Doctor Song, are you married?

Chapter 16 16. Can't even wash your hands?
"Nowadays, I really have a bit of luck. I can become famous even with a catheterization." Seeing Song Qi follow Xu Liming into the expert clinic, Jiang Han said sourly.

"You know how? Every time you have to do a urine catheter, it's like killing you. Also, you didn't pass the aseptic operation test last month. The nursing department said that if you don't pass the make-up test, your surgical authority will be suspended." Yuqing said bluntly.

Yuqing is in charge of the management of nosocomial infection in the entire emergency department. Any doctor who does not wash his hands thoroughly, does not disinfect properly, and even has blood stains on his white coat is under her control. Although these things may be trivial, she has the right to veto. She has the right to suspend the operation if it is mild, or stop the prescription if it is serious. This is another reason why most doctors are afraid of Yuqing.

"Surgical privileges are still suspended, I seem to have some surgical privileges."

"Then you don't want to enter the debridement room, I'll tell the director right now." Yuqing was also unambiguous, and turned to find the director.

What a joke, in the emergency department, the right to operate is debridement and suture.

Jiang Han hurriedly pulled her back, "My sister Yuqing, I was just joking with you. I'm going to prepare for it and try to pass the one-time make-up exam. You mustn't suspend my operation authority. You don't know that when you go on a blind date now, those little girls come up and ask you if you will have a heart transplant.

"If you want to touch the scalpel, wash your hands well. You have to take a make-up exam for the seven-step hand washing method. Are you addicted to the make-up exam?" Yu Qing ruthlessly stabbed Jiang Han's little heart that was already full of trauma.

"What's so nostalgic about a debridement room?" Cai Zhiya rolled her eyes when Yuqing walked away.

"You don't understand, this is the last dignity of a male emergency doctor," Jiang Han said, and began to wash his hands seriously with the tutorial of the seven-step hand washing method.

"It's so funny to be dignified." Cai Zhiya sneered and returned to the viewing area.

Here, there are not many patients in the director's specialist clinic, probably because the specialist clinic has been idle for too long.

First, a hypertensive patient came. The patient's condition was relatively stable, but he had run out of medicines. Xu Liming asked Song Qi to measure his blood pressure, told him some precautions, and prescribed a box of nifedipine.

Later, there was another patient with urticaria who was prescribed Piyanping and let him go away.

During the period, there were still a few people who hadn't registered and simply came to ask a few questions, Xu Liming didn't refuse, and asked Song Qi to give them science education one by one.

Song Qi sat across from Xu Liming, besides helping him write medical records and prescribing medicines, he also had to answer some unexpected questions from time to time.

For example, "What diagnosis should be considered for female patients with abdominal pain?" "How to deal with children with febrile convulsions?" "Precautions for defibrillation" and other common clinical questions.

Song Qi answered accurately one by one, which can be called textbook level.

Xu Liming's mood finally slowly improved. Seeing Song Qi, he saw the hope of the department.

But it's not a problem if patients don't come all the time.
"Let's go to the debridement room and have a look."

Thinking of Song Qi's debridement and sutures, Xu Liming decided to take him there to see if he could find some work.

Follow the director, don't let the students starve to death.
Under normal circumstances, the emergency department of the hospital is divided into rescue area, observation area and running water area. Basically, during the day shift, a senior doctor is assigned to the rescue area to lead 1-2 junior doctors, the observation area is equipped with a senior doctor, and the flow area is staffed with 2-3 doctors.

In Grade A hospitals like Chinese and Western medicine in the district, two or three doctors are usually arranged in the rescue area, and the observation area is also managed by the way, and 1-2 doctors are arranged in the flow area for consultation every day.

Doctors of Xu Liming's level are basically in the flow area when they go to outpatient clinics. They are relatively stable, with an eight-hour work schedule, and they get off work at a certain time, which is similar to ordinary outpatient clinics.

Today the rescue area is Wu Qiming and Jiang Han, and Cai Zhiya is in the observation area.

Wu Qiming sat in the consulting room and dozed off. Today he is the second line, and Jiang Han is on the front line, so he is more relaxed.

The debridement room was crowded with people, which is a bit unusual.

Seeing this situation, Song Qi was a little excited, it always makes people feel that they are not very good at martial arts, but it is different when they come to help
"What's the situation?" Xu Liming pushed aside the crowd, opened the door of the debridement room and walked in.

A young man sat on a chair in the debridement room. His arm seemed to be injured, and there was some blood on his sleeve.

Jiang Han is washing his hands
Yuqing counted with her hands behind her back: "Bows inside and outside, big wrists, just seven words, why can't you remember them?"
A seven-step hand washing method, which has been washed three times and has not passed.

"Director, Jiang Han can't wash his hands. The purpose of debridement is to reduce infection. How can we reduce infection if we don't wash our hands well?"

Yuqing is quite serious, of course, what she said is also reasonable.

Xu Liming sighed, "Jiang Han, you've been in the emergency room for six years, you can't even wash your hands, what are you doing?"

"Director, I have absolutely no problem with debridement and sutures, but this one washes hands," Jiang Han said with a look of lovelessness.

"Doctor, can you hurry up, if I don't sew it up, my wound will heal." The patient waiting on the side also looked hopeless.

"Director, I..." Jiang Han felt like crying.

"Song Qi, go and wash your hands." Xu Liming glanced at Jiang Han and knew that this guy was too muddy to support the wall. In order not to keep the patient waiting too long, he could only let Song Qi go on it first.

Song Qi had no choice but to refuse, and he didn't want to, so he went to wash his hands.

There are seven words and seven steps of "folding the bow inside and outside, and erecting the wrist", and each step is done quite well.

"It's well washed!" Yuqing smiled openly, the way she looked at Jiang Han was completely different.

Jiang Han's heart hurts again!
The patient's arm was injured while riding a bicycle. The wound was not large, but the contamination of the wound surface was serious. A simple intermittent suture method should be able to solve the problem.

At this time, Song Qi suddenly understood what Director Xu said, the simple interrupted suture method is what we use most in the emergency department.

The emergency department of traditional Chinese and Western medicine in the district basically treats skin trauma, and the most suitable suture method for skin trauma is simple interrupted suture method.

It seems that the system also took the actual situation into consideration when distributing rewards.

Song Qi first washed the wound three times with hydrogen peroxide, and then thoroughly disinfected it with iodophor.

During the process, Yuqing did not forget to comment on the side: "Jiang Han, disinfection must be thorough. You can see that Song Qi's operation is very standardized. From the inside to the outside, first disinfect the clean part and then the polluted part."

"Give you anesthesia." Song Qi said, picked up the syringe, and applied local infiltration anesthesia around the wound.

"Jiang Han, look, Song Qi's anesthesia is also good, this position is better, one centimeter above the skin." Xu Liming also took the opportunity to teach.

Jiang Han's heart was bleeding, but he had to pretend to be strong.

After the anesthesia was given, Song Qi spread the surgical drapes and began to sew.

(End of this chapter)