"Who is in charge of the emergency department's operating room?" Zhong Hui asked coldly.
"I am!"
Dr. Xu responded calmly.
"Give us all the surgical records, case histories, and medical records from the emergency operating room in the past month. Our quality control department needs to conduct a comprehensive investigation of the surgeon, nurse, and attending doctor involved in yesterday's operation."
The purpose of the Medical Quality Control Department is very clear, which is to target the medical accident that happened yesterday.
Seems ready to dig deep.
This was also the first time that Zhou Can deeply felt the serious consequences of medical accidents.
Surgical records are generally recorded and kept by nurses.
Liu Xia was the head nurse of the operating room. After receiving the notification, she rushed over in time.
Then take out the relevant records and submit them to the quality control team for review.
Since Zhou Can, Dr. Xu, and the nurse on duty yesterday were all under investigation, they could only call Dr. Fu over to take over temporarily.
Otherwise, the emergency operating room would not be able to function.
…
In a small office, Dr. Xu was called in for questioning and then came out.
"Zhou Can, come in!"
The young woman from the quality control department did not give Dr. Xu and Zhou Can any chance to communicate.
It must be to prevent collusion between the two.
Zhou Can walked in and saw Zhong Hui, the team leader of the quality control department, sitting there with a serious face.
The woman from the quality control department closed the door and walked to the computer next to Zhong Hui and sat down. She acted as a recorder.
There was a camera pointed at Zhou Can.
I felt that the atmosphere of this interrogation was particularly serious.
"Zhou Can, when did you become a resident doctor?"
“May 7th this year.”
“When will I enter the emergency department operating room for standardized training?”
“May 7 this year.”
On the day he passed the training, he was assigned to the emergency department. He then followed Dr. Xu to perform surgeries in the operating room.
Originally, he wanted to apply for general surgery as his training area.
However, being able to enter Tuya Hospital as a general practitioner is definitely much better than being directly trained in general surgery. Both the value and actual status are much higher.
The development prospects will also be greater.
"When did you start participating in the operation?"
"May 7th."
“When did you start participating in secondary surgery?”
"I don't really remember that. It should have been half a month after I entered the operating room."
“When will you start conducting level one surgeries independently?”
"Never. I have always performed surgeries under the guidance of senior doctors."
Zhou Can is not stupid, how could he admit such a thing?
He still understands the basic surgical access rules.
"Zhou Can, you are being seriously questioned by the organization now, and you must answer honestly. If you deliberately conceal the truth, the hospital has the power to impose a series of penalties on you. These include being expelled from regular training, being included in the industry blacklist, and having negative comments recorded in the personnel file, etc."
Zhong Hui's voice was steady and powerful, and his threatening words were like mountains pressing down on him.
The psychological pressure Zhou Can endured was beyond imagination.
But he finally withstood this invisible pressure, his face became calm, and his eyes regained clarity.
"Every word I said was true, without any deception."
He replied calmly.
"We have learned through investigation that you have independently presided over a large number of level one operations, even level two operations. Do you still want to quibble?" Zhong Hui's tone became heavier and his expression became more severe.
Zhou Can's heart sank.
You can keep your mouth shut, but others may not be able to do the same.
Nurses and other doctors may become breakthrough points and reveal the truth.
Zhong Hui's eyes were fixed on him, and the invisible pressure made him feel breathless.
"It's done, just admit it. Now it's just an internal matter within our hospital, so there's no need to worry too much." The young female staff member echoed from the side.
The two of them sang the same tune, trying every way to break down Zhou Can's inner defenses.
It would have been better if she didn't say anything. After she said that, Zhou Can immediately realized that these two people were trying to trick him.
If they really had solid evidence, would they have gone to such great lengths to induce people?
"I have indeed never performed any surgery alone. All surgeries were performed under the guidance of Dr. Xu. If you don't believe me, you can investigate at will."
Zhou Can's tone and attitude became firm.
There was a flash of disappointment in Zhong Hui's eyes.
But he still refused to give in.
"We were standing outside the operating room and saw you removing the patient's appendix with our own eyes. It was all filmed at the time. Are you still trying to make excuses?"
This is the final pressure.
"Didn't you guys take pictures of my senior doctor standing nearby?"
Zhou Can curled his lips and thought to himself that it was a close call.
Fortunately, I didn’t admit it when facing the interrogation of the two people just now.
Rules are dead, people are alive.
There is a lot of room for maneuver regarding some authority issues in the operating room.
As long as he doesn't admit it, no one can do anything to him.
"Watch your words and just answer our questions directly!"
The young female officer scolded with a cold face.
Next, the two men asked Zhou Can a series of questions, and Zhou Can responded carefully.
"Okay, you can go back to work! We'll contact you if we need you later. Thank you for your cooperation."
She stood up to see the guest off.
Zhou Can was asked to leave the small office. The questioning was not over yet, and Dr. Lu was still waiting outside.
All the doctors involved will be investigated.
When Dr. Lu saw Zhou Can coming out, he stood up and asked, "Are you okay?" He was very smart and this was the result of his probing questions .
"fine."
Zhou Can blinked.
"No communication is allowed until the investigation is completed. Doctor Lu, it's your turn! Please come in!"
The female officer from the Quality Control Department immediately stopped the two from talking.
The two exchanged glances and smiled.
This situation made the female clerk next to her very angry.
His face was so cold that ice chips seemed to be falling off.
Dr. Lu walked quickly into the office, with his hands behind his back, and made an OK gesture to Zhou Can.
What it means is don't worry, he knows how to answer.
Zhou Can almost burst out laughing.
Everyone has shortcomings and strengths. Dr. Lu has many shortcomings, but when faced with such a major event, he was very clear about them.
Although the emergency department's medical team is a little lacking in medical skills and the department's hardware and software facilities are also shabby, they are extremely united when facing the outside world.
Last time in the emergency room, the directors acted like this.
Now, the same is true for these grassroots doctors.
…
Zhou Can returned to the operating room and Dr. Xu continued the operation calmly.
Seeing Zhou Can coming back, Dr. Xu gave him a questioning look.
"Good!"
Zhou Can only said two words.
Doctor Xu must still be a little worried. Now that he knows that Zhou Can is not sick, he is obviously relieved.
The biggest worry is that Zhou Can will make mistakes during the investigation.
After all, Zhou Can is the youngest and has no experience in dealing with this kind of situation.
"Hurry up and do the surgery! Try to finish treating all the patients who are trapped outside as soon as possible. I guess there will be some work later."
Doctor Xu said to him.
"OK!"
Zhou Can walked towards the auxiliary operating table inside, and Qiao Yu followed.
He whispered, "Are you okay?"
"If something happens, it's impossible to go back to the operating room."
Zhou Can looked relaxed.
"Hey, thank you for speaking up for me yesterday. If Tian Tian hadn't sent me a private message scolding me, I wouldn't have known you were helping me with this."
When she looked at Zhou Can, her eyes were watery.
Is this the feeling of being moved to tears? Or is it the feeling of being moved?
Zhou Can put so much effort into helping her but didn't tell her.
This kind of secret help, without expecting anything in return, touched her deeply.
"I just said a few true words, there's nothing to thank you for. But Tian Tian, ​​that woman, she made her own mistake, how dare she have the nerve to scold you?" Zhou Can rarely dislikes someone particularly.
I used to think Dr. Lu was unlikable.
But compared with Tian Tian, ​​Dr. Lu is considered a "good person".
"Let's do the surgery first. I'll tell you when I have a chance."
The fact that she avoided the question showed that what Tian Tian said must have been particularly harsh.
…
I was busy until after five in the afternoon and finally finished processing all the patients waiting in line for surgery.
When it was time for the shift change, Dr. Cui, who seldom worked the night shift, came to take over.
The rhythm of the entire emergency department operating room was disrupted.
"Xiao Zhou, Doctor Lu, don't leave after get off work. Go to the emergency department's office." Doctor Xu instructed the two.
Dr. Cui should have learned what happened in the emergency department from some channels.
With a little concern, he said, "That Tian Tian is really something. She has implicated the entire emergency department. I heard that people from the quality control department have come. Is everything alright?"
"If Xiao Zhou's answer is flawless, nothing will happen. Otherwise, I don't know if I can go to work tomorrow. If I can't come, you young people should work harder and try to take over."
Dr. Xu is already under suspicion of crime. If anything happens again, the hospital will definitely deal with it seriously.
"Teacher, you don't believe me!" Zhou Can smiled bitterly.
"No, no, no, I trust you very much. It's just that you are still very young, and you lack experience when facing the questions from the medical department, so it's easy to make mistakes. Even if something really happened, I don't blame you. With my surgical skills, I can live a comfortable life in any hospital. I stayed in Tuya all these years, firstly because I was unwilling to give up, and I fantasized about getting up again one day. Secondly, I was trained by Tuya, and some hospital leaders are very good to me. I want to use my own strength to help Tuya Hospital improve the surgical capabilities and rescue level of the emergency department."
Doctor Xu would never say these things in front of so many people.
If he didn't say it now, he was worried that he would never have the chance to say it again in the future.
"Alas! Unfortunately, my ability is limited after all. Although the emergency department's operating room has been improved, it is far from being expanded. Originally, if Xiao Zhou had no accidents, it would only take three years at most. Once the regular training is completed, the emergency department's operating room will have an additional high-level surgeon."
Dr. Xu speaks very highly of Zhou Can.
Even more high hopes.
"You have been the biggest contributor to my growth from a surgical rookie who couldn't even suture skin properly to where I am now. I believe that both you and Dr. Zhou will be fine. This matter was originally the responsibility of the surgical nurse Tian Tian, ​​and the hospital leaders will definitely be able to tell the difference."
Dr. Cui said with some emotion.
People are most likely to reveal their true feelings when they are parting.
The words hidden in my heart, I am worried that if I don’t say them, I will never have the chance to tell them to the other person again.
"Work hard. This is the best reward for me and Director Lou."
Dr. Xu patted Dr. Cui on the shoulder and walked out of the operating room first.
There were two nurses whose eyes were red.
The farewell words from the doctors just now were truly touching.
They have the passion and ambition to strengthen the emergency department, and they also care and support the younger generations.
This is a warm department.
…
After changing his clothes, Zhou Can went to the emergency office with Dr. Lu and Jin Mingxi.
Director Lou and Deputy Director Han Changqing are both here.
The atmosphere was a little depressing.
"Are you all here? Close the office door!"
Director Lou glanced at everyone.
"In the past month, the number of surgeries performed in our emergency department has increased by more than 900. This is a very gratifying result."
Director Lou first summarized the achievements of this month.
Zhou Can alone can complete 14 to 20 operations a day. Jin Mingxi's surgical skills are also good, and he can also perform more than a dozen first-level operations a day.
Dr. Lu's surgical speed is slightly slower than Jin Mingxi's, but not much slower.
It is not surprising that the number of surgeries performed in a month increased by more than 900.
"Yesterday's medical accident did not cause any serious consequences, and the fault did not lie with the doctor, but with the operating nurse. Originally, our superiors would not have made such a big fuss about our emergency department because of this incident."
Director Lou showed a trace of helplessness on his face.
"During the last morning meeting, Director Xie of the Department of Surgery was already dissatisfied with us for taking over the surgery. After all, he felt that it reduced the total revenue of the surgery department, which is understandable."
An appendectomy surgery costs about 8,000 yuan if performed by laparotomy. Laparoscopic surgery is more expensive, costing more than 12,000 yuan.
For a common first-level surgery, the lower price is a few hundred yuan, and the more expensive one is about two to three thousand yuan. The average price should not be less than 1,500 yuan.
If only a dozen surgeries in the surgical department were taken away, the surgical department's revenue would be reduced by about 20,000 to 30,000 yuan at most.
This amount of income is just a drop in the bucket when spread across multiple surgical departments.
Now we produce more than 900 more units a month than usual, which is really scary.
The emergency department can increase revenue by at least two to three million yuan.
Sufficient to cause surgical conjunctivitis.
In fact, this amount of revenue is still nothing if it is spread among so many surgical departments.
But for the emergency department, which has always been weak and shabby, it is definitely a blessing.
Not only can doctors and nurses in operating rooms and medical technology departments increase their income, but the emergency department can also obtain some department development funds and some medical resources.
As long as we persist for a year or two, the emergency department will gradually become stronger and achieve a leap-forward improvement.
It has to be said that this is a good opportunity for the emergency department to get out of the predicament and break the deadlock.
"Director Han, please tell everyone what's next!"
Director Lou took a sip of water and stopped speaking midway.
Even when speaking behind closed doors, the top leader must sometimes be mindful of the impact.
When necessary, the second-in-command should take the lead and say things that the first-in-command cannot say.
"Why did the Medical Quality Control Department do this to us? It's simple. Zhong Hui, the team leader of the Medical Quality Control Department, used to be an ordinary doctor in the Department of Surgery. He had always performed mediocrely in medicine, but showed great talent in administrative management. Later, with the help of Director Xie and several directors of the Department of Surgery, he successfully became the team leader of the Quality Control Department step by step."
It turns out that Zhong Hui and Director Xie have this kind of connection.
No wonder they would work so hard to investigate a medical accident that could be either big or small.
"The surgery department is jealous that we have snatched some of their surgeries. After Director Lou cleverly resolved the situation at the last morning meeting, they must be unwilling to accept it. But there is nothing they can do. They can only wait for their chance. This medical accident has given them an excuse to target the emergency department's operating room."
A hospital is by no means a one-person show.
In the complex web of interpersonal relationships, everyone needs to abide by the rules.
Each department will prioritize its own interests.
This is the same in any hospital.
Because this concerns the status and income of every department member.
"It is now almost certain that the Department of Surgery has asked Team Leader Zhong Hui to conduct a thorough investigation of this medical accident in order to reduce the number of surgeries in our emergency department. The Medical Department has notified us to attend a meeting, so we will go now. I have told you so much because I hope everyone will be mentally prepared."
Deputy Director Han's eyes swept over Zhou Can and others.
To put it bluntly, the in-depth interest analysis just now was meant for young doctors such as Zhou Can, Dr. Lu, and Jin Mingxi.
"Director Han, let's go together!"
Director Lou looked at Deputy Director Han.
"Me? This time, only you and the doctor involved in the operating room will be notified to go. There's no need for me to participate, right?"
"Our emergency operating room has made considerable progress and development. Why don't you take this opportunity to fight for the emergency department?" Director Lou asked with a smile.
"The Department of Internal Medicine doesn't have talents like Zhou Can and Jin Mingxi. It's useless even if I grab more patients. We can't handle them all." Deputy Director Han shook his head in distress.
It is more difficult to train talents in internal medicine than in surgery.
It is impossible for talented internal medicine professionals to flow into the emergency department.
Director Han wanted to expand the emergency department, but he was powerless.
"That's true. Okay, you will be in charge of the situation here. But please don't let anything go wrong again." Director Lou took Dr. Xu, Zhou Can and others to the Medical Department.
The place we entered was actually small conference room No. 2.
It seems that every internal conversation takes place here!
Zhou Can couldn't help but smile bitterly. He had become a regular here.
Not long after they sat down, Chief Xin of the Medical Department, Team Leader Zhong Hui of the Medical Quality Control Department, and the woman who took notes entered the conference room one after another.
Immediately afterwards, Vice President Ye appeared.
These hospital leaders cooperated very well.
Today was originally Saturday, and many people in the administrative department were not at work.
Director Xie is really powerful.
In order to reduce the number of surgeries in the emergency department, a quality control team leader was forced to work overtime.
I guess they were worried that after two days, things would have calmed down and it would be difficult to talk about it anymore. So they struck while the iron was hot and seized the opportunity to attack the emergency department.
"I wasn't supposed to be working today. I just came back from studying."
After greeting Director Lou and Section Chief Xin, Vice President Ye got straight to the point.
"Last time we held a morning meeting specifically for surgical safety. You guys in the emergency department operating room are giving me a blind eye!"
He didn't bang the table or get angry, he just said something to comfort him, which means the problem is not serious.
"Team Leader Zhong, have you investigated everything?"
Vice President Ye looked at Zhong Hui.
"We have already found out. The cause of the accident in the emergency department's operating room yesterday was that the operating nurse Tian Tian was chatting with others during the operation and neglected her duties. When she was preparing the superficial anesthetic, she mistakenly used isoproterenol instead of the anesthetic tetracaine, which eventually caused the patient to suffer from dangerous symptoms such as increased wound bleeding, headache, chest pain, and shortness of breath."
Zhong Hui's work is quite detailed.
"This incident reflects that there are many omissions in the safety management of the emergency department's operating room. The senior doctor failed to stop the idle chat during the operation. This is the first. When the nurse made a mistake in mixing the anesthetic, no one noticed and there was a lack of supervision. This is the second. After investigation, there is a more serious problem. The attending doctor in the operating room, Xu Chen, secretly let the resident trainee Zhou Can participate in the important steps of the secondary operation."
This is a list of charges against these people.
After hearing this, Vice President Ye looked at Zhou Can with some surprise.
If I remember correctly, this young man named Zhou Can just became a resident doctor this year, right?
After only more than a month of standardized training, we can complete the important steps of secondary surgery?
He was a little bit unconvinced.
As for the first two charges listed by Zhong Hui, they are all minor problems. Just a few words of admonition and be careful in the future will be enough.
As the vice president of medical affairs, I also know how difficult it is to work in the emergency department.
Leaders are usually very tolerant of their employees. Being too demanding will only cause disunity.
Just guide them correctly.
"Doctor Xu, you are basically in charge of the emergency operating room. During the operation, the nurses and doctors chatted, you have to take care of this, and don't let them do this anymore. When the nurses adjust the medicine, doctors should supervise them appropriately if conditions permit. Some nurses are very irresponsible. I will also report this to the nursing department and ask them to strengthen the training of all nurses in this hospital and standardize the operation."
Vice President Ye actually has a deep understanding of the situation in the emergency department.
He even knew that Dr. Xu was in charge of the operating room.
And he was quite polite to Dr. Xu.
Zhong Hui, who was standing next to him, was getting anxious. He had tried very hard and thought that he would have to call the emergency department's operating room for a checkup. But now that Vice President Ye's attitude was so kind, how could he discuss the rest?
He came here with a mission.
If I fail to complete it, I will have a hard time explaining to Director Xie.
"Please rest assured, I will strengthen management."
Dr. Xu made a solemn statement.
“Tell me, which important step of the secondary operation did you let Zhou Can participate in?” Vice President Ye seemed to be more interested in this matter.
"Nothing much, just some skin stitching or something."
Doctor Xu is an old hand and he will not let his guard down just because of Vice President Ye's amiable attitude.
He was also extremely careful in what he said.