System Came When the Doctor was Thirty

Lu Cheng had just finished the night shift, but he hadn’t finished work yet.

According to duty protocols, the person who finishes the night shift also does the day shift in the ward, essentially transitioning from the emergency room to the observation ward on duty.

January 3rd was a shift adjustment, not a Monday, and Director Xiao Zhaoxi went home after his shift was over. It was Director Tian Zhiliang from the second-line consultation shift leading the rounds.

The night shift in the ward yesterday was handled by Chen Fang. After handing over the shift to Lu Cheng, Chen Fang completed the rounds and could finally rest, remaining on standby.

Lu Cheng followed Tian Zhiliang, with Chen Fang responsible for introducing the condition of all patients, which also served as a handover for Lu Cheng, who was taking the day shift.

The observation ward in the surgery department at Xiangzhou People’s Hospital had patients who were even more focused, all being small to medium trauma cases, compared to those in Long County People’s Hospital.

The number of patients was also small, with only five in total, and turnovers were rapid. Three patients would be discharged today.

After making the rounds, Tian Zhiliang said: ”Xiao Lu, there’s nothing special in the ward today. Remember to complete today’s medical records.”

”Day shift writes the medical records; the night shift in the ward only records special treatments. You should understand this rule, right?”

Lu Cheng immediately nodded: ”Okay, no problem, Director Tian.”

”Which types of antibiotics and painkillers do we usually use in our department?”

When Lu Cheng was at Long County People’s Hospital, he had the authority to prescribe medication, as he was the primary surgeon.

But now at Xiangzhou People’s Hospital, Lu Cheng was aware of the department’s rules; this was another orthopedic department.

If the superiors preferred certain medications, you just follow their lead, no need to act on your own accord.

Tian Zhiliang scanned Lu Cheng closely, noticing his expression was natural and not sarcastic, and said: ”As for antibiotics, cefuroxime or cefazolin are fine. If there are consultation opinions, follow them.”

”For painkillers, celecoxib and the like are okay. For anti-inflammatory drugs, use maizhiling or yushangling.”

Lu Cheng silently noted down the names of the medications mentioned by Tian Zhiliang in his notebook.

After seeing Lu Cheng’s notes, Tian Zhiliang added: ”Xiao Lu, or you can just use your judgment.”

Lu Cheng quickly responded: ”No worries, Director Tian, we’ll use whatever medications our hospital has centrally procured.”

”Alright, then go write the medical orders, finish them, change the medications, write medical records, process discharge, and be ready to process admissions at any time. That’s the daily routine of the ward day shift.” Seeing that Lu Cheng worked diligently, Tian Zhiliang gave him some guidelines.

What Tian Zhiliang mentioned were all routine tasks that Lu Cheng frequently performed. Lu Cheng handled everything smoothly, except he wasn’t quite used to the medication orders and medical record system here.

By around eleven in the morning, Lu Cheng had completed all the miscellaneous work.

He successfully handed the discharge records and diagnosis certificates for three patients over to them, allowing them to go to the nurse’s station for accounting and then discharge.

Just as Lu Cheng finished ordering takeout, two more patients, both with minor injuries, were transferred from the surgery clinic. Orthopedics didn’t want to admit them to avoid wasting beds, but the patients did indeed need observation, so the emergency observation ward was an ideal place for them.

The admission process was relatively simple, involving adding the patient to the inpatient system and ordering routine inpatient tests like chest X-rays, ECGs, and blood tests for inflammation markers.

Usually, those needing hospitalization require IV anti-inflammatory treatment, and the emergency clinic doctors would recommend the types of antibiotics, requiring Lu Cheng to simply repeat the process.

Thus, in fact, being on duty in the emergency surgery department was relatively leisurely.

This formed a stark contrast with the hectic internal medicine department.

In the afternoon, while on duty, Lu Cheng read a book, which was perfectly acceptable. Even if patients saw and reported it, the report would be ineffective.

The on-duty internal medicine doctors were rushing back and forth, conducting examinations, bringing patients into the doctor’s office for medical history and basic information.

Lu Cheng noticed that many patients in the Ji City internal medicine observation ward had severe colds, non-pneumonia, and non-severe infection cases, with quite a few showing severe flu symptoms.

However, the internal medicine and surgery wards were relatively separate.

While reading, Lu Cheng felt a sense of tranquility amidst the bustle.

After reading for two hours, Lu Cheng returned to his usual duties, visiting the surgery ward.

The surgery ward housed three patients per room, with three rooms in total, equaling nine beds.

Currently, there were only four patients, distributed across two rooms, two men and two women.

Beds 1 and 6 were long-term patients, while beds 2 and 4 were newly admitted today.

The long-term patients had been hospitalized for several days, but Lu Cheng didn’t pry, so he headed to bed 2 first: ”Hello, ma’am, how are you feeling now? Is the wound painful?”

The woman was injured while walking on the street, hit by fallen cargo from a vehicle. Her surgery was already complete. She calmly said: ”I’m okay now, just the wound is a bit swollen.”

”Swelling at the wound is normal. Localized swelling is a defense mechanism of our body.”

”Ma’am, you mentioned you had hypertension before, right? What was your blood pressure reading just now?” Lu Cheng asked gently.

”It’s alright, 134 over 90!” she replied. ”I’m usually quite healthy. If it weren’t for the accident, I rarely visit the hospital.”