Chapter 584: Impact on the top domestic hospitals, troublemakers are difficult to deal with
It is precisely because of Zhou Can's hard work in the past that he was able to get such a nearly perfect girlfriend.
"Marriage is a big deal. How can you call your elders to discuss it? Give me a little more time. I will take a leave and bring the betrothal gifts and engagement letter to your hometown to propose marriage. You must not be wronged in this matter."
Zhou Can's attitude towards this matter is very firm.
The main reason is that there are too many things to do at work, one after another , and he doesn't even have a chance to breathe.
This is what it’s like to work hard in your career.
We must fight hard when we are in a period of rapid development. Otherwise, if we miss the opportunity, we may not have another chance to fight hard.
Now the department leaders value him, the two vice presidents are pushing him to join the quality control department, and Director Tan of the Internal Medicine Department invites him to be an assistant teacher at the college. He is studying for a master's degree under a big boss in the field of bone trauma...
If others can get one of these good things, they would be very lucky.
Zhou Can has so many resources and opportunities at his disposal, there is no reason for him not to work hard.
Early the next morning, all members of the emergency department were summoned to the conference room by Director Lou for a short meeting.
We were originally going to hold this meeting after get off work last night, but Director Lou had something urgent to do and had to accompany Dean Zhu to attend a symposium held by the competent department, so it was postponed to this morning.
The conference room was packed with hundreds of medical staff.
There were also a few patients who needed to stay in the emergency room and ICU and were unable to make it.
"I have called everyone to this morning meeting to announce a few things. The first thing is that Dr. Fu Chachun insulted Zhou Can, the deputy team leader of the operating room, in public yesterday. This matter must be severely criticized. The department's punishment measures for Dr. Fu Chachun are as follows: suspend his surgical privileges for one week. If he commits the same offense again next time, he will be directly dismissed. Fu Chachun is ordered to apologize to Zhou Can in public."
The first thing discussed at the meeting was actually this.
It's not just to show the department's serious attitude towards this matter, but also to help Zhou Can establish his authority.
Fu Chachun walked onto the stage with his head lowered, holding the written manuscript.
"I am Fu Chachun, a senior attending physician in the emergency department. I took advantage of my seniority to confront my superior, Deputy Team Leader Zhou Can, in public. It is unacceptable to work with emotion, and it is even more unacceptable to take advantage of seniority to disobey the management of young cadres... I am willing to sincerely apologize to Deputy Team Leader Zhou Can in front of all my colleagues in the department. I ask Team Leader Zhou to forgive my wrong behavior, and please take it as a warning to everyone."
There was complete silence in the audience.
Everyone couldn't help but feel a little more in awe of Zhou Can.
In particular, some people who usually relied on the fact that they were old comrades in the emergency department and did not take Zhou Can seriously began to put themselves in the right position.
The department's punishment of Fu Chachun also sounded a wake-up call for them.
"It is a great virtue to know one's mistakes and correct them. It is great that Dr. Fu is fully aware of his mistakes and is willing to correct them. Anyone who dares to admit his mistakes is a hero. With the joint efforts of everyone, our emergency department has begun to flourish, develop and grow rapidly. I hope that colleagues will be united and friendly because we are a family."
Director Lou took the opportunity to promote the importance of unity within the department.
If this kind of publicity is carried out several times, good results can be achieved.
The main thing is to use subtle ways to make everyone have a sense of unity and friendship in their hearts.
The emergency department has always been a very united department.
"The second thing is that by observing the patient follow-up data in the past six months, the medical quality of our emergency department has a serious downward trend, and the situation is extremely serious. For this reason, after joint discussion by the department leaders, it was decided to score each operation. If the scores fail multiple times, penalties such as suspension of surgery privileges, deduction of bonuses, cancellation of evaluation, and dismissal will be imposed. For those who have always maintained excellent scores, the top three will receive additional rewards of 5,000, 3,000, and 1,000 yuan respectively. If there are opportunities for surgical training, they will be recommended first."
Once the reward and punishment measures were announced, the doctors in the emergency department's operating room were in an uproar.
The maximum bonus is 5,000 yuan, which is very tempting to many people.
"Director Lou, do we have a similar reward and punishment mechanism in our internal medicine department?"
"We will try it out in the emergency operating room for now. If the results are good, we will implement the corresponding reward and punishment mechanism in the internal medicine department, ICU, and emergency room. I also want to tell you a piece of good news. Because our emergency department has become stronger, we have obtained three new quotas this year. Everyone here who has not been included in the quota will have the opportunity to get one. At that time, the quotas will be awarded on a merit basis."
This is another breaking news.
It is even more tempting than the bonus of 5,000 yuan or 3,000 yuan.
There is no doctor or nurse who doesn't want to be included.
Although all major hospitals are now implementing equal pay for equal work programs, there is a huge difference between having a regular staffing system and not having one.
In terms of welfare benefits, retirement benefits, and promotions to important positions, employees with regular positions clearly have a great advantage.
There are many welfare benefits that ordinary employees really don't have.
No matter how good you are, if you don’t have a position, you have nothing.
As long as the doctors or nurses on the payroll do not make serious mistakes, the hospital cannot fire them because their files are directly in the Health and Family Planning Bureau, while the personnel files of ordinary employees are in the hospital's personnel department.
To put it more clearly, the salaries of regular staff are allocated from a unified fiscal budget.
The salaries of ordinary medical staff are paid by the hospital itself.
How do you compare the two?
After Director Lou directly revealed that there would be three staffing quotas available this year, many people felt like they were injected with chicken blood, and their faces turned red with excitement.
Regardless of gender, as long as they were not on the staff, they all had hungry wolves in their eyes.
"Don't worry, as long as we can continue to work hard and unite as one, the emergency department will become stronger, and the number of staff positions, associate senior professional titles, senior professional titles and other resources we can grab will continue to increase. Everyone's life will get better and better."
Drawing a pie in the sky and painting a blueprint are the unique skills that every leader has learned without any instruction.
If we don't paint a few more pie in the sky and fail to motivate everyone to work, the department will become lifeless and eventually become decadent and declining.
A vibrant unit or department must have a good leader who is good at motivating employees.
"Now, we will announce the list of judges for the emergency department's operating room. For now, three judges have been selected to rate each operation. These three people are all excellent in surgical skills and upright in character, and can ensure the fairness and impartiality of the ratings to the greatest extent possible. The first judge is Dr. Xu Chen, the second is Dr. Zhou Can, and the third is Dr. Cui Min. All medical staff are requested to cooperate with the three judges in their rating work."
Being a judge certainly means having new power and improving one's status in the department and the operating room, but it will also take up the rest time of the three people.
It was the first time for Dr. Cui to take on a leadership position, and he seemed very excited.
Maybe he didn't expect to be chosen as a judge.
In terms of seniority, he is far inferior to Fu Chachun.
Being chosen as a judge this time, even though he was only the third judge, still made him feel extremely satisfied. It was also a great encouragement to him.
In contrast, Zhou Can and Dr. Xu seemed much more indifferent.
"Now I'm going to announce the third thing. Last night, I went to a meeting at the bureau with President Zhu. The superiors affirmed the development of Tuya Hospital in recent years. However, they also put forward new requirements, asking us to catch up with the first-class hospitals in the country and strive to move up the comprehensive ranking. After returning, President Zhu set a goal for the hospital, striving to enter the top ten in the country within three years. He also put forward specific requirements for each clinical department."
"In addition to increasing the rescue success rate by 5%, the emergency department is also required to publish no less than 10 SCI papers and domestic core medical journals per year. Because we have opened internal and external medicine inpatient beds, the number of difficult cases solved must not be less than 180 cases per year."
It’s a bit scary to set such high standards for the emergency department.
The doctors kept silent.
Are you kidding? Who would dare to agree to these requests?
The only two people who can fight in the emergency department at the moment are Zhou Can and Doctor Xu. Even Director Lou and Deputy Director Han are mediocre in medical skills and academics.
At least not at the top level.
"I know these requirements are quite difficult, but as long as we work hard, I believe there is still hope to complete them. Let's work hard together, and the meeting is adjourned!"
Director Lou noticed that morale was a little low and did not make any mandatory demands.
…
In the blink of an eye, a week has passed.
After the second operation, the female patient in bed 1 regained some sensation of the third toe of her left foot, but the flexion function was still not restored.
I have to say, this is a bit regrettable.
However, Zhou Can is confident in his surgical abilities.
He always felt that the nerve anastomosis for the female patient was very successful. Even if the nerve function could not be completely restored, at least most of it could be restored.
When the patient was checking out of the hospital, he was obviously disappointed with him.
He advised the patient to wait until the wound was almost healed, and then consciously strengthen the exercise of the third toe of the left foot. He could even take part of the time every day to manually massage the third toe to help it move.
After the nerves are anastomosed, unlike blood vessels and large and small intestines, as long as necrosis does not occur, it is possible to quickly verify whether the anastomosis is successful.
Because nerve cells cannot regenerate, the healing and recovery time is very long.
In addition, exercise is also the key to helping them recover slowly.
We often see patients with lower limb paralysis in hospitals. After surgery, doctors ask them to stand with the help of their family members, walk with the help of the wall, or go to a rehabilitation center for rehabilitation training.
This is to help the body gradually regain motor function.
There are even some patients who were originally declared by doctors to be unable to stand up again in their lifetime, but they endured the pain and gritted their teeth to persist in hard training day after day. Eventually, they created a medical miracle and successfully recovered.
For example, a certain martial arts star is a typical example.
Zhou Can has high hopes for the nerve anastomosis of this female patient. If the function of her third toe nerve is restored, Zhou Can can continue to perform similar nerve anastomosis surgeries in the future and continue to conduct in-depth research.
When conditions are ripe, he will try to help Dr. Xu perform another operation on the paralyzed patient.
If one day I can really cure that distinguished patient and help Dr. Xu get rid of the shackles on his body, this will be the best reward for Dr. Xu.
That day, after get off work, Zhou Can gave a score to every operation performed that day as usual.
Find problems, mark them out in time, and then give them low, unsatisfactory scores in the grading process.
For example, during a subcutaneous abscess debridement operation, the surgeon was Tang Wangnian, who ruptured a patient's vein during the debridement process. Because the vein is large and is an important venous return vessel, rough electrocoagulation hemostasis is not suitable in this case.
Instead, it should be repaired.
To save trouble, Dr. Tang Wangnian directly electrocoagulated the blood vessel to stop bleeding, which caused the patient's lower limbs to become swollen after the operation.
This is irresponsible behavior.
Zhou Can marked it out impartially and selflessly, and then handed it over to Dr. Xu for unified processing.
There are many similar irresponsible or responsibility-evading practices.
At least two-thirds of the doctors in the operating room refused to change their behavior despite repeated warnings, and they continued to make the same mistakes even after being punished by Dr. Xu.
In particular, the attending physician Tang Wangnian has a master's degree and is one of the few people with a high level of education in the operating room.
Dr. Xu, Cui Min, Fu Chachun and Zhou Can all have bachelor's degrees.
Only the young people recruited later all have postgraduate master's degrees.
There are currently no doctoral students among the surgeons in the emergency department.
People are very realistic, and doctoral students are not willing to go to the emergency department at all.
It is for this reason that Tang Wangnian has always been very proud.
Tang Wangnian and some other doctors seem to be very resistant to the issue of surgical scoring.
No one wants to be controlled too strictly.
It is even more difficult to take care of everything during surgery. If you are not careful enough and have a weak sense of responsibility, problems are likely to occur.
After Zhou Can finished scoring all the surgeries that day, he sent the results to Dr. Xu’s email and didn’t care about it anymore.
Early the next morning, after finishing my rounds, I passed by the office and heard Dr. Xu losing his temper and scolding Tang Wangnian and others.
"Tang Wangnian, you have had problems with surgeries every day in the past week. Yesterday, there were even problems with four surgeries. Can you do it? Do you still want to do it?"
Doctor Xu would not normally say such harsh words unless he was extremely angry.
"Who can guarantee that there will be no problems during surgery? Some minor problems are harmless, why bother to be so serious! Besides, it's hard to guarantee that there will be no problems during the surgery you performed, right?"
Tang Wangnian responded calmly.
First of all, I would like to state that Tang Wangnian is not a mediocre doctor eliminated from other departments.
He is currently in his early 40s, a senior attending physician, and is working hard to get a deputy senior title. And he has a great chance of being successfully awarded the title this year.
In terms of surgical skills, Tang Wangnian is above average.
Academics and scientific research are also above average.
None of them can be considered top-notch, but they are definitely not the bottom of the pile.
He was recruited to the emergency department by Director Lou. Except for his bossy attitude and aloof personality, he was excellent in other aspects.
Such talents are very valuable to the emergency department operating room.
Therefore, even though he made mistakes again and again during surgery, Dr. Xu was reluctant to suspend his surgical privileges.
Dr. Fu Chachun's surgery privileges were suspended for a week, and there were only three attending doctors left in the emergency department, which was very tight on manpower. If one more was suspended, only Dr. Xu and Dr. Cui would be left to perform the duties.
