Tian Zhiliang, after transferring the patient to Vascular Surgery and Orthopedics with Lu Cheng, returned to the office to start docunting the patient's basic information.
"Director Tian, in such surgeries, isn't our Ergency Departnt's task only to stop the bleeding, and all follow-up is handed over to specialists?" Lu Cheng asked as he watched Tian Zhiliang transcribe the dical record.
The Ergency Departnt at Xiangzhou People's Hospital is quite different from that of Long County People's Hospital!
By comparison, this place is more like a large specialized referral center.
Especially in surgical ergencies, aside from debrident and suturing, there are almost no surgeries to be perford independently.
Tian Zhiliang smiled amicably, "Does your hospital have different practices?"
Lu Cheng nodded, "We do perform so surgeries currently."
Even though Tian Zhiliang was a Deputy Chief Physician in the Ergency Departnt at State People's Hospital, he had heard about the county's ergency departnt affairs: "In that case, you have more guts than us."
"Our hospital currently follows the practice of strictly adhering to departntal business divisions. Our Ergency Departnt, we just handle ergency procedures."
"We provide simple treatnt for the patient's condition, addressing only so critical points."
"For instance, debrident and suturing, intubation, and tracheotomy. Other operations, like closed thoracic drainage, are perford by the Thoracic Surgery personnel themselves."
"It's to avoid complications, after all, the Ergency Departnt already has plenty of troubles." Tian Zhiliang replied truthfully.
Lu Cheng replied, "Director Tian, that seems all right too."
As they talked, Lu Cheng saw his own interface.
[Through effective hemostasis technique, you promptly addressed the patient's active arterial injury, reducing the risk of shock and death to a certain extent, and gained 5.3 skill points.]
The most crucial treatnt for active arterial damage is not vascular suturing, but tily hemostasis to save lives.
Although Lu Cheng only perford the simplest hemostasis technique, the skill points gained were comparable to a Level 3 Surgery, which wasn't a small gain!
Tian Zhiliang was ticulously recording the patient's general information and condition upon admission. The patient had already been taken to the operating room, and the specialist doctors had arrived.
After the consultation, the patient was automatically transferred to the respective specialist departnt, and the current task for the Ergency Departnt was rely to complete the basic dical record.
Lu Cheng watched quietly without offering additional suggestions.
After finishing writing the illness course, Tian Zhiliang turned and said, "Dr. Lu, in our hospital's Ergency Departnt, the two operations we emphasize are incision and hemostasis."
"These two procedures might seem unrelated, but in reality, they both aim to preserve the patient's life as much as possible."
"The topics of your operational exam will revolve around these too."
"I've finished docunting the course of the illness in this dical record. Since you are here for assessnt, write the admission conversation record and critical illness notice." Tian Zhiliang still assigned tasks to Lu Cheng.
Lu Cheng nodded, "Okay, Director Tian. Should I talk to the patient's family?"
Tian Zhiliang said, "There's no need for that, just print it out and hand it over to the ergency operating room later. The specialist doctors in the ergency operating room will handle the discussions and signatures with the patient's family."
"If the specialist doctors don't arrive in ti and the patient's condition is extrely critical, then we will need to talk to the patient's family."
As Tian Zhiliang spoke, a call ca from the duty doctor in the Ergency Surgery Clinic: "Director Tian, there's a case of tendon rupture here."
"There's bleeding, Director Tian, can you ask Liang Jianhong to help with a temporary dressing? I still have a few patients here."
Tian Zhiliang turned and called out, "Liang Jianhong, please go to the procedure room and give the patient a temporary dressing."
Liang Jianhong, responsible for the daily work of the observation ward patients, was quickly up, "Okay, Director Tian, I'm on it."
Tian Zhiliang went on to explain to Lu Cheng, "Xiao Lu, here, we generally have a Level 3 duty system. Both internal and surgical departnts have either a Senior Associate Chief or a seasoned Attending to work together with the Ergency Clinic and Ward Shifts."
Lu Cheng said, "Director Tian, then aren't you and Director Zhu on duty every day?"
The Ergency Surgery Departnt has three senior titles in total, Xiao Zhaoxi is the Chief Physician, while Tian Zhiliang and Zhu Yuanzhou are the other two Deputy Chief Physicians.
Tian Zhiliang said, "No, the secondary shifts for the senior associates are rotated among , Zhu Yuanzhou, Director Xiao, and Cao Gui."
"Of course, Director Xiao only takes one single shift every two weeks. Generally, it's us three who rotate."
Lu Cheng worked quickly, as Director Tian said, the two docunts, once the templates were set up and adjusted, were manageable.
State People's Hospital's Ergency Departnt has been in operation for many years, and the templates are very mature, not sothing Lu Cheng could easily find errors in for correction.
After checking that there were no issues with the two templates, Lu Cheng printed them out.
"Director Tian, after printing these, is there anything else?" Lu Cheng asked.
"Supplent the doctor's orders. I'll handle it; you wouldn't be familiar with our departnt's order sets, and it's too tedious to search for them." Tian Zhiliang had already completed the previous orders on another computer.
The main additions were routine orders like oxygen supplentation, blood pressure asurent, as well as debrident kits and billing for clinical ergencies like debrident and hemostasis.
After verifying the doctor's orders, Tian Zhiliang turned and asked, "Dr. Lu, at Long County People's Hospital, were you frequently involved in ergency rescue work like this?"
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