Chapter 541 Advanced Nutrition, Appreciate Each Other

Author: Fisherman by the River

Chapter 541 Advanced Nutrition, Appreciate Each Other

With super talents like Jiang Wei joining, it is naturally a good thing to be sought after.

I'm afraid I can't afford it.

Zhou Can is currently worth a fortune, but he is far from being a capital tycoon. He himself does not have the ability to support talents. At least he does not have the ability at present.

"I was mentally prepared before I came to join you. It doesn't matter if I'm a little harder now, but I believe my life will definitely get better and better in the future. The personnel department asked me about my salary requirements yesterday. My minimum salary requirement is an annual salary of more than 300,000 yuan and sign an ordinary labor contract. If I don't feel satisfied, I can leave at any time. If the hospital thinks I'm not qualified, I can also dismiss me at any time."

Her salary requirements are really not high.

Many nurses in Tuya Hospital have monthly incomes ranging from 8,000 to 15,000 yuan. The monthly income of advanced nursing is at least 12,000 yuan, and the most can reach 28,000 yuan.

However, the profession of nurses is basically at this level in the country.

No matter how high it is, the hospital cannot afford it.

Jiang Wei is a special talent with an annual salary of 300,000 yuan and a monthly income of 25,000 yuan.

Among nurses, it is considered a high salary, but her education is there, and many hospitals are rushing to get this price.

"If you want to keep you, it seems that you have to work hard to take on some big jobs in the future!"

Zhou Can smiled bitterly.

"Uh! This is a good idea! The departments that can achieve results are only the outside of the heart, the outside of the spirit, the outside of the spirit, the inside of the spirit, the inside of the spirit, the inside of the spirit, the inside of the spirit, the inside of the ear, and the orthopedics. Don't you have a strong ability in cardiothoracic surgery? Take more cardiothoracic surgery, let alone raise me as a nurse, it's okay to raise a few more."

She responded with a smile, stroking her smooth forehead.

He is indeed a person who has seen the world and speaks ingeniously.

In the hospital, there are indeed only a few departments that can achieve results.

Obstetrics has developed better and better in recent years and has the potential to achieve results.

However, compared with old and powerful departments such as the heart outside, the god inside and the god outside, and orthopedics, obstetrics are relatively weaker.

At this time, the two had already arrived at the hospital ward.

The emergency department is actually not big. Whether it is the operating room, the inpatient ward, the emergency room, or the ICU, it will basically not take more than three minutes.

During the rounds, Zhou Can intentionally check her level.

The first bed I found was an elderly patient with a very weak body. Due to acute intestinal perforation, Zhou Can performed debridement and intestinal repair surgery on her. She is currently lying on the hospital bed to recuperate.

The recovery of the elderly is not very ideal. They are already 76 years old, and they are weak, which is much more difficult than ordinary people to recover.

Zhou Can gave this old man a conservative assessment, it would be good to be discharged from the hospital in seven days.

If an abdominal infection occurs, let alone being discharged from the hospital for seven days, it is hard to say whether you can be discharged alive.

"Jiang Wei, I am a professional nursing student. See if there is any improvement in the care of this patient?"

Postoperative care for patients is extremely important.

The current nursing level in the emergency department is not very good, it can only be considered as a normal person.

"OK!"

She agreed and began to learn more about the patient's condition.

"From her current signs, appetite, exhaust and urine volume, it can be seen that the operation is very successful. There is no postoperative infection, or secondary perforation or leakage of intestinal fluid. Her postoperative care is mainly anti-infection. I suggest that you can eat some liquid food appropriately to promote intestinal peristalsis and provide her with better nutritional support. In addition, in the liquid food you eat, it is recommended to consume at least 50 grams of ground soybeans every day to increase the exhaust volume and be more conducive to intestinal recovery."

Some medication suggestions, even Zhou Can has benefited a lot from it, and has learned some new medication knowledge or gained some inspiration.

For example, when I was in bed 27, the patient had undergone cardiovascular stent surgery and was hospitalized for pneumonia this time. She suggested that when taking medication for inflammation treatment, the dose of anticoagulant needs to be considered.

Some other medication adjustments are also needed.

Because inflammatory response and coagulation activation are the "two-way paths".

An inflammatory response can lead to hypercoagulation.

This increases the risk of thrombosis.

At the same time, hypercoagulation will lead to the binding of activated coagulation factors with PARs in multiple cells, which will promote the synthesis and release of more inflammatory mediators and further aggravate the inflammatory response.

She proposed that the medication regimen should not only consider the risk of increased thrombosis, but also crack the "cross-dialogue" between inflammatory response and coagulation activation.

Although it was just a small suggestion, Zhou Can benefited greatly.

It also shows that the internal medicine diagnosis and treatment level in the emergency department is poor.

It can also be considered that her pharmacological level is very high, which highlights the poor level of the emergency physician.

After checking the room, Zhou Can was very happy.

This time I really found a treasure.

Having such a very high-level nurse joins his team is definitely a great help. It can greatly improve his team level in an instant.

Take her to change her clothes and enter the operating room.

The first operation was an emergency trauma surgery. When the patient ran in the morning, because the sky was dim and the street lights were not very bright, he stepped on the banana peel thrown by a passerby, and unfortunately took a free plane.

Finally, a deeper wound was thrown out of the elbow of his right hand.

Zhou Can examined the patient's wound on his right arm. It was about 4cm long and could only be considered a small wound. At least in the eyes of him, the doctor, it was nothing.

The deepest depth of the wound reached more than 2cm, and you can see that blood is still emitting out.

It seems that the artery blood vessels have been broken.

Because if it is a venous blood vessel, it can generally stop bleeding automatically, and the color of the blood that emerges will be dimmer.

It seems to be just a minor injury, but the difficulty of the patient's surgery has increased a lot invisibly.

Because after examination, Zhou Can found that the broken blood vessel was probably the ulnar renal artery.

Whether it is the anterior or posterior branch of the ulnar renal artery, it is very important.

In addition, the ulnar artery and the radial artery belong to the end of the brachial artery, which is the main blood supply channel at the end of the arm.

Simply and roughly ligate it and stop bleeding, which will cause the patient's right arm to lose some blood function and cause many problems. Even dysfunction, and ischemia and necrosis of some muscles and tissues.

In addition to debridement, the damaged blood vessels also need to be evaluated and repaired.

As long as the patient goes to his grandma's house without a back, there should be no need to consider vascular transplantation or artificial vascular replacement.

Sometimes, if the broken blood vessel segment is longer, autologous venous vascular transplantation needs to be considered.

The doctor gives advice on how to treat it, and the patient and his family can choose for themselves.

Speaking of this, we must mention a principle of signing surgery.

If the patient is an adult and is awake, the surgical plan needs to be approved by the patient. Otherwise, even if the family signs and the patient does not agree, the doctor must respect the patient's wishes and cannot force the operation.

There was a similar case. Because the doctor did not respect the patient's wishes, he was sued by the patient in a lawsuit, and finally ordered the hospital to compensate the patient for the losses.

But for patients, even if they lose some important organs or functions, it doesn’t make sense to compensate them for more money.

Just imagine, if one side of a woman's chest is cut off or her uterus is cut off, what's the use of her money she gets?

"Jiang Wei, can you do this surgery with the nurse? "

Zhou Can asked directly.

Qiao Yu has prepared equipment, medicines, sutures and other items.

Jiang Wei only needs to pass on the equipment, medicines and consumables to Zhou Can.

The equipment nurse among the surgical nurse also has a not-so-good title called the hand washing nurse.

If you understand it literally.

It is a nurse who specializes in helping doctors wash their hands. What technical content can this have?

In fact, the technical content of the instrument nurse is indeed not particularly high. As long as you are familiar with the surgical process, you can basically do this job well.

During the operation, sometimes there will be a reminder to what the main surgery needs.

For example, what number of scalpel, how many sutures, etc.

Of course, nurses with high levels can prepare in advance without having to make a sound reminder from the principal.

For example, like Qiao Yu, she can prepare all the equipment and consumables for Zhou Can in advance during the operation. When it comes to rescue, she can help a lot and even provide some rescue suggestions directly.

With Zhou Can as an surgical nurse for two years, Qiao Yu now has very strong practical skills.

She has been teaching advanced nursing knowledge such as nutrition support and critical care by herself, preparing for studying abroad.

This time I came to a nurse who has studied abroad, which is also a good opportunity for Qiao Yu.

She can learn from Jiang Wei and learn about the preparations needed to study abroad for nursing majors.

"I'll try it!"

Jiang Wei calmly walked to the position of the equipment nurse, while Qiao Yu walked aside and said to her kindly, "Jiang Wei, don't be nervous, just operate normally. If you have any questions, you can ask me anytime."

"OK, thanks!"
To be continued...