Chapter 1219 [1219] The teacher is going to test her
The door of the consultation room slamd open, and the nurse stuck her head in and asked the doctor directly: "Doctor Xin, 120 called a car, internal dicine patient, do you want to go or Dr. Dong?"
"I have a more urgent patient here, you can ask Dr. Dong if you can spare so ti." Xin Yanjun replied.
bang, the nurse closed the door and left, no need to respond. This is an ergency, and I am afraid that I will waste ti if I say more than half a word.
This little episode made the patient and the patient's family who watched it a little dumbfounded, and they didn't have ti to hear what happened and the family had left.
Only the dical staff who have been in the ergency departnt know that ergency can only be described in four words: like purgatory.
After the patient lay down on the examination table, he no longer had to sit and bend over and was in pain. Maybe he felt more at ease after seeing the doctor co to see him.
"Which subject do you think he should be admitted into?" Xin Yanjun whispered to the students around him.
It was obvious that Teacher Xin wanted to test her.
Here is a common problem in ergency departnt. Like abdominal pain is the most difficult clinical symptoms to identify. So diseases can be seen in internal dicine and surgery. For example, upper gastrointestinal bleeding, mild cases can be solved by internal dicine, and severe cases can be treated by surgery. In special cases, it may be necessary to go to the ICU to stabilize the condition before surgery.
The triage nurses cannot imdiately tell whether the patient should go to surgery or internal dicine. As long as there is no hematesis, and there are no other ergencies that seem particularly terrifying at first glance, a dical examination will be arranged first. The physician will check again, and then make a judgnt as to whether to stay in the dical treatnt or to go to the surgery.
How each doctor judges will be based on his own knowledge and dical experience. Therefore, although there are dical guidelines as guidance for doctors' judgnt standards, they will vary from person to person. Especially in the case of so diseases with vague dical and surgical treatnt boundaries, where both dical and surgical treatnts can be cured, the individual differences of doctors' choices will beco more and more obvious.
This difference may be due to the doctor's personal habitual thinking about certain diseases, or it may be combined with the patient's non-disease consideration. If a patient wants to undergo surgery, surgery is the first choice. So patients want to try conservative treatnt first, and doctors respect their choice and let them go to internal dicine.
If the patient and himself have no opinion, both internal dicine and surgery are fine, then there may be another factor to make the decision. Each departnt sends people to work on ergency shifts. Except for the tasks designated by the hospital, the departnts have their own plans.
Don't look at the night shift doctor in the ward. It seems that he hates receiving ergency patients. As long as the director of the departnt talks about the issue of departnt bonuses, they can only silently keep silent. No one has trouble with money, like doctors. No patient equals no benefit.
Basically, a departnt that competes fiercely with other departnts will definitely explain to the doctor in the ergency departnt under its own departnt: overcharge patients.
The outpatient departnt can accept patients, and the ergency departnt is also a source of patients. If you don’t accept it, all other departnts will be accepted. Over ti, you will have fewer patients, less money, and fewer opportunities to practice skills. When the hospital leaders see that indicator, they will be unhappy that you actually like to reject ergency patients.
Of course, doctors will not conscientiously send diseases that are not treated by their own departnts to the wards of their own departnts for treatnt. That is purely asking for trouble.
The patient in front of had pain under the xiphoid process of the upper abdon and complained of brown vomit. Upper gastrointestinal bleeding was initially suspected. It is definitely not a patient that can be admitted to the respiratory departnt.
Thank you for your support! ! ! Good night dears~
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