The Fury of the Head Nurse

The two had previously reviewed many medical order templates and, under Zhou Cheng's guidance, had assisted in writing some of the medical orders.

At first, the two thought that giving medical orders was just a matter of filling out information according to procedure and there was nothing difficult about it.

But once you actually start doing it independently, you realize that there are far more intricacies involved than you imagined.

Chen Xi was responsible for adjusting the medical orders of the hypertensive patient in bed number 6.

She looked at the list of medicines on the computer screen and hesitated for a long time before finally finding the entry for nifedipine sustained-release tablets.

I originally intended to write "monitor blood pressure every 30 minutes" as Zhou Cheng said, but my hand slipped while typing and I accidentally wrote "monitor every 3 hours".

Not only that, she also mistakenly selected the option to "use diuretics if necessary".

This is a medical order I saw when treating another heart failure patient.

She accidentally copied and pasted it over.

On the other hand, Li Yang wasn't in much better shape.

He needed to prescribe rehydration fluids for patient number 4 with acute gastroenteritis. He remembered Zhou Cheng mentioning the need to replenish electrolytes, but he couldn't distinguish the proportions of different rehydration fluid components.

The prescription should have been "5% glucose injection + potassium chloride injection", but the dosage of potassium chloride was entered with an extra zero.

They even mistakenly changed "intravenous drip" to "intravenous bolus injection"...

After the two finished writing the medical orders, they glanced at each other, felt that there were no problems with the process, and submitted them for review directly.

……

Today, the head nurse in the emergency ward is Zou Qian.

The head nurse's job is very simple: to review the doctor's orders, print out barcodes, and then have the ward nurses carry them out.

Behind the review desk for medical orders, Zou Qian was staring at the computer screen, quickly checking the medical orders.

She is a senior nurse, and she knows more about the diagnosis, treatment, and medication for various common diseases than some of the new doctors in the department.

Seeing the new medical orders submitted under "Zhou Cheng's" name displayed in the system, and noticing several obvious oversights, Zou Qian frowned, thinking to herself, "Has Zhou Cheng been off work for a few days and lost his touch?"

She first opened the doctor's orders for bed number 6 and saw "use diuretics if necessary," and couldn't help but frown.

"This patient came in with dizziness and high blood pressure, right? Should we give them diuretics?"

She suppressed her doubts for the time being, thinking that perhaps Zhou Cheng had just returned to work and hadn't adjusted to his new state yet, so she marked the two errors and prepared to remind him later.

But when she opened the doctor's orders for bed number 4, her face instantly darkened.

Upon seeing the dosage of potassium chloride and the "intravenous bolus" administration method, Zou Qian's breath hitched, and her voice involuntarily rose a few decibels: "This is deadly!!"

She checked it twice to make sure she wasn't mistaken.

This is such a basic mistake!

What angered her even more was that almost every one of the subsequent medical orders submitted by "Zhou Cheng" had problems.

Some doctors forgot to order a skin test and directly prescribed cephalosporin antibiotics.

Some people wrote the dosage of oral medication as the dosage of intravenous medication.

Some medical orders are completely mismatched with the patient's condition.

The more Zou Qian looked, the more something seemed amiss, and her doubts completely turned into anger: "Even if you're just back in good form and not in top form, you couldn't possibly be this blatantly wrong!"

Zou Qian suddenly stood up and walked quickly towards the doctor's office.

Before she even opened the door, she couldn't help but raise her voice: "Zhou Cheng! What kind of lousy medical prescription did you write today?!"

The doctors in the office were startled by the roar and all looked up.

Zhou Chenggang returned to his office from the break room, poured himself a glass of water, took a sip, and was startled by the sound.

Zou Qian pushed open the door and entered. She immediately saw Zhou Cheng sitting by the window and quickly walked over.

If Zhou Cheng's video from yesterday hadn't gone viral and garnered some goodwill towards him, Zou Qian might have already started berating him.

At this moment, Zou Qian's feelings for Zhou Cheng had decreased considerably.

In fact, it is all too common in clinical practice for senior nurses to criticize new doctors.

Young doctors who have never been scolded by nurses are extremely rare.

"Zhou Cheng, look at this! What do you mean by giving diuretics to the patient with hypertension in bed number 3? The potassium chloride dosage for bed number 4 is more than ten times the recommended amount, and it's written as an intravenous bolus! And these too, missing skin test, wrong dosage..."

Zou Qian stood with her hands on her hips, her face full of anger.

Zhou Cheng did not refute, but his gaze subconsciously turned to Chen Xi and Li Yang, who were working on the computer and adding medical orders.

Zou Qian also noticed his actions. "It wasn't you driving it, it was a student?"

Chen Xi slowly stood up and said softly, "Um, we're the ones who drive it. Sorry, I didn't notice just now..."

"Is not noticing it an excuse?!" Zou Qian frowned, interrupting her mercilessly. "Medical work allows for the utmost carelessness! Do you think writing medical orders is just something to fill out casually?"

"Sister Zou, I'm sorry, it's my fault for not checking properly." Zhou Cheng also stood up and said apologetically, "These two students have never written medical orders independently before, this is their first time. I will review them later and then have them submit them."

Hearing Zhou Cheng's words, Zou Qian's anger subsided considerably. "I can understand being a new doctor, but I don't want to see the mistakes you've made repeated."

Chen Xi and Li Yang nodded hurriedly, like chickens pecking at rice: "Understood."

……

Watching Zou Qian leave the doctor's office, Chen Xi and Li Yang dared not continue writing medical prescriptions.

However, Zhou Cheng did not blame them at all. Instead, he comforted them, saying, "Young doctors all go through this. When I first wrote a prescription, it was still handwritten. I wrote a long-term prescription four or five times, but it still didn't pass the review."

"It's already quite good that you were able to figure it out on your first try."

"Don't be afraid of making mistakes. If you're unsure, ask the teachers around you."

Zhou Cheng wasn't exaggerating. When he first started his internship, he still wrote out medical orders by hand and was scolded countless times by the head nurse.

Chen Xi and Li Yang breathed a sigh of relief when they saw that Zhou Cheng did not blame them.

They can tolerate being scolded by the nurses and don't take it to heart.

However, if Senior Brother Zhou Cheng criticizes them, that would be serious; they might not even dare to make their own medical prescriptions independently anymore.

……

However, despite the stern criticism Chen Xi and Li Yang received from the head nurse, the students in the other groups in the department were incredibly envious of them.

Some resident trainees, like those working under attending physicians such as Li Degang and Zhang Biao, repeatedly wrote medical records, processed discharges, or ran errands such as performing electrocardiograms every day.

It's simply impossible to write out a few medical orders yourself.

Not to mention, being able to decide on the treatment plan for some patients on one's own is something one would never even dare to dream of!

As for Zhou Cheng, he had already started thinking about where to find lunch today.