Chapter 305

The official doctor career began. Zhang Fan didn't put down his study. When he had time, he read books with Shaohua, kept practicing oral English, reciting words and taking a walk. Shao Hua and the two old men took care of all the trivial things at home and absolutely didn't let the small things at home interfere with Zhang Fan. Even the old couple quarreled a lot less on weekdays.

Every week, if Zhang Fan is not busy, he will call his parents and Jing Shu together with Shaohua. If Zhang Fan doesn't have time, Shaohua will call to greet him regularly. The days passed slowly, flat and light, like chicken soup for nourishing the stomach. It tasted light but nutritious, and there was happiness in the bowl.

It's Zhang Fan's turn to collect the patient. The emergency department sent two patients the day before yesterday. Although Zhang Fan didn't receive the patient, it was someone else's emergency department who specifically called Zhang Fan, and other doctors didn't say anything. One is a non open clavicle fracture, the other is also a non open ankle fracture. It was dehydrated and detumescence for one day. After improving the surgical examination, the operation was scheduled today.

Today is Zhang Fan's 24-hour duty. He must wait for members of a group in the Department to go through discharge and admission. Because patients come to the clinic at any time“ Ya Nan, brother Xue, which of you is staying in the Department? "

"Me!" Xue FEIBA had to go to surgery. It was estimated that the day he received the patient's surgery was one day. After this day, his legs were not his own.

"OK, I'll take Asian man to surgery. Dr. Li, do you want to have an operation or write a medical record in the Department? " Zhang Fan said to the transferred female doctor that this group is customized for Zhang Fan, the main treatment of fishing, and the female man is a resident.

"Mr. Zhang, I'd better write a medical record." The female doctor hesitated and said that she was not as tall as Wang Yanan and her body was very weak, so she didn't plan to do surgery. Zhang Fan originally set a score of 73 points for surgery and medical records. The result was a little high. Lao Xue and Wang Yanan felt inappropriate. Finally, 31 medical records were set. The medical records of discharge and admission have kept the little girl busy.

"Well, you write a medical record in the Department. This is my meal card. You can swipe my card directly if you want to eat at noon." Zhang Fan handed his meal card to Xiao Li.

"I have a card, Miss Zhang. I don't need it." The little girl is a little embarrassed.

"Yours is yours. You follow us on duty and work for us. We should manage food. You're welcome." Zhang Fan gives the card to Wang Yanan, who inserts the card into the pocket of the girl's white coat“ You're welcome what? Take it! You don't have a bonus. Save a little. " Wang Yanan said.

"Thank you!" Xiao Li blushed and said.

"All right! Go to surgery. " Zhang Fan is about to enter the operating room. The two new graduate students have also inquired about Zhang Fan recently, but people are like this. They don't believe it if they haven't heard of it. Xu Xian and they also have an operation. Xu Xian has decided to see Zhang Fan's operation after the operation.

In spring, snow and ice melt and spring returns. The State supports the border areas, and many large-scale projects have also started. In the early years, most orthopedic patients were injured by falling, especially after the elderly accidentally fell, resulting in fractures. However, in recent years, although there are many elderly falling injuries, they have dropped to the third position.

The first cause of fracture is car accident, all kinds of car accidents. The second is that the engineering team inadvertently caused fractures. Especially in urban traffic accidents, although the speed is not fast, it's really hard to hit. It's easy. A comminuted fracture can't run away.

The three orthopaedics departments have their own special operating rooms, but anesthesiologists and surgical nurses are not fixed. However, the head nurse in the operating room treated Zhang Fan differently, so she matched the table quickly.

"Oh, Zhang Fan, finally came out of the internal medicine department. Why don't you invite the eldest sister to dinner? " When the head nurse saw Zhang Fan change his clothes and enter the operating room, she greeted Zhang Fan from a distance.

"Hello, head nurse, isn't there many operations? I'm thinking about inviting the sisters in our department to have dinner at the weekend." Zhang Fan smiled before speaking. Although he was wearing a mask, his funny narrow eyes made the head nurse feel comfortable looking at it.

"Why, who do you like in our department? You tell the elder sister quietly and will definitely help you win it." Said this, the head nurse deliberately posted it. It's not far or near. It looks like it's pasted. In fact, it's a little short. But the aroma of the head nurse, the white neck and the collar of the hand washing clothes are peach heart. It can be seen vaguely between the looseness and collapse, as if it were black!

"Oh, no, I have a girlfriend!" Zhang Fan stepped back imperceptibly. Really, he can't stand it! For such a young woman with high EQ, Zhang Fan had to retreat, otherwise, the head nurse would die of laughter!

"I'm not married again, and I can divorce if I get married. Really, the little girl in our department, that talent is not good. Pick more while I'm not married, or you'll regret it."

"Zhang Fan!" Wang Yanan came out of the women's doctor's dressing room and went to their special operating room. As a result, Zhang Fan hasn't come yet. When he opened the sensing door, Zhang Fan gossiped with the head nurse, so he looked into his head and shouted. This saved Zhang Fan.

"Head nurse, I went to surgery." Zhang Fan is close to the wall and ready to go.

"Hehe, go ahead. Your little apprentice is jealous!" Before leaving, the head nurse said like a cat!

"Ha ha!" Zhang Fan didn't dare to pick up.

After entering the operating room, Wang Yanan stared at Zhang Fan and said, "don't mix with her, or I'll definitely Sue Shaohua."

"What and what, wash your hands and disinfect quickly." Zhang Fan doesn't care at all. How to say this? The little girl doesn't understand, but Zhang Fan knows very well that the head nurse of others is absolutely meaningless. It's an alternative way to get along with each other.

"Hum! You think she's just enthusiastic about you. She's like this to doctors who are a little more powerful. I've seen it several times. " Wang Yanan said quietly, because the anesthesiologist and nurse have been in place. Wang Yanan has really improved now. If he had said it out loud before.

"Pull it, go and wash your hands, or I'll go." Zhang fan can't explain to her that the girl's realm can't be reached. Although she is one year younger than Zhang Fan, Zhang Fan is definitely nearly 40 years old!

Wash hands, disinfect, lay sheets and cover holes with towels. When you enter the operating room, you pay attention to almost everything and have rules. Don't speak loudly. First, I'm afraid to interfere with others. Second, the louder the sound, the easier the droplets in the mouth will run out and pollute the operation area.

When washing hands, you must wash your elbows. After washing, you should keep your hands and arms flat and in the air. You must ensure a sterile posture. Moreover, the requirements for the doctor's hand are also high. You can't wear your ring or watch. If there is a break, you can't have a good operation!

The laying sheet is generally three layers. The thickness of the three layers of cloth sheet is estimated to be four centimeters. The three layers of special thick cloth sheet directly covers the human body from head to foot. On the operating table, only the area to be operated is leaked, and it can't be seen in other places.

The operation began with the first clavicle fracture. Simple, too simple. Now Zhang Fan, this kind of operation is not difficult for him directly, but even if it is not difficult, Zhang Fan is also very cautious. He should treat it equally regardless of the size of the operation. Otherwise, something will happen sooner or later.

Wang Yanan wanted to do it, but as soon as he saw how broken it was, he didn't ask to be the master knife again“ Here, you touch it. The clavicle has an arc, and look at the broken part. This is the thinnest part of the clavicle. You must straighten the steel plate when you put it on. Otherwise, the steel plate is not suitable. After the patient is discharged from the hospital for a few months, either the steel plate is broken or there is bone nonunion. "

Zhang Fan kept talking to Wang Yanan while doing it. First, Wang Yanan is very dedicated. As a teacher, he will like this kind of doctor and forget her gender. Second, thanks to this girl, Zhang Fan and Shao Hua can go so smoothly. At the beginning, Zhang Fan said that she must help her get a foothold in orthopedics. Third, the girl has actually treated Zhang Fan as a master. This is one drink and one peck. Wang Yanan is kind to Zhang Fan!

More than half an hour, even the anesthesia belt woke up, and the first operation was over.

Itinerant nurses and surgical nurses hurried to pack up their instruments and all kinds of cloth sheets still on the ground. Then put all these in the cleaning channel. There are cleaners who specially pick up the items after the operation. They are waiting in the cleaning channel. Take the blood stained cloth sheet out of the cleaning channel.

Ten minutes later, the anesthesiologist said, "wash your hands!" Wang Yanan continued to wash his hands and disinfect.

Outpatient service, patients constantly, three car accidents came one after another, all of which were open fractures. The injured worker on the construction site had a foot fracture, which was also an open fracture. When he was about to get off work, another open fracture came.

This operation, what is open and what is non open, is actually simple. Open means that there is a wound and bone leakage. This kind of trauma must be operated as soon as possible. The more delayed it leads to osteomyelitis, the greater the chance of infection.

Non open surgery generally requires surgery after detumescence. If the swelling is severe, after the operation, the doctor will be stupid and the skin will not be sutured together! Especially in places with thin skin, we must wait for detumescence before we can do it. This is also why some people do not operate on fractures until they are hospitalized for three or four days or even a week. This is not that the doctor wants to wait for you to receive a red envelope, but that they can't do it at this time!

Two operations, three operations and four operations, Wang Yanan couldn't hold on. For a whole day, the girl really can't carry it. Her back is sore and her legs ache. After the fourth operation, Wang Yanan's waist was a little bent. But the patients kept, the emergency department had called, and a patient for femoral fracture surgery was sent up immediately.

"Go down and go, Xue Fei shouted." Zhang Fan said.

"It's all right. I can insist." If Zhang fan can insist, she thinks she can also insist.

"Be obedient, the operation is not practiced in a day. Go! "

"But why don't you go down."

"I'm a year older than you. Go and be obedient. " Zhang Fan certainly won't say I'm a man, otherwise the girl might not go down.

"Well, I'm down."

In the Department, it's off duty“ Why don't you go? " Xue Fei ate a lunch box, looked at his mobile phone and said to Xu Xian who had not left from work.

"Well, I'm not in a hurry. I haven't finished writing the medical record." When Xu Xian had the operation, Zhang Fan and they also had the operation, and Xu Xian wanted to give the doctor's advice and explain his condition, so he didn't see Zhang Fan's operation, but he was unwilling, and there were many patients in the operation today. He was waiting for Zhang Fan to ask for help, and then prepared to go up and compete with Zhang Fan.

This is the common problem of Xueba. It doesn't obey people. That's right. If you want to make progress, you must have an attitude and spirit of disobedience. The nurse of the first Department of orthopedics doesn't look like getting off work at this time. There are many patients, the nurses on the day shift are still working overtime, and the nurses on the night shift have come to take over.

The head nurse didn't go either. There were too many new patients in the hospital. She had to stare at them for a while, or something might happen“ There's no more liquid in the eighth bed. The bell rings! " Miao Juan stood at the nurse's station and shouted to the nurses, "head nurse, there are two groups of beds. This group is antibiotics. You can change it for me. I'm too busy."

"You little hoof knows to direct me!" Although his mouth nagged, he didn't slow down to help change the dressing under his feet.

"Oh! I said, "Xue Fei, you Zhang Fan is really a cat for fortune. He has so many patients on duty." After changing the medicine, the head nurse saw Xue Fei eating happily and looking at his mobile phone. Just at the door of the office.

"Have you eaten? Come and eat together."

"I'm not sincere until I'm left. We're so busy that the nurses haven't eaten. Go buy a KFC."

When Xue Fei was ready to make excuses, Wang Yanan dragged his lead filled leg into the Department“ You go to the operating room. There's another one with a broken femur. "

"Hi! What a day! " Xue Fei said something and got up to go to the operating room. It would be shameless if he didn't go to the operating room at this time. Xiao Li, who was transferred to another department, was painful and happy.

When other departments transfer to other departments, how can they pay for writing medical records? This is work. But when she came to the first Department of orthopedics, she didn't say to pay for the meal, but there were too many medical records. She didn't get up much from morning to night. But I'm glad to think that I've made more than 100 yuan today.

Xu Xian looked at Wang Yanan and said nothing“ Five operations, even if you are as strong as a cow, you can't stand it! "

Rush hour, car accident. The ambulance whined and pulled two more broken bones. It's almost eleven in the evening. Zhang Fan still has another operation. Xu Xian has been waiting. As a result, Wang Yanan ate some rice, slept for a while, and went to the operating room. Just didn't wait for Zhang Fan to come down.

Xu Xian looked at her watch and it was almost one o'clock in the morning. From nine in the morning until now. Zhang Fan has been undergoing surgery, and Xu Xian's face is blue. Regardless of the level of surgery, physically, he is no longer Zhang Fan's opponent. Surgery, especially orthopedics, is semi manual work!

Xiao Li, who writes the medical record, has no happiness at this time, leaving only pain!