I Can See Health

  Chapter 45 Study Guide Group

   Before Lu Chen got his medical license, he could not make a doctor's order alone.

   Only under the guidance of a superior physician, a doctor's order can be issued.

  Sun Guoguo has informed Lu Chen of all the medicines that this patient should take and the auxiliary examinations that need to be done.

  Dong Hao personally demonstrated to Lu Chen how to issue a doctor's order, including auxiliary examinations, routine nursing care, intravenous drugs, oral drugs, etc.

"Junior brother, we usually use the number of Senior Sister Sun Guoguo to issue a doctor's order." Dong Hao said, "Sister's doctor's order has a template, we can just click on the package doctor's order in the template, unless there are some special doctor's orders that we need to enter in person, such as some that require Anti-inflammatory drugs for skin testing."

   "Okay." Lu Chen nodded. This doctor's order system is very intelligent. Most of the medicines, tests, and examinations have been made into templates. The doctor only needs to check it.

   "Let's take the patient you just accepted as an example. Sister Guoguo asked to do a 24-hour dynamic electrocardiogram, cardiac ultrasound, blood routine, biochemistry, myocardial enzymes, etc."

   Dong Hao patiently told Lu Chen every step.

  …

  Lu Chen quickly finished all the doctor's orders and was preparing for Dong Hao's review.

   A nurse's roar sounded outside the doctor's office.

   "Who gave the doctor's order for 12 beds?!"

   "Who gave the doctor's order for 12 beds?!"

   "Who gave the doctor's order for 12 beds?!"

   Important things are said three times!

   Immediately afterwards, Liu Mei's head poked into the office.

   "If you say your doctor, don't let the interns make their own doctor's orders!"

   "Not only is it a waste of your time, but also our review time!"

   "Who gave the doctor's order for 12 beds, the doctor's order was wrong!"

   "Sister Liu, it's me..." Lu Chen touched his nose awkwardly.

"Ah? You?" Liu Mei saw Lu Chen, and immediately put away her serious expression and smiled, "Dr. Xiao Lu just entered the department today, hey, he won't prescribe a doctor's order, this is a normal thing, see more learn it."

   The "old people" in the department looked at Liu Mei with a smile on his face, as if he had seen a ghost.

  If the usual Liu Mei finds out that the intern and the regulation trainee have given the wrong doctor's order, it will be a scolding, even if you are a newcomer.

   But today she met Lu Chen, why did she suddenly become gentle?

   It's really weird and weird!

   "Xiao Dong, hurry up and teach more, don't stay there." Liu Mei turned to Dong Hao who was beside him.

   "Ah? Oh..." Dong Hao nodded, and immediately reviewed the doctor's order issued by Lu Chen and picked out the wrong part.

  Whether writing a medical record or giving a doctor’s order, it is a mechanical and repetitive activity without much gold content.

  Lu Chen is not very familiar with the doctor's order system of Jinghua Second Hospital, and some mistakes are hard to avoid.

   "Senior sister, what is the current consideration for the diagnosis of this patient?"

   After Lu Chen issued the doctor's order, he began to complete the medical record and write the first medical course record.

   The initial diagnosis needs to be entered in the first disease course record.

   "Just write the cause of the arrhythmia to be investigated." Sun Guoguo said.

   "Okay." Lu Chen nodded.

   "I saw your analysis of Director Lin's ECG this morning and it's pretty good, so what do you think of the 12 patients just admitted, combined with the symptoms and the ECG, what's your preliminary diagnosis?" Sun Guoguo said.

   Got the electrocardiogram that was just admitted to the hospital, and Lu Chen checked it again.

   "This ST segment is lowered diagonally. I seem to have seen it before." Lu Chen frowned, "But I can't remember it for a while."

  Lu Chen is sure that he must have encountered similar patients, but this kind of electrocardiogram is not common, and he forgot after seeing it.

   "Then you have to take a good look." Sun Guoguo smiled, "This patient's electrocardiogram is very typical! I won't tell you the conclusion of the electrocardiogram first. You can go back and think about it for yourself, and tell me the results tomorrow."

   "Okay." Lu Chen nodded, it seemed that he had to read more books on electrocardiograms when he went back.

  …

   When Lu Chen wrote his first medical record, it was already 11:30 noon.

   After get off work, it is time for lunch.

   Jinghua Second Hospital has three canteens, two staff canteens and one patient canteen.

   Came to the staff canteen.

   Zhou Wei has already taken a place for Lu Chen.

   "Chen'er, the food in this cafeteria is really expensive! It's all about stealing money!"

   "I just ordered two meat dishes and two vegetarian dishes, and it cost 25 yuan. The hospital pays 600 yuan a month, so I can't afford it!"

  Lu Chen still played two meat and two vegetables, and paid 25 yuan.

   "Because this cafeteria is not for us, it's for the staff." Lu Chen smiled, "They pay for meals every month, so they don't need to be here, nor are they available elsewhere."

   "Hey, it looks like I'll have to eat out from now on." Zhou Wei shook his head and said, "It's because I earned extra money this month, or I really can't afford it."

   "Huh? You still do part-time jobs to earn extra money?" Lu Chen asked in surprise.

   There are not many part-time medical students.

   "Yes." Zhou Wei smiled, "I know a lucrative job, I earned 800 yuan last month!"

   "You really have time, isn't it some kind of tutor?" Lu Chen frowned.

   "No." Zhou Wei said in surprise, "I invited you to a group this morning, right there, don't you know?"

   "WeChat group?" Lu Chen looked puzzled, "Isn't that a study guide group?"

   "Hehe." Zhou Wei smiled slyly, "On the surface, it's a study guide group, but you can see that there are only people in the group asking for guidance on a certain subject, but no one responds."

   "Yeah. I felt weird just now."

   "Because this is a WeChat group for buying and selling night shifts! The Cardiology Department is asking for guidance, that is, the Cardiology Department has night shifts and wants to sell it!"

   "Buying and selling night shifts?"

  Lu Chen looked surprised.

   Zhou Wei nodded, "You should know that we will be assigned night shifts by the hospital every month from now on."

"Um."

  Lu Chen also learned from his roommate yesterday that the hospital will arrange night shifts for all postgraduates and graduate students.

  In which department the rotation goes, the night shift of which department is arranged.

   "Some classmates are temporarily busy, or the senior brothers and sisters of the third grade are busy with thesis writing, so they will sell the night shift."

   "And those students who are short of money and want to make money will buy night shifts."

  Lu Chen frowned and said, "Does the hospital care?"

"Hey, because the hospital can't handle it." Zhou Weidao, "The night shift is made up of two people, one is a senior doctor, the other is a graduate student, and the senior doctor will be in the department. Writing the course of the disease, doing the examination, and giving the doctor's order, anyone can do it. We work night shifts, just follow the instructions of the superior doctor, and do it mechanically, there is not much gold content! "

  The hospital will not allow postgraduates and regular trainees to work night shifts alone, and there will be senior doctors on every night shift.

   "Didn't you just enter the department? Can you buy night shifts?" Lu Chen looked at Zhou Wei with a smile on his face.

   "Yes!" Zhou Wei smiled, "Only if you can write the course of the disease, if you can make a doctor's order, you can buy night shifts!"

   (end of this chapter)