You guessed right, you were absolutely right!
Nie Shirong looked at Shi Wan in alarm, a chill running down her spine and straight to the top of her head.
It's not easy to be a lead shift worker in the emergency department. After being promoted to director, Nie Shirong took advantage of her position and never took a lead shift herself again. There were only a few doctors on duty, and those who could work were out in the countryside at night. The newly appointed replacement, Lu Wenhui, didn't know anything. Since Nie Shirong didn't take shifts, over time, other doctors got impatient with their shift work and started spreading rumors about her, which even reached other departments.
Nie Shirong had no choice but to schedule one day of main shift work for herself this week.
She was really unlucky; she only worked one main shift a day, and today there were an unusually large number of patients in the outpatient clinic.
When Nie Shirong was seeing Song Zhiqing, a patient who had ingested paraquat was brought in. Nie Shirong originally planned to treat the patient who had ingested paraquat first, and then come back to see Song Zhiqing.
When Song Zhiqing saw that the doctor was going to see the later patients first, she immediately became anxious and asked, "Doctor, you haven't finished seeing me yet, why are you leaving? I arrived first, why are you going to see the later patients?"
Nie Shirong explained, "The patient outside drank pesticide, and the situation is quite urgent. I have to go and deal with him first."
Hearing this, Song Zhiqing could understand why doctors should see seriously ill patients first, so she asked, "Doctor, how long will it take for you to come back and see me?"
How do I know when I'll be back!
Nie Shirong shouted, then realized that she had raised her voice to the patient. She was the director now, and she would lose face if she were to be complained about because of this.
He then lowered his voice and explained, "Saving patients is a race against time. Time can be long or short. Of course, I hope to save the patient in the shortest possible time and get back to you as soon as possible, but this is not something I can control. I hope you understand."
"I have to work tonight and time is tight. I can only have an IV in the afternoon. Doctor, could you please quickly write a prescription for me? I feel that the injections from the past two days have been quite effective. Just write the same prescription as before. That way, while you go to save the patient, I can go directly to pay and get the IV fluids. No one will be delayed."
Nie Shirong was already annoyed by the large number of patients today, and now she had encountered another troublesome patient. The patient outside who had drunk paraquat was also difficult to deal with. With a bunch of things waiting for her, Nie Shirong instantly became irritable and shouted, "I don't have time to see a doctor. Either wait or go see a doctor somewhere else. I don't have time to talk nonsense with you."
Song Zhiqing slammed her phone down, pressed the pause button on the recording, crossed her arms, crossed her legs, and said with a serious expression: "How can you talk to patients like this? We come to the hospital because we are sick, and we have to put up with your attitude. Your attitude is so bad. Why don't you call your supervisor over? I'm going to complain about you. It'll be a good opportunity for your supervisor to hear how you talk to patients."
As she spoke, Song Zhiqing pressed the record/play button, and Nie Shirong's not quiet voice came through the phone's speaker:
"I don't have time to see a doctor. Either wait or go somewhere else. I don't have time to waste with your nonsense."
In the recording, Nie Shirong's tone was harsh, especially her loud voice, which made it sound like she was scolding the patient.
Seeing that she had encountered a tough opponent, and that the person knew a thing or two, Nie Shirong's attitude changed instantly. Pointing to the patient still lying on the stretcher by the door, she explained, "That's not what I meant. The patient outside was in a real emergency, and I was just in a hurry..."
As she spoke, Nie Shirong noticed Lu Wenhui, a newcomer who was standing idly in the office. Her eyes lit up, and she turned to Song Zhiqing and said, "How about this, I'll arrange for another doctor to prescribe a prescription for you. Just follow your instructions and get the prescription from before."
When Song Zhiqing heard that she was going to get a prescription, she didn't want to cause trouble, so she nodded and said, "Okay."
Song Zhiqing had been receiving intravenous fluids at the outpatient clinic for two consecutive days, and her condition was stable. According to the previous prescription, the worst-case scenario was nothing more than mediocre results. Nie Shirong walked up to Lu Wenhui and asked in a voice only the two of them could hear:
“You’ve been with me for a while now, so you should be able to write prescriptions, right? Get her prescription from yesterday, write the prescription according to yesterday’s instructions, print it out, and then come to me for my signature.”
“Mm.” Lu Wenhui nodded enthusiastically.
During this time, Nie Shirong was worried about Lu Wenhui and basically didn't let her do anything. Now that she finally had a chance, Lu Wenhui was of course very willing.
When Lu Wenhui handed over the prescription, Nie Shirong was resuscitating a patient who had ingested paraquat. The amount ingested was too large, and the patient's arrival had delayed treatment. The patient's vital signs were very weak, and no matter how much she tried to persuade the family, they refused to give up. Nie Shirong had no choice but to grit her teeth and continue the resuscitation efforts.
The person who prescribed Song Zhiqing's medicine a couple of days ago wasn't Nie Shirong. Nie Shirong didn't know what kind of injections or IV fluids she prescribed either. She glanced at the prescription and the dosage and administration of the medicine were correct, so there was no problem. Nie Shirong signed it hastily and threw it back to Lu Wenhui, feeling extremely disgusted. Lu Wenhui had been with her for a while but hadn't learned anything. She was just wasting her time!
What Nie Shirong least expected was that Lu Wenhui could still prescribe the wrong medication even when following the prescription!
If a mistake was made and no major medical accident occurred, it could have been remedied.
But then, a major emergency rescue was needed!
Although the prescription was written by Lu Wenhui, it was signed by Nie Shirong, a senior physician. If a punishment were to be imposed, it would only be on Nie Shirong.
If this gets out, Nie Shirong's position as director will be over. How could she not panic?
If she can't be punished, then someone else has to take the blame. There are many new employees in the department in the past two years. Currently, of those with prescription rights, two are on annual leave, three are on maternity leave, and one is on sick leave. That leaves only Zhang Zhibin, who prescribed Song Zhiqing that day, her, and Shi Wan, who just returned from the countryside today.
Nie Shirong and Zhang Zhibin were already at odds. If she went to Zhang Zhibin, the medical malpractice would be impossible to hide. So she could only find a loophole and ask Shi Wan, who had just returned today and was unaware of the whole story, to take the blame.
Once Shi Wan signs the prescription, Nie Shirong can go to the cashier's office to get it stamped and say there's a problem with the prescription. They can then replace the prescription that the outpatient pharmacy is holding. If the medical insurance company investigates later, they can only trace it back to Shi Wan.
The plan was perfect, but Shi Wan, who knew exactly what was going on, just wouldn't sign it.
Shi Wan calmly straightened her white coat, looked at Nie Shirong's slightly pale face, smiled, and calmly withdrew her hand from Nie Shirong's grasp.
"If Director Nie has nothing else, I'll head out now."
It was late...
Nie Shirong called out to her, her facial muscles twitching stiffly as she forced a smile and pleaded softly, "I've just been promoted to director, I can't be punished now, so please sign this prescription, okay?"
How could Nie Shirong have the nerve to say such a thing?
Shi Wan chuckled and asked calmly, "Does Director Nie mean I should take the blame and be the one to take the fall? Director Nie can't be punished, but I can? Do I look like some kind of innocent victim who's been wronged to the extreme?"
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