"Mr. Tang's operation was very successful." Huo Congjun walked out of the door of the operating room and told the anxiously waiting family members what they most wanted to hear.
The patient's family members who gathered in a group suddenly became happy, and several women even cried with joy.
Huo Congjun said a few more words of comfort, and then left after making doctor's orders.
The patient lay on a flat bed and was pushed back along with the family members.
Huo Congjun also heaved a sigh of relief, smiling and nodding towards Ling Ran who came out from behind.
Ling Ran nodded in the same way, and then walked in the opposite direction.
Today's operating rooms are all multi-functional. The interior of the operating room is the same, and there are multiple ways to leave. The patients stay in the one closest to the ward, and the doctors will not leave if they can.
Lu Wenbin frantically followed Ling Ran, feeling as if he was going to an Internet cafe with someone for the first time.
That kind of little happiness, that kind of little entanglement, that kind of little regret, that kind of little expectation made him like a little teddy, and he really wished that there was something now that he could mess around with for a while.
"Doctor Ling, what shall we do next?" Lu Wenbin's heart itch was unbearable, and he wished to do another 300 cases of tang method and become a well-known figure in the country in one fell swoop.
"Teach me to write medical records." Ling Ran's answer instantly pulled Lu Wenbin back to Earth from Kepler 76b-Albert Einstein.
"I'll teach you to write medical records?" Lu Wenbin repeated it before he suddenly came to his senses: "You just started your internship, and you haven't even started writing medical records?"
"Yes. I haven't written much about it," Ling Ran said.
"Then what did you do?"
"Debridement and sutures, hemostasis with bare hands, and then the tang method." Ling Ran counted them one by one, and said again: "The emergency department is the first department I rotate for practice."
Lu Wenbin looked at Ling Ran with extremely complicated emotions.
From the first half of the sentence, Ling Ran seems to have done everything a surgeon should do.
After listening to the second half of the sentence, I am convinced that I didn't do anything.
"After debridement and sutures, you should also write the medical records. Have you ever written the simple version?" Lu Wenbin was a little curious.
"I've written it several times." Ling Ran said.
"Only a few times? What about the rest of the medical records? Could it be that Dr. Zhou wrote them?" Lu Wenbin felt that Dr. Zhou's laziness was wrong, but Dr. Zhou's personality made it impossible to do such a thing.
Ling Ran also gave Lu Wenbin a strange look, and said, "Other interns helped to write it."
During the few days when he was in the treatment room, there happened to be an explosion in the factory, and everyone was too busy. He could sew, so he naturally worked hard, and the other interns who were not needed were responsible for laying out, writing medical records, and so on.
Lu Wenbin just felt that the world was a little weird.
What was his life like during his internship? For a whole year, every seam is like Chinese New Year.
Of course, the so-called talented interns in the same period did get more opportunities. Those who can learn debridement easily, suture just one seam, enter the operating room without mistakes, pull hooks without being scolded, cooperate with suction well, and close the abdomen. Students who did not ooze blood more or less got their appendix cut, hemorrhoids poked, and their bags circumcised. Opportunities like skins.
However, Lu Wenbin really did not expect that the gap in talent could be so large.
Lu Wenbin laughed twice, and said, "I didn't expect the interns to be helped by interns."
Nurse Wang, who was reluctant to part with Dr. Ling immediately, looked at the talking resident Lu Wenbin in surprise...
Lu Wenbin suddenly came to his senses, that's right, Ling Ran, an intern, already has a resident doctor helping him. What's more, the resident doctor helping Ling Ran is himself.
Lu Wenbin silently brought Ling Ran to the office, silently turned on his computer, silently logged into his electronic workstation, pointed to a long row of words, and said: "Now I need to fill out the pre-operation summary, hospitalization records, pre-operation Discussion records, surgical records, and long-term and temporary medical orders... "
"What we did today, you can fill in the surgery record sheet, you click here." Lu Wenbin gave up his seat to Ling Ran.
The title of the operation record sheet is the patient's name, gender, department, bed number, operation date, etc., followed by a few short sentences consisting of preoperative diagnosis, intraoperative diagnosis, operation content, operating personnel, anesthesia method, etc. anesthesia staff etc...
Although the record sheet is electronic, all the contents can be printed out directly to become a paper medical record, and the composition of the content is as cumbersome as the previous paper medical record.
"The template looks like this, but it's actually quite simple..." Lu Wenbin introduced item by item.
Letting interns or training doctors write medical records is actually the most lazy mode for residents.
Every year, several batches of interns and training doctors come to the department for rotation, so the resident doctors have to teach people to write medical records every year, and several times.
Lu Wenbin is also somewhat proficient in this, not to mention that the medical record system does not have any complicated modules, it is just simple and cumbersome.
Ling Ran listened carefully, and then followed the instructions in the medical case, and began to fight.
"Preoperative diagnosis, the first is thumb tendon rupture, and the second is tendon contusion..." Ling Ran's diagnosis and course of disease with tang suture are master-level, and what is needed is official document writing that is familiar with the case.
Lu Wenbin looked at it and smiled secretly, and said, "Actually, it can be copied and pasted..."
Ling Ran learned how to copy and paste two paragraphs. When he filled out the medical record again, he felt uncomfortable all over his body. He didn't feel relieved until he deleted it.
slap.
clap clap.
Clap, clap, clap.
The pleasant sound of the keyboard rang out again with pleasant voices.
Lu Wenbin just felt uncomfortable.
Is it good to copy and paste Dafa? Of course it is good. After pasting, you only need to modify it again, which can be said to be fast and good. Therefore, even though some old and stubborn people emphasized manual beating, the young doctors never listened to it.
Lu Wenbin has always believed that copying and pasting and revising is the most normal way of writing medical records, and it is a new method under the new technology, and no one will ask for trouble.
He didn't expect that Ling Ran would choose the manual mode without hesitation.
And also played fast.
It's as if you don't need to think much.
However, a medical case has tens of thousands of words, and it is tiring to type it by hand.
Lu Wenbin wanted to laugh at Ling Ran's innocence, but he couldn't.
He is talented and technically valued by the leaders, but he is still making cases by hand, so what right do he have to laugh at
Lu Wenbin looked at Ling Ran's jumping fingers with admiration and emotion, and gained a new understanding of his medical career.
At the same time, Ling Ran also sighed in his heart: copying and pasting and then modifying the article is simply heresy, it is the same as wrapping meat in dumplings, fortunately it is not necessary.
After Ling Ran finished writing a paragraph, he wrote another paragraph, and the speed was not slow.
Medical records don’t pay much attention to writing style, as long as you write things out, write clearly, it’s fine if you list them or have no connection, as long as you can understand them, in fact, if the requirements of the superior doctor are not strict, you can write whatever you want. Just pass.
The single skill book that Ling Ran obtained has completely obtained the skills of the Tang method. Writing the medical records of the Tang method is still at the master level, and it is also the operation performed by the surgeon himself. You only need to check some pre-order inspection data to make it even more obvious. easy.
When finished, check, and fill out a new form.
After an unknown amount of time, the nurse Wang Jia came quickly, admired the male god's back from behind for two seconds, and said, "Doctor Ling, the previous patient can lightly clench his fist."