The road to the rise of great doctors

Chapter 103 Experienced
The "Safe Indwelling Needle Intravenous Infusion Operation Competition" that Zhao Lu participated in has a promotional slogan called "Sharp to the point" and "Golden Eyes", with the theme of precise insertion time and precise speed regulation.

As the name suggests, "hit the nail on the head" requires one puncture to be successful every time, and points will be deducted for repeated needle insertions.

"Fire Eyes and Golden Eyes" requires players to adjust the drip speed within 5 seconds after a successful puncture and report the number. The drip speed should not exceed 10%.

This competition is sponsored by the nursing department of the hospital, with 1-2 people from each department participating, aiming to improve the puncture skills of nursing staff and improve patient satisfaction.However, as this was the first competition, the competition was not conducted on patients. Instead, the nurses participating in the competition took part in the competition themselves with volunteers.

Liu Dong is the volunteer led by Zhao Lu. To be precise, he is a candidate for the position.

This kind of competition is very common in hospitals. The winner in the competition will be used as the basis for year-end evaluation. The loser will not be punished except for looking bad. At most, he will have to practice more in the future training.

After Liu Dong and Zhao Lu arrived at the skills training center, he waited aside while Zhao Lu went to the nursing department to sign in and draw lots to decide which group would demonstrate.

Liu Dong watched the volunteers lying on the bed one by one. He felt a little palpitated when he saw that some of the indwelling needles had failed punctures and there were local blood stains.Although I have a spirit of dedication and enthusiasm to help others, I feel a little uneasy when the critical moment comes.

Fortunately, he was in the second group, and he didn't need to go through the suffering of waiting again.

Under the guidance of Zhao Lu, he walked to the bed in the middle and lay on the bed with slippers as requested. "Well, a qualified model just needs to cooperate."

"Patient XXX, doctor's order XXX, verified, ready for infusion."

"The equipment required for infusion has been prepared and the patient has been informed of the precautions for infusion."

"Hello, I am your bed nurse Zhao Lu. I will leave you with a safety indwelling needle and then perform infusion. Please extend your right arm to facilitate my operation."

Liu Dong obediently cooperated with Zhao Lu's request. Well, she would describe it verbally and then perform the operation.

Although I feel a little nervous, I must do what the man promised no matter how difficult it is!

He closed his eyes and clenched and relaxed his hands as required.Then, I heard, "The puncture was successful and the blood has returned."

Then, I heard again, "Drip speed adjustment is successful, please check."

The teachers in the nursing department finished checking and scoring, and recorded the time spent, and then it was over.

Zhao Lu's mental state was a little tired, and she seemed to have consumed a lot of energy in just a few minutes, and she didn't seem to be the best performer, nor the worst, probably at the upper-middle level.

She took out an infusion patch from her pocket, put it on, held down the indwelling needle, pulled it out, and pasted the patch on.Liu Dong could get up, put on his shoes, and leave.

On the way back, Zhao Lu's mood had fully adjusted. "Dr. Liu, can I treat you to dinner tonight? If it weren't for your help, I don't know what I would have done?"

"Then you have to replenish me properly. I guess there won't be even a drop of blood, hahaha."

Listening to Liu Dong's previous words, Zhao Lu was still a little embarrassed.But when she heard what happened next, she felt like hitting someone. She thought to herself, "I heard that Dr. Liu is from the Department of Urology, and he is really good at making jokes!"

The two returned to the ward talking and laughing.

They had been gone for just over half an hour.

As soon as he returned to the ward, Liu Dong, who had "contributed to the department", was called over by the deputy chief physician of another group. "Director Wang, do you have anything to do with me?" Liu Dong asked with a natural expression.

The deputy chief physician is named Wang Tianjun, a veteran deputy chief physician, and co-leads a medical team with another chief physician. The two work together without interfering with each other. He mainly performs colorectal surgery, and sometimes also performs other operations. General surgery is performed at a very high level.

Liu Dong looked at Director Wang, not sure what he was looking for.After asking, he waited there.

Wang Tianjun smiled first, and then said, "Xiao Liu, I have a patient here. Let's see if you can help."

"You say."

"Well, this is a patient with an inguinal hernia. The increase in abdominal pressure may be related to it. Because he has difficulty urinating, he always has a bulging belly and increased abdominal pressure to urinate. This may be one of the causes of inguinal hernia. And this The patient, when thinking about surgery, can solve the problem once and for all and do a circumcision. Can you do that?"

"Director Wang, I can do it, but before doing the operation, I have to see the patient first."

"That's what it should be." After hearing this, Wang Tianjun felt that there was nothing wrong with what he said.

"There's one more thing," Liu Dong said quickly, seeing that Wang Tianjun was about to leave, "Circumcision, the operation is not difficult, and basically there is no problem, but I am still an intern, and the operation has to be performed by the teachers in our group." Under their guidance, I am not yet an independent magician."

"Well, this is no problem. As long as you can do it well, this is also an acquaintance, and from the perspective of the scope of surgery, we can also do this surgery, but we haven't done it for a long time. If you can do it, we will solve the problem for the patient together. , solve it all at once.”

"Ok."

After Liu Dong finished speaking, he turned and left, then went to the office to prepare the informed consent form for the operation, and then went to the bedside to check on the patient.

He walked to the bedside of the patient who was about to undergo surgery. He was a middle-aged man who worked as a freelancer. To be precise, he was a street vendor.

It has been many years, but I have been embarrassed to go to the hospital.This time, because the inguinal hernia affected my life, I suspended my business and came to the hospital for treatment.When talking about inguinal hernia surgery, I mustered up the courage to speak up about my request for circumcision.

At that time, Wang Tianjun did not agree directly, but said that he would help contact him later and then talk.

Liu Dong walked to the bed and said, "Hello, I'm Dr. Liu. I heard from Director Wang about the surgery you want to do. Let's pull the curtain beside the bed and I'll give you a physical examination."

After closing the curtain, Liu Dong asked the man to pull down his trousers slightly so that they could be exposed naturally.

Liu Dong took a closer look and realized the first goal. The diagnosis was basically clear and concealment was ruled out. The operation methods of the latter two were different from circumcision.A clear diagnosis must be made before surgery.

Then, he put on gloves and tried to open the bag to see if the inside could be exposed. The purpose was to see if it could be exposed in advance and remove the dirt hidden under the skin, so that when the incision healed after the operation, Infections can be avoided.

Unfortunately, no matter how many times I try, I can't get over it.It seems that it can only be done after anesthesia is administered.

After Liu Dong completed the examination, he introduced the surgical process and precautions in detail to the patient. He also emphasized that if there is a granulomatous mass after it is turned out, it needs to be sent to pathology. If the pathology result is malignant, he will have to face the problem. The risk of re-operation, and the reason for the operation is the occurrence of cancer after years of inflammatory stimulation.

Of course, a high risk does not mean a high probability, and a low probability does not mean a low risk.The patient made the right choice by choosing early treatment.

(End of this chapter)