Arrange surgery like the next game

In early 2021, he was appointed Deputy Director of Anesthesiology. Because it is a grass -roots hospital, the construction of the talent echelon is not complete, and the department does not have the position of "hospitalization". The annoying department director gave me the arrangement, class, and some daily miscellaneous things. Since then, his life has changed qualitatively.

Previously, reading, bringing baby, walking, traveling. Now, from home to the department, returning home from the department, calling constantly every day. In fact, I have become a veritable "hospitalization", and there is a big game of chess every day with the operating department!

"JU)!" A "intra -neck arteries" of neurosurgery released a big move.

"Shells!" A neurology department of an emergency "surgery of femoral arterial cerebral arterial photography+anti -embolization" at night.

"Scouts launched a comprehensive offense!" Eight anchidal throat "tonsils+gland sample resection" in eight ear -throat units require systemic anesthesia.

"Elderly group strikes!" Three orthopedics and 6 "femoral neck fractures" over 85 years of age need to perform "full hip replacement" or "PFNA intramed needle fixation"

Native

A dream wakes up, look at the mobile phone, 4 o'clock in the morning ... The two words in my mind are lingering for a long time, so I turned on the mobile phone memorandum and wrote the word "play chess". The mind became clearer.

One, two, and outer three of the opponent's ten main force, three, and outer three, bone, bone two, bone three, gynecology, obstetrics, otolaryngology, and dental departments are mainly based on the main battlefield from the front battlefield to our army (Anesthesiology Department surgery surgery (Anesthesiology Department surgery surgery Ministry) Initiating offensive, there are three other cavalry camps, pain, and ophthalmology have been copied from the side with emergency and expert surgery for a long time. Each sectional diagnosis tracheal intubation and obstetric painless delivery are indispensable as remote attacks. There are still two expeditionary army "painless endoscopes" and "popular rib clinics" in our twelve wars generals. In addition to night shifts, night shifts, and public rests, the number of people can be used every day. How to play this game?

Every day, the "Surgical Notice" of the optional surgery is opened, just like seeing the top ten surgical departments set off. The so -called confidant knows the other. Therefore, first look at the number of surgery, the size of the surgery, the length of the operation, the age of the patient, the complexity of the surgery, etc. There is a teacher who is responsible for arranging surgery as I am the same as me. The two of us will cooperate with the type of surgical incision, the age of the patient, the danger of surgery and complexity, the special equipment needs of the surgery, the differences in the surgical department, the anesthesiologist, the operating room nurse How many comprehensive considerations, first arrange a certain number of surgical rooms.

Try to arrange the same surgery room as much as possible;

The surgery of the same special equipment requires the same surgery room, such as surgery of the C -type arm;

Children and elderly patients are preferred;

The surgical incision type is to arrange the first set of surgery;

Native

Next, I will comprehensively consider the familiarity of the anesthesia doctors' familiarity with different operations and anesthesia methods and the degree of good at work. Consider the fatigue of anesthesia doctors, combine the level of surgical doctors, the rapid and slow surgery, and even get used to it. The anesthesiologist is responsible for different surgery, one -to -one surgery, one -to -one surgery. In addition, one person is arranged to be responsible for emergency and expert surgery. If emergency and expert surgery is like a small stock raid team that suddenly appears on the army position, similar to plugging and sharp knife classes. There are several experts at the same time, and they have to temporarily adjust the rest staff to work overtime, as well as the operating room nursing team. At this point, the surgery arrangement is a paragraph. Playing the battle, the surgery room is the position, and the decisive battle begins.

In fact, the enemy of this game is not the surgical departments, but the illness of the patients in the surgical department. The anesthesiology department, the operating room and various operating departments cooperate together to coordinate each other. They put the chess pieces to the best position and defeat the sickness together, which is the biggest victory! It's a good chess!

Author: Wang Wenjiang, graduated from the undergraduate anesthesiology of Xinxiang Medical College, is currently the deputy director of the Anesthesiology Department of Yichuan County People's Hospital, a member of the Luoyang Medical Association Anesthesia Professional Committee, and a member of the Standing Committee of the Luoyang Medical Association Anti -Cancer Association Tumor Anesthesia and Aurement Aids.

[Reminder] Pay attention, there are a large number of professional science sciences here to reveal those things about surgical anesthesia ~

- END -