The Returning Doctor Wanted to Live Quietly - Chapter 319
Only Noblemtl
Episode 319. Giving orders (1)
It’s already early summer.
Instead of a bright spring day, the heat was picking up.
The time has come for the T-shirts worn under gowns to become thinner.
So there were already nurses walking around in short-sleeved gowns.
Seo Yu-jeong, a new nurse, was feeling feverish for a different reason.
“Auntie, I don’t think this is real.”
“I told you not to call me aunt! Nurse Su. No, call me Teacher Su!”
“It’s not even a hospital, it’s a cafe. Auntie, I really hate working sprints (mid-day, 9 to 6).”
“This is real. Oh my. Why? Because there’s no night allowance?”
“Money isn’t the problem. I really hate going to work only during peak times and just acting and then quitting. I hate having day and evening jobs overlapping. I hate being a newbie and getting lost. I don’t have time to rest.”
A nephew who has many complaints, as is typical of the current generation.
The endocrinology nurse immediately clicked her tongue.
At times like this, I felt resentful of my older sister for leaving me behind.
If you get married early and have children, you will be responsible for it to the end.
To leave without a trace.
I was really full of worries.
“Hey, that’s how it is. It’s not because of the sprint. It’s just that it’s hard at that age.”
“But I still don’t like it. Aunt, can’t you just take turns doing it?”
“You are like this. Ha. No. No.”
“Why? You have that much strength, Aunt. Really. Just once. I really think I’m going to die. I really didn’t know this would happen.”
“It’s true that it’s busy because the peak is back and forth. But there are still people who want to sprint. They’re all over the place.”
“That’s for married teachers and such. It’s hard to send them to daycare. Huh? Auntie. Please!”
A nephew who is so lacking in iron.
Nurse Su, who had been thinking hard for a long time, let out a sigh.
“Ha, as far as I know, there’s no TO in the internal medicine department. You have to transfer to the surgery department. Are you okay without me?”
“It doesn’t matter, Auntie!”
“It doesn’t matter. You, you. Ha. That’s enough. That’s enough. Once you move, it’s over, the end. You have to be prepared.”
“Thank you, Aunt!”
Seo Yu-jeong ran around, but the nurse only furrowed her brow.
* * *
From endocrinology to endocrine surgery.
The positions changed in an instant.
In reality, sprint work, which is no different from regular work, is preferred over shift work for childcare purposes.
As with everything, there are pros and cons.
I ended up switching with a nurse who was returning to work after parental leave.
So today is like my first shift.
Seo Yu-jeong, dressed in plain clothes, discovered Lee Jin-hyeok and ran towards him.
“This is Teacher Lee Jin-hyeok. I will be counting on you in the future. Today is my first day at work. This is Seo Yu-jeong!”
“Are you new?”
“I’m not new. I started out in endocrine science and ended up here.”
“Ah. You’re the teacher I switched with Teacher Park Jeong-eun. Shift work isn’t easy. I’ll be counting on you in the future.”
Jinhyuk Lee is as nice as rumored.
Seo Yu-jeong, who had exchanged greetings with him, hurried to the locker room.
The starting time for the night shift is 9:00 PM.
I said I left 30 minutes early, but you never know.
As expected.
As soon as I changed clothes and entered the station, the shouting returned.
“Hey!! You, follow me!”
Seo Yu-jeong blinked her eyes for a while and then belatedly followed the senior nurse.
* * *
Endocrine surgery medication manufacturing lab.
The senior nurse who had pushed Seo Yu-jeong into a place that was no different from a closet questioned her.
“You, what time is it now?”
“It’s 8:30!”
“You answer well. Hey, don’t you have a motive?”
“There is.”
“But you’re going to work now? Are you really going to be like this from the first day? I got a call from the endocrinologist. Are you really going to be like this?”
“I’m sorry, I’m sorry.”
Seo Yu-jeong hurriedly lowered her head.
I don’t know the exact reason, but it’s polite to start by saying sorry.
I knew this much.
but.
“What are you sorry about?”
“yes?”
“What are you sorry about? You just said that. You said you were sorry.”
“That, that.”
“Listen carefully. I’ll let you off this one time. Come to work two hours early. And don’t leave work right away. You have to wait until the handover is over before you go. I’m coming to work early because of the handover.”
“Huh? Oh, yes.”
“Aren’t you going to answer correctly?”
“All right!”
“Ha. Seriously, if it weren’t for your aunt, I would have just burned it down. Day, evening, night. It’s a shift work. It’s natural to come in early because of the handover.”
I’ve heard that it’s different from sprints, but the atmosphere itself is tense.
Why do I have to come to work early when I’m not getting paid more?
Just as Seo Yu-jeong was about to cry, the senior nurse whispered.
“Control your expression. You’re not even a burner. Didn’t you hear that from the other kids?”
“Yes, I’m sorry!”
“Oh, you’re good at answering questions. I’ll watch you. Got it?”
“yes.”
That was the beginning of the shift work that Seo Yu-jeong faced.
The station returned, trying hard to control its expression.
The nurse who had to hand over the job to Seo Yu-jeong immediately called her.
“Is this your first time standing up for a knight?”
“yes yes.”
“To prevent falls, put your guard up. You know you have to do that, right?”
“yep!”
“Modify the order after the rounds. Make sure to communicate. This is an order I made a few days ago. Making the order is the key, the key. The one that happened during the afternoon rounds. You have to make it all.”
A senior nurse showing a chart from a few days ago.
Seo Yu-jeong’s eyes widened.
Sprint work is simply about doing what you are told to do from above.
But you’re already asking me to place an order.
My eyes immediately went dark.
What do you need to know to be able to strike back? You don’t have that knowledge, do you?
“All of this?”
“Why? Don’t you know how to give orders? Oh, you don’t have to give orders to Teacher Lee Jin-hyeok. He’s not a copy-and-paste type. But you have to give orders to other teachers. Most of them are copy-and-paste. If you just give them the medicine, it’s over. It’s over.”
“yes.”
“If you don’t know, ask the intern teacher. Even if you say you’re busy or that it’s annoying, always ask and make corrections.”
“How do you usually place a verbal order?”
“I have written down the passwords of the doctors. If any of them find it bothersome, they can enter their passwords and modify their orders.”
“ah.”
“Why? Professor Seo Yu-jeong. She’s the niece of Professor Su of the Endocrinology Department. That’s why I’m helping her with the handover. Do your best. Okay?”
The handover continued even though I couldn’t even answer properly.
It means that if you don’t follow the order, you won’t get scolded by the doctor.
There was a lot of talk about getting scolded by the senior nurse who was handing over the job next.
Unlike when new employees come in and are scolded and taught without being told anything, I was treated with consideration.
From Seo Yu-jeong’s perspective.
“Ugh.”
All I could do was cry.
* * *
Placing an order.
It’s not an easy task.
Clearly, the patient’s condition is different today than yesterday.
The doctors were just copying and pasting.
“I am a patient with a history of diabetes. I ordered 50 mL of NACI 0.9% and 1 L of DS 5%.”
[Oh, I have to go into the operating room right now. Can you ask the intern teacher?]
“I know you’re busy, but still.”
[Just do it yourself. You know my password, right? It’s 1234.]
“I’m sorry, teacher. I’m new.”
[Oh, you said patient Yoo In-ha? Just reduce the dosage.]
“Huh? Oh, yes.”
The phone suddenly hung up.
It was said to cancel the existing order.
Seo Yu-jeong then looked at the chart.
[D/C] NACI 0.9% 500mL.
[D/C] 5% DNK2 1L.
A previous record of Discontinue (medication discontinuation) is shown.
The capacity has already been reduced.
Please reduce it further and place your order here.
What should I do if you tell me to cut it again?
She looked around in a state of mental breakdown.
I see so many busy surgeons running around.
It’s a very different behavior from an internist who mainly does medication and vital care.
I stopped a passing intern and asked him, but I got the same response.
There is a subtle implication that says, “Why don’t you just do it yourself?”
When you don’t know what to do.
An accident occurred just now.
A patient about to undergo thyroid surgery rolled on the floor.
Seo Yu-jeong immediately grabbed the senior nurse and asked her.
“Fall Accident Interview. Is this really necessary?”
“Then we should do it. Didn’t that happen when you were working as a nurse?”
“I’ve never done it before.”
“Has anyone tried it and is it good?”
“… … .”
“Patient Kim Chul-jin. It’s true. It’s true. He lowers the railing at every opportunity. He has a bad sleeping habit. He just bangs at every opportunity. His guardian requested a meeting. Please take care of it.”
This is also something I didn’t do when I was working at Sprint.
Even though I couldn’t change the verbal order, it wasn’t easy to meet with the guardian.
Should I just call it a curse word?
After hearing the swearing for so long, I was on the verge of tears.
* * *
Sniffle. Sniffle.
Jinhyuk, who had come out to the emergency exit to talk to his parents, frowned when he heard someone crying.
Patient? Guardian? Nurse? Doctor?
The sound of someone sobbing loudly rang out for a long time, no one knowing who was crying.
In this situation, it’s impossible to talk to your parents and laugh.
Jinhyuk immediately went down the stairs. Then he saw the new nurse bowing her head.
‘I said my name was Seo Yu-jeong. Why?’
Why are you crying?
Because you got burned?
Someone is nagging you?
Is the patient or guardian acting in a suspicious manner?
There was no reason to interfere, but this damned thing made him move.
“Big, big. Hey, Teacher Seo Yu-jeong?”
“… … !”
“Hey, at least this.”
“Thank you. Hehe.”
Seo Yu-jeong took the handkerchief Jin-hyeok handed her and blew her nose.
I couldn’t help but smile bitterly, but she looked so lost.
Jinhyuk, who had been waiting for a while for things to calm down, opened his mouth.
“Who is harassing you? The nurse? The patient? The guardian? Who is it?”
A long silence followed.
Seo Yu-jeong’s answer, after blowing her nose again, was quite a sight.
“Everything, everything.”
* * *
“The patient is not stable. Everyone. Dirt.”
“Your vitals are shaking a lot?”
“Yes, there are no patients who don’t have events. They are also very nervous.”
“Well, unlike internal medicine, there are many patients who are about to undergo surgery. It’s normal for vital signs to fluctuate after surgery.”
“And also… … .”
“Do the nurses have a hard time too?”
“Yes. There’s too much work to do. I have to check the I/O. I have to hold the drainage tube. I have to do charting. I have to make medication cards. I have to manage the transport team. I have to do handovers… .”
A long and drawn-out rant.
The point was that things had become three times harder.
There are different things to do on dates.
There are different things to do in the evening.
There are different things to do at night though.
The thing is, you’re going around and around and getting ripped off before you even get used to any of them.
But there is nothing I can do to help.
Interns too.
The same goes for new nurses.
The reality is that it takes a lot of hard work to become a proper medical professional.
but.
“The hardest part is giving orders. Doctors. They really are too much. They don’t even do proper charting. They just copy and paste. There’s no one to ask. It’s really, really hard for me.”
When she pointed out even the vocal actions, Jinhyuk let out a soft sigh.
The next generation EMR will be implemented soon.
It was he who created the set order list and maximized the copy and paste function.
If things continue this way, it’s clear that things will get worse.