was next to him, looked anxious for a while, and spent a lot of effort. He thought that the operating room of the emergency department would have to be called the third shock of the emergency department. Now that Vice President Ye's attitude is so kind, how can we talk about the next thing!
He came with a mission.
If it can't be finished, it's hard for Director Xie to explain.
"Please rest assured, I will strengthen management."
Doctor Xu made a solemn statement.
"Tell me, which important step did you let Zhou Can participate in the secondary operation?" Vice President Ye seemed more interested in this matter.
"It's nothing, just sewing a skin or something."
Dr. Xu is an old man, and he will not let down his vigilance just because of Vice President Ye's amiable attitude.
Be extremely careful when speaking.