Li Qiong''s life has changed dramatically since she came to jianxie hospital.
The income is much more than when she was in the second hospital. It is so much that Li Qiong is almost autistic.
The work of jianxie hospital is countless times less than before. The corridor is empty and there are no patients at all. Recently, after gradually opening public welfare surgery, the number of patients has increased, but it can not be compared with the second hospital.
In the ward where Li Qiong used to work, the ward could receive 50 patients before the third class hospital refused to allow extra beds. But being able to receive and receiving are two different things. Generally, more than 80 patients can live in the ward. If you catch the rush hour, you can row extra beds in the corridor all the way to the door of the ward.
On one occasion, 12 patients with myocardial infarction came one night, and the extra bed in the corridor was almost added to the elevator entrance.
One or two night nurses have to manage dozens of patients. They have to run when walking. Basically, their toes don''t touch the ground. Tens of thousands of exercise a night is really no joke.
Every time Li Qiong came home from the night shift, she was exhausted and her energy was taken away. Lying in bed still has insomnia. Just about to fall asleep, an idea suddenly pops up in my mind. Is there any wrong addition of drugs in the micro pump of patients in a certain bed?!
Once you think about this, don''t think about making up for sleep during the day.
This is a kind of torture. Before coming to the sword association hospital, Li Qiong felt that her psychological age was about to retire. Not to mention psychological age, physical age is definitely not 27 years old, at least 40 years old.
The rhythm of amenorrhea before marriage
Sword association hospital is good, or that kind of legendary good. Li Qiong never thought that one day she would go to a class with less work and more money. This is a dream.
Therefore, Li Qiong is very sincere. She is afraid of breaking her dream.
The assessment of jianxie hospital is taken seriously by everyone. There is no case that someone doesn''t care.
Although President Ma has said that the end elimination system will not be adopted because of the examination results, no one believes it. Can you believe the words of the hospital leaders?
If you believe them, you might as well believe that sows can climb trees!
Such a good job, if you don''t eliminate the exam, dry wool? Do you think Miss Wu is as boring as you? All medical staff think so. Matthew''s words were not believed at all. Everyone devoted almost all their spare time to study except work.
The assessment of nursing is divided into two categories: one is practical operation and the other is written examination.
There was no way to practice the actual operation at home. Li Qiong hurried to practice the operation in her spare time.
The 3D printed models change from day to day. They all simulate hemorrhagic shock, and the blood vessels are shriveled like a piece of white paper.
At first, Li Qiong couldn''t hit the nail on the head.
It is very difficult for such patients to get to the point. Even if they encounter similar patients in the second hospital, they usually have to use the summoning technique to summon the anesthesiologist to come down, perform arterial puncture and inject the needle from the carotid artery or subclavian artery.
No matter how low the blood pressure is, the main artery of the human body will not become a piece of paper. After all, the tissue structure is there.
But the requirement of jianxie hospital is that nurses wear veins to get to the point. In any case.
Although there were not many patients during this period, Li Qiong felt that the number of needle injections was much more than when she was in the second hospital.
She used all her time. There was no lunch break. She even fooled around with lunch.
As for rest, it doesn''t exist. Rest means leaving the patient alone and having enough time to train on a 3D printed manikin.
Sometimes Li Qiong even has some pathetic 3D printed mannequins.
They are pierced with thousands of needles a day. They look very innocent.
After more than a month of high-pressure training with tens of thousands of needles, Li Qiong gradually hit the nail on the head in the face of a 3D dummy simulating hemorrhagic shock whose arterial pressure can hardly be measured.
After tens of thousands of needles training, the veins as thin as a layer of paper can be three needles side by side in Li Qiong''s view. It''s right to hit the nail on the head. She can''t even remember why she couldn''t get a drop when she was in the second hospital.
The assessment of actual operation is only one of them. In addition, there are the use of various instruments.
Although Xue Yuan and Ma Yuan were not very strict, the doctors and nurses below were very serious. They almost didn''t take the machine apart and became a repairman.
Micro pump, sputum aspirator, monitor, ventilator, IABP, ECMO, everything is familiar in the chest. Sometimes Li Qiong even felt that she could become a doctor in the intensive care unit of the second hospital, because she felt that playing with a ventilator was more sneaky than the young doctors in the second hospital.
Not only that, but how to adjust the ventilator and other instruments after various tests seems to be more skilled than them.
As for the high-end goods like ECMO, only one ECMO team in the second hospital can do it, but everyone in jianxie hospital can do it.
Although Li Qiong didn''t know the use of learning these things, she couldn''t do it in the assessment with so much money.
On the one hand, the written test is more difficult. Because the written test is teacher Wu''s question, and the scope of review is also given. What we need is to recite.
One of them is the incompatibility between more than 1700 clinically visible drugs.
Many incompatibilities were never known by Li Qiong, and this assessment was an eye opener for her.
For example, metronidazole is a commonly used clinical drug for the treatment of anaerobic infection.
It has adverse reactions with imidazole drugs with high sensitivity, which should be prohibited. Imidazole antifungal drugs diclofenazole, Econazole, ketoconazole, clotrimazole
In addition, there is a special saying that metronidazole is used when the patient has a gastric tube. The most special thing is that this common drug can''t touch the needle tube and waterproof sleeve containing chromium, otherwise there will be adverse reactions.
To learn about a metronidazole, Li Qiong became a pharmacologist and even began to study what is a chromium containing needle and waterproof sleeve.
This is only one of more than 1700 commonly used and rarely used drugs in clinic.
The thick review materials tortured Li Qiong to death.
But I can''t help it. When I think of going back to the second hospital for shift work, I have to wash the patients'' feet for thousands of yuan a month. Li Qiong has to bite these things down.
The date of the exam is getting closer and closer, and Li Qiong is getting more and more nervous. When she goes to bed every day, she dreams that she is reciting a large table of incompatibility.
Once upon a time, the little sisters asked themselves to go out to dinner. Li Qiong didn''t dare to promise, so she had to spend the time on the day when the examination was finished.
No matter how you do in the exam, you must go out and relax after you finish.
As the days went by and she continued to train and improve every day, the medical treatment seen in Li Qiong''s eyes seemed to have fundamentally changed from her previous cognition.
But does it make sense? Li Qiong doesn''t know the truth. She only knows that the sword association hospital has offered herself a large salary. These requirements should be met.
It''s not like in the second hospital. There are so many things without money. It''s really MMP!