Whether you join a regular company or an institution like a hospital, getting fired will be a stain on your career.
When I was looking for a new job, I looked at the personnel and saw that I had been fired from my original employer. I could guess the outcome with my toes.
Munro is a nurse, and like doctors, they both belong to a relatively special profession.
A serious medical accident occurred, and she had certain responsibilities, which would definitely affect her ability to find a new job.
"Can you tell me the reason for that accident?"
Li Jingsheng's small clinic has just grown a bit. If he recruits an unreliable nurse, he will have an accident.
Even without a major accident, a small accident is enough to cause the Sunshine Clinic to suffer a huge setback.
When recruiting this female nurse, he must find out clearly.
"Because it concerns the patient's privacy, as well as the reputation of the original hospital and my previous department, can I be vague about it?"
She didn't ask with pleading eyes or tone.
But that firm look that sticks to the bottom line.
As long as Li Jingsheng doesn't agree, she will probably give up applying for a job here.
"OK!"
Li Jingsheng nodded.
"There are many reasons for the accident. The patient has a special constitution. Our preoperative examination was not done properly. The patient and his family did not inform the doctor of the truth. After problems occurred during the operation, the surgeon and the anesthesiologist failed to report to their superiors according to the procedures in order to save the patient's life. He did not communicate with his family, but made his own decision to continue the operation, expand the operation, and finally tried his best to save the patient's life. The anesthesia, chief surgeon, circuit tour, and first medical assistant were all severely punished. I She was a hand-washing nurse, and she also received a relatively severe punishment."
Talking about the accident, she was filled with helplessness and fear.
That was probably the most unforgettable thing that had ever happened to her in her life.
"When something unexpected happens during the operation, I don't have time to report it to my superiors, let alone communicate with the family members and get their signatures. Instead, I decisively save the patient as soon as possible, right?"
After all, Li Jingsheng had been working in a big hospital for a few years, and he was quite aware of some of the doctors' difficulties.
Some accidents and changes occurred during the operation, leaving the doctor little time.
There may only be one or two minutes of golden rescue time.
Following the procedure, it is estimated that the patient's vital signs have become a straight line before the family member signs.
I've even heard that there are even more exaggerated ones, with only one or two seconds of thinking time.
When encountering unexpected changes, the surgeon must respond within a very short time.
"Roughly the same!"
She bit her lower lip and nodded vigorously.
"Okay, I already have a clear understanding of your basic situation. In terms of professional ethics, you have passed the review. How are your professional skills and work attitude? You can only know if you try it. If you are willing, you can try it out in our clinic today. One day, I will decide whether to hire you based on the situation."
After asking about the basic situation, Li Jingsheng was willing to give her a chance to try it out.
"Yes, I am very willing!"
When she heard that Li Jingsheng had given her a trial opportunity, she almost jumped with joy.
The liveliness of a young girl cannot be concealed by her reserve.
When encountering something particularly exciting, they can easily reveal their true colors.
"The last time I applied to Yang 2 Clinic, I actually came because of the good reputation of Sunshine Clinic. But I lacked social experience and was fooled by them. They also told me what the semicolon of Sunshine Clinic was and told me not to Tell outsiders. Something happened that day, and I was caught by the family members kowtowing to the deceased. I was almost mad to death."
After she got the chance to try it out, her affection for Li Jingsheng doubled.
He expressed his grievances on the spot.
When young people enter society, how many of them have never suffered a loss?
There are too many routines in the city. Everyone has stepped on various pitfalls and been beaten by society to grow up.
"Take this as a lesson! It's been a long time for you. I hope you will perform well and try to pass the probation inspection and become a full-time employee of Sunshine Clinic."
Li Jingsheng was not sure whether the female nurse was telling the truth.
After a few words of encouragement, he stood up.
"Sit here for a while, and I'll ask Sister Tang to get you some work clothes."
"OK, thanks!"
She stood up and watched Li Jingsheng leave.
Li Jingsheng returned to the reception hall. It was noon and there were no customers.
There were only two infusion patients in the adjacent infusion room.
Now, due to sufficient space, the renovated infusion room can accommodate twenty people for infusion at the same time.
If necessary, the adjacent room can be converted into a second infusion room.
The problem of limited development due to the small space has long since disappeared since he moved to a new location.
As the reputation of Sunshine Clinic gradually grew, surgical patients came to seek treatment every day.
It's a pity that the conditions were too simple, and he didn't dare to take it even though he had all the skills.
I really hope I can buy the equipment from the People's Hospital sooner.
Every time you persuade a surgical patient to leave, you are pushing money out the door!
And if you want to open up the surgical business, some basic hardware is essential.
I wanted to replace that X-ray machine eight hundred years ago.
You will definitely be reluctant to buy a new one, you have to save the money and use it wisely.
He didn't say anything, but he had a big goal in mind, hoping to buy this yard.
If a hospital really wants to establish a century-old business, it must have its own property.
A rented house is always unstable.
When your contract expires and someone tells you to get out, you have no choice but to get out.
After suffering a loss once, Li Jingsheng was particularly persistent about the house.
"Is that girl gone?"
Tang Ping asked curiously.
"I asked her about her basic situation, and there shouldn't be any problems with her professional ethics. She said that she was deceived by someone the last time she applied for a job at Yang 2 Clinic, and she was told that it was the semicolon of Sunshine Clinic. This matter Regardless of whether it's true or not, it's good to give her a chance. Our clinic really needs to recruit another nurse. This way you can take a normal vacation if anything happens."
In the past, when the clinic's business was not good, Tang Ping could take one day off every week.
Since business has improved, it has become very inconvenient for her to take a vacation.
She is required to perform injections, infusions, examination of female patients’ private parts, etc.
There are also some treatments and medications that require a nurse’s review and signature to ensure the safety of diagnosis and treatment.
Therefore, it is necessary to recruit another certified nurse.
According to the clinic's current business volume, it can afford to hire another nurse.
"I really didn't expect Yang Er Clinic to be so shady, even the little nurse would lie to me."
When Tang Ping heard about Meng Luo's misfortune, she immediately felt sympathy.
"I can finally have a companion, I'm so happy!"
When she thought about being able to rest normally and spend time with her daughter in the future, she couldn't help but reveal a yearning smile on her face.
"Sister Tang! I am also your companion!"
Han Siying walked over and hugged Tang Tang's arm, expressing sympathy for her sisters.
"Haha, you're everywhere! When you go to the People's Hospital, I won't be with you!"
Tang Ping poked her forehead.
Han Siying is kind-hearted, simple, motivated, and has a very good understanding. She is indeed popular with everyone.
Li Jingsheng looked at the two goblins with a smile on his face.
If there were no two beautiful young women in the clinic and there would be only three grown men left, then the clinic would probably be a stagnant place.
Customers and patients will also have a much different impression of the clinic.
Especially the shopping and medical experience.
"I will definitely come back to see you when the time comes! As long as I have a vacation, I will come over to stay with you and see my master."
Her mouth is getting sweeter and sweeter.
"Okay, okay, they say there are three women in one drama, and the chat between you two women is not over yet. Meng Luo is still waiting in the office. Sister Tang, please go get her some work clothes and change into Bring her here to work directly after she's ready. From now on, she will be your soldier, and whether you can take care of her well or not depends entirely on you."
Li Jingsheng quickly interrupted the two women's chat.
"No problem! Our clinic finally has two nurses. I have been looking forward to it for a long time!"
The clinic has been very busy these past few months with a lot going on.
She is responsible for all the work of being a nurse, as well as explaining things to customers and patients.
It was indeed very hard.
It's just that Li Jingsheng didn't say that he wanted to recruit nurses, so it was hard for her to bring it up.
Not long after, she came over with Munro who had changed clothes.
Xiao Gao looked at Munro, unable to move his eyes away.
Doctor Wang also secretly swallowed his saliva while taking a peek.
"Munro is a bit tall, and her work clothes may need to be two or three sizes too big. Her clothes are a bit tight."
Tang Ping said to Li Jingsheng.
"After she passes the trial, I will buy two pairs of work clothes suitable for her size."
Li Jingsheng bought the nurse's uniform according to Tang Ping's size.
This new set was worn by Munro, and it highlighted her good figure.
She is indeed five or six centimeters taller than Tang Ping.
Tang Ping took her to familiarize herself with the clinic environment.
"The toilets over there are for customers and patients, and there are no men's or women's toilets. Our employees usually go to the toilet on the second floor of the clinic, where the sanitary conditions are better. This is the infusion room, and that is the treatment room and processing room. , that's the operating room over there..."
Not long after, customers and patients came out one after another to buy medicine or see a doctor after finishing their meal.
A woman with a sallow face and a thin figure walked in.
He was probably less than 1.5 meters tall, and he was at least over fifty years old. The wrinkles at the corners of his eyes, mouth, forehead, etc. were quite obvious.
She came alone, without any family members.
Dragging legs when walking.
"Dr. Li, I keep having diarrhea recently. Can you please check it for me?"
The patient said weakly.
The accent doesn't sound like a local. He speaks Mandarin with a bit of a plastic accent.
"Please sit down and let me check you first!"
Li Jingsheng gently motioned the patient to sit on the chair next to the consultation table.
The woman's clothes were very clean, but the quality of the clothes was average. It’s not even a working-class brand.
It shows that she is usually very frugal.
But she wore a rather large gold bracelet on her left wrist, gold earrings on her ears, and no necklace.
Typical dress of middle-aged and elderly rural women.
Women in the city generally don't like to wear such big gold bracelets. Women in the countryside may have never had luxury in their lives. After making money to buy a gold bracelet and wear it, they feel proud and dignified.
Li Jingsheng was quite happy in his heart. Most likely, this woman came from rural areas to work as a nanny in the city, hoping to make some money.
One of the migrant workers.
Even she knew about Sunshine Clinic, and she called out Li Jingsheng's surname immediately, which showed that she was somewhat famous in the south of the city.
Good thing.
As a doctor, if you become famous, you can attract a steady stream of patients.
The diagnosis and treatment business of Sunshine Clinic will get better and better.
Without patients, let alone a clinic, even the top three hospitals would have to close their doors.
And the bigger the hospital, the faster people die.
The staff wages and various expenses alone are a terrifying astronomical figure.
Originally, the number of emergency outpatient visits per month was 1 million, but suddenly dropped to 500,000, which was cut in half. The hospital will definitely not be able to sustain it!
"Munro, come here!"
Li Jingsheng turned to look at Meng Luo who was with Tang Ping.
When she heard her boss calling, she hurried over with a slight hint of nervousness on her face.
"You should measure this lady's basic physical signs such as blood pressure, heart rate, and body temperature."
"OK!"
Like most new employees, she was a little nervous when taking physical signs of a patient for the first time.
When I was holding the thermometer gun, I almost lost my grip and dropped it on the ground.
Fortunately, Li Jingsheng had quick eyes and quick hands and caught it quickly.
If it breaks, it will cause pain to his boss.
It's not cheap either.
"Don't worry, take your time!"
Li Jingsheng did not scold her, but comforted her with a gentle tone.
If you scold her or glare at her at this time, it will only make her more nervous.
"In order to speed up the process, she will take your temperature and so on, and I will ask about your condition."
Li Jingsheng explained to the patient.
"Okay, just ask!"
"How long have you had diarrhea?"
"It's been almost half a month, maybe a little longer. At first, I only had diarrhea occasionally, but now I have diarrhea seven or eight times a day. My boss thought I was deliberately hiding in the toilet to be lazy. He really unjustly accused me."
She said with a grimace.
There are many types of diarrhea. Diarrhea occurs once or twice a day. As long as there are no serious problems such as blood in the stool, it is usually fine.
It will return to normal in two or three days, or five or six days.
She has had diarrhea for more than half a month, and she has diarrhea seven or eight times a day. She must be sick.
It’s not like simply having a bad stomach or catching a cold in the abdomen.
"Have you ever looked at the color and shape of the stool you passed?"
"This... is a bit disgusting, I didn't pay much attention to it."
The patient was obviously embarrassed.
Look at her expression, she must have seen it before.
Normal people would watch it.
After all, after having diarrhea for so long, what should I do if the diarrhea comes out with blood?
"Don't hesitate to treat your illness. There is nothing evil or disgusting. As doctors, we just hope to help you find out the cause of your illness and cure your illness as soon as possible. You must also hope to return to normal as soon as possible."
Li Jingsheng said.
"Yes, yes! You are absolutely right. I came here because I heard people said that your medical ethics and skills are excellent. Two fellow villagers who came here to work together advised me to go to a big hospital, so I went directly to I came here with you."
Li Jingsheng felt very comfortable hearing the woman's flattery.
"Let me ask you one by one! Is the color of the stool bloody or black?"
Li Jingsheng must be kind to such loyal fans.
"It seems to be yellow, a little transparent."
She said she hadn't seen it before, but now she said it was yellow. This is the true mentality of some patients.
This requires patient communication from the doctor to dispel their embarrassment.
"Is there any bubbles?"
"have!"
"Is the bowel movement heavy? Is there a lot of stool passed out?"
"many!"
"Does it stink?"
"That must stink!"
"I mean, will it stink worse than before? Some patients with diarrhea have stools that smell a bit like rotten eggs, and some are full of rotten smell, so you must tell the truest situation. I."
"Uh... it's very smelly. It's much smellier than the previous stools. I can't put it into words, but it just smells really bad."
"Do you have any symptoms like bloated stomach and lack of strength now?"
"Oh, Dr. Li, no wonder everyone praises you for your superb medical skills. You were right about all my symptoms!"
"Praise, reward. Is there any difference in your food intake compared to before?"
"There's no difference. I seem to be eating a little more, but I'm not gaining weight. My two fellow villagers complained that I gained weight, but I didn't."
She said a little proudly.
If you have diarrhea seven or eight times a day, you won’t gain weight even if you eat fat every day!
Li Jingsheng basically finished asking the questions and looked at Meng Luo.
She is not so nervous now, and her physical data has basically been measured.
Watching her do these things, her movements and key points are all on point, very professional.
"How's your temperature? You don't have a fever, do you?"
Li Jingsheng asked her.
"The forehead temperature is 36.7 degrees, which is normal. The blood pressure is a little high, but everything else is normal."
Meng Luo showed the written data to Li Jingsheng for review.
The handwriting is beautiful and neat.
It is written in regular script.
Hospitals now require doctors and nurses to write in regular script. Especially when doctors prescribe medicine, only insiders could understand it before.
It is illegal to do so now.
At least most regular hospitals have corrected the problem and clearly require doctors not to write in cursive when prescribing.
"Please go and lie down on the examination bed over there, and I will examine your abdomen."
Li Jingsheng had already made up his mind, and out of caution, he had to do one last check.
There is a small room at the back specifically for examinations to protect patient privacy.
Sometimes osteopathic treatment is also performed inside.
Because some orthopedic reductions require the patient to lie down to cooperate with the treatment.
For example, when resetting a hip joint, the doctor needs to use the weight of the body to press down hard to help the patient's joint return to its original position.
After the relocation of the clinic, all aspects have been improved.
Many diagnostic and treatment operations are indeed simpler.
After examining the patient, no obvious mass was found in the abdomen. However, there is a certain degree of tenderness in the lower abdomen.
It doesn't seem to have anything to do with diarrhea.
"Your disease is one of the more serious forms of diarrhea. I suspect it may be steatorrhea. We are now planning to give you infusion treatment, tentatively three infusions, once a day. It is best to come at a fixed time every day."
Li Jingsheng was already thinking about a medication plan in his mind.
Nowadays, when selling medicines in clinics, you can not only swipe your medical insurance card, but also buy some prescription drugs yourself. These have greatly improved the clinic's diagnosis and treatment capabilities and patients' willingness to treat.
According to the patient's description, it is basically certain that it is steatorrhea. At the same time, judging from her weight loss, there should be malabsorption syndrome.
Vitamin C was prescribed to the patient 40 tablets, taken orally.
Vitamin B complex, also 40 tablets, still taken orally.
I also opened a bottle of calcium tablets.
Folic acid, still one bottle.
Then he was prescribed compound azinamide enteric-coated tablets for oral administration. This treats steatorrhea.
Even though there are a lot of prescribed medicines, they are not expensive.
They are relatively cheap drugs.
For such poor people, Li Jingsheng prescribes medicines that take into account both benefits and efficacy as much as possible.
Unless the patient insists on prescribing a very good medicine, there is no other way.
If people are willing to pay this amount, what else can he say?
Otherwise, try to prescribe cheaper medicines. Some expensive drugs may even be replaced by substitute drugs.
He will prescribe expensive medicines if there is really no alternative medicine, or if he thinks patients need to take such good medicines.
(End of chapter)
