This miracle doctor just wants to be fired!

Chapter 83 Unexpected Situation in the Ward

After resting at home for an hour, Zhou Cheng returned to his department to work.

He has a habit of taking a nap at noon, and if he doesn't rest for a while, his mental state won't be very good for the rest of the afternoon.

……

As soon as I stepped into the emergency room, the noise in the corridor hit me, a stark contrast to the quiet at home.

The call bells at the nurses' station rang incessantly, nurses hurried along pushing treatment carts, and occasionally, the sounds of patients coughing and family members softly comforting them could be heard from the wards.

Zhou Cheng composed himself, went to the lounge to change into a white coat, and then walked towards the doctor's office.

The atmosphere inside the emergency room doctor's office was completely different from that outside.

There were far fewer doctors in the office than in the morning. Some doctors were on their day off, and the other students in their group had all gone home for their lunch break, making the office feel unusually empty and quiet.

Chen Xi and Li Yang were still busy at their desks, completely unaware of Zhou Cheng's arrival.

The two sat facing each other across a desk, both with their heads down.

A thick stack of medical records lay in front of Chen Xi, and she was typing rapidly on the keyboard, probably rewriting the medical progress notes.

On the other side, Li Yang stared at the medical order system on the computer screen. His notebook was filled with dense notes about the dosage of different drugs, as well as the administration methods and precautions.

Zhou Cheng tiptoed to his desk, making sure to pull out the chair quietly without making a sound.

These two junior brothers and sisters are really quite good.

Judging from their appearance, they probably came to the office right after lunch and didn't even take a break.

After a while, Chen Xi looked up and saw Zhou Cheng sitting at the table. A hint of surprise flashed in his eyes, and he quickly said, "Senior brother, you've come."

Her voice wasn't loud, but it still startled Li Yang, who was standing next to her.

Li Yang smiled and said, "Good afternoon, senior brother."

Zhou Cheng glanced at the two of them and nodded slightly: "Hmm, you two haven't rested?"

Chen Xi smiled a little embarrassedly: "We wanted to catch up on what we hadn't finished this morning and also familiarize ourselves with the medical order system, so we didn't go back for a lunch break."

Li Yang nodded in agreement: "Senior brother, we've sorted out all the mistakes we made this morning and reviewed the relevant medical orders and guidelines. We'll make sure we don't repeat them next time."

"Don't be so stressed. There's always more work to be done. When it's time to rest, make sure you get enough sleep."

"Mm." They both nodded.

Upon hearing this, Zhou Cheng didn't say much, but simply opened the medical record system on his computer. "Which patients' medical records did you write down? I'll take a look now."

He wanted to let the two students do it, but while letting go was one thing, he also needed to conduct a rigorous review.

Otherwise, if a mistake is made like this morning, the consequences could be severe.

Chen Xi quickly responded, "I am in beds 1 to 8, and Li Yang is in beds 9 to 15. Today's medical records have all been written down."

Zhou Cheng nodded and first opened the medical record written by Chen Xi.

He read very slowly, trying not to miss any detail.

This is the difference between internal medicine and surgery. Surgery may not value the writing of medical records as much as the quality of the surgery.

Internal medicine doesn't involve many procedures, and a large part of the way to judge your medical skill level is through your medical records.

"Overall, it's well written. The content is complete and the logic is clear. It's obvious that you put your heart into it."

Hearing Zhou Cheng's words, Chen Xi breathed a slight sigh of relief.

Before she could be happy for long, Zhou Cheng changed the subject and pointed to one of the spots, saying, "However, there's a problem here. You only recorded the blood pressure readings of the patient in bed number 3 after their dizziness subsided in the afternoon, without noting the monitoring time and the patient's condition at the time."

"Medical progress records should have a complete timeline and accurate details. This information can help doctors quickly grasp the pattern of changes in the patient's condition and should not be missed."

Chen Xi quickly replied in a low voice, "Senior brother, it was my oversight. I will correct it immediately."

"Hmm." Zhou Cheng nodded gently, finished reading Chen Xi's records, and then opened Li Yang's.

Compared to Chen Xi's account, Li Yang's account of his illness is more detailed and comprehensive.

"The strength of your record is its meticulous observation and insightful thinking about the changes in the patient's condition," Zhou Cheng said, looking at Li Yang. "But the problems are also quite obvious."

Li Yang immediately perked up his ears.

"First, some medical terms are not used correctly. For example, intravenous infusion is abbreviated to 'IV drip,' and medical records need to use standard medical terms to avoid ambiguity."

"Secondly, when describing the patient's abdominal pain symptoms, it only stated that the abdominal pain was relieved, without specifying the time of relief, the patient's activity level during the relief, or comparing it with the pain level upon admission. Such a description is not precise enough, and the doctor cannot intuitively judge the treatment effect later."

Li Yang nodded quickly: "I understand, senior brother. I'll go and revise it right away, and correct the non-standard terminology."

Zhou Cheng looked at the two people in front of him, his tone more serious than usual: "Medical records are an important part of medical documentation. They are not only an objective record of the patient's treatment process, but also an important basis for subsequent treatment decisions. They are also key evidence in the handling of medical disputes, and cannot be taken lightly."

"You made a mistake in the medical orders this morning, so you need to be even more careful when supplementing the progress notes this afternoon. Make sure every detail is done properly in order to avoid any further problems."

"Okay, senior brother." The two responded in unison, turned around and quickly returned to their seats, immediately beginning to revise the patient's medical history.

……

But just then, the call bell in the emergency room rang repeatedly.

Head nurse Zou Qian rushed in, her voice urgent: "Dr. Zhou, we've admitted two emergency patients at once!"

"The first is acute pancreatitis, with severe abdominal pain accompanied by vomiting, and slightly unstable blood pressure."

"The second is acute gastroenteritis, with abdominal pain and diarrhea. The patient's mental state is relatively good, but signs of dehydration are obvious."

Upon hearing this, Zhou Cheng immediately stood up and grabbed the stethoscope.

"I'll go first; pancreatitis progresses rapidly, so it needs to be treated first."

Before he finished speaking, he had already rushed out of the office.

Chen Xi and Li Yang followed closely behind.

As soon as they arrived at the ward door, they heard the painful groans of a pancreatitis patient.

While instructing the nurses to prepare for the examination, Zhou Cheng quickly issued preliminary medical orders, his movements swift and efficient.

At the same time, he turned to the two men and said, "You two go see the second patient. First, ask about his medical history, then examine him, and draft a preliminary fluid resuscitation plan. Call me anytime if you have any questions."

Chen Xi and Li Yang were both taken aback.

Let them handle new patients independently?

This has never happened before!

Seeing that the two of them weren't moving, Zhou Cheng frowned and said, "What are you dawdling for? Hurry up and go."

The second patient's condition was relatively mild, making it suitable for Chen Xi and Li Yang to practice on.

It's not too late for him to go see the second patient after he finishes treating this pancreatitis patient.

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